New campaign: Time to change a prejudicial and unfair employment tribunal system

Sir Keith Lindblom Senior President of the Tribunals Pic credit: gov.uk

This week sees the launch of a campaign by doctors, whistleblowers, journalists and members of the public to seek a big change in the way the employment tribunal system works.

It follows a series of judgements against whistleblowers – some have been carried on this blog- where the judgement itself ignores or twists facts and where the whistleblower – often but not always a litigant in person – has to defend himself or herself against big battalion lawyers brought in by employers.

Many of the cases involve issues like hospital and patient safety, bullying, harassment, racial and sex discrimination where a claimant is sacked for suggesting anything has gone wrong rather than the issue being sorted.

Worse some of most egregious offenders are in the public sector. They are the hospital and trust bosses, the management of Sellafield and the Nuclear Decommissioning Authority, and Greater Manchester Police to name a few current examples. They spend millions of pounds on expensive barristers and solicitors fees all funded with your money – the taxpayer – rather than using your money to correct the problem.

They then go and try and bankrupt whistleblowers or drive them into abandoning their case by putting in six figure cost claims against them. Or use taxpayer’s money to give them six figure pay offs in return for a non disclosure agreement.

Judge Barry Clarke, President of the Employment Tribunals of England and Wales

All this is presided over by the judges who have a whip hand – they don’t record the proceedings or keep transcripts. They keep notes but they are for their private use and you cannot get them -even through a subject access request.

The only public record is their judgement – and if it misses out some of the evidence – there is no record that the evidence was ever given to the tribunal. And you cannot make a recording of the hearing – that is a criminal offence. Employers with more resources can employ their own note-takers – very useful if it goes to appeal and their lawyers won’t share their transcripts with the claimant.

The only safeguard is mainstream media which might report the hearing – though even then some employers try to get some of their evidence held in camera. But with the parlous state of the media , especially local media, journalists are rarely there.

Judge Shona Simon; President of the Scottish Employment Service

That is why the campaign has begun with a letter to the three top employment judges in the UK – Sir Keith Lindblom; Judge Barry Clarke and Judge Shona Simon, seeking a fundamental change to facilitate open justice- that transcripts of the proceedings of employment tribunals should be kept. The letter argues that the principle of a fair trial – enshrined by the European Court of Human Rights – cannot take place if only one side can afford to keep a record. It gives the employer a permanent advantage.

The decision to write the letter was taken at a meeting of Justice for Patients and Doctors – but supported by other whistleblowers who are not in the NHS.

With the help of my journalist colleague Philip Whiteley, Sellafield whistleblower Alison McDermott, cardiologist whistleblower Usha Prasad and junior doctor whistleblower Dr Chris Day,, the letter was circulated on social media.

Within just seven days we had backing from well over 300 people – from a former economic adviser to No Ten Downing Street, Sir Adam Ridley, 80 medical consultants, numerous GPs, nurses, teachers, to a former deputy groundsman at the Chelsea Pensioners hospital, a lorry driver, an actor, writer and a poet. This seems to suggest there is a wide ranging feeling that there is something wrong in the justice system.

This is the roll call of honour:

