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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Parliamentary Ombudsman to send out confidential draft findings on 50s women pensions next week

A younger picture of Rebecca Hilsenrath

A confidential copy of the provisional findings of the Parliamentary Ombudsman’s report revealing what compensation the 3.5 million remaining 50swomen will get for their delayed pensions will be sent out to selected parties at the end of next week.

This long, long awaited move was announced by Rebecca Hilsenrath, chief executive of the Ombudsman’s Office, to Mps on the Public Administration and Constitutional Affairs Committee yesterday.

Ms Hilsenrath told MPs that this long drawn out investigation had been ” challenging” and the Ombudsman had needed expert legal advice on how to proceed with the report. She said the investigation which began in 2018 had twice been paused because of litigation. These included the judicial reviews brought by ” Backto60″ – now CEDAWinLAW and Waspi . Backto60 had fought the DWP over indirect discrimination in the process and Waspi had wanted the finding of maladministration widened to cover other circumstances which had affected women’s claims.

It was also revealed that the Department for Work and Pensions had contributed to the delay by asking for more time to consider the issues.

Altogether it will have taken seven years before the public release of the report expected in the New Year of the Ombudsman’s findings during which over 250,000 women have died.

John McDonnell, the former shadow chancellor, said these delays and extensions had mean it would mean ” justice delayed becoming justice denied” and pressed the Ombudsman not to grant any more extensions to the DWP or other parties.

The schedule announced by Ms Hilsenrath will give the six ” test case” complainants until Christmas to respond. The provisional findings are also being sent to the DWP and Waspi but not to CEDAWinLaw.

” We will then take into account their views before issuing a final report in the New Year.”, she said.

The announcement yesterday came as the £15,000 crowd funder launched by CEDAWinLAW has already raised over 70 per cent of the cash so lawyers could draw up a strategy to bring a group class action against Mel Stride, the works and pensions secretary, for direct discrimination in the way they handled the raising of the women’s state pension from 60 to 65.

The lawyers handling the case are human rights lawyer John Cooper, KC and David Greene.

John Cooper KC

John Cooper said: “This is an important challenge for so many women in this country. The weight of the evidence indicates a grave injustice to them and we will robustly represent their interests as we move forward with the assistance of a first class legal team”

David Greene is regarded as an expert in bringing Class Actions for groups and cited as one of the best litigators in the City. He is a past President of the Law Society which represents solicitors.

Initially the Parliamentary Ombudsman’s Office said the “as far as we are aware no legal proceedings have been issued so no implications for our investigation.”

Rob Behrens, Parliamentary Ombudsman

Yesterday Rob Behrens, the Parliamentary Ombudsman, changed his position warning that further litigation would delay proceedings for the publication of the report.

Jovelynne Scutt, the former Australian anti discrimination commissioner, who has compiled a report saying the DWP is in breach of international law, says the legal case should have no bearing on the Ombudsman’s report which is mainly about maladministration.

Yesterday Ms Hilsenrath also admitted that the office’s handling of the complaint would be reviewed by the Parliamentary Ombudsman to see what “lessons can be learned” over the long process it has taken. By then Rob Behrens, the current Ombudsman, will have retired and a new one would be in place.

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Exclusive: 50swomen prepare to take the DWP to court again over failure to compensate them for lost pensions

Top human rights lawyer and a past president of the Law Society to draw up legal case strategy for 3.5 million women

John Cooper KC Pic credit: 25 Bedford Row Chambers

CEDAWinLaw, the successor body to BackTo60, announced today that it has started preparations to take the Department for Work and Pensions to court again.

The move will re-ignite the row over the long drawn out dispute over the failure by government to compensate or recognise the plight of 3.5 million women who had to wait an extra six years for their pension. At present progress on the dispute is stymied by the long time the Parliamentary Ombudsman is taking to decide how much compensation the women are entitled to and the scope of their complaints.

