Institutional Corruption in Employment Tribunals: Dr Chris Day’s damning letter to top judge

Lord Fairley

Veteran NHS whistleblower campaigner, Dr Chris Day, has written a damning letter to Lord Fairley, President of the Employment Appeal Tribunal, accusing the system of “Institutional Corruption” in the way it has handled his case.

Dr Day, who has just lost an appeal case heard by employment appeal judge Sheldon, compared the way both the employment appeal court and the previous employment tribunal handled the proceedings to the verdict in the infamous Daniel Morgan murder case which has never been solved after a trial of suspects collapsed.

The way this murder was handled by the Metropolitan police led the independent panel to rule: ““Concealing or denying failings, for the sake of an organisation’s public image, is dishonesty on the part of the organisation for reputational benefit. In the Panel’s view, this constitutes a form of institutional corruption.”

Dr Day has emerged bloodied but not unbowed from a judgment that rejected all the detriments he claimed and was surprisingly unconcerned about the defendants Lewisham and Greenwich Health Trust’s chief executive lying on oath about a board meeting and its deputy communications office, Mr Cocke, destroying 90,000 emails that could have been useful to his case during the hearing. The worst the judgment could say was this was ” troubling.” Given this centred on his whistleblowing about the avoidable deaths of two patients in Woolwich hospital’s intensive care unit, which the trust has always tried to deny, this is a remarkably tame comment.

What was particularly hurtful to Dr Day is that at the appeal hearing he was accused in open court of lying about cost threats. He had been clear that he was forced at one stage to try to settle his case because he was told by his barrister that he would face a proposed application from the NHS for £500,000. See my report on his wife’s evidence here.

Effectively he was being called a liar by saying this had happened. Instead there is copious evidence that it did happen.

As he says in his letter: “At my most recent hearing, Mr Justice Sheldon explicitly stated in front of public observers that I was “lying” about being threatened for costs. He did this in circumstances when he knew my belief in cost threats was robustly grounded on written material from by former barrister Chris Milsom. He also knew that this material was enough to convince 2 MPs, the Telegraph and Financial Times that I had been threatened for costs. Accusing me of lying about cost threats in these circumstances was nothing more than a cheap smear to make me look like a liar in public.”

Or as he wrote earlier: “Dishonest or deluded whistleblowers don’t tend to have the support of former health ministers, senior doctors and the BMA to fund a KC.”

Also there is ample evidence in reports by lawyers that attempts to put costs on whistleblowers are commonplace. Indeed some lawyers moan they can’t get enough of them.

Dt Chris Day

His complaint about ” institutional corruption ” is not directed at individual judges but at the legal system where lawyers socialise with each other and don’t want to see a colleague’s reputation or career damaged by having to admit they got it wrong.

As he says in his letter: “My complaint is not directed solely at individual judges but at the institutional handling of this matter. The EAT has placed judges in an impossible position: adjudicating on issues that, if determined on the evidence, would have serious implications for people with whom they admit to having ongoing professional or social relationships including being connected on social media.
“This is precisely the type of reputational self-protection identified as “institutional corruption” in the
Daniel Morgan inquiry. I am not expecting you or the EAT to do anything about this but want to record
my position and the fact that it has been put to you as EAT president. You will note 2 MPs have called
for a public inquiry into this case.”

The full letter is on the internet here. His account of the case on Linked In is on https://lnkd.in/dZuKkTFG.

My view from covering a number of tribunals- both involving whistleblower doctors, nurses and in the world of industry and the arts – is that lawyers are getting too cosy and comfortable with each other. Add to this the loss of media interest in all but the most lurid of court cases, there are precious few journalists left to observe what is happening in the courts.

All this is to the detriment of the ordinary member of the public when they fight their case. Arraigned against them is a club that knows how to fix the outcome. And this is destroying the principle of open justice and why we need radical reform of both the employment tribunal and county court system.

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Tribunal of the Absurd Part Two: Dr Chris Day loses his whistleblowing appeal

Dr Chris Day

For those with long memories some 32 months ago I wrote a disparaging blog about justice in employment tribunals after sitting through yet another hearing involving Dr Chris Day’s ten year whistleblowing battle against the Lewisham and Greenwich NHS Trust. So shocked I was over the way justice was meted out to Dr Day that I labelled it as the Tribunal of the Absurd – liking it to a Harold Pinter play that could be set in a court room.

This was the tribunal that revealed that lawyers and the Trust had held back evidence which should have been given to him and his lawyers years ago; that the chief executive of the trust, Ben Travis had lied under oath about a virtual board meeting and other matters to discuss his case, and that a senior communications officer of the trust, David Cocke, had gone into the trust’s offices at 5.0 am and destroyed 90,000 emails which could have been relevant to his case. The latter happened while the hearing was taking place and he then failed to appear as a witness.

Yet the judge Anne Martin ignored all this and exonerated the trust’s case against Dr Day. To remind readers the original claim was a serious patient safety issue – two people had died in the intensive care unit of Woolwich Hospital where he was working because of serious mistakes by other staff. Yet the trust for reputational reasons has always denied this really happened.

Now a long time later – the courts take ages to progress issues – a judge at an employment appeal tribunal has largely rubber stamped her decision and found against Dr Day and rejected an application to return legal costs to the British Medical Association to compensate for the extra days of hearing caused by the destruction and concealment of evidence. Worse than that during the hearing Dr Day’s reputation for telling the truth about a previous hearing was called into question. It was like the second house in the theatre of the absurd.