  1. Sir Adam Ridley former Downing Street adviser and economics adviser to Nigel Lawson and Sir Geoffrey Howe
  2. Jane Somerville, Emeritus Professor of Cardiology, Imperial College
  3. David E Ward, former cardiology consultant, St George’s Hospital, London
  4. Michael Byram Professor Emeritus University of Durham
  5. Dr Philip Howard MA G Dip Law LLM MA MD FRCP Consultant Physician and Gastroenterologist
  6. Prof Brendan T Barrett Dip Optom Bsc Psychol PhD MCOptom FAOI FHEA
  7. Gautam Appa Emeritus Professor of OR Dept of Management, LSE
  8. Dr Chris Day, Emergency Medicine Doctor A&E Agency
  9. Dr Usha Prasad MBChB FRCP FESC Former Consultant Cardiologist and Lead Clinician for Heart Failure Epsom & St Helier University Hospital; Currently Locum Consultant Cardiologist at Mid Yorkshire Hospitals NHS Trust
  10. Dr Arun Baksi, Emeritus consultant physician
  11. Dr Michael Eden, consultant pathologist
  12. Susan Burell, consultant sonographer/ radiographer
  13. Dr Louella Vaughan, Consultant Physician in Acute Medicine
  14. Dr Kit Byatt, retired consultant geriatrician now working in human rights medicine
  15. Dr Ravi M Kare Consultant Norfolk and Norwich University Hospitals
  16. Dr Paul Garrud Hon. Associate Professor, School of Medicine and Health Sciences, University of Nottingham
  17. Dr Margaret Beedie Retired consultant psychiatrist
  18. Dr Susan Read MBE, FRCN. Retired Professor of Nursing Research at Sheffield University.
  19. Craig Jerwood MBBS, FRCA, FFICM Consultant in Intensive Care Medicine
  20. Dr Chantal Meystre MB ChB MA FRCP UKCP Palliative Medicine Consultant and Integrative Psychotherapist
  21. Thomas R. Lee, MB, BChir, FRCP, MRCPC retired Paediatrician
  22. Dr Jenefer Sargent Consultant Paediatrician
  23. Dr Catriona Connolly MBBS FRCA Consultant Anaesthetist
  24. Julia Bodle Consultant obstetrician
  25. Lesley Pavincich Consultant Psychotherapist
  26. Dr Rakesh Aga FRCP, Consultant Gastroenterologist, Nobles Hospital Isle of Man
  27. Shona M Hamilton Consultant Obstetrician (Retd) BSc, MB ChB, LLB, PGCert, MPhil FRCOG
  28. Dr Nancy Redfern Consultant Anaesthetist.
  29. Dr Katharine McDevitt, MBBS, MRCPCH, FRACP, Consultant Paediatrician Peterborough City Hospital
  30. John A Hamilton FRCS Edinburgh & Glasgow Consultant Orthopaedic Surgeon (Retd.)
  31. Dr D S Wijayatilake Consultant Intensive Care Medicine Queens Hospital Romford
  32. Milap Rughani Consultant Plastic Surgeon
  33. Dr Hugo Farne Respiratory Consultant, Imperial College London
  34. Eleni Gounari Paediatric consultant
  35. Therese Walsh Anaesthesia Fellow
  36. Mr Ismail Hassan Consultant Obs. & Gynae Birmingham Women & Children Hospital
  37. Dr Sarwat Shah Locum Consultant Dermatologist
  38. Mark J Curtis MBBS FRCS (Ed) FRCS (Eng) MFSEM (UK), Consultant Orthopaedic Surgeon
  39. Jacqueline Anne Henshall Head of Private Patients (recently retired) Guy’s and St Thomas’ NHS Foundation Trust
  40. Matthew Welberry Smith Consultant Renal Transplant Physician
  41. Dr M Senaratne Consultant Psychiatrist
  42. Nasser Kurdy Consultant Orthopaedic Surgeon
  43. Edwin Jesudason, Consultant in Rehabilitation Medicine Scotland
  44. Dr Arshad Siddique Consultant Psychiatrist
  45. Francis Sheehy Skeffington Retired Consultant Paediatrician
  46. Val Kyle, retired Consultant Rheumatologist
  47. Dr Neil Finer, Consultant Ophthalmologist
  48. Salam Alsam NHS Consultant
  49. Dr Kim E Isaacs FRACS Consultant Surgeon | Surgical Oncology General Surgery | St Vincent’s Hospital, Australia
  50. Mr John Davies Consultant surgeon Whipps Cross Hospital
  51. David Church, Locum GP, Wales, and currently also Consultant Support to North Wales Regional Hub of Test, Trace, Protect
  52. Keith Baxby Retired consultant surgeon. Dundee
  53. Dr Sean Whyte Consultant Psychiatrist & Deputy Medical Director
  54. Dr John Cøoper Consultant cardiologist
  55. Aprajit Bhalla Consultant Orthopaedic Surgeon
  56.  Dilshad Marikar Paediatric Consultant West Suffolk Hospital
  57. Dr Carolyn Ruth Broadbent, recently-retired Consultant Anaesthetist, Royal Derby Hospital
  58. Dr Philip Timms Consultant Psychiatrist, South London and Maudsley NHS Trust
  59. Dr Katherine Pendry Consultant Haematologist (retired)
  60. Dr Jenny Jenkins Retired Consultant Anaesthetist
  61. Mr Basavaraj Sreeshyla, consultant ENT surgeon
  62. Dr Jonathan Taylor, consultant in emergency medicine 
  63. Dr Subramanian Narayanan, consultant radiologist
  64. Dr Deb Lee, consultant paediatrician
  65. Dr Peter Sheppard.  Consultant radiologist
  66. Dr Sheena Pinion, former consultant obstetrician Kirkcaldy Scotland
  67.  Iain Muir Consultant Surgeon Dumfries & Galloway Royal Infirmary
  68. Dr John Baksi, consultant cardiologist
  69. Dr Bettina Harms, consultant paediatrician
  70. Professor Parag Singhal, consultant endocrinologist
  71.  Dr Christopher Moulton, Consultant in emergency medicine
  72. Dr Colin Hutchinson. Consultant Ophthalmologist
  73. Mr Amit Sinha, consultant Orthopaedic surgeon
  74. Dr Chriam George, consultant radiologist
  75. Dr Venugopal Poothirikovil, consultant paediatrician
  76. Miss Helen Fernandes, consultant neurosurgeon
  77. Mr Radhakrishna Shanbhag, Consultant in Trauma
  78. Dr Anil Jain, consultant radiologist
  79. Mr Omer Karim MB BS, MS, FRCSUrol, Locum Consultant Urological Surgeon, Royal Marsden and Charing Cross Hospitals
  80. Dr Azhar Ansari MBChB DM PhD FRCP
  81. Dr Tariq Choudhry.  Locum Consultant Psychiatrist Barnet Enfield and Haringey NHS Trust
  82. Dr Amit Mukherjee, Consultant Psychiatrist, London
  83. Roger Gartland actor
  84. Dr Ana Martinez Nahorro, Consultant cardiologist
  85. Kevin Donovan, secretary, Defend Our NHS
  86.  Brian Howard Thompson Retired BT Divisional Director
  87. Dr Malila Noone, Microbiologist
  88. DR Sunil Saxena, Anaesthetist
  89. Dr Naila Aslam, medical advisor.
  90. Dr Suma Basavaraj, general practitioner
  91. Dr Nishant Joshi, GP
  92. Mr Alexander Phillips, Research Director
  93. Dr David Mark Thornton, Senior partner, Richmond Medical Centre, Lincoln
  94. Dr James Wilson Haematology SpR
  95. Dr Katie Brooks, Principal Medical Writer
  96. Colin Padgett, Teacher, tutor and examiner
  97. Brian Morris Retired
  98. Dr Yasar Sabir Anatomy Fellow, University of Birmingham
  99. Ingrid Broad, Retired, previously MCSP, AACP
  100. Gordon Drummond Honorary Clinical Senior Lecturer Department of Anaesthesia, Critical Care and Pain Medicine Royal Infirmary, Edinburgh
  101. Dr Rebekah Cutler General Practitioner
  102. Jonathan Mackay MB ChB retired GP
  103. Keith Baker retired GP Trainer
  104. Moya Duffy retired GP
  105. Stephen Taylor IT Engineer retired
  106. Dr Heechan Kang Locum Senior Clinical Fellow/Specialist Registrar in Paediatric Cardiology
  107. John Bugler, retired
  108. Jan Marriott Registered General Nurse retired
  109. Judith Joy Member of the public
  110. Ian Talbot Process Operator
  111. Alan Ribot-Smith Retired Crypto Security Consultant
  112. Leonard Rouse, retired high school teacher
  113. Denise Cheetham  local authority employee
  114. David Mousley
  115. Dr C C Hulbert Retired
  116. Nigel Morris Civil Servant NI – Electricity Network Policy
  117. Rosalyn Anderson Retired senior pharmacist NHS
  118. Dr Michael Trowbridge GP
  119. Dr Fionnuala Kelly Orthopaedics Registrar Gold Coast University Hospital, Australia.
  120. Eamonn Rafferty
  121. Dr Cate Bulmer, GP trainee, NHS Education Scotland
  122. Patricia Lawlor, Lawyer and Vice-Chair of Whitestone Patient Participation Group
  123. Sinead Summers nurse at Shooting Star Children’s Hospices, Guildford
  124. Dr Ian Cocks GP retired
  125. David Buglass Translater
  126. Cllr Dr Hannah Charlotte Copley Clinical Research Training Fellow, University of Cambridge and Addenbrooke’s Hospital, Cambridge
  127. Charles Bockett-Pugh retired engineer
  128. Glanville Neale Retired
  129.  Tracy Nelms Registered General Nurse (Community/General Practice
  130.  Brian Smart, retired Chartered Surveyor
  131. Robert Knowles, Retired maintenance engineer
  132. Catherine Hills Retired
  133. Emma Tyson ST4 Anaesthetics St Georges Hospital
  134. Dr Ibironke Tayo ST4 O&G  RCOG EOE ePortfolio champion
  135. Denise Wentworth Retired Nurse Practitioner
  136. Brian Wedge Retired
  137. John Harwood Ex telecommunications fitter
  138. Gerard Murphy MB BCh FRCP(Edin) MRCGP MICGP DPD(UWCM),Retired General Practitioner, Lisburn, Co. Antrim.
  139. Dr Nigel Speight Paediatrician (and Guardian reader) DurhamNeil Purcell – Lighting Cameraman
  140. Ravinder Passi whistleblower
  141. Dr Nick Mann, GP in LondonDr Derek Jones Associate Senior Researcher Italian National Research Council (CNR)Bologna, Italy
  142. Dr John Calvert, retired NHS General Practitioner
  143. Dr Krishnaveni padala Gpst3
  144. Thomas Clother Lorry Driver
  145. Christine Joachim Retired Social Worker
  146. Una-Jane Winfield Researcher and campaigner
  147. Joanne Rossouw – Barclays Bank whistleblower
  148. Bob McClenning   Retired, Liberal Democrat activist
  149. Oliver Darlington retired lecturer in MIcrobial Genetics
  150. Dr Sara MacDermott, GP
  151.  Roger Bilham retired metallurgist
  152. Dr Mary O’Gorman
  153. Patricia Browne, Retired  Care Manager
  154. Dr Anya Gopfert Public Health Registrar
  155. Russell Dunkeld Retired Registered General Nurse
  156. Judith King Retired GP
  157. Naomi R. Bowen, Retired Parish Clerk.
  158. Roger Lallemant, retired construction worker
  159. Ms S Murgraff Member of the Public
  160. Dr Kerry Orchard Specialty Doctor in Palliative Care
  161. Patrick Kirkby Retired
  162. Ian Leonard Owner – Leonard Projects Consultancy (Telecommunications) 
  163. Penelope Burton Retired GP
  164. Sally Hart
  165. Jessica Harris GP Partner
  166. Marian Davies Retired civil servant
  167. Wendy Horler Retired NHS worker
  168. Jamal Siddiqi member of the public
  169. Dr Yok Fun Chang Retired GP
  170. Andrew Pearce Learning & Teaching Quality Manager
  171. Siobhan Coleman Retired.
  172. Revd Judith Palmer- GP before ordination
  173. Dr Jason Holdcroft-Long  Specialist registrar in old age psychiatry
  174. Abelardo Clariana-Piga -member of the public
  175. Michael Young – retired broadcast media journalist.
  176.  Alison McDermott, BSc Hons, FCIPD. HR Consultant
  177. Ashley Borkett IT Systems Engineer
  178. KJ Swainson Retired Registered Nurse
  179. Nina Basey-Fisher, Sales Consultant
  180.  Gillian Kirk member of the public
  181. Dr Nisha Bhudia  ST7 in anaesthesia.
  182. Dr Mary-Clare Parker, GP
  183. Dr Gurdave Gill General Practitioner
  184. Dr Charles McEvoy, GP partner, Ripon
  185. Dr Alison Barnes Locum GP St Richard’s Hospital Chichester
  186. Stuart Dixon Retired NHS worker Author of Toxic Lives
  187. Christine Aram Retired Midwife
  188. Mike Darbyshire Trustee of the Bowles Rocks Trust
  189. Chris Cowsley Retired Professional
  190. Sheila Hedges  Retired
  191. Irene Leonard
  192. Dr Winifred Stack 
  193. General Practitioner Newcastle upon Tyne.
  194. Michael J Tynen Retired College Lecturer
  195. Angus Bearn Company director
  196. Harry McAulay Retired Schoolmaster
  197. Dr Andrew Muirhead-Smith ST6 Intensive Care & Anaesthesia
  198. Shuna Watkinson Retired nurse
  199. Joanna Lane CEO of  the charity Christopher Lane Trust.
  200. Martin Heaps, Data Security Analyst.
  201. David Collett, retired
  202. Dr Alexander Stockdale NIHR Academic Clinical Lecturer in Infectious Diseases University of Liverpool
  203. Rev Dr Judith Gretton-Dann Church of England priest
  204. Dr Tiago Ivo General Practitioner
  205. Derek Medhurst retired coach and assessor on organisations
  206. Harry Smart, writer and poet
  207. Maureen A Vilar retired teacher at Portsmouth City Council.
  208. Jackie Morgan retired union official
  209. Mary Lester RGN, BA(Hons) Specialist Community Nursing, wound care nurse
  210. Garry Dring – Registered Nurse Senior Clinical Advisor, North East Ambulance Service
  211. Julia Mountain Retired
  212. Sunil Kapur Teaching Assistant
  213. Carol Lindsay Smith. www.Patients4NHS.org.uk
  214. Ms Mary Morrison retired Uni SL in Language in Education
  215. Karen Clark mother to two hospital doctors
  216. Sandra Ash retired art tutor
  217. Justin Dennis Deputy grounds and gardens manager Royal Hospital Chelsea
  218. Carolyn Hupton retired
  219. Dr Peter Sinclair Whitehead GP Harrogate District Hospital Foundation Trust
  220. Margaret E. Johnson member of the public
  221. Dr Jennifer Adams Mb ChB MRCGP retired
  222. Philip Tucker Retired
  223. Jennifer Hall Health Visitor
  224. Mrs Sue Fuller retired social worker
  225. Dr Tom McNaughton, specialist registrar
  226. Dr Philip Delbridge Doctor (Middle Grade) – Emergency Medicine
  227. Nicholas Ellam  Project Manager (retired)
  228. Linda Walker NHS employee
  229. Janet Thompson Retired State Registered Nurse
  230. Ruth Barker Retired GP
  231. Rosemary Clarke Retired Solicitor
  232. Jo Reynolds Member of the public
  233. Dr Naomi Beer GP East London
  234. Graham Pearson – Engineer retired
  235. Carin Parker – Solicitor retired
  236. Mary-Louise Stewart Member of the Public
  237. Dr Ankush Dhariwal Doctor in Infectious Diseases and Microbiology
  238. Dr David Sillince Retired GP
  239. Marc Woodman Junior Doctor
  240. Dr Andrew McArdle MRCPCH MSc MA Clinical Research Training Fellow, Imperial College London
  241. Naomi Adelson, GP
  242. Saad Chowdhury  GP VTS Registrar (junior doctor)
  243. Dr David Miles GP with a Special Interest in Addictions SE & NE Recovery Hubs
  244. Saleha Jamali Member of the Public
  245. Rebecca Winsor D.O. Registered Osteopath
  246. Jonathan Gurr Retired General Practitioner
  247. Matt Sheehy GP Derby
  248. Tracy Mason Court reporter
  249. Nigel Midgley – Operations Manager
  250. Ilkay Cetin  Tranlator
  251. Hilary Beavan Company director
  252. Rachel Nicolle, FwSS, self-employed Shiatsu practitioner
  253. Jill Stevens Retired Journalist
  254. Dr Mark N. Upton GP Tutor, Hull York Medical School
  255. John Thain Ex-Nurse and Retired Nurse Lecturer
  256. Dr Venetia Fawcett Retired GP
  257. Ashley Borkett IT system engineer
  258. Robert Wyatt Retired head teacher
  259. Dr Peter Tyerman Board member Autism Plus
  260. Dr Cara Hughes BM MSc FRCA Anaesthetic Trainee ST6 West of Scotland Deanery
  261. Karl Connor Head of Communications and Community Engagement,
  262. Dr Manuela Perry Specialty doctor in Psychiatry
  263. Pamela Cross GP
  264. Dr Marion Judd PhD
  265. Rob Wheatley CTO – Watson Wheatley Financial System
  266. Clio Bellenis Retired child and adolescent psychiatrist
  267. Andrew Fitchett Locum GP
  268. Dr Lucy Dobson MRCOG Clinical Research Fellow in Gynaecological Oncology
  269. Julie O’Neil Libraries Services Manager
  270. John Graveling – Retired.
  271. Gillian Tennent Retired teacher
  272.  Susan Brown Retired Librarian
  273. Dr William Loveday ST5 Psychiatric Registrar
  274. Dr Jennifer Burgess (she/her) General Adult Psychiatry ST4 BA(Oxon), MBBS, MRCPsych
  275. Anthony Scratchley Counsellor
  276. Mark Pearse , retired farmer
  277. Dr Anna Passmore, locum GP Bedfordshire
  278. Rev Jeffrey I Smith Methodist Minister (retired)
  279. Jennifer McIntyre-McClure Retired Occupational Therapist
  280. Alexander McClure Retired nurse
  281. Dr Helen Parkinson GP
  282. Karen Blakey:  Researcher/Whistleblower in the Academic domain
  283. Kevin Ferguson IT Service Manager
  284. Hugh Wilkins Clinical Scientist
  285. Andrew Burd,
  286. MB ChB, FRCS(Ed), MD, PhD Director: Second Opinion (Medico/Legal) HK International Limited
  287. Janet Marks member of the Public
  288. Debby Monkhouse CBT Therapist
  289. Richard Slaughter   Retired Librarian
  290. Mrs. Carolyn Munro retired Medical Education Manager
  291.  Dr Peter Mercer PhD not medical doctor retired university lecturer
  292. David Squires, Definitive Map Review Officer, Nottinghamshire County Council
  293. Ms Shirley Murgraff member of the public
  294. Kathleen White, Retired Nurse
  295. Judith Lea Retired
  296. Julia Herod retired Social Worker
  297.  Philip Whiteley, freelance journalist
  298. David Hencke, freelance journalist
  299. Amrit Wilson, Writer and Journalist
  300. Dr Esha Sarkar Junior Doctor Whistleblower
  301.  Jenny Vaughan vice chair Doctors’ Association UK
  302. Neesha Hall member of the public
  303. Niccola Swan, retired Barclays regional director and former magistrate
  304. Dr Frances E Atkins MB ChB MRCGP
  305. Dr Ian McDermott MB ChB Leeds Community Health NHS Trust
  306. Staffordshire GP
  307. Terje Vangen Schea Fundraising Director
  308. Jill Church Managing Director Angels Healthcare Ltd
  309. Jill Hodsman, Children’s Nurse Specialist
  310. Sheena Reid – Talent Dynamics Ltd ICF Master Certified Coach
  311. Frank Reid FCA chartered accountant
  312. Name Denise Chisholm Paediatric Specialist Nurse
  313. Roger A Coleman, Radiological Safety Technician, Sellafield Ltd
  314. Oliver New Secretary, Ealing Trades Union Council
  315.  Sylvia Chandler (retired GP)
  316. Ann Barrett  MSc, MCOptom, DipGlauc, DipTP (IP)
  317. Andrew Burd, MB ChB, FRCS(Ed), MD, PhD Director: Second Opinion (Medico/Legal) HK International Limited

