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Sir Liam Donaldson, Chief Medical Officer for
England and the UK's Chief Medical Advisor,
should be summarily sacked.

Dr James Irvine

FRSE DSc FRCEd FRCPath

Formerly Consultant Physician, Royal Infirmary, Edinburgh

Filed 18 Jul 07
©www.land-care.org.uk

Sir Liam Donaldson was interviewed on Channel 4 ITV yesterday evening (Tuesday 17th July).

He was introduced as the person primarily responsible for the appalling debacle over the new system whereby junior doctors apply for, and are appointed to, jobs within NHS hospitals. This is of key importance not only to the young doctors, but also to the efficient running of the hospital service.

As Chief Medical Officer for England, he did not deny that he was the person responsible for a scheme that was so clearly riddled with unfairness to young doctors that it could not conceivably provide a competent appointment system. And so it turned out.

Thousands of young doctors, expensively trained within the NHS and our Universities, feel desperately let down by a system that is manifestly unjust. Their complaint is that there is no possibility of the best applicants being successful within the jobs available: not by any believable criterion.

As if that was not bad enough, the young doctors had already undergone the anxiety of their personal details (that they were required to submit within this scheme) being made widely available for others to scrutinise. Assurances given by the Department of Health over basic data protection meant nothing. And that is a serious offence.

It was all very well for Sir Liam to say that he was sorry. But sorry is not good enough. To watch him trying to excuse himself by talking about "teething troubles in a new system that was aimed at improving the educational content of Senior House Office posts" was pathetic.

It should have been obvious to him, on the most superficial of examinations of the proposed system, that it would lead to major trouble. It is not just a question of being wise after the event. A Chief Medical Officer's job is to make sure that such crass mistakes do not happen.

How can one have confidence that this same person, in his role as the UK's Chief Medical Advisor, is capable of giving balanced advice to the UK Government in relation to medical emergencies that may affect the nation. It is frightening that he has been doing this since 1998.

The situation is so appalling that he should go - and go now.

©www.land-care.org.uk