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{
    "id": 784589,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/784589/?format=api",
    "text_counter": 118,
    "type": "speech",
    "speaker_name": "Hon. (Dr.) Nyikal",
    "speaker_title": "",
    "speaker": {
        "id": 434,
        "legal_name": "James Nyikal",
        "slug": "james-nyikal"
    },
    "content": "must reinstate its administrative capacity to remove from amongst its staff those that it deems to have not done a good job. The regulatory bodies will then go and check whether it was a professional problem or not. That is the work of the regulatory bodies, but administrative action must be taken. I am pained to say this because some of them are my colleagues, but I still believe that the nurse who did not attend the handing over, then took a file, called out a name and a confused patient responded and was labeled, must take responsibility. There have been very many mitigating circumstances, for example, a lot of work. The person had been sick. When you insist that that person should not be involved in work anymore, even temporarily, you are protecting the patient. There comes a time when you have to ask whether you are going to protect a professional or you are going to protect patients. You protect patients. I believe that nurse should also take responsibility. There is a national failure. Our county hospitals are not working. The problem at KNH cannot be solved by putting more money in it. The problem can be solved by making sure that the health facilities in Nairobi, Kiambu and Machakos are working so that KNH becomes what it was meant to be; a referral hospital. We have had experience with this. In 2005, when maternity was packed and there was an outcry, we did not buy more beds for KNH. Neither did we build more theatres. We opened 11 delivery units in Nairobi and the problem was solved. I agree that we need the equipment, but first of all, let us put the system that will make KNH work as it is supposed to work. The facility is supposed to work as a teaching and referral hospital. Our Chair said correctly that 70 per cent of the doctors are registrars. May I correct this. They are fully trained registered doctors who have gone for further training. A majority of the doctors you see taking care of people all over the country are at that level. They have just gone to do a little bit above. Unfortunately, the arrangement is such that they are considered students and many of them are not paid while they do the actual work. That is totally not acceptable. I know I was there and recommended that KNH should have positions for training which are paid for. It is only then that the university can admit those students in those positions."
}