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Community PostAs someone who works with NHS and actually as a Mental Health and Physical Health patient I've experienced discrimination and out right assault by the police whilst in hospital and ended up under S136 for no valid reason. Although I was assaulted with handcuffs being thrown over the bed rail, breaking my wrist I think. Still not had my mangled wrist xrayed 2 months on. Nothing worse than being in a vulnerable situation and bullies absolutely thrive on people in vulnerable positions. Their bosses think they're wonderful and so kind but they are in a position of power so of course the bully treats them differently or act differently when seniors are around. I recently put in a formal complaint to CEO I knew very well but instead of replying (after I told her I had recordings) she completely blanked me and now retired. Instead of "this is very serious Dominic, please send any evidence etc" I get told "how wonderful" my bully is! Interim CEO took over so I must inform him of Duty of Candour (Robbies Law) too. They don't seem to like that being pointed out but I shall do it anyway in hope we get a decent CEO who isn't just a pencil pusher waiting for band 9 pension. If as a volunteer I've experienced what I have, I dread to think what goes on as full members of staff. What struck me was the impunity these bullies operate with once in band 8 or above roles. You'd be very shocked if you heard what myself and four other service users went through. At the time my bullies refused to apologise (even though she received "disaplinary action") For me bulling and cronyism are both rotting the NHS from the inside out and needs sorting ASAP Please don't get me wrong, I support 99% of NHS staff but I cannot ignore the bullying, certainly at directorate or managerial level. The small percentage who do bullies seem to have no self awareness and those under them seem to think bullying behaviour is just "Leadership" Well no leader worth any salt will abuse you or tell you who you can and cannot speak too. Seeing service users slowly driven out by a particular bullie was extremely hard and not one manager wanted to know (bar one kind soul). Leadership means you MUST act whenever you even sniff the types of behaviours that signal a bully, however things are that bad that management cannot or won't recognise the controlling and mean behaviours Thanks for reading my first post
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Content ArticleAt the time of her death, Heather Findlay, aged 28 years, was in the care of the East London Foundation Trust (ELFT), detained under section 2 of the Mental Health Act at Mile End Hospital. At approximately 3pm on 11 June 2020, she was on s17 escorted leave, standing with a healthcare assistant (HCA) at the front gates of the hospital having a cigarette, when she turned to the HCA, said “I’m sorry I have to do this to you” and ran away. ELFT contacted the Metropolitan Police Service (MPS) at 3.17pm, but by 3.58pm, Ms Findlay had been found by a member of the public in a nearby park. At inquest, the jury came to a conclusion of death by suicide and giving a medical cause of death of: 1a hypoxic ischaemic encephalopathy 1b sodium nitrate toxicity.
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NHS hospital doctor arrested on suspicion of sexual assault
Patient Safety Learning posted a news article in News
Two NHS hospital trusts are working with police after a doctor was arrested on suspicion of sexual assault. Staffordshire Police has launched a major incident review of the doctor's work at hospitals in Dudley, West Midlands, and Stoke-on-Trent, The Sunday Times reported. The force said the 34-year-old man from the West Midlands was arrested in December and released on bail. It is reviewing an investigation into the same suspect it undertook in 2018. The doctor was suspended from seeing patients at the Royal Stoke University Hospital in Staffordshire when the parents of a vulnerable female raised concerns about his examination of her, the Sunday Times reported. The case was referred to police in 2018 who said there was "insufficient evidence to take further action" at the time. The Staffordshire force has now reported itself to the Independent Office for Police Conduct. University Hospitals of North Midlands NHS Trust, which runs the Royal Stoke, said it was working with police and had set up a helpline for any patient and guardian who may have concerns. Read full story Source: BBC News, 13 February 2022 -
