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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The double standards on whistleblowing by Epsom and St Helier University NHS Trust

Epsom Hospital

UPDATED: Since the publication of this blog the communications team of the St George’s, Epsom and St Helier Hospital Group have responded. It says:

It is not correct to say Ms Usha Prasad was dismissed for raising patient safety concerns. A disciplinary panel concluded that she should be dismissed for competency grounds, concerns around her practice/conduct and because relationships with key colleagues had broken down. This decision was upheld on appeal.

I shall be publishing a blog shortly on how this decision came about and how it was plainly unjust and directly aimed at ruining her career as a doctor.

An extraordinary missive has come to light from the leaders of the Epsom and St Helier University Trust ( now part of the St George’s, Epsom and St Helier Hospital Group) on whistleblowing.

The letter was sent to all staff to encourage them – that they will be safe if they disclose any unsafe practice or patient concern at the two hospitals. Indeed it says they shouldn’t hesitate to do so.

Ostensibly this followed the scandalous murders of babies at the Countess of Chester hospital which led to nurse Lucy Letby being sent to prison. The management of that hospital behaved appallingly threatening any doctor who raised the issue to cover it up and there will now be an independent inquiry.

What the letter doesn’t tell you about is the real behaviour of the top managers of that trust - its authors, chair Gillian Norton and chief executive , Jacqueline Totterdell – if anyone dares to report if something is wrong.

Dr Usha Prasad and the previous chief executive, Daniel Elkenes in better times

For this letter came out just six days after the trust were planning to land their biggest whistleblower, former consultant cardiologist, Usha Prasad, with a £180,000 costs bill for daring to raise the case of an ” avoidable death” of a heart patient at the trust and claims of racial and sexist discrimination. See hearing here.

Usha Prasad, who was dismissed by the trust, has had years of fighting the top management through employment tribunal hearings. The trust has spent a small fortune of taxpayer’s money employing battalions of lawyers to prove her wrong. The two top officials have been deaf and blind to any appeal on her behalf for reinstatement, including a letter from the chair of the British Medical Association.

Jaqueline Totterdell – chief executive

Worse than that the lawyers led by Jessica Blackburn from Capsticks and Nadia Motraghi KC, from Old Street Chambers, have continually derided her attempts to defend herself. Jessica Blackburn described her whistleblowing claim as ” unmeritorious” in correspondence and Nadia Motraghi, described her case having ” no prospect of success” during the latest cost hearing which led the judge to order her to pay £20,000 in her absence. She also painted a picture of her making a fortune as locum -based on no recent evidence- and appeared to be an expert on London house prices to justify her paying the bill.

Jessica Blackburn rushed to send her the bill only for another judge to stay the payment as Usha Prasad, a brave fighter, is to appeal the original judgement against her later this year. The trust are still charging interest at a daily rate while she appeals.

So if I were an employees of the trust I would be beware of the silken and siren tones of the letter below and think very carefully before reporting anything to the top management. Think instead of the fate of Usha Prasad.

This is a serious shame because the sentiments in the letter are fine but the reality is rather different. I am afraid I think this is more a public relations exercise than really the top management being committed to real change. I fear reputational damage always outweighs concerns about patient safety.

Read the text of the letter below:

Dear colleagues

The news of Lucy Letby’s crimes has shocked us all. These acts were a profound betrayal of patient trust, and we hold in our thoughts all those who have been affected.

We welcome the independent inquiry that will take place to identify every lesson that can be learned and to do all possible to prevent anything like it happening again.

While dreadful events like this are thankfully extremely rare, this is a stark reminder of the vital importance of us all feeling safe and confident to speak up, raise concerns, or whistleblow if we are worried about something.

We are all crucial in making sure our services run safely for our patients. It’s so important that every one of you – whatever your role – feels safe and confident to raise concerns if you have any worries. We want you to know that we will always take these seriously and you will not get into trouble for speaking up. If you feel you’re being treated differently for doing so, let us know and we will act as necessary. If you have something to say, please don’t hesitate.

Our responsibility doesn’t end with speaking up; it extends to listening to concerns and addressing them. Really listening and responding in the right way to the concerns of patients, families and colleagues should be an integral part of how we work and support each other. We know that sometimes when you raise concerns things don’t happen quickly enough, and we are introducing new measures to improve this.

In the meantime, how we respond to incidents will be strengthened across the NHS with the launch of the new Patient Safety Incident Response Framework (PSIRF) from September. It will increase opportunities to learn and improve, and for closer working with those involved.

