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for children's heart surgery in The
Bristol Royal Infirmary. This was the first time that such a serious problem had been identified and then rectified in the NHS. It remains to this day the most important single-handed clinical outcomes improvement brought about in the NHS. Particularly as a result
222:, he has collaborated with other academics in assisting other healthcare whistleblowers. He has also promoted the idea of personalised digital recording of adverse incidents (including near-misses) as a means of improving healthcare quality by medical professionals, particularly those involved in
91:. He spent the next six years confirming the high mortality rates and attempting to improve the service. This led to a fall in mortality rates for children's heart surgery in Bristol from 30% to less than 5%; it also, however, led to direct confrontation with
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From 1989 to 1995, Bolsin published numerous articles and chapters in textbooks relating to the provision of high quality cardiac services while he was a consultant anaesthetist at the
Bristol Royal Infirmary. He also acted as a
230:. Bolsin has contributed to medical and ethical standards in the UK, Australia, New Zealand, Ireland, US and China by lecturing, publishing in the medical press, teaching medical students and developing innovative technology.
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and globally, arose directly out of Bolsin's actions in
Bristol. The GMC have confirmed that Bolsin was the only doctor in the UK prepared to write to them about the events in the children's cardiac surgery service at the
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Stephen Bolsin graduated with BSc Hons (Anatomy) London in 1974 and MB, BS London in 1977. He became a fellow of the Royal
College of Anaesthetists London in 1982. Bolsin became a consultant anaesthetist at the
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Paul D Bent, Stephen N Bolsin, Bernie J Creati, Andrew J Patrick and Mark E Colson. Professional monitoring and critical incident reporting using personal digital assistants MJA 2002 177 (9): 496-499
65:, The Bristol Eye Hospital England in 1989. He was the first national audit co-ordinator of the Association of Cardiothoracic Anaesthetists of Great Britain & Ireland London England 1991–1996.
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TA Faunce, S Bolsin, Wei-Ping Chan "Supporting
Whistleblowers in Academic Medicine: Training and Respecting the Courage of Professional Conscience" (2004) 30(1) Journal of Medical Ethics 40.
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Committee member advising on the assessment of quality and performance in cardiac surgery in the UK from 1992 to 1995. Over the same period, Bolsin was a
Department of Health Advisor on
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Stephen Bolsin, Rita Pal, Peter
Wilmshurst, and Milton Pena Whistleblowing and patient safety: the patient’s or the profession’s interests at stake? J R Soc Med 104(7): 278—282;
172:, Members of Parliament confirmed that Bolsin knowingly sacrificed his job, professional popularity and ultimately his young family's life in Britain in defence of his
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TA Faunce, SNC Bolsin "Three
Australian Whistleblowing Sagas: Lessons For Internal and External Regulation" (2004) 181 (1) Medical Journal of Australia 44-47.
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in each specialty in every hospital in the NHS. The concept of ‘Clinical
Governance’ that has emerged and taken root in the UK
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Being unable to obtain work in the UK after the scandal, Bolsin took up a senior appointment at the
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and risk adjustment in cardiac surgery. The
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whom the hospital refused to investigate. Bolsin eventually took his concerns to the
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In 2013 Bolsin contributed his case to the Whistleblower Interview Project.
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across the UK and globally have never been formally acknowledged in the UK.
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Association of Paediatric Anaesthetists of Great Britain and Ireland
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Civil Justice Award, Australian Plaintiff Lawyers Association 1998
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Angela Mollard Babies' champion vindicated at last. 22 July 2001
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which made wide-ranging recommendations about reform of
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Spiegelhalter DJ, BMJ, February 2002; Vol. 324: 261-262
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Victorian Public Healthcare Awards Commendation 2005
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Paul Aylin et al, BMJ, October 2004; Vol.329:825-30
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