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Guest blog: The appalling treatment of NHS whistleblowers parallels the Post Office sub-post masters scandal

Dr David.E.Ward,

 David E Ward, a distinguished retired cardiologist, formerly at St George’s Hospital, South London, responds to the judgement by Tony Hyams-Parish on the case of Dr Usha Prasad

The treatment of NHS whistleblowers is a national scandal of the same iniquitous order of magnitude as the miscarriages of justice meted out to the sub-postmasters. This latter saga began 20 years ago after the installation of faulty software called Horizon from Fujitsu. Incredibly it was not picked up for years because the victims were not believed or they were accused of lying. The evidence was not properly collated or scrutinised. Or was it, but no-one said anything. “No other post office has had this problem” they were told. Perhaps the current Judge led inquiry will find out. Many were incarcerated. Some sold their homes to pay thousands of pounds of fictitious till deficits. Sadly, some committed suicide.

The sequence of events for NHS whistleblowers is different but the outcomes are strikingly similar. The NHS whistleblowers’ stories are largely unknown to the wider public apart from the occasional one featured in a national newspaper.

The WB raises a concern, which by the way is their duty under law, (Duty of Candourhttps://www.legislation.gov.uk/ukdsi/2014/9780111117613)

but instead of welcoming the exposure of the defect of a system (e.g. number of beds in a limited space), faulty equipment (e.g. a diagnostic machine) or a process (e.g. errors in admission procedures – wrong patient or wrong procedure) any of which may lead to patient harm or even death), the Trust fails to act but instead embarks upon a path of vicious and disproportionate reprisals against the WB.

The consequence of this chain of events is often catastrophic for the individual. The whistleblowing doctor may be subjected to repeated internal hearings, quasi-disciplinary proceedings, Maintaining High Professional Standards hearings etc. The latter may be chaired by lay persons with a legal qualification but posing as a barrister. Most doctors subject themselves (they raise an appeal) to an Employment Tribunal in the hope that justice will prevail. Sadly it does not. These proceedings are not formally recorded for later open scrutiny. The judge’s notes (such as they may exist) are private and not made available. It is also a criminal offence to make an electronic recording. The litigant can take notes but how do they manage to do that whilst giving evidence or listening intently to the evolution of their own fate? A preposterous suggestion.

Expensive lawyers who support the health trust

There is another major factor in these processes. They could not proceed without the complicity of the teams of expensive solicitors and barristers who support the Respondent. All this is paid for by the taxpayer. The claimant will of course have their own legal support if they can afford it but which is obviously limited by costs. This gross “inequality of arms” is a major factor in the final “justice” handed out. I don’t think many of us would call that fair and just. Doctors are threatened with enormous costs which in most cases could only be met by selling the family home. Why? Oh yes, it’s to force them to withdraw their claims and believe it or not it usually works!