Mr Justice Sheldon who presided over the hearing found only two faults. He thought the tribunal should have ruled on whether the trust was wrong not to remove disparaging comments about Dr Day sent to MPs and the press after concerns were raised by the watchdog body, the Care Quality Commission was a detriment to Dr Day. And it criticised the tribunal for misinterpreting one area of employment law.

But the judgment adds: “The Employment Appeal Tribunal concluded that the errors were immaterial to the outcome, as the Employment Tribunal had correctly found that the protected disclosures did not materially influence the Respondent’s actions. The appeal against the Costs Judgment was also dismissed, with the Employment Tribunal’s reasoning found to be within its discretion and supported by the evidence.”

It refused to return the case to another employment tribunal for reconsideration.

What this means is that the trust’s actions in this case have been exonerated by a higher court. Mr Ben Travis is regarded as a credible witness despite not telling the truth under oath about the board meeting.

And Mr Cocke’s destruction of 90,000 emails while thought to be ” troubling” are largely exonerated setting what could be a dangerous precedent in other whistleblowing cases for people in NHS trusts and private companies to destroy evidence that should be passed under discovery to the claimant. They can now cite this judgment.

What was also amazing and bizarre was that the judge accepted from Daniel Talbot Brown KC , instructed by lawyers Capsticks, an argument used in another legal case which said that tribunals could take a benevolent view of the proceedings and if they did not comment on a finding it did not mean they had not considered it.

This seems to go against forensic testing of arguments put forward at a hearing – where both sides must probe for the truth. If they do this and a judge decides not to comment on the issue, surely this more like a dereliction of duty than anything else.

This judgment marks a bad day for whistleblowers and good day for bureaucrats who want to hide the truth. It shows that even if you have the support of medical experts to back your judgment and the support of two prominent former politicians, Jeremy Hunt, the former health secretary and Norman Lamb, a former health minister, this counts for nothing in the eyes of judges.

Perhaps the judges prefer the judicial theatre of the absurd to life in the real world.

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Exclusive: NHS Trust chief executives who persecute whistleblowers on patient safety win prestigious awards

From L to R: Alex Whitfield, Hampshire Ben Travis, Lewisham Daniel Elkeles London Ambulance

Three of the top 50 NHS chief executives chosen by a panel set up by the Health Services Journal in 2024 as the best people to run the NHS have been involved in attempting to cover up patient deaths and persecuting doctors and nurses who raised the issues.

One of the top three NHS awards went to Daniel Elkeles, as chief executive of London Ambulance Service Trust and is now chief executive of NHS Providers. He was chief executive of the Epsom and St Helier Trust when Usha Prasad, a cardiologist, reported the ” avoidable death ” of a heart patient. He told her to drop her case at an employment tribunal or face an internal disciplinary hearing which led to her being sacked.

I have since been told that Mr Elkeles was involved in an alleged cover up at the London Ambulance Service when a paramedic was suspended during the stressful period of the pandemic. He had alleged bullying, Elkeles said he would investigate but got the person to sign a non disclosure agreement. When it was signed it is said any investigation was dropped.

The second chief executive is Alex Whitfield who heads Hampshire Hospitals Foundation Trust, was involved in the sacking of Dr Martyn Pitman, a well respected obstetrician and gynaecologist, who raised patient safety issues in the already nationally stressed maternity services. The former oil executive is rated the 15th best chief executive.

The lack of care at the hospital in Winchester led to one mother and a baby dying, but Alex Whitfield used the tribunal to claim that Dr Pitman was ” putting patients at risk” rather than supporting the doctor and midwives who were helping patients. Lawyers for the trust monstered Dr Pitman claiming he was a bully for raising these issues.

Julie Dawes, the chief nursing officer at the trust, who also pursued Dr Pitman ,has just been awarded an MBE for services to nursing in the King’s Birthday Honours List.

The third award winner is Ben Travis, chief executive of Lewisham and Greenwich NHS Trust, which the Care Quality Commission, say ” requires improvement.”

Ben Travis was heavily involved in the 2022 tribunal hearings brought by Dr Chris Day, who has fought the trust for 10 years after he raised important patient safety concerns that became associated with two avoidable deaths  in the intensive care unit of Woolwich Hospital, run by the trust. The 2022 tribunal ruled against him despite evidence given by Ben Travis which shown to be untrue, the destruction of 90,000 emails during the hearing and the discovery of fresh documents .which should have been released by the trust to him to help his case.

The results of the last hearing is up for appeal on six grounds next week. He won the right to appeal that some of the findings of the judgment were perverse, that the judgment failed to draw any inferences from the destruction of 90,000 emails and the failure to provide documents that would have helped Dr Day’s case. This in particular followed the disclosure in documents that under oath the chief executive, Ben Travis gave an untrue account about a board meeting and had hidden he had contacted other trust chief executives about Dr Day.

Yet Mr Travis won the award on his personal performance over the last year; the performance of the organisation he led, given the circumstances it is in; and the contribution made to the wider health and social care system.

Award for Diversity

At the same time the trust has won a second award for its equality, diversity and inclusiveness despite its NHS staff report showing that it has a below average rating for the fair promotion of ethnic minority staff and for racial discrimination inside the trust and from members of the public.

The panel who decided the awards for the best chief executives included Dr Rosie Benneyworth, chief executive, Health Service Safety Investigations Body:Steve Brine, former Tory MP for Winchester and former chair, Commons Health and Social Care Committee,; Matthew Taylor, head of the NHS Confederation;Sir Julian Hartley, former chief executive of NHS Providers; Patricia Marquis, executive director for England, Royal College of Nursing and Dr Vish Sharma, chair, BMA’s consultant committee.

