{"id":35777,"date":"2015-12-08T12:46:30","date_gmt":"2015-12-08T11:46:30","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=35777"},"modified":"2015-12-08T12:46:30","modified_gmt":"2015-12-08T11:46:30","slug":"jane-feinmann-joshuas-story-and-its-impact-on-patient-safety","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/","title":{"rendered":"Jane Feinmann: Joshua&#8217;s story and its impact on patient safety"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/jane_feinmann.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-31668\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/jane_feinmann.jpg\" alt=\"jane_feinmann\" width=\"128\" height=\"128\" \/><\/a>Like most people who complain about unsafe healthcare, James Titcombe\u2019s six year battle to hold Morecambe Bay Trust to account for the death of his nine day old son in 2008 was motivated &#8220;by the desire to prevent similar tragedies happening to others.&#8221; And like many, as he explains in his new book, <em><a href=\"http:\/\/www.amazon.co.uk\/Joshuas-Story-Uncovering-Morecambe-Scandal\/dp\/0993449204\/ref=sr_1_1?ie=UTF8&amp;qid=1449574440&amp;sr=8-1&amp;keywords=joshuas+story\">Joshua\u2019s Story<\/a><\/em>, &#8220;the saddest memory is not his (Joshua\u2019s) death but the events that took place afterwards&#8221;: a cover-up at local level that led to &#8220;missed opportunities to intervene at almost every level of the NHS&#8221; and almost certainly, according to Titcombe involved &#8220;an element of deliberate suppression.&#8221;<!--more--><\/p>\n<p>Yet Joshua\u2019s story is also unique\u2014as became clear at the launch of the book last week at the health charity the Kings Fund. For a start, the author is not just a bereaved father and patient safety campaigner but also, since September 2013, the National Safety Officer of the newly empowered Care Quality Commission. Further, Health Secretary Jeremy Hunt stood alongside James Titcombe\u2014clearly passionately determined to show that the NHS that covered up the causes of the baby\u2019s death is on the way out.<\/p>\n<p>Mr Hunt took time out from the Commons debate on Syria to pay tribute to James Titcombe\u2019s &#8220;incredible bravery at huge personal cost.&#8221; He also spoke of his determination that &#8220;the NHS will blaze a trail in safe healthcare globally&#8221;\u2014with British doctors taking a lead &#8220;in routinely learning from their mistakes in the same way as the aviation industry has chosen to do.&#8221; There\u2019s already been progress, Mr Hunt insisted: notably a 25 per cent increase in the number of patient safety harm episodes reported annually. But with &#8220;200 avoidable deaths every single week and wrong site surgery occurring twice a week in the NHS, there\u2019s still far too much harm,&#8221; he told the meeting.<\/p>\n<p>The launch chair, Phil Hammond said the book was an investigation of the &#8220;psychology of cover-ups in the NHS.&#8221; And certainly <em>Joshua\u2019s Story<\/em> illustrates vividly the sometimes preposterous arguments that health managers are able to employ to avoid learning from mistakes.<\/p>\n<p>Just 20 days after the baby\u2019s death from unrecognised sepsis, the hospital\u2019s &#8220;customer services manager&#8221; informed the parents\u2014without explanation\u2014that Joshua\u2019s observation records had &#8220;gone missing.&#8221; A year later, the Parliamentary and Health Service Ombudsman\u2014&#8221;the only organisation in the entire hierarchy of the NHS with the power to properly investigate the complaint&#8221;\u2014turned down Titcombe\u2019s heart-rending pleas to investigate the how and why of the missing records. The reason, a modern day Catch 22 classic: &#8220;Joshua\u2019s medical records are missing for the crucial first 24 hours of his life,&#8221; the then Ombudsman, Ann Abraham explained in a letter in November 2009. She went on: &#8220;It is therefore highly unlikely that we would be able to reach a firm finding on what took place and why.&#8221;<\/p>\n<p>The consequences of this decision became clear five and a half years later in March 2015, when the <a href=\"https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/408480\/47487_MBI_Accessible_v0.1.pdf\">Kirkup report<\/a> revealed that between January 2004 and January 2013, there had been 20 instances of &#8220;significant or major failures of care.&#8221; These were associated with the deaths of three mothers and 16 babies\u2014four times the number of failures of care at another of the Trust\u2019s maternity units which had a higher number of births per year. Ten of these deaths occurred in the years after the PHSO turned down James Titcombe\u2019s request for an enquiry.