Whistleblower Usha Prasad ordered to pay £20,000 costs in hearing held in her absence

Nadia Motraghi KC – from Old Square Chambers, barrister for the Epsom and St Helier NHS Trust

Judge rules her case had ” no prospect of success” and she was ” unreasonable ” to pursue the claim

UPDATE: The figure was amended when Usha received the judgement from exclusive of VAT to including VAT – that reducing the total figure to be paid to £20,000 instead of £24,000.

Employment Judge Ms EJ Mclaren today ordered Dr Usha Prasad to pay Epsom and St Helier University NHS Trust £20,000 in a hearing she did not attend due to ill health which had not been accepted by the tribunal.

The decision is a pyrrhic victory for the trust, Capsticks solicitors, and a barrister, Nadia Motraghi, from Old Square Chambers, who had originally sought to claim £150,000 but had their claim reduced to £20,000 – the maximum that can be charged in a summary hearing. Much of the money will be swallowed up in fees charged to the trust by lawyers, Nadia Motraghi, and Capsticks solicitor Jessica Blackburn, who have already made nearly £100,000 between them from pursuing Dr Prasad on behalf of the trust. See my blog on the paper submitted by Capsticks to the tribunal here.

Dr Usha Prasad

The handling of this case in my view is yet another example of why employment tribunals are totally unsuited to investigating whistleblowing cases.

For a start two judges have taken totally different views of whether Dr Prasad was fit to plead. Judge E J Baker basically decided that a doctor’s note was not good enough to prove she was ill. But only last month acting regional judge Katharine Andrews decided on a fresh doctor’s note to cancel another hearing involving the trust on the grounds that Dr Prasad needed a long rest and should not face any hearing until next April. It makes judicial decisions by non medically qualified judges seem like a lottery. This of course was not mentioned by Nadia Motraghi in the hearing as it would have undermined her client’s case.

Second the inequality of arms in these hearings. Dr Prasad has already spent a small fortune on lawyers in some of the hearings. So I know she decided she would not be represented by a brief at this hearing because if she lost it would cost her nearly double the cash -nearer £40,000. For the trust unlimited taxpayer’s funds can be spent on lawyers and it is not their money. Not bad for a trust that is already in financial difficulties – just cancel a few operations instead. I also note other lawyers offer a capped fixed fee if a private company is bringing a complex case against an employee – otherwise they would not get the business.

So it is rather hollow for the trust to claim as the judge solemnly pronounced – this is a big cost to a public authority caused by a case ” which had no prospect of success”. It is a big cost because the trust deliberately chose to use some of the most expensive lawyers in town – Old Square Chambers – and fell for paying for 21 lawyers from Capsticks.

Now Nadia Motraghi, whose submission was accepted in full by the judge, painted Dr Prasad as being a ” Jeckyll and Hyde ” character – not mature enough to realise her case was going nowhere and making repeated claims of unequal pay, racism and sexism she could not substantiate but turned into a totally different person when it came to paying the costs. She told the tribunal that she was very intelligent and capable of earning at least £116,000 a year as a good cardiologist and with a house that had gone up £300,000 in value which could be sold. She also used the fact that she was very popular in the Yorkshire hospital she had worked while being clinically restricted at Epsom. Any objective person might ask how come her talents weren’t equally recognised in Epsom.

Now the final issue is the whistleblowing claim. I had wondered why Jessica Blackburn, in a letter to her, had insisted it lacked any merit. Nadia Motraghi gave the game away. She had she had not produced any evidence to justify a risk to patient safety – no emails had been produced to prove this.

Then I remembered the judgement of Tony Hyams -Parish, which was used to justify the costs by judge E J Baker after he dismissed all her claims. There WAS pretty convincing evidence of a serious breach of procedure in an ” avoidable death ” of a heart patient and it was admitted by Dr Richard Bogle, head of the cardiology department. The death in the hospital was never reported to the coroner. You can read about this on my blog here. You can then read about the Hyams-Parish judgement. You can see it here.

What you will notice is that the evidence in the hearing is never covered in the judgement. Now judge Hyams-Parish, to borrow Nadia Motraghi’s words, is an intelligent man. He would know there are no record of the hearing and the judge’s notes are secret. So by not mentioning this in his judgement it is erased from the public record as if it never existed. Only the fortuitous chance that a journalist was there – and that is now very rare – is there a record. So that blog is the only record that it happened.

So it is not surprising that the trust can confidently claim there is no whistleblowing. The judge has been very helpful to the trust by expunging it from the record. As I wrote at the time this decision was a stain on British justice.

You may wonder why Dr Prasad, a whistleblower, did not turn up and the tribunal was unable to contact her. You can read the statement from Dr Ward here:

Dr David Ward, a retired cardiologist and supporter of Dr Prasad. put up a statement during the hearing in the tribunal chat box on he knew Dr Prasad was not attending :” I believe it is my duty as a consultant physician and longstanding colleague and witness to her state of mind throughout these prolonged proceedings to draw attention to the Tribunal that she is not fit to plead. She is in a state of extreme distress such that she is not able to attend. This hearing will cause further detriments to her health. I believe her GP has written a letter to this effect. “

Today he issued a further statement: “

Dr David Ward

“I wish to point out that the stress that has been experienced by Dr Usha Prasad throughout these proceedings was evident at the hearing in November 2021 before Mr Hyams-Parish. I know that Dr Prasad and the journalist, Mr David Hencke, have asked for the audio-visual recordings which I am sure would confirm this.  

