Sometimes it can be counter-productive to be an insider in terms of spotting what's going on. While truth pretty well always has to be stranger than fiction (fiction has to make sense after all), the scenarios covering how and why systems break down whether marriages, companies, political parties or academic groups [...]...�

Is what is happening down to a clash of personalities, a local vendetta? The cavalier lack of concern for due process might point to a ham-fisted local operation or it might point to government or company support creating a sense of invulnerability. [...]...�

I was supposed to be interviewed as part of a Serious Untoward Incident (SUI) review process on March 12 this year. The main interviewer was Robert Higgo. An email that morning said he had a headache and would have to cry off the interview. It was deferred to April 10. [...]...�

The SUI in this case was being conducted by an apparently self-declared expert in SUIs, Dr Robert Higgo. While in the process of moving to Wrexham a short time before hand, Dr Higgo had been called in as an "external" investigator on a serious incident involving one of his colleagues-to-be in Wrexham. When confronted with the fact that he wasn't so external, he accepted that most people would not accept he was external but he said that nevertheless he figured his judgement was independent. Lucky me to have both an expert on SUIs and someone of solid independent judgement involved in this SUI. [...]...�

When something serious goes wrong in healthcare it is standard to have a Serious Untoward Incident (SUI) review. If conducted in good faith, in areas like surgery where the issues are clear cut, having a critical incident review like this has some chance of working. But in mental health, the issues are rarely clear cut. And as one of one of the managers within BCUHB put it, SUIs are an opportunity to "get your own back on others." [...]...