It is inconceivable that many of them did not know about the whistleblower cases. Dr Chris Day’s case is high profile; Dr Martyn Pitman’s case was in the national press and Steve Brine was his local MP. Usha Prasad’s case was a long running one.

There is another issue which is worth pursuing in a later blog – how ethnic minorities are treated in the NHS and the level of racial discrimination and whether black and Asian people have fair promotion prospects. Lewisham and Greenwich NHS Trust is not alone

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How come an NHS Trust can win a national diversity award when its ethnic minority staff are reporting bullying and discrimination?

This weekend Lewisham and Greenwich NHS Foundation Trust won a national award for its diversity and inclusion just after a still to be published national staff survey reveals a high level of dissatisfaction about discrimination and bullying among its employees.

The trust which has one of the highest proportion of ethnic minority staff in the country is one of the Excel HPMA award winners. The award is sponsored by a major law firm, Mills and Reeves, which deals with personal injury cases including medical negligence. It is one of a number of law firms sponsoring national NHS awards. Other sponsors include Capsticks for NHS innovation; Bevan Brittan for digital analytics; Browne Jacobson, for employee engagement; and Hill Dickinson for excellence in culture and talent. Ironically, three of the firms are involved in persecuting whistleblowers revealing patient safety issues – two, Capsticks and Hill Dickinson, were leading lawyers for the Lewisham and Greenwich Trust in the continuing ten year battle with Dr Chris Day, who highlighted two avoidable deaths in Woolwich Hospital’s intensive care unit. His long running case resumes at an employment tribunal later this month.

The survey shows the huge difference between the UK breakdown of the current population as referenced by the Office for National Statistics. This stands as 84 per cent white and 16 per cent from ethnic minorities. It also varies enormously from the average picture of an NHS trust. 78 percent of staff in NHS trusts are white, only 43 per cent are white at LGT. Nearly 24 per cent are black British , African and Caribbean compared 14 per cent in average and Asian and British Asian are over 26 per cent of staff compared to nearly 4 per cent in the average NHS Trust.

One of the trust’s two major hospitals.

Given this breakdown when asked about whether staff were discriminated by their boss, the trust comes out as worse than average for a NHS trust and similarly in regards to career progression. Also there is a particularly bad result when they were asked how patients, relatives and the public treated them. Interestingly white people – who are a minority in the trust – had a significantly higher rating for satisfaction about future career promotions than ethnic minorities employed there.

Nor do the staff say they would recommend a friend or relative to have treatment in the trust’s hospitals – this is also below average.

When asked whether staff would leave the moment they found another job, some 20 per cent working there said yes – this compares with just over 15 per cent for the national average. And nearly a quarter of the staff said they would look for another job within 12 months – compared to just over a fifth on average.

Morale at the trust has got worse over the last year while there has been a slight improvement in the NHS as a whole.

However the 10 people employed on the trust’s board rate themselves as one of the best in the country.

There is also a big difference in morale among medical staff and ancillary staff. A BMA survey in 2022 produced some startling results

“Have you personally experienced any instances of bullying, harassment or discrimination within the last 12 months?” they were asked. 44% replied yes.

“If you have personally experienced bullying, undermining, harassment or discrimination in the past 12 months, did you report the incident(s)?”43% replied they had reported this and no satisfactory action had been taken.”

“Why did you not report any instances of bullying, undermining, harassment or discrimination?

42% replied they did not believe action would be taken. 26% replied they felt it would be held against them

All this suggests that this award must be more of a paper exercise than the reality there. I would have expected that the trust would be rated as one of the best in some instances. But this does not appear to be case. No doubt the media department there will praise the award to the highest level, executives will congratulate themselves and the law firms will delight in the glory. But it doesn’t look as though it was really deserved.

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Whistleblower Dr Chris Day’s appeal: Has Judge Andrew Burns KC ruling made it impossible for him to get open justice?

Andrew Burns KC

UPDATE: In a further twist in this long saga, High Court judge Dame Jennifer Eady, President of the Employment Appeal Tribunal initially took a decision not to read Dr Day’s letter complaining about the injustices in the procedure of his tribunal case against Lewisham and Greenwich NHS Health Trust . Now it has been decided that another judge will rule whether she should read the letter. Such a move has been opposed by the trust, who are represented by Old Square Chambers.

Superficially the ruling by Deputy High Court judge Andrew Burns looked like a victory for the long campaigning whistleblower Dr Chris Day to get a fair hearing at his forthcoming Employment Appeal Tribunal. He was granted an appeal on six of the ten grounds presented to the hearing and he was publicly commended by the judge for restoring the employment rights of 54,000 doctors which had been taken away in a sleight of hand by the now merged Health Education England.

But a closer look at the judgement gives a rather different picture. Instead of allowing a full appeal of employment judge Ann Martin’s flawed hearing he introduced caveats and blocked the re-examining of crucial issues. These include examining whether MPs and the press have been misled by the NHS and their lawyers, whether deliberate concealment has occurred and such startling behaviour as a Lewisham and Greenwich health trust communications director destroying mid hearing 90,000 emails that could have helped Dr Day’s defence and subsequently declining to appear as a witness.. It also allowed the health trust’s lawyers to to traduce Dr Day’s public reputation and misrepresent his motives without fear of being dragged before the libel courts or even being properly cross examined about this at the tribunal.