David Greene. Pic credit: Law Society Gazette

Mel Stride, the work and pensions secretary, and Laura Trott, the pensions minister have also blocked any discussion of mediation between CEDAWinLAW and the government hiding behind Robert Behrens, the Parliamentary Ombudsman’s protracted delay in reaching any decision on the issue. This particular claim by ministers is vigorously contested by Jocelynne Scutt, the Australian judge, who says both processes are separate and mediation is possible while the Ombudsman considers his report

In a statement today CEDAWinLAW said: “CEDAWinLAW has instructed John Cooper KC ‘Top Silk’ out of 25bedfordrow.com via David Greene, Senior Partner, edwincoe.com to represent all 1950’s Women in a Group Class Action against the Secretary of State for Work & Pensions out of The Judge’s Report which sets out in depth the way in which those affected have enforceable rights which have been breached.

We plan to initially raise £15,000 to determine a case strategy with Counsel to be published, in due course.”

John Cooper is one of the leading human rights lawyers, having been the lead prosecutor in the People’s Iran Tribunal in The Hague; a leading KC in the Manchester Arena bombings inquiry, numerous high profile murder trials and fraud cases and is described as the preferred KC for cases which challenge the Establishment.

He said today: “This is an important challenge for so many women in this country. The weight of the evidence indicates a grave injustice to them and we will robustly represent their interests as we move forward with the assistance of a first class legal team”

David Greene is regarded as an expert in bringing Class Actions for groups and cited as one of the best litigators in the City. He is a past President of the Law Society which represents solicitors.

Mel Stride, work and pensions secretary

The announcement today was made inevitable by Mel Stride, the works and pensions secretary, refusing any mediation talks. These had been offered by Garden Court Chambers and ministers initially decided to ignore the request only to find themselves under pressure by Garden Court Chambers to have to respond. as it is a recognised legal process. Once he had refused he opened himself up to potential legal action. The offer for mediation still stands.

The decision today is also a victory for CEDAWinLAW, whose predecessor BackTo60, were refused a hearing of their judicial review by the Supreme Court after initially winning a case to bring it in the lower courts.

Jocelynne Scutt

By doggedly pursuing the issue despite this setback they got Jocelynne Scutt, former anti discrimination commissioner in Tasmania and an Australian judge, to hold a people’s tribunal, assisted by Garden Court Chambers. Her findings produced in a report found that 50swomen had been the subject of direct discrimination contrary to international law under the UN Convention of the Elimination of all forms of Discrimination Against Women and Girls, ratified by Margaret Thatcher in 1986.

Despite attempts to pretend this was of no significance notably by Andrew Gwynne, MP who supports WASPI and is now a Labour shadow minister for social care, as just ” a personal view”, lawyers from three firms, Garden Court Chambers ( for mediation) ,25 Bedford Row, and Edwin Coe (for the class action) have decided that it presents an arguable case.

CEDAWinLAW is seeking to raise £15,000 to cover the development of a legal case strategy . Their website if you want to donate is here.

A decision to go back to the courts will present fresh problems for the DWP which thought it had seen the end of legal action after the judicial review was blocked by the Supreme Court. It could also present problems for the Ombudsman’s Office as Robert Behrens used the previous legal action to pause his investigation.

I have asked both to comment. The Parliamentary Ombudsman’s Office said “as far as we are aware no legal proceedings have been issued so no implications for our investigation.”

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Martyn Pitman judgement: a bad ruling that could endanger mothers in childbirth

Dr Martyn Pitman Pic credit: Hampshire Chronicle Adele Bouchard

Jonathan Gray, the employment judge hearing the case brought by whistleblower obstetrician Martyn Pitman against Hampshire Hospitals NHS Foundation Trust used last Friday to issue his judgement dismissing all the doctor’s detriment claims against the trust. The judgement, despite widespread and national interest, has still at the time of writing, not been published by the HM Tribunals and Court Service.

