Thread by @TheOriginalSai 14 Jan 23
Thread by @TheOriginalSai 14 Jan 23
Thread by @TheOriginalSai 14 Jan 23
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3. The DoH document proposed a switch to the "Medical Examiner" (ME) System and was sent to a number of
different audiences for feedback and consultation.
4.
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5. Prior to the Covid-19 Pandemic, the death certification process involved treating doctors of a patient to attend
Bereavement Services/Patient Affairs to discuss the death and either:
a) refer the death to the Coroner or b) write a Medical Certificate of Cause of Death (MCCD)
6. The MCCD states the cause of death. Whereby a direct cause (1a) or contributing causes (1b) (1c) (1d) are stated
along with co-morbidities (not directly causing the death) being written in (2) on the MCCD.
7. The only definitive way of determining an accurate and plausible cause of death is to refer the deceased patient
to HM Coroner (if certain criteria is met), for HM Coroner to accept and take on the case, resulting in a Post
Mortem (PM) being conducted by a Histopathologist.
8. When a death is seen as natural and there is nothing untoward, the MCCD is written by the treating doctor of a
deceased patient. Usually this is an F1, F2, SHO or Registrar that attends. It is rare for a treating Consultant to
attend, but they will finalise the cause of death.
9. A strict hospital hierarchy exists within the NHS for doctors. It is as follows - from lowest to highest rank:
Foundation
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10. Junior doctors will very rarely speak up or challenge their seniors. A senior decision is seen as final and it will
be carried out and executed without any hesitance or questioning.
11. In my 5.5 years of experience in End of Life Care, I have only ever seen one junior doctor disagree with a
proposed cause of death and challenge their consultant.
12. With the number of deaths that occur in a hospital, as you can imagine, there is a great deal of variation with
regards to causes of death, as we have numerous different doctors writing an MCCD and coming up with various
different potential diseases in different orders.
13. The proposed ME system would change this, as the government would now hire and pay one Medical
Examiner, to sit in every hospital and write all MCCD's for all deceased patients. This would effectively eliminate
any variation in causes of death.
14. In 2016, when I heard of this proposal, I worked as a Bereavement Officer at a hospital in Central London. My
mentor/line manager at the time was a former Chief Nurse who managed Bereavement Services and all hospital
deaths would be controlled by her and the department.
15. We essentially carried a huge amount of power with regards to decision making, as we would go through all
patient notes following the death of a patient, and essentially guide and advise doctors on what would need to be
written with regards to an MCCD or Coroners Referral.
16. In my personal opinion, our role was to sit on the fence and act in the best interests of a deceased patient (and
their families), but also protect the hospital and our doctors from any potential negligence.
17. As you can imagine many battles were fought over decisions about a cause of death of a patient or a referral to
the coroner with a vast amount of doctors over the years.
18. F2's and SHO's were particularly the worst with regards to carrying an arrogance of knowing what should be
written on an MCCD or stating that a patient didn't need to be referred to the Coroner (often stating that their
Consultant had given them instructions).
19. It is worth noting that Consultants are also only human and can be incorrect at times too. We have to
remember that they are succeeded in hierarchy by a Clinical Lead and beyond that a Medical Director. Who have
far more experience and knowledge.
20. When I asked my mentor in 2016, how the ME system would change things, I was told that Bereavement
Services/Patient Affairs would become purely administrative and that the clinical judgement would fall to the
Medical Examiner.
21. The power and decision making with regards to MCCD/Coroners Referrals was being taken away not only
from treating doctors but also from Bereavement Services/Patient Affairs/Bereavement Officers/Bereavement
Service Managers/Directors of End of Life Care.
22. This decision making power was being handed solely to the Medical Examiner, who has not been involved in
the treatment of a patient during an admission.
I took all this information in at the time and acquired as much knowledge as I could from my mentor/line
manager.
23. In 2016, I also happened to make a move and take up an opportunity to manage my own Bereavement Services
at one of the largest hospital trusts in the whole of the UK.
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On average, I would oversee MCCD/Coroner Referrals for approx 1750 deaths on an annual basis.
24. I developed a very close working relationship and friendship with one of the Medical Directors (a doctor with
the highest ranking in a hospital).
This was especially helpful when having to challenge doctors with regards to MCCDs/Coroners Referrals.
