I would (and do) consider teaching sessions for our nurses, but on subjects within my remit, obviously. In my haste, I thought you were suggesting that we should start to educate the year 1 nurses who are left in charge of a ward, and make mistakes through inexperience, not incompetence. On our ward, the nurses rarely have any problem with orthopaedic management. TBH, it's not rocket science, and since we stopped treating people on traction, there's not much to it 
. As I said on the other thread, the problem seems to be (IMO) with the trend that has occurred over the last 10 years or so, a)to write up EVERYTHING that has happened on a multi-paged care plan, leaving much less time for actual caring, and b) to devolve responsibility for menial tasks to less skilled individuals. I'm not saying that this has happened because individual nurses want it to be so.It seems to have happened as a result of the "upgrading" of the status of nurses - now that they are professionals with degrees they don't want to wipe bums anymore. In addition, as the wards are seriously short of qualified staff, they need extra pairs of hands to get the day's work done. (And before you accuse me of wanting all nurses to be handmaids again, I don't. I'm married to one, and the above reflects dh's views about nursing as well!).
MEWS scores are used on our surgical HDU, but sadly, not on the main wards. All of our nurses rotate through the HDU eventually, if they want to, but it's not compulsory.
I believe that the recent problems that we have had on our wards (and that example I gave was not the only one), are as a result of the drive of the trust to reduce waiting times, and their inability to see how inappropriate it is to have medical boarders with high dependency scores in the middle of an acute orthopaedic unit. The number of Consultants in our unit has doubled in the last five years, the number of operating theatres has increased to cope with the capacity, but the number of beds on the wards has stayed the same (or reduced if you consider that we haven't had less than 10 medical boarders in the unit for the last 4 months). Also the number of junior doctors hasn't increased to cope with the increased throughput, so they are thin on the ground and overworked as well.
I think our system is "good enough" for my family, yes, my dd has a chronic illness and has had exemplary treatment, but I recognise that might be because of who I am. I have had one paediatrician refuse to let her out of hospital when i could easily have managed with her at home, because "I wouldn't let the son of a taxi driver home, so I'm not letting you home either". My mother, however, went private for her hysterectomy (so she could have it done before she turned 65 and lost her sick pay- she's a teacher), and I wasn't over impressed with the care she got in our local private facility.
That's enough for now, I need a drink!