Judge Tony Hyams-Parish

At Employment Tribunals it appears that the sum total of evidence is not scrutinised. Some evidence appears to be selectively omitted at the discretion of the ET Judge. In the Dr Prasad case (see David Hencke’s last blog) the admission by the lead of cardiology (Dr Richard Bogle) that a death which should have been reported to the coroner was not reported but “covered-up” is not even mentioned in the final judgment! One could ask for the transcript to check that this observation is correct. (Oh, no I can’t because there is no transcript but I did attend the virtual ET hearing and can vouch that I heard it stated!) That worked out quite well then didn’t it? To an outside observer who has some vicarious experience of these Tribunals it is nothing short of gobsmackingly incredible in a western democracy (I don’t have the full panoply of words to describe it!).

Former post office workers celebrate outside the Royal Courts of Justice, London, after having their convictions overturned by the Court of Appeal. Thirty-nine former subpostmasters who were convicted of theft, fraud and false accounting because of the Post Office’s defective Horizon accounting system have had their names cleared by the Court of Appeal. Issue date: Friday April 23, 2021. PA Photo. Photo credit : Yui Mok/PA Wire

The Post Office workers (Horizon scandal) did not commit any crimes neither did the NHS Whistleblowers. They have not broken any laws. Yet how is it that they have failed to present a case of sufficient strength to convince an ET Judge? Their punishment for exposing potentially harmful processes, which could save lives, is to be condemned, lose their careers, their livelihoods, their homes and in some cases their families or even their own lives. Put simply they are crushed by massive inequality of arms – expensive lawyers funded by the taxpayer. Swathes of evidence is ignored.

Is there some sort of collusion between the judiciary and the respondent or their legal representatives? Some MHPS hearings are seemingly very dodgy (some doctors/victims have observed this and can demonstrate it with evidence) up to and including the invention of spurious legal terms such as “fitness for purpose” which is unknown in British Employment law (see David Hencke’s blog on the Maintaining High Professional Standards Appeal).

Then there is always the possibility of undeclared conflicts of interest in the appointment of an ET officials. Just saying…..

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Judge covers up “avoidable death” of heart patient and General Medical Council revalidation of Dr Usha Prasad to dismiss her whistleblowing case

Employment Judge Tony Hyams-Parish Pic credit: dmhstallard.com

Publication of avoidable death scandal at Epsom and St Helier University Health Trust leads to another relative coming forward and queries about a former senior staff member in Jersey

An employment judge has thrown out Dr Usha Prasad’s whistleblowing case and all her allegations of victimisation, sex harassment, and sex and race discrimination.

She is also facing a costs claim of an astounding £150,000 plus VAT via the law firm Capsticks from the Epsom and St Helier University Health Trust.

A letter from Capsticks says: ” The Respondent has incurred very substantial costs indeed in defending the unmeritorious proceedings, of in excess of £150,000 plus VAT. The costs incurred correlate to the Claimant’s unreasonable conduct and the unmeritorious nature of her complaints.”

Judge Tony Hyams-Parish’s judgement is long on the detail of all the various top management’s moves against Dr Prasad which led to an unprecedented 28 month suspension from clinical duties and remarkably short on any evidence given by her and her witnesses. He exonerates the actions of the senior management and ignores claims by any of her witnesses. And given he goes into such detail it is rather surprising he doesn’t mention that Daniel Elkeles, the former chief executive of the trust, offered to abandon the internal disciplinary proceedings against her if she dropped the tribunal case against the trust.

Indeed the most twisted part of his judgement is what he leaves out. Take the issue of the GMC revalidation of Dr Prasad. This is his purple passage:

“The Tribunal was invited to consider was the outcome of the claimant’s hearing before the GMC. The GMC began an investigation into the claimant which concluded in March 2021 with no further action to be taken. The claimant continued to state throughout this hearing that she had been exonerated by the GMC, suggesting that their conclusion must cast doubt on the actions and motivations of the respondent. However, the Tribunal found it difficult to draw any such conclusions from the GMC outcome. The Tribunal was not shown the content of the GMC referral or the case examiner’s report. Whilst the GMC and the respondent were looking at the same cases, their remits were likely to be quite different. In any event, the Tribunal was not shown sufficient evidence to decide either way.”

Really? The GMC judgement was entirely based on a list of 43 complaints submitted by the trust and obviously the trust expected it to be endorsed by the GMC. Instead it was sent to very experienced cardiologist in Middlesbrough who had worked at Papworth Hospital and he could not find anything wrong. And not only was this finding approved by the GMC, they revalidated her – taking away the power of the trust to do this. Given many doctors feel they are not well treated by the GMC, this was a remarkable outcome. The GMC was telling the trust to get stuffed.

Dr Usha Prasad with the former chief executive of the trust, Daniel Elkeles

The second area is the glossing over of the main whistleblowing claim. It centred around the avoidable death of a 76 year old man, Mr P, from heart failure, partly caused by negligence, muddle and poor communication at the trust. Dr Usha Prasad, who had no part in the care of the patient, was asked to review the case as an independent person. Evidence was given that an attempt was made to get Dr Prasad to rewrite her findings which included that the death should have been reported to the coroner and the Care Quality Commission. At the hearing Dr Richard Bogle, former head of the cardiology department, admitted that this should have been done – basically saying Usha Prasad’s judgement was right.

But this has been airbrushed from the judgement. If I hadn’t been there to report the case, no one would be the wiser that this happened.

Judge Tony Hyams-Parish disrespectful to dead man’s family

Not only to do I find this a gross omission but in my view the judge is being disrespectful to the man’s family by removing the details of the whistleblowing case. It is though he is thinking so what, a 76 year old dies, who cares?

But Judge Hyams-Parish knows he is on solid ground to ignore all this. He has already told Usha Prasad there is no recording or transcript of the proceedings, and his judges’ notes will never be released. So his judgement is the only record. And it is criminal offence if anyone has a recording.

Judgement a stain on British justice

My view is that this judgement is a stain on British justice which is supposed to be the epitome of ” fair play” and full transparency.

Instead it appears to me to more akin to Russian and Chinese justice .Here there is a semblance of justice but the result is a foregone conclusion. What appears in this case is the forces of the Establishment have been marshalled to intimidate and destroy an individual for the benefit of state power.

One good result of the publicity is that a relative of another person who died at St Helier hospital has come forward to me to investigate their case. And what happened at St Helier seems to have been picked up in Jersey, where this blog has a small circulation, and queries are being raised about a former senior manager at St Helier.

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Health Education England wins case against Dr Chris Day with the help of a “deceitful” former postgraduate student dean

Dr Andrew Frankel

The long legal saga of junior doctor Dr Chris Day’s whistleblowing battle over patient safety at the intensive care unit at Woolwich Hospital took another twist and turn this week.

Health Education England successfully overturned a decision ordering it to appear at a tribunal in June alongside Lewisham and Greenwich NHS Trust. The body convinced a judge that an exercise to influence a former Liberal Democrat health minister to change his mind supporting Chris Day by Dr Andrew Frankel, a former postgraduate dean, had nothing to do with them.

Sir Norman Lamb

My last blog on this is here. It tells the bizarre story of Dr Andrew Frankel, who is also a distinguished consultant nephrologist at Imperial College Healthcare NHS Trust and expert on the management of diabetes and kidney disease. He basically debased himself by going round the back of his old employer, Health Education England, to try to influence Sir Norman Lamb, then an MP, to see another side to Chris Day’s account. The attempt would have been extremely helpful to Health Education England which has repeatedly tried to distance itself from the scandal of inadequate staffing at this intensive care unit.

Dr Frankel tried to get hold of Dr Day’s training record

Dr Frankel’s methods included trying to get details of Dr Day’s training record after leaving Health Education England which he was not entitled to see at the time. He then arranged a private meeting with Sir Norman to present a paper outlining HEE’s case and emphasising it was only there to help junior doctors and not criticise them. Sir Norman has been a strong supporter of Dr Day and publicly highly critical of the way the HEE and the trust have treated him.

The judge was presented with two alternative interpretations of the facts. One presented by the health body was that it knew nothing about Dr Frankel’s activities. Professor Wendy Reid, medical director of HEE, told the tribunal she had been ” flabbergasted and staggered” when she learnt he had visited Sir Norman without her knowledge. He had previously presented the paper to her as a private document and an aide memoire if she or anyone else wanted to talk to Sir Norman But later on when the body found out about his personal visit they remained silent -not wanting to disown the actions of a former employee.

Dr Chris Day – whistleblower

Dr Day’s lawyers argued that in effect Dr Frankel was acting as a de facto agent of HEE trying to present an alternative scenario to Dr Day’s case. They drew their evidence from some of the sloppy wording in e-mails -particularly Dr Frankel’s juxtaposition of the use of the word ” I” and then ” we” implying it was HEE’s view. He had insisted when he met Sir Norman that he emphasised he was doing it on his initiative. There are no notes of the meeting. The body also discussed ” behind the scenes” action to refute Dr Day’s case.

The Judge Katherine Andrews chose to believe HEE’s version rather than Dr Day’s.