Judge Jonathan Gray Pic credit: BDB Pitman

The judge, who previously worked for the law firm BDB Pitman in Southampton, managed both to accept virtually all his whistleblowing claims but throw out any claims that he had been persecuted by the trust for exposing them.

In short he believed every word given by Alex Whitfield, the former oil refinery executive turned trust chief executive; Lara Alloway, the former chief medical officer and Steve Erskine, the former businessman now chair of the trust and other leading figures who gave evidence for them. He didn’t believe a word of the case brought by Martyn Pitman of his bad treatment despite being ably defended by Jack Mitchell, funded by the BMA from Old Square Chambers.

What the judge did was turn Martyn Pitman against himself. His ruling at the end was :“Having considered each of the alleged detriments, there is in our view an overarching reason for what has happened to the Claimant that is not on the grounds of any of the alleged or proven protected qualifying disclosures. In short, it is the Claimant’s communication style and not the message he was trying to convey.”

To seal the deal the judge turned one of Martyn Pitman’s witnesses against him. He used the evidence of Dr Michael Heard, a fellow consultant, who backed up Dr Pitman’s whistleblowing claims to turn against Dr Pitman.

Dr Heard had made similar claims to Dr Pitman to the management at the trust and no action was taken against him. The judge used this to say it proved the trust management was keen to take whistleblowing seriously but not keen if it was presented in a forthright manner which affected the ” health and well being ” of the managers.

Alex Whitfield, chief executive, Hampshire Hospitals Trust

What was also strange in this hearing was that the person who made the most dramatic claims against Dr Pitman, Janice McKenzie, the divisional chief nurse and midwife, saying she had to leave the unminuted meeting dealing with patient safety with him, in tears to cry in the toilet, never gave evidence. But like ” Banqou’s Ghost” in Macbeth her claims hung over the hearing. I would have liked to see her testify given there is no written evidence of what happened there.

There was also a dispute – again unminuted – over the claim that towards the end of this long saga Dr Pitman was verbally told by Alex Whitfield, that he couldn’t continue working at the hospital because he was a risk to patient safety. She denied this and the judge believed her and not Dr Pitman.

Basingstoke Hospital Midwife team receiving an award in 2015 in better times. Pic credit: Basingstoke Gazette

Now there is a much wider issue in this judgement which goes well beyond this being a local hospital dispute. It arose because of a merger of two trusts which brought a clash of cultures between midwives who worked at the North Hampshire Hospital and those who worked at the Royal Hampshire Hospital in Winchester. Midwife managers from Basingstoke tried to impose their system on midwives in Winchester. This led to unrest and unhappiness in Winchester and Dr Pitman intervened because he was worried about patient safety and took it up with the midwifery managers who seemed unable to cope with criticism.

The management of this became a national issue when the Care Quality Commission inspected the maternity services at the trust and downgraded the trust (see here). Again I am surprised this was not mentioned in the tribunal.

But why I really think this ruling is bad is another event which coincidently emerged while this case was on. The Care Quality Commission published its annual report on maternity services and it makes grim reading. The number of inadequate trusts has doubled from 9 to 18, the number of trusts that require improvement has increased from 46 to 67 and only six are in the outstanding quality category. The CQC is obviously worried about this since they have only inspected 73 per cent of trusts and are planning to inspect the rest as a matter of urgency. The issues raised include poor management, lack of staffing, bad communication with patients, patient safety being inadequate and also racial inequalities.

Now judge Gray won’t know about this and probably say it was irrelevant to his hearing but his ruling will be a solace to managers worried about whistleblowers raising inconvenient claims of patient safety in maternity wards. By putting down such an eminent obstetrician ( even the judge and the health trust couldn’t find fault with his clinical judgement) he is potentially putting at risk the safety of millions of mothers giving birth in England. Who is going to raise their voice in the NHS about patient safety in the maternity ward if they see a doctor put down and not believed in a tribunal like that? Yes he may be forthright and strong minded but we need people to have high standards to improve the health service for everyone. Judge Gray has a lot to answer.