<\/p>\n<p><em>Joshua\u2019s Story<\/em> is not a medical scandal as such. But anyone with an interest in patient safety in today\u2019s NHS will find <em>Joshua\u2019s Story<\/em> both moving and inspirational. Read it and you may even agree with Mr Hunt who describes it as &#8220;a wake up call about how our healthcare system has to change so we learn from tragedies rather than sweep them under the carpet.&#8221;<\/p>\n<p><em><strong>Jane Feinmann<\/strong> is a freelance medical journalist \u00a0with a particular interest in patient safety based in London. She belongs to\u00a0<a href=\"http:\/\/imperialcollegehealthpartners.com\/working-with-patients-and-the-public\/\">Imperial College Health Partners\u2019 Patient Safety Champion Network<\/a>.<\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: The author has no competing interests to declare.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Like most people who complain about unsafe healthcare, James Titcombe\u2019s six year battle to hold Morecambe Bay Trust to account for the death of his nine day old son in [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223,236],"tags":[],"class_list":["post-35777","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers","category-nhs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Jane Feinmann: Joshua&#039;s story and its impact on patient safety - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Jane Feinmann: Joshua&#039;s story and its impact on patient safety - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Like most people who complain about unsafe healthcare, James Titcombe\u2019s six year battle to hold Morecambe Bay Trust to account for the death of his nine day old son in [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2015-12-08T11:46:30+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/jane_feinmann.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Jane Feinmann: Joshua&#8217;s story and its impact on patient safety\",\"datePublished\":\"2015-12-08T11:46:30+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/\"},\"wordCount\":687,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/05\\\/jane_feinmann.jpg\",\"articleSection\":[\"Guest writers\",\"NHS\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/\",\"name\":\"Jane Feinmann: Joshua's story and its impact on patient safety - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/05\\\/jane_feinmann.jpg\",\"datePublished\":\"2015-12-08T11:46:30+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/05\\\/jane_feinmann.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/05\\\/jane_feinmann.jpg\",\"width\":100,\"height\":100},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2015\\\/12\\\/08\\\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Jane Feinmann: Joshua&#8217;s story and its impact on patient safety\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Jane Feinmann: Joshua's story and its impact on patient safety - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/","og_locale":"en_US","og_type":"article","og_title":"Jane Feinmann: Joshua's story and its impact on patient safety - The BMJ","og_description":"Like most people who complain about unsafe healthcare, James Titcombe\u2019s six year battle to hold Morecambe Bay Trust to account for the death of his nine day old son in [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2015-12-08T11:46:30+00:00","og_image":[{"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/jane_feinmann.jpg","type":"","width":"","height":""}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Jane Feinmann: Joshua&#8217;s story and its impact on patient safety","datePublished":"2015-12-08T11:46:30+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/"},"wordCount":687,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/jane_feinmann.jpg","articleSection":["Guest writers","NHS"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/","url":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/","name":"Jane Feinmann: Joshua's story and its impact on patient safety - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/jane_feinmann.jpg","datePublished":"2015-12-08T11:46:30+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/jane_feinmann.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/jane_feinmann.jpg","width":100,"height":100},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2015\/12\/08\/jane-feinmann-joshuas-story-and-its-impact-on-patient-safety\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Jane Feinmann: Joshua&#8217;s story and its impact on patient safety"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/35777","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=35777"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/35777\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=35777"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=35777"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=35777"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}