Three Wise Monkeys – a rather good print by Swedish musician and artist Andreas Magnusson see https://printler.com/en/poster/167372/

In short Andrew Burns judgement is a ruling equivalent to the infamous “three wise monkeys” carving at a Japanese shrine. He ” sees no evil, he hears no evil and speaks no evil” at that flawed tribunal. And he has been given by Dr Day a chance to review his findings to take account of these omissions.

Dr Day’s points requesting a review are here.

To put it simply he is blind to Ann Martin’s mishandling of that tribunal, he is deaf to Dr Day’s arguments to put this right, and he is silent about the outrageous behaviour of the trust’s employees and their lawyers, particularly Ben Cooper, KC on traducing Dr Day’s reputation and it being broadcast to MPs, the public and other trusts.

As Dr Day puts in an email accompanying his crowd justice website ” which goes into all the legal details “The Judge has allowed me to have an appeal but taken all my weapons and has blocked key issues being explored.”

Ben Cooper KC

The language used against Dr Day by Old Square chambers lawyer Ben Cooper would be defamatory outside a court room. He is described as ” having an obsessive belief in his victimhood”, accused of an “elaborate rewriting of history by him to fit in with his narrative” and condemned his evidence as ” dishonest and underhand.”

When pressed on this by Dr Day’s barrister Andrew Allen KC at the June 2022 Mr Cooper conceded he had no example of what he meant from Dr Day’s witness statement and Mr Allen was then prevented from cross examining Mr Cooper on Dr Day’s supplementary statement rebutting Mr Cooper’s insults and allegations.

My Statement on Ben Cooper KC – DrChrisDay

To make matters worse Ben Cooper’s attack on Dr Day’s character has been picked up by a lawyer defending lawyers Hill Dickinson against Dr Day in another case. Dijen Basu, KC from Sergeants Inn Chambers, in a skeleton argument in a case still to be heard said of Dr Day ” The diagnosis of whistleblowitis is a pithy way of describing a man who had developed an obsessive belief in his own victimhood to the point of being prepared to dishonest and underhand in pursuit of what he saw as the virtue of his cause as Mr Cooper described him.”

The irony of this attack is the case revolves around Hill Dickinson depriving 54,000 junior doctors of their whistleblowing rights whilst not revealing key commissioning contracts  in disclosure the firm were paid to draft. Now who was really being dishonest and underhand!

As Dr Day purchased the transcript of Ann Martin’s tribunal he has been able to point out that cross examination of Ben Cooper’s claims was halted by the judge but she went on to allude to Ben Cooper’s argument against Dr Day in her public judgement. Dr Day argued that this a breach of court procedure but the judge did not agree.

Judge Andrew Burns did agree he had made a mistake in describing Dr Day’s withdrawal in a previous hearing in this long dispute as being caused by duress rather than misrepresentation.. This was when his lawyer Chris Milson, without his instructions, tried to negotiate a settlement which included a confidentiality clause. Dr Day was able to get Judge Burns to accept that his case was not one of duress but one of serious allegations of misrepresentation from a number of lawyers whose accounts of the infamous settlement of the Day Case in 2018 do not add up.

Dr Day has now written to Judge Dame Jennifer Eady, President of the Employment Appeal Tribunals, asking her to intervene.

Dr Chris Day

Letter to Dame Eady President of the Employment Appeal Tribunal – DrChrisDay

He writes: “It may come as no surprise that I and large numbers of doctors feel deeply let down by the way the EAT has handled my case over the last 10 years. I believe its decisions have not been logical and have ignored evidence, pleadings and important appeal points. I believe the most likely explanation for
this is the EAT’s failure to manage properly the conflicts of interests and human factors that have come into play when Judges have dealt with certain issues in my case affecting their legal colleagues.”

He goes on: “The destruction, concealment and ignoring of large amounts of evidence at the June 2022 ET hearing of my case and the obstruction of 2 of our proposed cross examinations was widely reported and shocked people. Many were expecting these obvious issues to be dealt with decisively by the appeal tribunal. Instead, I have had to get into an argument with the EAT about whether such extraordinary conduct is enough for me to advance procedural unfairness as a ground of appeal”

He adds: “I am seriously considering whether I can proceed with an appeal in this court whilst the EAT refuses to answer” these points.

A check on social media of Judge Burns X account by 54,000 doctors, a group who campaign for the whistleblowing rights of junior doctors reveals how closely 3 of the lawyers involved on both sides of the Day settlement are connected socially.

Judge Andrew Burns, a former lawyer at Devereux follows and is followed by Chris Milsom – Dr Day’s lawyer in a previous 2018 case that settled ; he follows Old Square Chambers, which has a leading role in pursuing whistleblowers; Martin Hamilton, managing partner, Capsticks who Dr Day alleges misled MPs and the Board of Lewisham and Greenwich about his case and settlement. Other followers include Nadia Motraghi, KC, another Old Square Chambers that was against Dr Day, who also pursued Dr Usha Prasad, a whistleblower cardiologist at Georges and Epsom St Helier NHS trust.

Dame Jennifer Eady

Finally it turns out that judge Dame Jennifer Eady – whom Dr Day is relying on to adjudicate about this – is a former lawyer at Old Square Chambers from 1990 to 2013. During her time at Old Square Chambers, for 13 years from 2000, Ben Cooper KC, and from 2004 Nadia Motraghi were colleagues. It would be amazing if they don’t know each other very well as they practised in the same field.