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Ian Rothwell’s radio show: Interviews with Dr Jocelynne Scutt, myself and Kris Gibson

Featuring latest developments in the long running battle to put right the injustice to 3.5m 50sborn women who faced delayed pensions

Australian former anti discrimination commissioner and judge Dr Jocelynne Scutt

The CEDAWinLaw organisation, which backs full implementation of the UN Convention for ending all discrimination against women and girls, has put up links to the interviews this week on Salford City Radio’s Ian Rothwell show. These reveal the latest move towards getting mediation for the 50s women who faced a six year extra wait to get their pensions.

Mel Stride, the work and pensions secretary has refused any mediation so tougher action is being considered and legal advice has been sought. The link to the website is here.

Worth watching developments over the next coming weeks. Doesn’t look like anyone is going away. Meanwhile the number of 50swomen who have died without getting any compensation has reached over 300,000.

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Alison McDermott – Sellafield whistle blower speaks out on employment tribunal failings at ECEC Conference

This is the first blog with me by my new assistant Joseph Eden, a City University journalism graduate, on a speech given by Alison McDermott, on her horrendous experience as a whistleblower trying to expose bullying and malpractice at Britain’s largest nuclear site and the appalling treatment she received at the hands of British Justice

Alison McDermott being interviewed by Katy Diggory

by Joseph Eden

Employment disputes are supposed to be settled in a free and fair way; the reality is much different. In an interview at the 2023 Annual European Compliance and Ethics Conference in Munich, the largest conference dedicated to this subject globally, whistle blower Alison McDermott spoke of her case, and of a system that is awash with discrimination, inequality and abuse – at the expense of those who need it most.

A recap for readers of this blog, Alison told the conference the ordeal Sellafield and its governing body, the NDA, have put her through. After speaking out about serious employee abuses and abject failures within the nuclear facility’s HR department in 2018, HR director Heather Roberts and Lesley Bowen, who was responsible for the company’s EDI strategy, dismissed Alison overnight, citing financial reasons. Later, when Alison pursued litigation, Sellafield changed its tune, instead saying they acted on concerns over her performance, only mentioning financial reasons “to be kind”.

“It just doesn’t stack up”, she told interviewer and communications consultant Katy Diggory. “There is nothing kind about telling someone that we’re sacking you for one reason, and then three months later introducing a new reason when you no longer have a right to reply because you’ve already left”.

In addition, Alison produced a document highlighting Sellafield’s offer of an 18-month contract renewal just one month before her dismissal, which detailed the nuclear site’s perception of her previous work there as excellent and trusted by the executive.

What followed Alison’s dismissal is another damning indictment of the employment tribunal system. From her initial claim to the verdict, Alison recounts the bullying and harassment she was subjected to, labelled a “self-absorbed, self-serving woman” by Sellafield’s barrister, who insinuated she was pursuing her employer purely for financial gain – despite full knowledge of Alison having refused a £160,000 settlement offer.

Her interview at the conference further highlights the egregious power imbalance within the tribunal system. From the contrasting legal budgets of self-funded claimants versus their employers (in this case, an employer whose £670,000 of legal fees were picked up by the taxpayer), to the absence of any court transcript, and the lack of safeguards to protect employees from having reputation-damaging judgements publicly made against them simply for speaking out.

“Imagine being in a boxing ring with your hands tied behind your back and having to absorb punch after punch” was the metaphor Alison used, her experience made even more shocking with Judge Philip Lancaster allowing her former employers to pursue her for the maximum allowed costs.

Sellafield

Research by Greenwich University supports the imbalance Alison described, finding that more than half of all whistleblowing claimants represent themselves at their hearings, usually as a result of financial constraints. At the same time, employers are securing more expert legal representation than ever before.

The conclusions point to a modern landscape at odds with the informal grounds upon which the employment tribunal system was founded. The requirement of an advanced understanding of legal dogma has accompanied the encroachment of major legal firms into the realm of employment law – with employers spending hundreds of thousands of pounds to defend themselves from the claims levied against them.