Frankel ” fully acknowledged the foolhardiness if some actions “

She said: “My view is that the claimant genuinely believes that implication and accordingly his evidence is truthful in that it reflects his beliefs. I also find however that the evidence of Dr Frankel and Prof Reid was similarly truthful. They are both distinguished in their respective careers and appeared to give their evidence carefully and candidly. Indeed Dr Frankel readily acknowledged the foolhardiness of some of his actions, undoubtedly well-meaning though they were.”

…”I do recognise that Dr Frankel’s use of words in his emails and the briefing document is mixed. On some occasions he used the first person singular which was entirely in accordance with him acting privately.
On others he used the first person plural – sometimes clearly by reference to times when he had been seconded to the respondent but other times inappropriately using ‘we/our’ etc. I find that this was a combination of, on occasion, poor drafting by Dr Frankel and also a strong personal identification with the issues.”

…”The way he went about it however was wholly inappropriate and in doing so he slipped into using language that confused his previous and current roles.”

I am curious about this. Dr Frankel is the author of some pretty important research papers in his other role as a consultant. I would have thought he would be very careful about the use of his language – at least I would hope so for the sake of his research.

She also absolved the health body from any involvement in backing Dr Frankel.

“Ratification can only apply where the person whose act is in question (Dr Frankel) professed or purported at the time of acting to do so as agent and to have authority to bind the principal (the respondent), it is plain that the claimant cannot successfully argue ratification as in fact the opposite was professed by Dr Frankel. He expressly and repeatedly said that he was acting entirely privately and not on behalf of the respondent.”
The decision is significant and absolves HEE from having to explain their actions in this murky case.

As Chris Day says on his supporters site:

“In late 2019 we won an important victory that guaranteed that HEE would have to account for everything at a final hearing on both their denial of cost threats and the false document sent to Sir Norman Lamb.

An order dated 3 October 2019 by Judge Sage rejected all arguments from HEE on why they should not attend a final hearing on the facts and ordered them to respond at a final hearing on their denial of cost threats and the allegedly false and detrimental document sent to Sir Norman Lamb

“Following my barrister’s illness with Covid-19 in March 2021, the London South Regional Judge Freer (who was the trial judge that signed off my obviously unfair settlement) allowed Judge Sage’s decision to be changed outside of any appeal process by a Judge Kelly in a new order that essentially replaced Judge Sage’s order. This gave HEE a second bite at the cherry at exiting the case on technical arguments. HEE have now succeeded at this and have been rescued from accounting for their actions on the cost threats and the misleading document sent to Sir Norman Lamb.

“The Regional Judge has also failed to progress my wasted cost application or dismiss it despite it being lodged in 2019. This application focuses on how the nation’s junior doctors were argued out of whistleblowing protection for 4 years. This video summarises the issues that the Regional Judge appears to be hoping will just go away.

“I have made a request for the Judge’s (Regional Judge Freer)  record of my 2018 hearing that settled.  This has not been responded to by the Tribunal. This is my only hope of an honest record of that hearing so this is difficult to understand. “

Dr Day is to talk to the BMA who paid for his legal representation to see if he can appeal this judgement.

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The curious tale of the NHS dean, the MP and the whistleblower doctor

Dr Chris Day

This week a mundane employment tribunal hearing revealed an extraordinary tale of subterfuge, cover up and denial in the hidden bureaucracy of the National Health Service.

The hearing was yet another in the long run saga of the case of Dr Chris Day, a plucky young doctor who has taken on the NHS establishment over a very important issue of patient safety and is still in the middle of an eight year battle with the authorities. The legal bill to taxpayers from the NHS to pay for this long battle is now is likely to rise to close to a £1 million.

The story began in August 2013 when Chris Day, a junior doctor initially complained about inadequate staffing. It got worse in January 2014 when he was working overnight in the intensive care unit at Queen Elizabeth hospital in Woolwich when two locum doctors failed to show up. He had to cover other wards and A&E and reported his concerns to managers. He saw this as putting patients in such a sensitive area at serious risk.

What followed was not moves to put this right by the Lewisham and Greenwich NHS Trust and Health Education England, which has a responsibility for employing junior doctors, but a state of denial which ended up at the High Court and the Court of Appeal and a long delayed employment tribunal hearing. At one stage Mr Day,a married doctor with a young family, says he had to settle because the NHS threatened him with huge legal bills which could have bankrupted him. Both the HEE and the Trust have publicly denied doing this.

However at a new hearing it turned out that the NHS Trust had withheld crucial documents – which should have been declared in a previous hearing – and he won his case for a fresh hearing which is scheduled to take place next June.

Health Education England ” misled the public, press, MPs and officials”

The grounds for the new hearing is essentially as Dr Day says” that Lewisham and Greenwich NHS Trust and Health Education England have objectively misled the public, press, several MPs and public officials on my case and how it settled in 2018. I say this is in order to smear and discredit me and the patient safety issues that I raised.  The Trust have then failed to disclose 18 letters in their Tribunal standard disclosure that their CEO sent to local MPs and public officials with this misleading content in.”

This week’s hearing was centred round the role of Health Education England. This body is reviving a claim – which it conceded last time at the last minute – that it has nothing to do with his case. Its first attempt was to claim it didn’t employ junior doctors. The new attempt at avoiding involvement is to claim that one of the principal figures involved in the case Dr Andrew Frankel is no longer employed by them so HEE now has nothing to do with it.

Dr Day said: “HEE are arguing because this person is now no longer in post as Post Graduate Dean they are no longer responsible for him. They are doing this even though he was clearly in communication with the top of HEE and assisting them with various functions, since leaving his Post Graduate Dean post in 2018. We say he was an agent of HEE and they are still responsible.”

Sir Norman Lamb ” postgraduate knowledge of Whitehall and NHS subterfuge”

What emerged at the hearing centred round an approach to one of Dr Day’s supporters, Sir Norman Lamb. Sir Norman is a former health minister in the coalition and was an MP at the time. He has not held back on his criticism of both the trust and HEE on the way they have treated Dr Day.

Sir Norman has postgrad level of knowledge about the way NHS and Whitehall officials use subterfuge to get their own way. He has hero status in my mind for making sure that an independent panel inquiry into suspicious deaths at Gosport War Memorial Hospital happened after civil servants used the time he was on a French camping holiday with his family to try and annul his decision by getting another minister to put up a written statement in Parliament saying there would be no inquiry.

He found out and blocked it. As a result a thorough investigation by the panel found that no fewer than 456 elderly people had their lives shortened by overprescribing drugs like diamorphine. and it had been covered up by the health trust. As a former member of that panel I am restricted in what I can say about this but this is now the subject of a big police investigation,

In Dr Day’s case Sir Norman had given an interview to the Sunday Telegraph where he accused the trust and HEE of trying to crush Dr Day for his disclosures.

What this week’s tribunal revealed is that the HEE were profoundly disturbed by his comments because it would damage their reputation with junior doctors.

A cache of emails revealed that HEE was discussing ” behind the scenes ” methods -including contacting the General Medical Council – to redress the balance rather than openly criticising Dr Day.

Professor Wendy Reid, medical director at Health Education England

Professor Wendy Reid, medical director of HEE, admitted this was the case but said no action was subsequently taken. But she did correspond with Dr Andrew Frankel suggesting if she was going to meet Sir Norman he ” could give her a tutorial”.

What happened instead was that Dr Andrew Frankel, now a former postgraduate dean at HEE, told the tribunal that he decided off his own bat to approach Sir Norman by asking to meet him and sent him an 11 page document to refute the criticism. Dr Frankel insisted that he had not told anybody that he was doing this, even though he obtained material for his document from the HEE. He admitted that he had acted stupidly in getting personal details about Dr Day from HEE for his report as he knew they would refuse him as an ex employee.

Instead he tried to make out that he was being helpful to Dr Day by discussing this with Sir Norman. When this was put to Dr Day in cross examination by Mr Dijen Basu, QC for HEE, Dr Day flatly denied it.

In extraordinary evidence Dr Frankel insisted he had no role to play that would bring him in contact with HEE though later it was disclosed that in his new job at Imperial College Hospital Health Trust some of his work would bring him into contact with them.

Professor Reid told the tribunal she had been ” flabbergasted and staggered” about what Dr Frankel had done, insisting she knew nothing about the meeting.

But when HEE did find out it remained silent about what happened knowing that the document was favourable to their case. As Andrew Allen, QC for Dr Day said in his summing up:. The document “is repeatedly expressed in a way that presents the report as an HEE position rather than an individual view from Dr Frankel.” Nor did HEE take any action to disavow Dr Frankel when Sir Norman informed them he had received a document from Dr Frankel three months later.

He also said Dr Frankel contradicted himself. He claimed “encyclopaedic knowledge on the case’ but on the other hand he repeatedly said in oral evidence that his knowledge was only about him and his team and the actions they took between June and December 2014.

Even the lawyer for HEE Mr Basu described Dr Frankel’s position as ” devious”.