25. Progressing to Director of End of Life Care, I became involved with the reporting of mortality rates, conducting
mortality reviews and writing hospital policies. I had also developed an excellent working relationship with the
HM Coroner who oversaw our Trust.
TBC...
26. HM Coroner holds the power to investigate any hospital or trust with regards to a death or a number of deaths.
A slight problem may arise, in that HM Coroner has an allegiance to the Crown and the Government.
27. When a death is reported to the Coroner. This was previously reported via telephone call by the treating
doctor. A discussion was had with the Coroners Office and an direct outcome and instruction would come from
the Coroner's Office, by way of HM Coroner (via a phonecall).
28. There is a fundamental flaw to this system, as there is no documentation of the decision and instruction from
the Coroner's. It comes via word of mouth. There is always room for error without any electronic documentation.
29. Every Hospital/Trust & HM Coroner will have a different system of reporting deaths. I personally made a
decision to safeguard my hospital and the trust, by developing an electronic coroners referral form, which I
proposed to our Coroner and developed after their agreement.
30. We now had documentation of every death being reported and every outcome.
When reporting a death, the Coroner will look at a proposed cause of death and accept it, or reject the cause of
death and take on the case (death of the patient), leading to an Inquest or a PM.
31. In 2019, our Medical Director, came into my office one morning and stated that the Board of Directors at the
Hospital had made a decision to switch to the Medical Examiner System.
Hearing the words ME system was a massive case of Déjà vu (conversation with my mentor in 2016)
32. I knew exactly what the ME system was, but I chose instead, to play the fool and enquire what exactly the ME
system was and what it meant for our service, my staff and our roles. Everything the Medical Director mentioned
to me that day was a carbon copy of what I already knew
33. I knew that my time in End of Life Care had come to an end. I'd reached the top and there was no more
progress for me. Losing all power and decision making to any ME coming into the hospital did not appeal to me.
I'd already made up my mind that I needed to leave.
34. Seeking a new challenge and experience, I made a move in 2019 to another major hospital in Central London,
this time sidetracking into operational management.
I was in charge of the operational management of Nephrology, Rheumatology, Dermatology and Diabetes &
Endocrinology.
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35. In Jan 2020, I remember hearing about the first case of Covid-19 at our hospital, with a patient arriving from
China and walking into our A&E. A&E was shutdown and steam cleaned that day, I recollect the moment I heard
about this.
36. In my mind, I saw the reporting of Covid-19 in the media as nothing more than Bird Flu or Ebola, which had
caused panic but yet passed. I wasn't worried in the slightest bit.
Things began to escalate around in Feb 2020, around the time I was going on holiday.
37. Due to the reporting by the media, I bought N95 masks as a precaution for my trip and to give to my parents
and younger sister. I was blessed to have had an opportunity to spend a few days in Sri Lanka for a wedding and
then nearly a whole month in Australia (March 2020).
38. I watched as the narrative of a deadly infectious disease continued to grow with every day that passed. I made
a decision to cut my holiday short by a couple of days so that I could make sure I got back to my family and not
end up being stranded in Australia.
39. Upon returning to the UK in late March 2020. One of the immediate things that struck me was the lack of any
temperature monitoring or questioning at Heathrow Airport. This seemed odd for a potentially deadly infectious
disease that was spreading around the world.
40. This was especially odd, as Sri Lanka & Australia had questioned me/checked temperatures upon arrival, with
even Singapore monitoring temperatures during transit.
41. My mother had just recovered from Cancer, my father was over 70 and my younger sister was born with
Down's Syndrome alongside having multiple other conditions. I had three high risk individuals to Covid-19 in my
family and I was scared/fearful of giving them Covid-19.
42. I asked my hospital to allow me to work from home. They refused. I wasn't deemed high risk, although I lived
with my parents at the time. I needed to help my mum and my sister. The hospital held no regard for the safety of
it's employees. They forced me to come into work.
43. I spent two months isolating in my bedroom, I barely came out of my room, for fear of spreading an infectious
disease. Never once did I think about the situation or my prior experience or knowledge, I was just reacting to the
media frenzy. I was full of panic and stress.
44. The first irregularity I noticed, was the government and media stating that Covid-19 was an infectious disease.
However just before the first lockdown was implemented, I noted that the government had downgraded the status
of Covid-19 stating it was no longer infectious.