This calls into question how an individual claimant could ever be able to compete against their bosses. The outcomes of employment tribunal cases indicate that, in practice, they rarely can. Referencing the government’s own tribunal statistics, Alison told the conference that between 2007 and 2021 only 3% of whistle blowers were successful at tribunal, noting that for women, the challenges faced are even more difficult.

“I think it’s incredibly hard for anyone to blow the whistle because of the huge barriers and inequality”, she said. “But research shows that women’s motives are more likely to be mistrusted”.

Need for substantial reform of the Employment Tribunal system

This phenomenon, Alison says, was manifest in her own judgement, with Judge Lancaster determining she was “pursuing some ulterior motive related to her desire to position herself as the champion of inequality within the nuclear industry”.  This despite Judge Lancaster having reviewed evidence of Sellafield describing her as already a nationally respected expert in her field of work.

The experience of employment the tribunal system Alison shared with the ECEC stands as a clear example of why it needs substantial reform. Even now, following a successful appeal of her judgement, she is still being pursued by Sellafield for costs.

Alison at the conference

“Their duty is to create an environment where people are free to speak out, but hounding people for costs will obviously have the opposite effect” she said, adding that her tribunal experience has left others at Sellafield, the largest nuclear site in Europe, even more scared to raise concerns than they already were.

Closing her interview, Alison recommended several changes employers could implement, many of which are echoed by those who have gone through the same system. Assuming basic training and policies are in place, she prescribed a confidential way for employees to report concerns, a whistleblowing champion within organisations that values people who speak up, and finally that litigation should only be used as a last resort:

First, “investigate, investigate, investigate” she implored, ideally using external investigators. “I think that would send a very clear message to employees that the company really wants us to speak out.”

For those who want to hear directly from Alison the gruesome experiences of being a whistleblower there is a full video on YouTube of her speech. It is well worth watching.

Dr Usha Prasad whistleblower case: Judge cancels hearing from trust again at eleventh hour

Consultant cardiologist convinces judge she is too ill to attend and case cannot be listed until next spring

Dr Usha Prasad

Dr Usha Prasad, the whistleblower consultant cardiologist, yesterday won her argument that she was too ill, because of mental stress, to defend herself at another employment tribunal brought by Epsom and St Helier University NHS Trust without even having to attend the hearing.

The trust which originally wanted her to pay £180,000 costs- reduced in August to £24,000 – sought this week to strike out all her claims, including her whistleblowing case that an elderly man who died at the hospital was ” an avoidable death” which was never reported to the coroner.

The hearing was also set to go ahead tomorrow with remote links already sent out to people observing the case this afternoon when acting regional employment judge Katharine Andrews suddenly cancelled the hearing. This is the second time in two months hearings brought by the trust have been cancelled by a judge.

The costs hearing in August was cancelled when the tribunal met because according to judge Mrs E J R McLaren one of the panel members to hear the case could not attend. Dr Prasad had sent a letter from her GP saying she was under severe stress but another regional judge had rejected this.

This time Dr Prasad sent a fresh letter from her GP saying she was still under severe stress as a result of this long running case involving the trust.

Epsom Hospital

In her letter the judge says: “This hearing was first listed for 6 April 2023. The claimant’s application to postpone that hearing was refused although it did not in any event proceed as there was insufficient judicial resource available. Accordingly it was relisted to be heard on 6 June 2023. That hearing was then postponed at the claimant’s request as she was unavailable due to a professional commitment and also at the request of the respondent who considered that a one day hearing was required. The matter was then listed for one day to be heard tomorrow, 18 October 2023.