So how will Dr Day get a fair hearing when three of the lawyers he is accusing of misleading on the settlement are so closely linked to the judge and the final arbiter is their former colleague now in an all powerful position to control the entire employment appeal tribunal system.

My final point from covering a number of whistleblower tribunals is that I am disgusted at the way very senior professional lawyers seem to enjoy denigrating, insulting, and belittling the careers of eminent doctors whose main concerns are to protect the public from bad medical practices which endanger lives.

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Whistleblower Dr Chris Day wins right to appeal in his ten year patient safety battle against Lewisham and Greenwich NHS Trust

Dr Chris Day

Whistleblower Dr Chris Day won the right to appeal today when a a Deputy High Court Judge Andrew Burns of the Employment Appeal Tribunal granted permission to appeal the November 2022 decision of the London South Employment Tribunal on six out of ten grounds at a hearing in London.

My blog on this judgement is here: Tribunal of the Absurd: My Verdict on the Dr Chris Day whistleblower case | Westminster Confidential (davidhencke.com)

The saga which has now being going on for almost ten years began when Dr Day  raised patient safety issues in intensive care unit at Woolwich Hospital in London. The Judge said today this was of the “utmost seriousness” and were linked to two avoidable deaths but their status as reasonable beliefs were contested by the NHS for 4 years using public money.

Deputy High Court judge Andrew Burns

In a series of twists and turns at various tribunals investigating his claims Dr Day has been vilified by the trust not only in court but in a press release sent out by the trust and correspondence with four neighbouring trust chief executives and the head of NHS England, Dr Amanda Pritchard and local MPs.

This specific hearing followed a judgement in favour of the trust by employment judge Anne Martin at a hearing which revealed that David Cocke, a director of communications at the trust, who was due to be a witness but never turned up, destroyed 90,000 emails overnight during the hearing. A huge amount of evidence and correspondence that should have been released to Dr Day was suddenly discovered. The new evidence showed that the trust’s chief executive, Ben Travis, had misled the tribunal when he said that a board meeting which discussed Dr Day’s case did not exist and that he had not informed any other chief executive about the case other than the documents that were eventually disclosed to the court..

The hearing went on for an extra week because of all these disclosures and the British Medical Association, who are representing Dr Day, asked for their costs to be repaid yesterday because of the additional expense at the hearing. The judge agreed that a separate appeal to recover the  BMA costs should also be granted permission to be heard.

Instead of a decision to allow an appeal this hearing was held today to decide whether there was an ” arguable case ” for an appeal.

Dr Chris Day won the right to appeal that some of the findings of the judgement were perverse, that the judgement failed to draw any inferences from the destruction of 90,000 emails and the failure to provide documents that would have helped Dr Day’s case. This in particular followed the disclosure in documents that under oath the chief executive, Ben Travis gave an untrue account about a board meeting and had hidden he had contacted other trust chief executives about Dr Day.

The judge seemed exercised that the trust despite the Care Quality Commission expressing concern about a press release which attacked Dr Day decided to do nothing about it and the judgement appeared to ignore this.

Andrew Allen KC

The judge also allowed the right of appeal for Dr Day about the way he had been treated as an employee and how events had unfolded at the trust.

What was not allowed was the right of Andrew Allen, the BMA’s funded lawyer, to cross examine the trust’s lawyer, Ben Cooper, about remarks he had made about Dr Day during the hearing. some of which he was forced to concede were not accurate. Mr Cooper was rescued By Judge Anne Martin from having to respond to Dr Day’s supplementary statement on this point and was further rescued by the EAT today. Coincidently today Mr Cooper was representing the retail giant Asda in a case next door to today’s hearing.

My Statement on Ben Cooper KC – DrChrisDay

 The Judge also blocked a ground of appeal relating to factual findings being made on whether MPs and the Press has been misled on Dr Day’s protected disclosures. Also blocked was Dr Day’s and his legal team’s clear request for a formal finding on whether deliberate concealment had occurred as part of Dr Day’s protected disclosures. It was made clear to the Judge these points were what the case was about.

Ben Cooper QC

Despite this the decision of a senior judge does call into question the judgement made by Anne Martin who it is now arguable made some poor calls -particularly avoiding the issue of the destruction of emails and withholding documents that should have been disclosed to Dr Day’s lawyers.

The judge also paid Dr Day a compliment saying by raising the dangers for patient safety caused by staff shortages in 2014 he was ” way ahead of his time.” This might suggest that judiciary is becoming increasingly aware about the state of the NHS and its effect on patient safety. Perhaps judges are seeing too many scandals reported in NHS trusts.

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How the toxic management of a health trust and law firm Capsticks got rid of a senior nurse whistleblower

Thurdy Campbell

A former senior nurse at Queen Elizabeth Hospital, Woolwich has come forward with a fresh tale of the toxic management at the Lewisham and Greenwich NHS Trust and their treatment of whistleblowers in the wake of the tribunal verdict involving staff nurse Francisca Holmes. Francisca lost her case against the trust management over her treatment but the judge ruled she had genuine whistleblowing concerns when she was told of a patient found dead in Ward 22.

This is the same health trust still involved in a ten year battle with Dr Chris Day,  a junior doctor, who in 2014 brought a still on going case on two ” avoidable deaths” in their intensive care unit. It is the same trust where a senior communications director deliberately destroyed 90,000 emails that could have been used in Dr Day’s defence during a tribunal hearing and escaped censure from the presiding judge.