The tribunal will decide next month. If HEE wins the organisation will no longer be part of Dr Day’s case. If it loses its role will be part of the June hearing.

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My blog in 2021: The year the number of hits reached three million

London fireworks ushering in the New Year. Pic credit: BBC

Happy New Year to all my readers and followers.

This year my blog hit another milestone since it was launched in 2009 after I left the Guardian . The number of hits on the site topped three million – 3,113, 413 to be exact.

Last year this blog received 286,840 hits and over 203,000 visitors. This is smaller than the previous year but still a substantial number for a single handed blog. It is also the year when I started to solicit donations for my investigative work and I have now received close to £2000 in four months.

Part of the reason for the drop is that Back to 60 campaign which I still support has now morphed into a broader campaign – CEDAWinLAW- which people have needed time to get their heads round. Back to 60 was a simple single issue campaign concentrating on getting full restitution for 3.8 million 50s born women who have had to wait up to six years for their pension. Now it has changed into a much bigger campaign covering ALL discrimination against women based on a UN convention which we ratified in 1986 but have never fully implemented- the UN Convention on Eliminating All forms of Discrimination Against Women.

CEDAW tribunal last year attracted a lot of interest

This is now making its mark – two of my highest blogs hits last year- relate to the new CEDAW campaign getting 6500 and over 8,800 each.

The top blog came from a tip off from a reader, Rosie Brocklehurst, who received a threatening letter from the Department for Work and Pensions as part of an anti-fraud exercise to gather information from pensioners. The top line was : ““If you fail to be available for this review and do not contact me, your entitlement to State Pension may be in doubt and your payments may be stopped. ( Bold type my emphasis). This had 25,652 hits.

The second highest at 20,643 came from a 50s woman whose Freedom of Information request revealed the Department for Work and Pensions had never conducted an impact assessment on the effects of raising the pension age for women from 60 to 66.

One older blog which exposed the huge £271 billion savings made by successive governments putting money into the national insurance fund made the top ten blogs – adding another 9828 hits – taking it to an astonishing 331,000 hits since it was published.

Rob Behrens – Parliamentary Ombudsman. His report findings leaked.

One controversial blog leaking the maladministration findings of the Parliamentary Ombudsman’s draft report on 50s women over the raising of the pension age had 9,688 hits. Senior members of the WASPI campaign who knew this wanted me to take it down for fear the Ombudsman would change his mind. This turned out to be groundless and a lot of people were given advance warning.

More next year on Whistleblowers

Next year as well as following through CEDAW, keeping an eye on pension developments, I will also be taking up more and more whistleblower cases -involving doctors in the NHS, Sellafield and other areas. One case I took up last year was the plight of Dr Usha Prasad, a cardiologist who has been dismissed by Epsom and St Helier University Health Trust after exposing an avoidable death there. The combined blogs in her case have topped over 8000 hits. Expect more of this.

Global reach of the blog

An analysis by WordPress shows that my blog has a very big UK audience – over 264,000 hits out of the 286,840 last year – with the remaining 22.700 coming from overseas. Biggest overseas hits were from the United States ( 6821), Spain (3071) and the Republic of Ireland ( 2143). But on a much smaller scale it also has a global reach covering almost every country in the world, including hits from the Marshall Islands, Greenland, Russia, China, India, Mauritius and nearly every country in South America, Asia and Africa plus Canada, Australia and New Zealand and the whole of Europe.

Next year will be challenging – I already have enough new stories to investigate -plus a some long term investigations which take a while to come to fruition. Please continue to donate to my blog to keep my investigations going.

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Exclusive: Three year cover up of avoidable heart patient death at Epsom and St Helier Health Trust revealed at employment tribunal

Cardiologist Dr Richard Bogle admits trust should have told the coroner and the Care Quality Commission about the death at the time

Former consultant also says old X ray machines at Epsom Hospital put staff and patients at risk from radiation when they are fitted with pacemakers

Dr Richard Bogle, the former head of the cardiology department at the Epsom and St Helier University health trust, admitted to an employment tribunal that the trust should have reported the death of a 76 year old heart patient to the Coroner and the Care Quality Commission three years ago.

The doctor under cross examination from barrister Matt Jackson described the death as “tragic ” and admitted the trust should have informed both the coroner and the CQC. He said that although he was on ward duty he did not know anything about the patient and ” couldn’t have been expected to know about all the patients at St Helier hospital.”

The details came out at a recent tribunal hearing under Judge Anthony Hyams-Parish, brought by Dr Usha Prasad, a cardiologist who has been dismissed by the trust even though the General Medical Council has exonerated and re-validated her as “fit to practice” medicine. She decided to make two protected disclosures under the Whistleblowers Act after the trust covered up her findings on the death. You can read a series of previous articles on this blog about the battle Dr Prasad has had with senior staff at the trust.

The disturbing case of patient Mr P

The patient known as Mr P was admitted in August 2018.Dr Prasad’s witness statement said :”He died of heart failure on 5 September 2018 having been previously admitted from 5 to 15 of August to Ward 6 which is a ward run by cardiology and respiratory medicine at St Helier hospital. Mr P had been admitted with breathlessness and diagnosed with pneumonia. However, an echocardiogram had been ordered by Dr Foran (Cardiologist) which showed evidence of “severely impaired left ventricular systolic function…. [with a] drop in left ventricular function since last scan, previously mildly impaired.” The echocardiogram was performed when Dr Richard Bogle was assigned to the ward and the results could not have been known by Dr Foran. The pneumonia was successfully treated by the respiratory physicians and Mr P was discharged after about 10 days. The echocardiogram had shown signs of severe left ventricular failure but the results were not recognised by the chest physicians or cardiologists on the ward. The patient was discharged after having largely recovered from the pneumonia during his first admission and then was readmitted on 4 September with severe left ventricular failure from which he died shortly afterwards on 5 September 2018. The certified cause of death was heart failure.”

Dr Usha Prasad

Dr Prasad was assigned by Dr James Marsh, the medical director to write up a report on the patient’s death. Her conclusion was that it was a Serious Untoward Incident Level 5 – that is the hospital caused severe harm to the patient leading to his death. This would lead to a report to the coroner and the CQC. The coroner could look at how the patient died and the issues surrounding it to help prevent other deaths.

What followed were attempts by other senior consultants to water down the report and delay its completion which Dr Prasad refused to do. Those involved in this exercise included Mr Karim Bunting, the quality manager at the trust and Dr Simon Winn, Clinical Director for Acute and General Medicine, She was asked to make the report in her words “inaccurate” and Dr Winn drafted an alternative version. He accepted that a serious mistake had been made by not recognising the result of the echocardiogram but put the emphasis on the lack of communication between the respiratory physicians and the cardiologists. He did not accept it as an avoidable death.

It is not known whether the patient’s relatives were properly informed about the circumstances of the death or which version of the report they have been shown if any. There is a duty of candour if someone has died.

Epsom hospital Pic credit: Epsom and St Helier University NHS Trust

The second disclosure of failings at the hospital that came out at the tribunal concerns serious radiation risks from old X Ray machines at Epsom Hospital – which are used when pacemakers are inserted into patients. This puts staff and patients at risk.

Dr Sola Odemuyiwa, consultant cardiologist at Epsom Hospital from 1994 until 2016, He disclosed how an audit by Dr Abhay Bajpai, – specialist in pacemaker devices and electrical rhythms, appointed to take over pacing at Epsom in addition to his other duties – revealed stark contrasts in radiation levels between Epsom and St George’s hospitals. Using a dosimeter, he compared radiation insertion of a similar number of devices at St George’s. With similar average screening times, the total radiation received was substantially higher (up to a hundred times greater) at Epsom than at St George’s.

He says in his witness statement: “When I saw the histograms – the Micrograys of radiation from Epsom a skyscraper beside which the values from St George’s, looked slipper thin, (I attach the relevant data) my heart drummed against my ribs out of apprehension and angry self-reproach as I recalled with dismay how for twenty years I may have been gorging my organs on X-rays. My anxieties ballooned when I learned that Abhay’s readings came from Libra, the more modern of the two machines and that I was often given the older Endura machine, which emitted even higher levels of radiation.”

“Drs Yousef Daryani and Abhay Bajpai, my colleagues on the Epsom site continued to press the Trust over the safety of the X-ray machines. In February 2016, Abhay presented his audit data again at a meeting between Cardiology and Radiology departments. He thought the machines should be replaced. The senior radiographer said she could not change the past but that the machines were working properly.”

He then sought figures for radiation doses he had received during his career at Epsom Hospital.. “The Radiation Protection department at George’s were most helpful and sent me dose records from 2005 to 2008. Where are the data from 1995 I asked. They said they could not retrieve the data from the archive of the Mirion Technologies Dosimetry Services Division.”

The trust itself is adamant that there is nothing wrong with the machines. A long e-mail trail between the consultant and trust officials ended with the Trust insisting that the machines are safe and regularly checked.