45. This made no sense to me. Why would we need to isolate if they downgraded the status? My circle of friends
contained many medics and dentists. They were all panicking at the time, saying they had inadequate surgical
masks and that they needed N95 masks.
46. N95 masks were seen as the only way to prevent medical professionals from becoming infected with Covid-19.
The public being asked to wear surgical masks made no sense to me. The virus would be able to go straight
through. Something didn't seem right.
47. I ended up meeting and dating an FY1 doctor (my ex gf) around October 2020. We clicked because she was
different from every other doctor, I had previously spoken to about Covid-19. She also had her suspicions and
believed it wasn't as infectious as it was made out to be.
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48. We both started to slowly realise that Covid-19 was a real disease (as it was showing up on X-rays in patients)
but that it wasn't infectious at all, despite all the reporting in the media.
49. I needed to experience working in a Covid-19 hotspot and see all the action for myself. In March 2021, I quit
my job at the hospital in Central London and took up an opportunity to manage A&E and AMU (Acute Medical
Unit) at a hospital in South London.
50. The 6 months that I spent working in A&E/AMU confirmed all my suspicions and culminated in my decision
to end my career in the NHS.
TBC
51. The entire 6 months, I was not tested once with a PCR Test, despite walking into wards full of Covid-19 Positive
patients on a daily basis. Yet we were required to test multiple times when visiting another country.
52. The PCR Test that the NHS was using to test patients, is known to have a false-positive results. This is shown
in numerous studies which can be found online, an example of which is:
Are you infectious if you have a positive PCR test result for COVID-19? - The Centre for Evidence-Based Medicine
Tom Jefferson, Carl Heneghan, Elizabeth Spencer, Jon Brassey PCR detection of viruses is helpful so long as its accuracy can
https://www.cebm.net/covid-19/infectious-positive-pcr-test-result-covid-19/
53. If a patient tests positive for Covid-19 with a PCR Test, this doesn't mean they are infected. If tested again, they
may well turn out with a negative test. However in the NHS, patients are only tested once and this stays on their
record throughout their admission.
54. Hospital policies were changed alongside the implementation of the Medical Examiner System, to ensure that
any patient who died within 30 days of positive test, would have to have Covid-19 as their primary cause of death.
This was regulated by the Medical Examiner.
55. The highest cause of death at every hospital per annum pre Covid-19 is Pneumonia. Pneumonia is a
Respiratory Disease like Covid-19. Pneumonia can be broken down into 4 different causes of death:
56. Pneumonia can be broken down into 4 different causes of death: Bronchopneumonia, Aspiration Pneumonia,
Community Acquired Pneumonia & Hospital Acquired Pneumonia.
These four causes when added together kill the largest number of people on an annual basis prior to the pandemic
57. The Medical Examiner (one individual in each hospital), was certifying all these Pneumonia deaths as Covid-19
deaths.
When 4 different diseases being grouped and now being called Covid-19, you will inevitably see Covid-19 with a
huge death rate.
58. The mainstream media was reporting on this huge increase in Covid-19 deaths due to the Medical Examiner
system being in place.
59. Patients being admitted and dying with very common conditions such as Old Age, Myocardial Infarctions, End
Stage Kidney Failure, Haemorrhages, Strokes, COPD & Cancer etc were all now being certified as Covid-19 via the
Medical Examiner System.
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60. Hospitals were switching to and from the Medical Examiner system and the Pre Pandemic System as when
they pleased. When Covid-19 deaths needed to be increased, the hospital would switch to the Medical Examiner
System.
61. Doctors were one week being told they needed to complete an MCCD, to then be told the following week that
they weren't required to fill out an MCCD, as the Medical Examiner was handling this.
62. Hospitals were incentivised to report Covid-19 deaths over normal deaths, as the government was paying
hospitals additional money for every Covid-19 death that was being reported. The Medical Examiner system
ensured that Covid-19 was being put down as the cause of death.
63. The government sends out the annual NHS budget to Primary Care Trusts. This is split to fund Hospitals and
GP Surgeries. A clinical coding team at each hospital will assign codes to each treatment or death, so that money is
paid out to the hospitals.
63. Any doctor who argued against Covid-19 as a cause of death was bullied and vilified.
The General Medical Council maintains a register of all doctors within the UK.
This ensures that there is a fear of being struck off for speaking out against an agenda.