Thurdy Campbell, a black senior nurse of Jamaican nationality, had worked for 22 years at the hospital as a senior sister in their accident and emergency department and manager of combined wards 22 and 23. She was dismissed on 17 May 2022.

Her grievance letter claims: “I was subjected to the following: work place mobbing, severe episodes of
harassment and discriminative treatments, miscarriage of justice , coercive control, defamation of character, endangered working environment , abuse of power of position for personal gain and recrimination after making a series of protected acts and qualifying disclosures to NMC [Nursing and Midwifery Council]25 May 2021.

Senior party members from the Lewisham and Greenwich NHS Trust Kelly Lewis-Towler, director of operations for acute and emergency medicine; Meera Nair ,director of people and board member, Victoria Tyler ,head of employee relations; HR Team and Investigation Managers colluded in wrongdoing by protecting the perpetrators and subjected me to series of detriments.”

Some of the managers she accuses appear in the same case as Francisca Holmes such as line manager Rodney Katandika and Ann Marie Coiley, the director of nursing.

Rodney Katandika

Matters came to a head when she was manager of the new combined Ward 22 and 23 – the ward where Francisca Holmes was told that an elderly patient was found dead. She raised the issue of patient safety but had no serious response. Six months after this incident Thurdy sent a further email saying “Clinical concerns relating to issues affecting patient’s safety, staffing, staff well-being and the working environment of Ward 22” escalating this to senior line management. Straight after this the trust launched a disciplinary hearing against her leading eventually to her dismissal the following May.

Kelly LewisTowler director of operations for acute and emergency medicine

She was certainly a thorn in the side of senior management. An internal email from Kelly Lewis-Towler to other senior managers, sent on 28 July 2021 accuses her of intimidation and claims senior staff were ill with workplace stress, declining to return from holidays, and claiming she cannot adequately support them and is facing ” a mass exit of staff”. All because she raised patient safety issues. She turns this on its head by saying patient safety is at risk because of the behaviour of Thurdy.

It is no wonder that during Francisca Holmes’ tribunal the trust did not produce her as a witness, even though she was well placed to comment on the situation since she was ward manager where the patient death happened because it would have revealed her warning of patient safety and provided evidence to the judge of bullying of Francisca by other senior staff.

Capsticks role in the trust

Thurdy’s grievance letter also exposes another worrying feature. Not only does Capsticks have a role as the trust’s lawyer to refute Thurdy’s claims at the employment tribunal but they have a major investigating role inside the trust for handling claims and disputes. So the firm has advance notice of any trouble coming managment’s way from staff and can intervene to help refute it and be in poll position should the person takes the trust to a tribunal. The firm are basically judge and jury in whistleblowing cases at Greenwich and Lewisham NHS trust.

Queen Elizabeth Hospital, Woolwich

Worse than that the grievance letter reveals that Capsticks attempted to force Thurdy to sign a non disclosure agreement – not as part of a normal procedure to get a settlement – but while the firm were involved in the internal investigation. Fortunately she resisted or otherwise you would be banned from reading about this case.

Thurdy lost the first round of employment tribunal cases and is awaiting the result of an appeal.

Her dismissal also nearly led to her being evicted from her home. She now has got a new job at less pay than in the NHS but in a much better enviornment.

My final point is that given the current state of the NHS it can ill afford to lose experienced nurses and doctors by maligning them in whistleblowing cases – like Thurdy and Francisca – and Martyn Pitman, the popular and competent obstetrician in Hampshire and Dr David Drew at Morecambe Bay. That’s why the treatment of whistleblowers needs urgent reform.

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I

Francisca Holmes verdict: Judge says she is a whistleblower but did not suffer detriment from the trust

Francisca Holmes

Nurse Francisca Holmes lost her case against Lewisham and Greenwich NHS Trust yesterday when Judge Eoin Fowell ruled that she did not suffer detriment or discrimination after she blew the whistle following finding a dead patient in a ward at Queen Elizabeth Hospital, Woolwich.

He did say that she had legally made a protective disclosure on patient safety and health and safety following the death of patient MS, a frail elderly lady, admitted with breathing difficulties during the Covid pandemic in May 2020.

But he did not agree that the events that followed where she said she suffered detriment and was ” set up to fail ” including being put on inconvenient shifts, left in charge of the ward without a matron, passed over for courses, had a pay cut just after a pay rise, and being accused by Mr Katandika [her ward matron] of leaving without handing over her patients to the next staff shift putting patient safety at risk contrary to the nurses’ code of conduct.

The judge accepted the trust’s case that because of the Covid pandemic not all procedures , particularly over shift working, could not be followed because of staff shortages caused by many of the nurses catching Covid.

He also decided that there was no evidence of age or race discrimination and thought that Ms Holmes had misinterpreted what had been said to her.

His verbal judgement ( it will not be published unless either of the parties requests the papers) went into considerable detail of each event, drawn from the papers submitted by the trust.

One of the key points he emphasised was the long delay before Ms Holmes made the protective disclosure – not until early in the following year- which he accepted that neither Mr Katandika or any other managers were aware that they were facing a whistleblower complaint. Ms Holmes, in her own statement to the tribunal, said she wasn’t quite sure how to do this and thought it was being investigated. In fact investigations stopped and the death was put down as a “patient incident”.

Jean Firaza

The other key point for him was that the trust’s competency book, compiled by Jean Firaza, a Filipino manager and one of the people she criticised as being hostile to her said she was a good nurse and could work independently. She had few meetings than normal with Mr Katandika or Jean Firaza, to discuss her progress because she was doing well, the judge concluded. Again he blamed the Covid situation.

