{"id":40274,"date":"2017-10-03T10:11:14","date_gmt":"2017-10-03T09:11:14","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=40274"},"modified":"2017-10-09T11:50:22","modified_gmt":"2017-10-09T10:50:22","slug":"rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/","title":{"rendered":"Rachel Clarke: A blame culture has made the NHS less safe, not more"},"content":{"rendered":"

\"\"<\/a>\u201c<\/span>The NHS is not fit for the 21st century<\/span><\/a>,\u201d was the headline in the <\/span>Daily Telegraph<\/span><\/i> this weekend, reporting on an interview with Professor Ted Baker, the new chief inspector of hospitals.<\/span><\/p>\n

It seems like only yesterday that another Professor\u2014Stephen Hawking\u2014felt compelled to raise concerns in the press about the current state of the NHS.<\/span><\/a> If you recall, Hawking\u2019s critique of Jeremy Hunt\u2019s predilection for statistical cherry-picking prompted an extraordinary barrage of tweets from the health secretary, admonishing one of the world\u2019s greatest scientists for his cluelessness on the matter of, well, <\/span>scientific methodology<\/span><\/a>.<\/span><\/p>\n

Ted Baker\u2019s interestingly-timed intervention prompted a barrage of headlines itself. Baker painted a picture of A&E departments with disgraceful unsafe practices\u2014of “wholly unsatisfactory” arrangements that “endanger patients, as well as denying them basic privacy and dignity.” It\u2019s almost as if he thinks we\u2019re somehow <\/span>choosing<\/span><\/i> to “keep piling patients into corridors where staff cannot even see them” or forcing patients to queue, hour upon hour, in ambulances outside log-jammed hospitals. In fact it felt like he went further and directly <\/span>blamed<\/span><\/i> healthcare professionals for the hellish conditions that patients and staff alike endured last winter, condemning our culture of “learned helplessness” that leaves our patients abandoned, unmonitored, and without even essentials like oxygen.<\/span><\/p>\n

There is much blame doled out in the interview: previous NHS staff, current NHS staff, archaic NHS systems, bad managers, bad previous governments. No one, it seems, is immune. Except, that is, the one glaring exception. The one cherry Baker chose not to pick, so to speak.<\/span><\/p>\n

Nowhere in his remarkable blame riff is there any mention of the funding climate in which frontline staff and managers alike are struggling\u2014fighting tooth and nail, frankly\u2014to keep on delivering a halfway decent standard of care for our patients. We are trying so unbelievably hard. But we already have one of the lowest numbers of beds per capita of any country in Europe, as well as being one of the most under-doctored. And, of course, we have a government, currently, which has chosen to subject the NHS to the most draconian and sustained funding squeeze in NHS history. Right now, the NHS in my region is having to cut even more beds, hundreds of them. It simply cannot afford to do otherwise\u2014like every acute trust in the country. That\u2019s not really going to help the patients stranded, bedless, in corridors, is it?<\/span><\/p>\n

Of course NHS reform is needed. Of course we need greater community capacity and better integration between hospitals and primary care. But in omitting to mention the political context to his argument\u2014the political choice to provide the NHS with inadequate resources to safely manage not only winter, but all year round rising demand\u2014Baker comes across, I\u2019m afraid, as an oddly partisan chief inspector of hospitals. Why the omission? Why blame the NHS and its dog, yet fall silent when it comes to acknowledging the political choices to underfund and understaff the NHS into a skeleton service in place of excellence?<\/span><\/p>\n

Does Baker really think an admonishing letter to trust CEOs, telling them to jolly well stop leaving patients in corridors, is going to do anything other than incense us all? Where else would he suggest we put them? Anyone would think he is giving the Department of Health comms team a helping hand in the pre-emptive deflection of blame for the looming winter crisis away from the government and onto anyone else but Theresa and Jeremy. But let\u2019s remember what blame culture achieves. First, it demoralises and undermines frontline staff. Then, it makes us feel hopeless and impotent. We stop trying to speak out, we become cowed and silent. And now, all that bullying and blame has managed to make the NHS <\/span>less<\/span><\/i> safe, not more, by allowing a culture to flourish in which no one feels they can change anything, let alone risk speaking out for the sake of our patients.<\/span><\/p>\n