Even if a doctor realises what is going on and wants to speak out. They will think twice about talking, as they
would be risking their entire career and everything that they've worked so hard for.
65. Doctors essentially have their hands tied, many have families, kids, mortgages and mouths to feed. If I was in
their situation, I would think twice about speaking out, for fear of being struck off by the GMC and losing
everything.
66. The NHS Track & Trace App, which was introduced to try and control the spread of the virus, did not apply to
medical professionals. We were all asked to turn this off, as Doctors and staff isolating for 14 days disrupted
patient flow, beds and the discharge of patients.
67. Any doctor that I spoke to regarding taking the Covid-19 vaccine, were insistent that they were going to wait
for a period of time, before taking it themselves, to ensure that it was safe.
How is it ethical to give a vaccine to your patients, but not want to take it yourself
68. In my 12 years of NHS service, never has a doctor pushed or influenced the public to take a vaccine. Yet on
social media, I was seeing close friends who were doctors, starting to post on social media that they have taken the
vaccine and that the public should.
69. I wouldn't be surprised if doctors were being forced to promote the vaccine by their superiors or if they were
receiving monetary gain in doing so.
70. I have no doubt in my mind, that the Government has planned the entire pandemic since 2016, when they first
proposed the change to medical death certification.
71. Stress leads to disease and illness. Panic leads to people following whatever orders and instructions that are
given to them by authority, such as prolonged mask use, which leads to an increase in admissions in to the NHS
system due to hypoxia and bacterial pneumonia.
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72. The NHS treatment pathway involved patients being placed onto ventilators. There is a 50% chance of death
from this clinical decision alone. How many innocent people have died from the clinical decision to place them
onto a ventilator.
TBC
73. During boardrounds (where every admitted patient is discussed), we were seeing patients on a daily basis
being admitted due to suffering from adverse affects of taking the vaccine. Patients were blacking out after taking
the vaccine or suffering from clots or strokes.
74. The NHS is all about money and making money. The safety of a patient didn't seem like the most important
thing. It was more about how do we make more beds available so that another patient can be treated.
75. Patients with no next of kin are discharged to nursing homes with care packages. I can't comment on what
happened to these patients in nursing homes, during the pandemic, as I have no experience of their inner
workings.
76. Patients are seen as money, even upon death, hospitals receive money for each death. Is there an actual
concern for patient health and safety? I know numerous doctors who are driven primarily by money and monetary
gain.
56 yr old male, admitted into a&e with end stage kidney failure, has a previous history of regular dialysis
treatment for this. No respiratory symptoms on admission and no temperature. However when tested with a PCR
Test...
he unfortunately tests positive. This stays on his record throughout his admission. Our hospital is relatively small
in comparison to others I have worked at, we have no dialysis machine as a result. We urgently need to transfer
this patient to another hospital....
otherwise this patient will die. Our treating doctor calls up larger hospitals with a dialysis machine to organise his
transfer. All doctors pick up the phone and request the Covid-19 status of the patient. A transfer is declined due to
a Covid-19 infection protocol....
Our doctors again reiterate the point that this patient will die without dialysis. We are told there is nothing that
can be done and that the patient cannot be accepted for transfer.
This gentleman ended up dying without dialysis. Now please tell me what goes on the MCCD....
1a) Covid-19
2) End Stage Kidney Failure
Not written by the treating doctor who disagreed with this cause of death, but by a medical examiner, put in place
by the government and the hospital.
When innocent people are being killed by a corrupt organisation and system, for pure monetary gain, I can't stand
by and be part of this anymore. My conscious was clear and I no longer wanted to be a part of this anymore.
78. I am very blessed and lucky that I was in a position to walk away. I've been able to speak out, because my
hands are not tied and I am not regulated by any organisation or governing body. I believe in speaking the truth
and in doing so, I am only just an instrument for God.
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79. I joined the NHS, 12 years ago because I had a desire to help those in need, but the moment I realised that I
was not doing this anymore was the time for me to walk away.
80. I apologise to you all if the above thread is confusing with regards to terminology or you cannot understand it's
contents. I'm hoping that at the very least, it can be understood by my fellow medical professionals or by
journalists who would like to report the truth.
81. Would be very grateful if you could help spread this truth and raise awareness of what really went on within
the NHS by reposting and tagging any relevant individuals who you think may help with spreading the truth of
this thread.
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