Sally Lewis ” our image intensifiers are old and due for replacement “

Sally Lewis, a radiologist and medical examiner at the trust, wrote to Daniel Elkeles, then chief executive of the trust, saying there had been confusion about the reporting of the differing level of doses at Epsom and St George’s using different methods. She said if they had exceeded safety levels it would have triggered an alert.

She admitted; ” We are well aware that our image intensifiers are old and due for replacement … newer machines will with new technology produce lower dose readings which is something we always strive for.”

Dr Odemuyiwa disputes her findings. He said: “The manager misunderstood the report from the Radiation Protection Service. The absorbed dose of radiation, the amount of energy deposit in a small volume of tissue, and the equivalent dose, the impact that dose has on that tissue are numerically the same. The former is measured in mGy and the latter in mSv or milliSievert. Colon and prostate are more sensitive than the head for example.”

A year after leaving the trust he was diagnosed with prostrate and bowel cancer.

He explained to me in an interview: ” When you are fitting a pacemaker you are lying over the patient and are very close to the imaging equipment. If you are going to receive too much radiation the most sensitive organs to cancer are the prostrate and the bowel.”

Dr Odemuyiwa: ” When you are fitting a pacemaker you… are very close to the imaging equipment”

Since he announced his support for his colleague, Dr Prasad, Epsom and St Helier University Trust have declined to revalidate him so he cannot practice medicine.

The trust were contacted about what they intend to do after these revelations but have not responded.

Epsom and St Helier University Trust say on their pinned tweet on Twitter: “We put the patient first by giving outstanding care to every patient, every day.” Draw your own conclusion.

A second blog will look at what the hearing revealed about the issues surrounding the treatment of Dr Usha Prasad. The tribunal is expected to issue its findings in the New Year.

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Are top NHS officials Stephen Powis and Zoe Penn “fit for purpose”?

They can’t or won’t explain internal NHS procedures used to dismiss the perfectly competent cardiologist Dr Usha Prasad

The long drawn out saga over the dismissal of cardiologist Dr Usha Prasad by Epsom and St Helier University Hospital Trust reported earlier on this blog continues. I will be reporting soon on a lengthy Employment Tribunal recently finished where Dr Prasad made serious protected disclosures about patient and staff safety at the trust and senior consultants were cross questioned about the way they treated Dr Prasad.

In the meantime two retired cardiology consultants Professor Jane Somerville and Dr David Ward, who are championing Dr Prasad’s cause, have tried to get explanations from two of the most senior people in NHS England, Professor Stephen Powis, national medical director and Zoe Penn, Medical Director for the NHS London region and lead official for professional standards. Dr Zoe Penn took time out during the pandemic to sit on the internal Maintaining Higher Professional Standards panel which decided Dr Prasad’s future.

Claire McLaughlan , chair of the MHPS inquiry which found ” unfit for purpose”

At the heart of the matter is a ruling by the internal tribunal that Dr Prasad is ” not fit for purpose” to do her job. This was made by Claire McLaughlan, the never practised barrister who chaired the inquiry. with Zoe Penn. She has refused to explain what that term means which led to the two retired consultants going to the senior NHS officials for an answer.

What the panel could not rule was that Dr Prasad was ” not fit to practice” medicine even though the trust tried its best to be able to do so by sending 43 cases to the General Medical Council to show her failings.

The GMC not only threw out the Trust’s cases but decided to revalidate her to keep on working – taking away the power the trust had to stop her medical career.

Professor Powis’s response to this is: “Fitness for purpose is a phrase used to refer to behaviours which are not in keeping with the doctor’s ability to practise in a particular professional role but do not breach the threshold for GMC action, to be distinguished from those which are not in keeping with GMC
requirements on good medical practice and therefore may have an impact on a doctor’s licence or registration (“fitness to practice”).”

This is a cut and paste job from Claire Mclaughlan’s findings and takes us no further. It almost suggests the panel was upset that the GMC had ruled she was competent and made up something else to get rid of her.

Nobody can point to where in employment law this phrase comes from – let alone any case law of anybody being dismissed for being ” unfit for purpose”. Any employment lawyer who reads this blog is welcome to come forward to explain with some case law.

Disturbing Disclosures

The other disturbing disclosure from Professor Powis is the way he dealt with requests from the two consultants for an inquiry into the whole saga.

As they say : “How is it possible for Trusts to use cost threats, expensive lawyers and dubious (and unregulated) “independent management consultants” (aka hired guns) of the type used in this case, to push whistleblower claimants into submission and thereby achieve the “desired” outcome, i.e. their dismissal? It seems to us that this case is a particularly bad example.

They also say: “NHS Improvement has a duty to oversee behaviour of NHS Trusts. Will it continue to overlook the gravity of this and similar injustices? It is time for a review and improvement of NHS disciplinary and dismissal processes which should include senior NHS managers as well as medical personnel.
Professor Powis’s response was to refer the case to the regional medical director for London, Dr Vin Diwakar, a close colleague of medical director, Zoe Penn. He is a distinguished clinician and a former medical director of Great Ormond Street Hospital in London.

But was he the right person to do this review? He sits on the committee in charge of the re-appraisal and relicensing of medical directors in London with Zoe Penn. Given she was also on the same panel that found Dr Prasad was” unfit for purpose”, it is not surprising that Professor Powis in his own words was ” assured that a fair and independent process has been carried out.”

A really independent review would have called someone outside the London region to do this just as the General Medical Council did when a cardiologist from the North East reviewed her case. His solution would be like Epsom and St Hellier University Trust appointing a friendly cardiologist who would find in their favour at the GMC.

Professor Powis said: “It is not the responsibility of NHS England and NHS Improvement nor that of the
National Medical Director, or NHS England and NHS Improvement more generally, to intervene to resolve in individual employment matters,… although we will consider whether employment matters could indicate wider problems with how a trust is being run.”

Daniel Elkeles Pic credit: London ambulance NHS Trust

However perhaps the most damning issue he is silent about is the disclosure in Dr Ward and Professor Somerville’s letter about the behaviour of the former chief executive of the trust, Daniel Elkeles ( now at the London Ambulance Service) during this period.

I quote:”. It would appear that the CEO acted outside his powers by offering to bribe Dr Prasad to “drop all the actions you are taking against ESTH” and leave the Trust in exchange for which ESTH will “agree to cease the MHPS process”…..By offering these terms he was, in effect, cancelling the investigation. We think this is highly irregular. Do you agree?

What this shows is that Professor Powis is prepared to ignore unethical behaviour in one of London’s health trusts. Either this internal official process was necessary or it shouldn’t have been brought. It is not a bargaining chip to negotiate with a competent consultant. Frankly I think it is akin to blackmail – drop your complaints against the trust or we will make sure you will regret it.

What this nasty little saga shows is that unaccountable officials at the top of the NHS are either too frightened of health trusts or happy to go along with unethical behaviour in the NHS. It is also reveals that this complicated MHPS system is in need of a radical overhaul. It is like those at the top “unfit for purpose”.

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Sellafield Whistleblower Case: Claimant faces a £20,000 legal bill for necessary Freedom of Information and Subject Access Requests

Alison McDermott: Whistleblower

By Philip Whiteley and David Hencke

A law firm in the Sellafield whistleblowing case has put in a bid for £20,000 costs against the claimant Alison McDermott, in part to deal with Freedom of Information requests – even though it emerged at the Tribunal hearing that the firm’s client had failed substantially to provide relevant evidence.

The costs application by Pinsent Masons on behalf of the Nuclear Decommissioning Authority, if successful, could set a precedent that weakens a citizen’s right to request information. It would appear to undermine the will of Parliament, given that when the Freedom of Information Act was passed MPs specifically rejected the idea of levying a fee for FoI requests.

The other law firm in the case, DLA Piper, simultaneously put in a bid for £20,000 costs against Ms McDermott – the maximum allowed without being subject to a further hearing – listing other factors, principally changes the claimant made in the detail of her case.

Sellafield site Pic credit: gov.uk

At the three hearings in the case held so far there has been overwhelmingly strong evidence indicating that Ms McDermott’s FoI requests were both proportionate and necessary. She said: “The governing body [the NDA] in its ordinary disclosure, released one email. Then, when I put in direct subject access requests, many more emails proved that they had been asking questions about the termination of my contract. Then, at the hearing it emerged that Heather Roberts [former HR director at Sellafield] had withheld a key document that said that the NDA was very concerned about the timing of my termination and that conversations had been held. This information was never released.

“The Freedom of Information requests also revealed that contracts had been awarded for HR services, including EDI [equality, diversity and inclusion] services, for the value of £17 million. It was only after that that they [Sellafield] switched from financial reasons [for dismissal] to one of performance.”

Ms McDermott, an independent EDI consultant hired by the nuclear plant Sellafield, had her contract terminated the first working day after making a report detailing systemic discrimination and bullying at the plant, a pattern confirmed by a BBC investigation which reported earlier this year.