I\u2019m a hard working NHS hospital doctor, and this interview made me feel angry, demoralised, hopeless, and incredulous\u2014all in the same moment. That is not leadership and it is certainly not conducive to high standards of patient care.<\/span><\/p>\n

Rachel Clarke<\/strong>\u00a0is a specialty doctor in palliative medicine based in Oxford. Twitter\u00a0@doctor_oxford<\/b><\/span><\/a><\/em><\/p>\n

Competing interests<\/strong>: None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cThe NHS is not fit for the 21st century,\u201d was the headline in the Daily Telegraph this weekend, reporting on an interview with Professor Ted Baker, the new chief inspector […]<\/p>\n

More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":39971,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236,18888],"tags":[],"class_list":["post-40274","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhs","category-rachel-clarke"],"yoast_head":"\nRachel Clarke: A blame culture has made the NHS less safe, not more - 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\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rachel Clarke: A blame culture has made the NHS less safe, not more - The BMJ\" \/>\n<meta property=\"og:description\" content=\"\u201cThe NHS is not fit for the 21st century,\u201d was the headline in the Daily Telegraph this weekend, reporting on an interview with Professor Ted Baker, the new chief inspector [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/\" \/>\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=\"2017-10-03T09:11:14+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-10-09T10:50:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/08\/Rachel_clarke2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\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=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Rachel Clarke: A blame culture has made the NHS less safe, not more\",\"datePublished\":\"2017-10-03T09:11:14+00:00\",\"dateModified\":\"2017-10-09T10:50:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/\"},\"wordCount\":739,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/08\\\/Rachel_clarke2.jpg\",\"articleSection\":[\"NHS\",\"Rachel Clarke\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/\",\"name\":\"Rachel Clarke: A blame culture has made the NHS less safe, not more - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/08\\\/Rachel_clarke2.jpg\",\"datePublished\":\"2017-10-03T09:11:14+00:00\",\"dateModified\":\"2017-10-09T10:50:22+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/08\\\/Rachel_clarke2.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/08\\\/Rachel_clarke2.jpg\",\"width\":540,\"height\":350},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/10\\\/03\\\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Rachel Clarke: A blame culture has made the NHS less safe, not more\"}]},{\"@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":"Rachel Clarke: A blame culture has made the NHS less safe, not more - 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\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/","og_locale":"en_US","og_type":"article","og_title":"Rachel Clarke: A blame culture has made the NHS less safe, not more - The BMJ","og_description":"\u201cThe NHS is not fit for the 21st century,\u201d was the headline in the Daily Telegraph this weekend, reporting on an interview with Professor Ted Baker, the new chief inspector [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2017-10-03T09:11:14+00:00","article_modified_time":"2017-10-09T10:50:22+00:00","og_image":[{"width":540,"height":350,"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/08\/Rachel_clarke2.jpg","type":"image\/jpeg"}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Rachel Clarke: A blame culture has made the NHS less safe, not more","datePublished":"2017-10-03T09:11:14+00:00","dateModified":"2017-10-09T10:50:22+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/"},"wordCount":739,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/08\/Rachel_clarke2.jpg","articleSection":["NHS","Rachel Clarke"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/","url":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/","name":"Rachel Clarke: A blame culture has made the NHS less safe, not more - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/08\/Rachel_clarke2.jpg","datePublished":"2017-10-03T09:11:14+00:00","dateModified":"2017-10-09T10:50:22+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/08\/Rachel_clarke2.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/08\/Rachel_clarke2.jpg","width":540,"height":350},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/03\/rachel-clarke-a-blame-culture-has-made-the-nhs-less-safe-not-more\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Rachel Clarke: A blame culture has made the NHS less safe, not more"}]},{"@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\/40274","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=40274"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/40274\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/39971"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=40274"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=40274"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=40274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}