News ArticleA formal complaint accuses the British Government of facilitating ‘the largest single health and safety disaster to befall the United Kingdom workforce since the introduction of asbestos products’. An expert letter to the UK Government’s Health & Safety Executive (HSE) from one of its own advisors accuses the agency of failing to use its statutory authority to correct “seriously flawed” guidance on infection protection and control (IPC), imperilling “the health and safety of healthcare workers by failing to provide for suitable respiratory protection”. The continued failure to protect healthcare workers by ensuring they are wearing the appropriate form of PPE (personal protective equipment) to minimise the risk of infection from COVID-19 airborne transmission, the letter says, has led to thousands of avoidable deaths. The failures amount both to “gross negligence” and serious “criminal offences”, claims the letter seen by Byline Times. The letter addressed to HSE chief executive Sarah Albon is authored by 27-year chartered health and safety consultant David Osborn, who is a ‘consultee member’ of the HSE’s COSHH (Control of Substances Hazardous to Health) Essentials Working Group, where he has helped HSE to prepare guidance for employers and employees. Written in his own personal capacity, the letter is a formal complaint accusing the members of the Government’s “IPC Cell” – a group of experts behind official guidance on infection protection and control – along with other senior Government officials of committing a “criminal offence… ultimately punishable by fine and/or imprisonment” by breaching Section 36 of the Health and Safety at Work Act. The letter argues that a police investigation is needed. The guidance, Osborn writes in his letter, has failed to ensure that healthcare workers understand that they should wear and have access to respiratory protection equipment (RPE) designed to protect from COVID-19 airborne transmission. “There is sufficient prima-facie evidence to suggest that the offence has led to the potentially avoidable deaths of hundreds of healthcare workers and the debilitating disease known as Long COVID in thousands of other healthcare workers,” the letter says. “I firmly believe that the primary source of infection was the inhalation of aerosols whilst caring for infected patients at close quarter,” says Osborn in his letter. Read full story Source: Byline Times, 10 February 2022
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Trust apologises for saying patient’s sexual assault ‘didn’t happen’
Patient Safety Learning posted a news article in News
A hospital trust has apologised to a mental health patient who reported being sexually assaulted in its A&E department – after it emerged in a safety review that staff wrote ‘this has not happened’ and dismissed her claims of the attack. The victim was admitted to West Suffolk Hospital’s emergency department following an overdose in January last year. While waiting in A&E for a mental health assessment from a specialist team employed by Norfolk and Suffolk Foundation Trust, she reported being sexually assaulted by a male patient who had also been admitted to A&E. Yet a review into the incident, published several months later and shared with HSJ, reveals that after the victim reported the attack to a nurse, the staff member recorded “this has not happened”. They stated that the male suspect in the cubicle next to her had not left his bed and was under constant observation. However, the patient safety review, drawn up after a serious incident probe was launched, adds that this statement was “incorrect, as the [male] patient was not under constant observation”. “There were witnesses to this incident, and CCTV, and yet it was not escalated until I contacted the trust myself to complain,” the victim said. She added that she pursued the complaint, which resulted in a serious incident probe that took several months to conclude, “to prevent others from being failed” in the same way. She said she was left “shocked, confused and furious” to discover staff had dismissed her assault and claimed the male suspect had not been admitted for an assessment on the day of the attack. Read full story (paywalled) Source: HSJ, 7 February 2022- Posted
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News ArticleA trust will not face a second prosecution over the death of a baby seven days after a chaotic birth at one of its hospitals, unless new evidence emerges. Kent police had been looking into incidents at the maternity services department of East Kent Hospitals University Foundation Trust. These incidents include the death of Harry Richford, who was born at Queen Elizabeth, the Queen Mother, Hospital in November 2017. A coroner found a string of failures in his care amounted to neglect. The trust pleaded guilty to failing to meet fundamental standards of care and was fined £733,000 in a case brought by the Care Quality Commission earlier this year. But detective chief superintendent Paul Fotheringham, head of major crime at Kent Police, said: “After careful consideration and following consultation with the Crown Prosecution Service, we took the decision that a criminal investigation would not be undertaken at this time as there is no realistic prospect of conviction against any individual or organisation based on the evidence currently available." In a statement, Harry’s family said: “We are disappointed that Kent Police, in collaboration with the CPS special crime unit in London, have not been able to take forward a charge of corporate manslaughter for Harry at this time. They have assured us that they will keep an open mind on this matter, and any other appropriate charges as and when new evidence is brought before them. “We believe that the Kirkup inquiry and investigation may allow them to revisit a raft of charges on behalf of harmed babies in east Kent in due course. Only when senior leaders are properly held to account, will there be lasting change.” Read full story (paywalled) Source: HSJ, 9 December 2021