On 29 September 2023 the claimant applied to postpone tomorrow’s hearing due to her ill-health. That application was refused as the medical evidence enclosed within her application was insufficient.
The claimant has today repeated her application and enclosed a medical note (apparently from her GP) that does confirm that she is unfit to attend and that a delay of 3 to 4 months would enable her health to improve sufficiently.
The respondent has objected to the request referring to previous postponement requests by the claimants and costs they have incurred that will be wasted.
In all the circumstances the claimant’s application to postpone is granted and the hearing will be re-listed not before 1 March 2024. Any further applications by the claimant for a postponement are extremely unlikely to be granted. It is open to the respondent to make an application for wasted costs in due course if they believe that to be appropriate’ .”

Epsom and St Helier University Health trust have been fighting Dr Prasad for years and strongly objected to the hearing being postponed.

The regional judge who took the decision last heard one of her original tribunal cases in December 2020 when a tribunal was asked to rule again about the action of a fellow Indian doctor Dr Aran Kumar Perikala who wrote anonymous letters to the trust’s chief executive, the CQC, the GMC and Jeremy Hunt then health secretary, saying she was a danger to patient safety. He was unmasked but the trust did not take any action against him. Dr Prasad claimed he was sexist. The judge rejected this but ruled that he had behaved “unprofessionally ” by his actions. You can read my account of this bizarre hearing here. The whistleblowing allegations emerged at another hearing later.

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Martyn Pitman tribunal: Patient safety was a big issue as NHS watchdog downgrades Hampshire Trust’s maternity services

Dr Martyn Pitman

A highly critical report from NHS watchdog, the Care Quality Commission has confirmed fears from whistleblowers, including obstetrician Dr Martyn Pitman, that mothers were at risk using Hampshire Hospital NHS Foundation Trust’s maternity services in Winchester and Basingstoke.

The report was not raised during the two week employment tribunal hearing as I gather it came out too late to be included in the evidence. But it followed a visit by the CQC to the trust last year resulting in a report which highlighted a slew of concerns about the service.

The report has been taken up by Helen Hammond, a lawyer based in Basingstoke and Reading, who specialises in clinical negligence in maternity care, working for the international law firm, Pennington, Manches, Cooper. In a blog on its site she catalogues the damning findings of the report from staff shortages to injuries facing women giving birth. You can read her full blog here.

North Hampshire Hospital, Basingstoke Pic credit: Wikipedia

The health trust has spent hundreds of thousands of pounds of taxpayer’s money on expensive lawyers from Old Square Chambers to deny that Dr Pitman was a whistleblower concerned about patient care denigrating him at one stage -until subsequently withdrawn- as “a freelance agitator”. They produced evidence claiming he made a midwifery manager, who never gave any oral evidence to the tribunal herself, that he made her cry. Top officials of the trust including the former chief medical officer, Lara Alloway, chief executive, Alex Whitfield, and trust chairman, Steve Erskine, gave evidence against him.

Now the CQC report says that in 2022 there was a lack of midwifery staff to provide safe delivery of births; two day delays of inducing births, staff missing training because they had to fill in for staff shortages and senior midwifery staff not creating a culture that supported individuals. In Basingstoke there were cases of staff not spotting mothers deteriorating in the wards, and of a much higher level of serious maternity tears – caused by forceps delivery -than the national average. Staff at Basingstoke said they were asked to perform tasks they did not feel competent to do.

The service also delivered a much higher proportion of babies in poor health than the national average.

Helen Hammond, senior associate, Penningtons Manches Cooper

Helen Hammond says in her blog: “One frustrating aspect of the CQC report, which reflects our experience of representing local families whose babies have either died or developed brain injuries due to the management of their birth, is the failure to learn from previous incidents to prevent them reoccurring. Many families we have worked with have expressed a desire for the harm they or their child have suffered to lead to safer care for those who follow them. Acting on the findings of the report to make this the case would create a lasting legacy.”

The health trust said yesterday :

Our first priority is always our patients and it is vital we provide expectant parents with confidence in our care.

Following the 2022 CQC report, our maternity division is now fully staffed, and a number of policies and procedures are in place to remedy areas highlighted so that we address – among others – equipment concerns, communication issues, and training.