At the tribunal hearing in June-July 2021 her barrister, James Arnold, pointed to directly relevant evidence only coming to light shortly before the hearing – after a period of more than two years since litigation began. He was not contradicted by either Respondent (see our coverage on 30 June). This hampered Mr Arnold’s ability to call witnesses, and cross-examine them. Ms McDermott was not successful in linking the detriment she experienced to the reports she made, although she is appealing the ruling.

Law Firm Pinsent Masons claimed FOI requests were ” vexatious”

The law firm, Pinsent Mason, claimed that the requests for Freedom of Information and Subject Access Requests, were part of vexatious, abusive, disruptive and unreasonable behaviour by Alison McDermott against both Sellafield and the Nuclear Decommissioning Authority.

In a letter to the court the firm said she had “submitted four Data Subject Access Requests and six Freedom of Information Requests over the last three years, the majority of which were complex and involved significant work and additional legal time and cost by the Second Respondent [the NDA] to answer.”

It added it meant ”significant inhouse legal resource time and wider staff management time responding to data subject access requests and Freedom of Information Requests linked to the claim”.

Pinsent Mason said the NDA had spent £200,000 fighting the case and wanted £20,000 – the maximum it can claim at a tribunal – back.

Solicitors Regulation Authority takes no action against law firms

A critical response came from the Solicitors Regulation Authority who claimed that Ms McDermott had confused the difference between using all the information from Subject Access Requests with what was relevant to the case at the tribunal. The letter suggested that she should have highlighted more information from the requests if she thought the tribunal was not looking at the issue – citing the ruling from the judge.

The letter from the SRA making this point, dated 30 September 2021, cites from an earlier Tribunal ruling – following the strike-out hearing in July 2020. This was fully one year before the full hearing, where further directly relevant evidence came to light, as noted by Mr Arnold, including the correspondence in which the governing body admitted to nervousness about the timing of her dismissal.

DLA Piper wipes metadata and says it was a mistake

On another matter, as reported earlier, metadata was wiped from a piece of evidence in the case while in possession of DLA Piper, representing Sellafield, shielding information on authorship and time of creation of the document. The metadata was released to the claimant upon request.

The matter was referred to the Solicitors Regulation Authority, which decided in September to take no action. It accepted that this was a genuine mistake by DLA Piper, although its own investigation was inconclusive.

Pinsent Masons, for the Nuclear Decommissioning Authority, did not respond to a request for a statement or interview.

A spokesman for DLA Piper said: ‘As a matter of course, DLA Piper does not comment on client matters. We refute allegations of wrongdoing on the firm’s part. The employment tribunal’s decision is open to the public and we would refer you to this for details of the case and the outcome.’ The Solicitors Regulation Authority did not respond to a request for an interview or statement.

NHS Whistleblowers: Persecuted and trashed by managers to cover up patient safety issues

Issue much more widespread than the public realise

The recent Dispatches programme and article in the Times by journalist Matthew Syed highlighted the plight of whistleblowers in the NHS citing the case of Peter Duffy, a consultant surgeon, working for the Morecambe Bay Foundation Trust. Faced with failures at the trust in the emergencies department he expressed concern for two patients who subsequently died from kidney sepsis.

One would have expected the Trust to have remedied the situation. Instead they turned on him rather than admit any failings. As he told Matthew Syed: ” I was on the receiving end of allegations of bullying, abuse and racism. And so what I hoped would be an attempt to raise standards became an investigation of myself”.

It took five years of toxic attacks and tribunal hearings before he won his case for constructive dismissal. The sad thing is that this is not some isolated instance but appears to be growing in an NHS that is more concerned with its reputation than the safety of patients in its care and is preparing to spend millions of taxpayers money on lawyers fees to undermine any cases brought by whistleblowers. Furthermore it is prepared to spend literally years to wear down anybody who puts their face above the parapet.

Dr Usha Prasad

Readers of this blog will be aware of the case of Usha Prasad, a popular and competent cardiologist ( the General Medical Council has recently revalidated her) who has been driven out of the Epsom and St Helier University Health Trust ( now merged with St George’s Health Trust),

Today she starts a 16 day employment tribunal hearing as a whistleblower. She is backed by Dr Sola Odimuyiwa, from the hospital trust and two retired eminent cardiologists, Professor Jane Somerville and Dr David Ward, who believe her case is just one example of a malign system designed to cover up failures in the NHS. This week the latter two sent a letter to the Sunday Times which was edited down for publication. This is the full text:

“We thank Matthew Syed (Comment Oct 24) for his frank exposure of some of the “mistakes and weaknesses” of the NHS of which the persecution of medical whistle-blowers, as shown by the heinous story of the consultant surgeon, Mr Peter Duffy. He is one example of many.

It is a doctor’s duty of candour to draw attention to matters which are not safe for patients. This action, in good faith, prevents accidents thereby protecting patients. Hospital Trusts may not respond favourably to such complaints and may use their unbridled powers to instigate prolonged, expensive and vengeful disciplinary processes.

Medicine has learnt some of the lessons from aviation safety but the fair and open treatment of whistle-blowers is not one of them. Hospital Trusts are able to fund these processes because they can access public funds not available to the whistle-blower which is a gross imbalance of power. Shady external “management consultants”, who operate by their own rules, and expensive legal firms are hired by Trusts at great expense with the sole aim of ensuring the dismissal of the troublesome whistle-blower. This certainly affects the recruitment and retention of doctors the NHS so badly needs.

A serious consequence of this nefarious process has been the emergence of a cover-up culture in which the initial deficiencies or ‘protected disclosures’ are inadequately investigated.  There is no oversight or regulation of the way Trusts investigate whistleblowers. What informal processes there are may have been designed deliberately to avoid or deflect scrutiny. We have been unable to find a body or organisation to whom to report a Trust’s bad treatment of a whistle-blower. Attempts by supporters of whistle-blowers to engage higher regulatory bodies such as NHS England are usually met with indifference.

For the victimised, whistle-blowing doctor the outcome can be devastating. Their careers are stolen from them. The reputational damage prevents them from securing another job. Serious physical and mental health problems are not uncommon and family lives are destroyed.

We think the investigation of NHS whistle-blowers, of which there have been many notable cases over the past decade, should open and accountable. It is a scandal unknown by the wider public and in need of an independent inquiry.”

A national problem

You can see they believe this is a national problem not an isolated case. It can be backed up by a roll call of cases ( some of which are not yet finished). You can click on the stories reported in various newspapers to get an idea of the scale of toxicity on this issue.

Whistleblowing cases

Dr Raj Mattuhttps://www.theguardian.com/uk-news/2016/feb/04/dismissed-nhs-whistleblower-who-exposed-safety-concerns-handed-122m
Dr David Drewhttps://www.theguardian.com/society/2015/feb/11/nhs-whistleblowers-the-staff-who-raised-the-alarmhttps://www.amazon.co.uk/Little-Stories-Life-Death-NHSwhistleblowr/dp/1783065230?asin=1783065230&revisionId=&format=4&depth=1
Dr Kevin Beatthttps://www.standard.co.uk/news/health/nhs-to-pay-ps870-000-to-whistleblower-doctor-who-spoke-out-on-patient-safety-a4384211.html
Dr Chris Dayhttps://www.theguardian.com/society/2018/oct/02/nhs-whistleblowing-protection-tribunal-junior-doctors
Dr Ed Jesudason https://www.drphilhammond.com/blog/2018/06/28/private-eye/private-eye-medicine-balls-1468-march-16-2018/
Mr Peter Duffyhttps://the-medical-negligence-experts.co.uk/lancaster-surgeon-peter-duffy-nhs-whistleblower-book/
Dr Claire Connollyhttps://www.rllaw.co.uk/success-at-tribunal-for-nhs-whistleblower-dr-claire-connolly/
Dr Minh Alexander, who hosts a blog site about whistleblowing having been one herselfhttps://minhalexander.com
Pandemic whistleblowers inchttps://www.independent.co.uk/news/uk/home-news/coronavirus-uk-nhs-ppe-whistleblowers-job-losses-ppe-a9515856.html
Dr Usha Prasadhttps://davidhencke.com/?s=Prasad&submit=Search
Mr David Sellu, a surgeon in the private sector, was treated badly but he was not a whistleblower just a victim of the judiciaryhttps://www.theguardian.com/global/2019/jun/16/they-look-for-a-scapegoat-a-sugeons-battle-to-clear-his-name-dr-david-sellu

But this is not the end of it by many means. Since I took up Dr Prasad’s case I have become aware through a new group. Doctors for Justice, that there are as many as 35, yes 35, other cases. Nearly all the doctors at the moment are requesting confidentiality until their case becomes public at an employment tribunal hearing. There are many, many other doctors who have quietly quit trusts to find work elsewhere because they don’t want to have to fight their employers for years on end.

Under this system it is the patient that pays the price – and in a number of cases the ultimate price – death. That is why this blog is going to keep an eye on what is going on the NHS until someone has the guts to reform the system and take on a bureaucracy that seems more interested in preserving its reputation than improving patient safety.

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