Tuliptree 11.22: "So really not like other families at all? We know don’t we when an institution eg the Church, a hospital trust , the post office, the police have ‘problems’ then their survival becomes the most important thing to them. Not the truth, not public service, not ( heaven forbid) the public, but the institution. That’s why we hopefully are bringing in a duty of candour and it should apply to the RF.
No we don't know that Tuliptree. The monarchy/Crown is the institution and it's made up of royal family members. Just as for example, the NHS is an institution and its made up of employees e.g. doctors, nurses, porters etc.
Your personal experience of an NHS "problem" might have been that the NHS response was more importantly focused on "survival" rather than dealing with or responding to your "problem". That's not the norm, my personal experience as an NHS patient, previously working in the NHS at senior level or when latterly chairing cases in a civil court/tribunal setting for health professionals who have seriously failed in their professional duties when delivering patient care.
I can assure you that the institution of the NHS takes patient safety and the pubic interest seriously and the NHS routinely:
1) conducts investigations locally as it is legally required, for patient problems under local complaints procedures or Serious Incident frameworks etc.
2) refers individual employees to their professional bodies, e.g General Medical Council, Nursing and Midwifery Council etc to be professionally investigated and held to account under their professional code of conduct
3) Reports Serious Incidents and the outcomes of associated patient safety investigations upwards ie to NHSE and/or Care Quality Commission, Health and Safety Executive etc
4) Reports to Police routinely if they believe a crime has been committed
etc etc
The job descriptions of health service employees and/or induction training often contains reference to "duty of candour' which is a guiding NHS principle.
If a member of the public experiences any breaches of complaints procedures, patient invesdtigasptions, poor quality care, breaches of the NHS duty of candour- they complain and escalate appropriately and/or take legal advice with potential to bring a legal claim.
I do not agree that all institutions predominantly prioritise "survival" above "sorting out problems" with. notable exceptions on occasion- e.g. The Post Office in relation to post masters and postmistresses? Horizon failures yes- came to light- living with legal and financial consequences.
The public, rightly, in this modern age, now expects institutions to be transparent and operate with duty of candour.