He also said she could have applied for promotion but had chosen not to, which is why the post went to another nurse and her complaint about losing a place on a training course was on a course as a cardiac nurse, which was designed to help another nurse and she had not applied to do that course..

Grievance allegations took a long time to investigate

He agreed that the investigation into her grievances had taken time to complete which meant she did not know what was going on. Lucie Kabatesi, was both writing and investigating her grievances while she was matron in the hospital’s busy accident and emergency department. But he said that an assertion given by her solicitor, Winston Smith, that ” she had been “chasing, chasing and chasing” to get the verdict were not born out by the evidence as there no emails showing she had done this.

He also cited Thurdy Campbell, a former manager of her ward 22, as being sympathetic to her including reducing the number of patients she had been asked to look after when she seemed to have been given too many.

But Thurdy Campbell, despite being a key manager in her life, was never called to give evidence by the trust. If she had the judge would have had to at least consider a different aspect on this case. She has told me that she had raised patient safety issues about the reconfiguration of Ward 22 as a Covid ward just two days before the patient’s death, suggesting there may have been problems there.

She also has told me that when she decided to take up Ms Holmes’s case she had a warning from senior management not to do it. She has added now that she had witnessed Ms Holmes being bullied in the ward as well.

It seems to me that the trust, obviously advised by their lawyers, Capsticks, and Old Square Chambers, is selective about who it calls in whistleblowing cases. Even though Thurdy Campbell was no longer working for the trust she could have been contacted about this. Other witnesses called by the trust now have different jobs but still gave evidence.

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How a nurse whistleblower fell foul of NHS managers after the shock of finding a dead patient in a hospital ward

Francisca Holmes

Former Ward 22 manager not called as a witness says trust is lying over events that led to patient’s death

Francisca Holmes, a 61 year old staff nurse, had worked happily at the Queen Elizabeth Hospital, Woolwich since 2019. She is a black person of African ethnicity.

But during the Covid pandemic she was shocked to go into Ward 23 on 17 May 2020 after a frail elderly patient, who had not been admitted with Covid, but with a lower respiratory condition, was found to have died and nobody had noticed.

As I reported earlier, after the document was released by the judge hearing her tribunal case, the investigation into her death has been sparse. Just one page recording a ” patient incident” for a woman who died alone in a ward full of Covid patients after vomiting, with her mask resting on a pillow and a nebuliser with no oxygen.

Ms Holmes had a five day tribunal hearing this week under judge Eoin Fowell claiming detriment over whistleblowing, constructive dismissal, and age and race discrimination. All this was challenged by the Lewisham and Greenwich NHS Trust who employed a junior barrister, Camille Ibbotson, from the law firm, Old Square Chambers at great expense to press their case.

Her discovery of the body of the patient was reported to staff nurse Mr. Rey Malabuyoc. According to her witness statement she blames a Filipino nurse ,Ms Chenee Coronado, who was looking after her, for negligence that lead to her death. She has never been asked for a statement about what happened by the trust.

The death of the patient is described more fully in her witness statement:”

“According to Biftu Ali {the day nurse on duty) , the patient had been sitting out in the chair eating yoghurt when she aspirated and peri-arrested.  A crash call was put out and patient was seen by the team.  She added that patient was in bed, settled and being nebulised.

“After handover, my colleague  went into the bay but came straight back out to call me.  The known COPD patient was found lifeless with a nasopharyngeal tube in her right nostril.  She had a face mask on and nebulised on air via an air driven machine.  There was no sight of a nasal cannula, meaning she was not getting the required oxygen.  It is note worthy that a 40% (red) venture mask laid on top of her pillow while the flow metre was on at 60%. The patient had a nasopharyngeal tube in her right nostril.”

Rodney Katandika Pic credit: Linked In

The trust’s argument is the hospital was in the middle of the Covid pandemic and nurses could not devote the time needed to look after every patient because of staff shortages. Mr Rodney Katandika, the matron, on the ward, who first investigated the situation, said in evidence to the tribunal initially there was “nothing untoward in her death”. He also resolutely denied any age and race discrimination on his part.

After the event her witness statement says the trust ” appointed Lucie Kabatesi, Matron on and sent her a list of my complaints in a letter purporting to set out my grievances. The letter specifically omitted any reference to the patient death incident and my whistleblowing complaint which I had raised. I was not advised of any other procedure to raise my concerns and it appeared that the respondent was covering up the circumstances of the patient death and my allegations.”

She says she repeated her allegations when she met Ms Kabatesi on 27 April 2021. Ms Kabatsi told the tribunal this was the first time she had raised this with her and it was added to her investigation.

Francisca Holmes claims that since reporting the death she has been subject to detriments and ” set up to fail ” including being put on inconvenient shifts, left in charge of the ward without a matron, passed over for courses, had a pay cut just after a pay rise, and being accused by Mr Katandika of leaving without handing over her patients to the next staff shift putting patient safety at risk contrary to the nurses’ code of conduct.

She seems to have had a bad relationship with Jean Firaza, a Filipino manager, describing in her statement an incident where during a handover. In her statement she says: “She was very angry, arms akimbo and leaning back and forwards. There was a discussion about the treatment we were giving to a patient.”

Jean Firaza was not called as a witness by the trust, though she attended the hearing every day.