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David Fuller: NHS mortuaries record 30 security breaches in five years
Patient Safety Learning posted a news article in News
There have been more than 30 serious security breaches at NHS hospital mortuaries in the past five years, The Independent can reveal. The figures come as local MPs demand a public inquiry into the crimes of NHS electrician David Fuller who sexually abused 100 corpses, including three children, over a period of 12 years. The calls for a full inquiry have also been backed by Labour’s shadow health secretary Jonathan Ashworth who said on Friday: “It is important the secretary of state listens to the concerns of the local MP and the families of those who have been involved, and establishes a full, swift public inquiry, so that lessons can be learned from this appalling incident and ensure this is never repeated.” Fuller, aged 67, pleaded guilty on Thursday to the murders of two women, Wendy Knell, 25, and Caroline Pierce, 20, in two separate attacks in Tunbridge Wells, Kent, in 1987. Detectives searching Fuller’s home found four million images of sexual abuse he had downloaded from the internet on computer hard drives. They also found footage he had filmed of himself carrying out attacks on the bodies of women at the now-closed Kent and Sussex Hospital and the Tunbridge Wells Hospital, where he had worked since 1989. Read full story Source: The Independent, 5 November 2021- Posted
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News ArticlePolice forces will be able to “strong-arm” NHS bodies into handing over confidential patient data under planned laws that have sparked fury from doctors’ groups and the UK’s medical watchdog. Ministers are planning new powers for police forces that would “set aside” the existing duty of confidentiality that applies to patient data held by the NHS and will instead require NHS organisations to hand over data police say they need to prevent serious violence. Last week, England’s national data guardian, Dr Nicola Byrne, told The Independent she had serious concerns about the impact of the legislation going through parliament, and warned that the case for introducing the sweeping powers had not been made. Now the UK’s medical watchdog, the General Medical Council (GMC), has also criticised the new law, proposals for which are contained in the Police, Crime and Sentencing Bill, warning it fails to protect patients’ sensitive information and could disproportionately hit some groups and worsen inequalities. Read full story Source: The Independent, 18 October 2021
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Nurse Lucy Letby charged with murder after Chester hospital baby deaths
Patient Safety Learning posted a news article in News
A nurse is due in court charged with eight counts of murder following an investigation into baby deaths at the Countess of Chester hospital neonatal unit in Cheshire. Lucy Letby, 30, is due to appear at Warrington magistrates court on Thursday. She was arrested for a third time on Tuesday as part of the investigation into the hospital, which began in 2017. A force spokesman said: “The Crown Prosecution Service has authorised Cheshire police to charge a healthcare professional with murder in connection with an ongoing investigation into a number of baby deaths at the Countess of Chester hospital.” He said Letby was facing eight charges of murder and 10 charges of attempted murder relating to the period from June 2015 to June 2016. On Tuesday, police said parents of all the babies involved were being kept fully updated on developments and were being supported by officers. Read full story Source: The Guardian, 11 November 2020- Posted
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CQC tells provider to inform police of staff assault on patient
Patient Safety Learning posted a news article in News
Allegations of staff assaulting patients at a mental health hospital have been uncovered for a second time, one year after the Care Quality Commission (CQC) first raised concerns over potential abuse at the unit. The regulator criticised Broomhill Hospital in Northampton in a report issued this week after inspectors found details of three alleged assaults by staff against patients. The unit is run by independent sector provider St Matthew’s Healthcare, but treats NHS patients. In May 2020, the CQC placed the hospital into special measures amid concerns it was failing to protect patients against abuse. Patients had raised concerns to inspectors over poor staff attitudes and made allegations that two had physically assaulted patients. A second inspection this year was triggered by further whistleblowing concerns from patients and staff. Following the most recent inspection, which took place this February, the CQC has again raised warnings about staff allegedly assaulting patients. The staff members involved in all three incidents were dismissed and the CQC has asked the provider to inform the police of one incident. According to the report: “Staff had not always treated patients with compassion and kindness… [or] been discreet, respectful, and responsive when caring for patients. Two patients told us that their experience in the hospital was ‘terrible’. Two different patients told us that they had observed staff shout at patients. Another patient described Broomhill as ‘the worst hospital they had been in’, adding that they were not happy with the care provided.” Read full story (paywalled) Source: HSJ, 22 April 2021- Posted