2Her inability to recall events, emails, or to refer to documentation within the extensive bundle, whilst giving oral evidence is because of extreme distress. She was not merely tired, but suffered from mental fatigue, which leads to loss of concentration when “put on the spot” under cross-examination in public at a hearing.  

“I consider it is my professional obligation to point this out and would suggest that the audio-visual record of the proceedings of November 2021 are made available to provide objective evidence of the points I have made. It goes without saying that any costs awarded against Dr Prasad would be very damaging to her current state of mind and health. “

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9 thoughts on “Whistleblower Usha Prasad ordered to pay £20,000 costs in hearing held in her absence

  1. I really feel for Dr. Prasad. She is the one who can hold her head up high and her integrity seems beyond doubt. Maybe now we have Freedom to Speak Up Guardians, the Health Service Safety Investigations Body and a Patient Safety Commissioner whistleblowing doctors can have greater confidence that their concerns will be addresses. I think not!

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  2. There is always an inequality of arms in these hearings. Even when individuals fork out of their own pockets or are funded by other bodies it’s impossible for them to match the bottomless public purse. But the imparity is not only financial. Expertise, tactics, influence, voice of authority, time, resources, energy are all on the Trust’s side. However, the biggest imparity is the system itself which is designed, by corruption or otherwise, to ensure the institution wins.

    Judges are former solicitors and barristers who have been appointed not because they’re freedom fighters and justice crusaders but because they have a track record of protecting the establishment. To this end, Dr Prasad’s case demonstrates one more tactic judges use to protect the establishments at the individual’s expense: they exclude all the damming evidence as if it doesn’t exist. This is exactly what HHJ Godsmark did in my own case to protect Derbyshire NHS Trust- he ensured there was no public record of the nefarious and dishonest tricks the NHS Trust executives along with their and solicitor and hired gun bogus experts had engaged in. He closed his eyes to any evidence that exposed the NHS Trust’s wrongdoings and, by making no mention of it in his judgment, he acted as if it simply didn’t exist. In attacking the truth HHJ Godsmark made 2+2=5. The only reason he can have done this was to deliberately deny justice and truth in the interests of protecting the professional reputations.

    Its open corruption.

    Suppression of dissent by Derbyshire Healthcare NHS Foundation Trust: a threat to democracy that puts all patients at risk

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  3. The judgement below clearly reads that even though there was an avoidable death : reporting this was certainly not the reason for the restriction of duties for the doctor concerned.The conflict between the doctor and her colleagues started in 2013 : and the avoidable death was in 2018.

    So not sure what evidence was presented that flagging up the avoidable death in 2018 was the reason to restrict the duties of this medic

    https://assets.publishing.service.gov.uk/media/620a2796d3bf7f4f06550093/Dr_U_Prasad_v_Epsom_and_St_Helier_University_Hospital_NHS_Trust_-_2303151_2018.pdf

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      • The judgement reads at point 163.7

        “the” context of a root cause analysis into a patient death in September 2018: ▪ To the quality manager on 28 February 2019. ▪ To the clinical lead on 8 March 2019. ▪ To Dr Marsh on 8 May 2019. ▪ To Dr Marsh on 14 June 2019.”

        A root cause analysis is done immediately after a death or adverse incident.Certainly not five years later!

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      • Yes you are right about the dates though I see the tribunal accepts she was raising patient safety issues in 2017. However what is missing is that Dr Marsh decided to persuade not to say it was an avoidable death in her report and she refused to change It. At the ET hearing which I attended also Dr Richard Bogle admitted the trust had not followed procedures and never reported the death to the coroner or CQC which should have been done. That was never included in the judgement

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    • see here

      Point 242 “There is no detriment or anything from which the Tribunal was able to conclude that the claimant had suffered race discrimination. The claimant contends she brought to the attention of Dr Marsh a RCA report dated May 2019 concerning RP and patient P and no appropriate action was taken [26(v)]”

      RCA= root cause analysis

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  4. Great article David Hencke – thank you for reporting such injustice. Senior management of this trust should be ashamed of themselves. Why did they need to hire 20 lawyers and barristers spending tax-payers money? As another person commented and I agree the exec team, senior management of this case should resign.

    As for the ET – isn’t it the same ET (South London) that ignored 80,000 emails deleted by the Respondent in the Chris Day case? Can you rely on the same ET to provide justice?

    Also, similar to the Chris Day case, there seem to be the same team (Capsticks + Old Square + SouthLondon ET = Judgement in favour of R ) = what a co-incidence?

    I believe a MSM media described ET as the “kangaroo court” – hardly surprising when you see such results as above.

    Were you aware of this website about reviews of ET from claimants? https://www.change.org/p/uk-parliament-change-dramatically-or-close-the-employment-tribunals-as-they-are-no-longer-providing-justice?redirect=false&fbclid=IwAR0vP-6wjD26pX-zqaOn9cmbbby8LflYHpLzPxB3RflBMRQS5QkjvGUmp9A

    Any thoughts?

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