With that in mind, you have asked for a series of figures which we are concerned will be presented without appropriate clinical context, something that may cause undue alarm.

We ask that any expectant parents who may have concerns about the areas you have highlighted raise them directly with their midwives or obstetricians so that they can be given proper, medical advice and guidance. “

It is interesting that the trust would not provide me with current facts and figures on issues of maternity tears, babies born in poor health, or induction waiting times. I am sure that the CQC who normally revisit a trust to see if its services have improved, will look into this again and it will become public. It does rather fit in with the defensive attitude and lack of transparency from top officials at the trust during the tribunal.

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Love’s Labour’s Lost: The party conference that now puts realism before socialism

This week I paid a lightening visit to the Labour Party Conference in Liverpool and found a remarkably changed and brutally focused party.

Out had gone any commitment to state ownership, hugely expensive pledges to spend, spend, spend and in had come a sharp focus on bread and butter issues like cutting hospital waiting lists and building lots of homes for generation homeless..

There was also a brutal message from Sir Keir Starmer that the party would be raising very little on new taxes- beyond taxing non doms and VAT on private school fees. Everything was going to depend on growing the economy from its present feeble state to pay for new public spending. If that fails the whole Labour project will collapse once they are in government – a big hostage to fortune.

What was also noticeable was the huge presence of corporate firms and large charities and ngos – never have I seen such numbers in the exhibition hall and its overflow corridor.

The main reason why Labour is being cautious is the state of the British economy post Brexit. Although Brexit was never mentioned by the Labour leadership, the chaos and incompetence of the present Tory government ( now also emerging in the Covid inquiry) has virtually torched the British economy, now bedevilled with a cost of living crisis and high inflation. And they can’t blame the EU. But it is worse than that – the chopping and changing in government policy -illustrated by scrapping HS2 at Manchester during their conference last week and delays in the net zero programme – has even bewildered their business allies who don’t know where they are and how they should plan.

That is why they see a Labour government as a better bet than the Tories. It is ironic that after all the attacks on Jeremy Corbyn turning Labour into a cult – it is now the Tories that are turning into one – with their obsession with opposing trans rights, boat people, cancel culture and recreating the UK in the image of the 1950s. No wonder much of business ran off to Liverpool.

David Blunkett; Official House of Lords portrait

I did attend two very interesting fringe meetings during my short stay. Both illustrated the new order at Labour. One organised by the TUC was on the subject of tackling Britain’s skill shortages among the workforce. It was addressed by Steve Rotherham, the Labour Metro Mayor of Liverpool; Bridget Phillipson, Labour’s shadow education secretary; Labour peer David Blunkett; and chaired by Kevin Rowan from the TUC. What was impressive was that the TUC and David Blunkett had drawn up a very detailed plan to tackle the crippling skills shortage – often overlooked by politicians – and Bridget Phillipson, was keen to implement it. It included scrapping the very low wage of £5.28 a n hour for apprentices and replacing it with the minimum wage and radically changing the funding programme to tackle skills shortages and prevent employers exploiting it for cheap labour. If Labour are serious in doing this, it will be fundamental to economic recovery.

An even bigger eyeopener was a fringe meeting organised by Labour’s environment campaign, Chaired by a Westminster Labour councillor , the campaign had both the head of forests, from Global Witness and a Aviva, the private insurance company on the panel. It turned out that both Global Witness and Aviva had been working together to ensure UK legislation that would stop British firms contributing to global deforestation by de investing in companies that did this. Even this it appeared had been opposed by the Tories.

One extraordinary meeting I did not get into was on the controversial future of rail to be addressed by Labour’s shadow transport secretary, Louise Haigh. Organised by Lodestone Communications, whose clients include US whiskies, the Countess of Chester Hospital ( not best to advertise this at the moment) and IT firms, it was private but important enough for the general secretaries of ASLEF and the RMT to attend. I was told it shouldn’t have been advertised in Labour’s conference programme and been placed there by mistake. Very intriguing.