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Healthcare professional arrested on suspicion of murdering stroke patient
Patient Safety Learning posted a news article in News
A healthcare professional at Blackpool Teaching Hospital Foundation Trust has been arrested on suspicion of murdering a stroke patient. Lancashire Police released a statement this evening which says the man has also been arrested on suspicion of two offences of rape and one offence of sexual assault. The suspect is currently in custody. He has also been suspended by the trust. It comes after a police investigation was launched in November 2018 into allegations of mistreatment and neglect on the stroke unit at Blackpool Victoria Hospital. As part of the probe, a number of post-mortem examinations were conducted, including for Valerie Kneale, 75, from Blackpool, who died from a haemorrhage caused by a non-medical related internal injury. Police said this led to a murder investigation, which is being treated separately to an ongoing investigation into allegations of poisoning and neglect on the stroke unit, in which a number of staff have previously been arrested. Detective chief inspector Jill Johnston, of Lancashire Police, said: “We understand this will cause some significant concern in the community but please be reassured we have a dedicated team of officers conducting a number of enquiries." “If you have any information or have worked on the stroke unit and can assist with our enquiries, please come forward and speak to police immediately.” Read full story (paywalled) Source: HSJ, 3 March 2021- Posted
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Content ArticleRobbie Powell, 10, from Ystradgynlais, Powys, died at Swansea's Morriston Hospital, of Addison's disease in 1990. Four months earlier Addison's disease had been suspected by paediatricians at this hospital, when an ACTH test was ordered but was not carried out. Although Robbie's GPs were informed of the suspicion of Addison's disease, the need for the ACTH test and that Robbie should be immediately admitted back to hospital, if he became unwell, this crucial and lifesaving information was not communicated to Robbie's parents. At the time of Robbie's death, the Swansea Coroner refused the Powells' request for an inquest claiming that the child had died of natural causes. However, the Powells secured a 'Fiat' [Court Order] from the Attorney General in 2000 and an inquest took place in 2004, fourteen years after Robbie died. The verdict was 'natural causes contributed by neglect' confirming that an inquest should have taken place in 1990. Since Robbie's death, his father Will Powell, has mounted a long campaign to get a public inquiry into Robbie's case.
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Deaths of BAME people in police custody
Claire Cox posted an article in Prison setting
There have been about 1,500 deaths in police custody since 1990, and about one third of those who died were from black and minority ethnic backgrounds.- Posted
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StopSIM: Mental health is not a crime (21 April 2021)
Patient Safety Learning posted an article in Mental health
StopSIM is a coalition of mental health service users and allies who have grave concerns about the rapid, widespread rollout of the High Intensity Network’s ‘Serenity Integrated Mentoring’ (SIM) intervention across NHS England. The intervention is designed for people who have not committed a crime, but are in contact with mental health services, are frequently at high risk of suicide and self harm and are deemed “high intensity users” of emergency services. Key intervention components include a co-ordinated withholding of potentially life saving treatment by multiple agencies (A&E, mental health, ambulance and police services) and, using SIM’s own words, the “coercive” approach of a police officer as an interventionist.- Posted
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Content ArticleThe Serenity Integrated Mentoring (SIM) model is described as "an innovative mental health workforce transformation model that brings together the police and community mental health services, in order to better support 'high intensity users' of Section 136 of the Mental Health Act (MHA) and public services." The SIM model is part of a 'High Intensity Network' (HIN) approach, which is now live in all south London boroughs. In this hub post, Steve Turner highlights the benefits and risks of this approach and seek your views on it.
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