The investigation by Ms Kabatesi was scheduled to be completed in four weeks but took six months. She was described as an expert investigator but like Mr Katandika, and Ms Ann Marie Coiley, director of nursing, had no experience of investigating whistleblowing cases. I find this strange they were chosen since the same hospital must have postgrad experience of investigating whistleblowing since it is still fighting Dr Chris Day for over ten years over his whistleblowing claims over the avoidable deaths in the intensive care unit.

Ms Holmes was never informed of the progress of the investigation and eventually frustrated resigned.

Ms Ann Marie Coiley blamed Covid problems for the failure to sort out Ms Holmes’s request for flexible working and said she had bought a ” shopping list of complaints” against the trust.

Camille Ibbotson

In her closing submission Camille Ibbotson for the trust said all her claims of unfair treatment and age and race discrimination were ” wholly unfounded.” She said all the trust witnesses who were called had provided credible evidence while she had been ” evasive” when questioned by her. She downplayed the death of the patient describing it as ” a patient incident” which seemed to me to be a rather callous dismissal when you heard the facts about the death.

Winston Brown, Ms Holmes’ solicitor, in summing up her case placed great emphasis on the fact that she been the victim of constructive dismissal by being kept in the dark about the investigation into her grievances and the trust hiding behind Covid to avoid detailed questioning about how she was treated.

He pointed out despite Covid the trust did not suspend its policy of treating staff with dignity and compassion because of the Covid crisis. As a result he thought it was in breach of the code and therefore she should be compensated. He also raised why the tribunal had not heard from Thurdy Campbell, one of the managers involved

Thurdy Campbell: former manager of Ward 22

After the publication of my blog over the trust’s failed attempt to ban me from seeing Ms Holmes’ witness statement and the ” investigation” into the patient’s death I was contacted on Linked In by Thurdy Campbell myself. She blames the death of the patient on an unplanned reconfiguration of wards 22 and wards 23 just two days before the patient died

She told me: ” I was the manager of Ward 22 at the Lewisham  and Greenwich NHS Trust who reported patient safety concerns  (via clinical incident) and sent email to senior managers  regarding  the unplanned reconfiguration process of 15 May 2020 that led to that incident (I was blindsided of the  patient’s death until Francisca Holmes raised the incident with me sometime in 2021).

” I supported FH as the ward manager during her complaint  but was dismissed from office during the investigation procedures conducted at the Trust . I was subjected to unlawful disciplinary sanctioning after reporting. “

She goes on: “I have sent Fran the info on this incident this morning . They are lying. I was slapped with a conduct letter by the DDNG (Divisional Director of Nursing Governance) for raising concerns about this incident. It has nothing to do with staff shortage. There should be a shift log book detailing activities of that day. Mr Brown should request a copy of that booklet..”

This seems to throw new light on events that were never told to the tribunal. The judgement will be given Monday afternoon.

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Death in Ward 23: Whistleblower nurse raises patient safety issues in the same hospital where Dr Chris Day is fighting avoidable deaths

Queen Elizabeth Hospital, Woolwich pic credit: Lewisham and Greenwich NHS trust

Lewisham and Greenwich NHS Health Trust is facing a second whistle blowing case at an employment tribunal over patient safety six years after Dr Chris Day, a junior doctor, in 2014 brought a still on going case on two ” avoidable deaths” in their intensive care unit.

Francisca Holmes, a 61 year old nurse who has since resigned from Queen Elizabeth Hospital, Woolwich has claimed detriment after reporting an elderly frail patient was found to have died in her ward without the staff realising this had happened. She is also claiming age and racial discrimination.

She is being represented by her local solicitor Winston Brown, from Brown and Company. The trust is being represented by solicitors Capsticks and Camille Ibbotson, a junior counsel from Old Square Chambers.

Before the hearing even started Francisca contacted me saying she have been told that a journalist could not report the case because “all NHS cases” are confidential. When I pointed out this was nonsense her solicitor told her I could be given a link to attend the remote hearing.

Camille Ibbotson, junior barrister at Old Square Chambers

Then during the hearing I requested via the chat box to see a copy of her witness statement and the report into the investigation of the death. This was vigorously opposed by Camille Ibbotson, on behalf of the trust. She claimed that under the remote practice rules I had to make a formal application for the documents explaining why I wanted them and insisting that the report contained sensitive information and the witness statement contained allegations about people I should not see.

But the salaried employment judge Eion Fowell decided that my chatbox application was equivalent to a formal request, pointing out that in a physical tribunal hearing a journalist could raise the matter directly with a judge. I had also explained that I wanted the document so I could understand the case.

After an over night discussion the judge ruled in my favour on the grounds of ” open justice” rejecting the trust’s arguments. He said the trust was ” a large professional organisation” that could have applied before the hearing to keep some of the documents in the tribunal legal bundle private but had failed to do so.

Then it was revealed that the ” investigation” into the patient death is just a one page ” incident report”. The judge allowed the report to be flashed on the screen so I could take notes. It shows that an elderly frail lady was admitted with ” lower respiratory problems” and needed, at times, a nebuliser and oxygen to stay alive.

Evidently she was found to have died because this happened during the Covid pandemic on 17 May 2020 and the trust say ward was short staffed and unable to give her the continual care they would normally do. She was found dead after vomiting with her mask on her pillow and there was no oxygen in the nebuliser.

There seemed to be no suggestion that she had Covid herself but she was in a ward with Covid patients.

I will be reporting in full when the evidence given in the tribunal hearing is finished. But I thought this tussle over getting the documents should be reported as the judge’s ruling against the trust is important. Particularly as these arguments by the trust could be repeated elsewhere by Old Square Chambers.

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