Women born in the 1950s who have faced a six year delay in their pension would have been pleased by a motion which was passed by Labour’s women’s conference. It commits the next Labour government to fully implement in law the UN Convention on the Elimination of All Discrimination Against Women (CEDAW) and ensure equal pay for women is fully implemented. We shall see if Sir Keir Starmer makes this a manifesto commitment.

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Hampshire NHS Trust appointed an ex Capsticks lawyer who specialised in ” difficult doctors” as an independent investigator on Dr Pitman’s grievances

Gary Hay former Capsticks lawyer and current member of the Portsmouth Hospitals NHS Trust board

An independent investigator appointed by the Hampshire Hospitals NHS Foundation Trust to review the treatment of whistleblower Dr Martyn Pitman, turned out be a former lawyer from Capsticks who specialised in exposing ” difficult doctors ” for NHS trusts, it was revealed at the employment tribunal hearing today.

The disclosure came during the questioning by Jack Mitchell, the junior barrister from Old Square Chambers, of the chairman of the trust, Steve Erskine, about how he and chief executive Alex Whitfield handled a request by Dr Pitman for an independent inquiry into the way the trust handled his grievances.

Dr Pitman, a well regarded consultant obstetrician and gynaecologist, was dismissed by the trust on the grounds that he couldn’t work with colleagues which could put patient safety at risk. This was the last day of evidence.

Capsticks are well known as the “go to ” lawyers for NHS trusts and have a big contract with the NHS which has just been renewed. They have a track record of denigrating and undermining whistleblowers in the NHS. The firm played a prominent role in the recent case against Dr Usha Prasad, the dismissed whistleblower cardiologist who revealed an ” avoidable death” of an elderly heart patient which the Epsom and St Helier University NHS trust never reported to the coroner.

Steve Erskine

Mr Erskine confirmed evidence by Alex Whitfield yesterday that his original decision to have an independent inquiry requested by Dr Pitman into his grievances was later change to include a much broader inquiry in which his grievances were subsumed. He insisted he did this on his own reflection.

Questioning by Mr Mitchell revealed that the trust knew it was not compliant with new guidance issued by Baroness Harding, on how NHS staff should be treated by trusts in the aftermath of the suicide of nurse Amin Abdullah who burnt himself to death outside Kensington Palace after being unfairly treated and dismissed by his trust. Baroness Harding was then chair of NHS Improvement before her more infamous role in charge of test and trace during the Covid pandemic.

The guidance that later became mandatory was not implemented by the trust until much later when it convened a sub committee, which meets in private, to draw up the changes. Mr Erskine argued that confidentiality was needed because of some of the information in the report. Initially he said the new rules had not been published by the board, but later when this was queried by the trust’s lawyer Mark Sutton and the judge because it breached a NHS directive, it was suggested there was some public reference which had not been given to the tribunal.

After the terms of the inquiry were changed, Dr Pitman wanted it dropped but was overruled by the chairman and chief executive. He then suggested that Verita, an independent investigation consultancy which found failings by Imperial College Healthcare NHS Trust in the way Amin Abdullah was treated, should be appointed to do the inquiry. Steve Erskine rejected this saying it would be ” a conflict of interest” if Dr Pitman suggested who should conduct the inquiry.

Instead the trust approached the law firm Bevan Brittan, who are representing the trust at the tribunal, to advise them.

The trust then settled on Gary Haye a lawyer and partner who had sat on the board of Capsticks and who Mr Mitchell said he had publicly said his specialism was ” dealing with difficult doctors” to be the independent investigator. He was also a member of Portsmouth Hospitals NHS Trust, the same board where Steve Erskine was a member. When challenged why he had not declared this, Mr Erskine said he did not need to, as they were members at different times.

Mr Mitchell disclosed that findings of Mr Hay’s report were part of Dr Pittman’s claim for detriment, as he found the report was “full of inaccuracies” and was “partial “. Mr Hay has no medical qualifications only degrees in law, English and business.

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