Four types of pneumonia added together were the highest cause of death in the UK. In a newly implemented Medical Examiner System to certify deaths, the Medical Examiner was certifying all types of pneumonia deaths as covid-19 deaths, a former Director of End-of-Life Care has said.
On Saturday, Sai, a former NHS Director of End-of-Life Care, wrote a Twitter thread which, amongst other things, gave a personal account of the changes to the system of reporting deaths implemented in the NHS:. "When four different diseases [are] grouped and now being called covid-19, you will inevitably see covid-19 with a huge death rate. The mainstream media was reporting on this huge increase in covid-19 deaths due to the Medical Examiner System being in place."Patients being admitted and dying with very common conditions such as old age, myocardial infarctions, end-stage kidney failure, haemorrhages, strokes, COPD and cancer etc.
"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," Sai said.
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.
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 [number] of doctors over the years.
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, leading to an Inquest or a PM. 31.
Hospital policies were changed alongside the implementation of the Medical Examiner System, to ensure that any patient who died within 30 days of a positive test, would have to have covid-19 as their primary cause of death.
The highest cause of death at every hospital per annum pre covid-19 is Pneumonia.
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.
Any doctor who argued against covid-19 as a cause of death was bullied and vilified.
Patients are seen as money, even upon death, hospitals receive money for each death.
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