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NHS Trust whistleblower Gary Walker 'faced target pressure' NHS whistleblower Gary Walker 'faced bullying culture'
(about 3 hours later)
A former health chief executive who claimed he was gagged by the NHS has told MPs he was put under increasing pressure to meet targets. The former boss of a hospital which is being investigated over high death rates has told MPs there was a culture of "sheer bullying" in the NHS.
Gary Walker, the ex-United Lincolnshire Hospitals Trust boss, said he was sacked because of a row over an 18-week non-emergency waiting list target. Gary Walker, former United Lincolnshire Hospitals Trust chief, said he was sacked because of a row over an 18-week non-emergency waiting list target.
He said he was forced to abandon the plan when demands for emergency beds became too acute. He said he was threatened by the East Midlands Strategic Health Authority when he flagged up capacity problems.
Mr Walker was dismissed in 2010 for "gross professional misconduct".Mr Walker was dismissed in 2010 for "gross professional misconduct".
The NHS said he was sacked for allegedly swearing in a meeting.The NHS said he was sacked for allegedly swearing in a meeting.
'Red alert''Red alert'
Speaking for the first time in public, Mr Walker told the health select committee staff had been forced to cancel 700 operations when hospitals were full of emergency cases in 2009.Speaking for the first time in public, Mr Walker told the health select committee staff had been forced to cancel 700 operations when hospitals were full of emergency cases in 2009.
He said he had to put Lincoln County Hospital on an emergency footing, or red alert, but felt pressurised by health executives.He said he had to put Lincoln County Hospital on an emergency footing, or red alert, but felt pressurised by health executives.
He said the response from the health authority was "this is your problem - you need to meet the targets whatever the demand".
"It is a very dangerous thing to be trying to push through targets when hospitals are dangerously overfull," he said.
Mr Walker told the committee: "I got a phone call from [Dame] Barbara Hakin [former chief executive of the East Midlands Strategic Health Authority] saying 'we're about to approve £11m of funding for your trust and that's going to be very difficult while you're on red alert'.Mr Walker told the committee: "I got a phone call from [Dame] Barbara Hakin [former chief executive of the East Midlands Strategic Health Authority] saying 'we're about to approve £11m of funding for your trust and that's going to be very difficult while you're on red alert'.
'Settlement deal'
"I don't personally see the link between £11m of largely capital funding to build facilities and being on red alert, the two are separate."I don't personally see the link between £11m of largely capital funding to build facilities and being on red alert, the two are separate.
"One is about operationally running a hospital safely and the other one is about longer term plans.""One is about operationally running a hospital safely and the other one is about longer term plans."
Mr Walker said he had to sign an agreement following his sacking which prevented him talking about the waiting list row. Mr Walker said he prepared a presentation for the Department of Health about problems with hitting targets but was ordered to remove any reference to him calling for a capacity review.
He said: "If you upset the SHA [Strategic Health Authority], particularly the one I was working for, there would be repercussions for you. You work in that environment as best you can."
Mr Walker, who was sacked in 2010 for "gross professional misconduct" over alleged swearing at a meeting, said he was forced to quit after refusing to meet Whitehall targets for non-emergency patients and was gagged from speaking out as part of a settlement deal.
United Lincolnshire Hospitals Trust is one of 14 hospital trusts in England currently being investigated for high death rates.United Lincolnshire Hospitals Trust is one of 14 hospital trusts in England currently being investigated for high death rates.