We have a Raising concerns at work policy with more detail on the process. In summary, if you ever have concerns there are several ways you can report these, including through your manager or lead director, our Freedom to Speak Up Guardians, or, if you feel it cannot be resolved internally, organisations external to the Trust.

And of course, you can speak directly to us, or any member of our executive team or Board – we are here to listen and act as necessary on what you say.

We are sure that many of you will have found these recent events upsetting, and if you would like to talk to someone please do reach out to your line manager or to our staff support service – email esth.staffcounselling@nhs.net  or call (number deleted)

Thank you for everything you do every day to keep our patients and families cared for and safe.

With best wishes,

Gillian Norton, Chairman

Jacqueline Totterdell, Group Chief Executive

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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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Martyn Pitman: Tribunal opens next week on a popular sacked obstetrician’s fight against a NHS trust on patient safety

But it appears the employment tribunal is trying to block the public and press from attending the hearing

Martyn Pitman: Pic credit: Adele Bouchard Hampshire Chronicle

Next week in a cramped magistrates court in Southampton an employment tribunal judge will hear an extraordinary case about an extremely popular obstetrician and an exemplary clinician who was sacked by the Hampshire Hospitals NHS Foundation Trust after he raised issues of patient and staff safety in its maternity services.

The trust has denied that he was dismissed because of whistleblowing or raising patient safety issues -claiming that it wants people to speak up about these issues. In a statement last June it said : ” no member of staff has ever been dismissed for whistleblowing or raising concerns over patient safety; and they never will be.” But despite the dispute with Dr Pitman going on for four and a half years it has never said publicly why it dismissed him and will have to explain itself to the tribunal next week.

In the meantime the 57 year old obstetrician and gynaecologist has had unprecedented support from the people in Hampshire . A Facebook group called Friends of Martyn Pitman was set up by Lynda Emptage, a patient of Martyn’s for 20 years, who was so upset about news of his dismissal, that she wanted an inquiry. It now has 1,700 members.

Sarah Parish Pic credit: Somerset Live

He has also been publicly praised by  Broadchurch actress Sarah Parish who credits Martyn with saving not only her life but also her daughter Nell’s life. She had a late baby in her early 40s and without his intervention in an emergency she believes both of them would have died. He has also had an article about his concerns in The Times and appeared on breakfast TV.

The timing of the case is also embarrassing for the trust as it comes straight after the national scandal at the Countess of Chester hospital where Lucy Letby, a nurse, was convicted by a jury of murdering babies and the management of the trust emerged as threatening doctors and forcing them to write a letter of apology to her after they raised genuine concerns.

The trust appears to have been extremely reluctant to have any employment tribunal hearing at all. In April this year it attempted to strike out his defence and was largely unsuccessful.

Now the trust has decided to spend hundreds of thousands of pounds of taxpayer’s money employing the former head of Old Square Chambers and part time employment judge, Mark Sutton, for the three week hearing. Mr Sutton is more used to taking cases to the Supreme Court and Court of Appeal as well as representing trusts and doctors ” fitness to practice ” cases. His CV says he” is the sort of person who would inspire confidence in any judge” but also an expert lawyer on doctor’s disciplinary cases.

Dr Pitman, who is backed by the British Medical Association, is also represented by Old Square Chambers. His brief is Jack Mitchell. His CV on Old Square Chambers website says he is the ” go to junior counsel ” for whistleblowers and he has written two books on whistleblowing and an article on  whistleblowing in sport. He has represented Babcock, Eurotunnel, Paul Smith, Royal Mail, Thomson Reuters, The Ritz, Terrence Higgins Trust and the BBC in previous cases. He has represented clients with successful claims against companies including, Lloyds Bank, HSBC and HP.”

So whatever happens in this case Old Square Chambers are going to make a small fortune out of this hearing. Solicitors in the case are Bevan Brittan, for the trust and Capital Law for Dr Pitman.

Entrance to Southampton Magistrates Court. Pic Credit: Southampton Daily Echo

There is also some concern about whether the public and the press will be able to hear and report the case. For a start Southampton Magistrates Court is a very small one. Some people say it is pokey and will hardly hold many people once the teams of lawyers and staff from the trust have taken up the seats. The entrance as you can see above is hardly inviting. Given the huge interest among the public in the case with 1700 on one website supporting Dr Pitman it is rather surprising the court authorities chose such a pokey venue.

It is also not listed as a hybrid hearing – both in person and on line – even though Southampton can have hearings remotely. People, including myself, and a number of distinguished physicians and whistleblowers across the UK have applied for a remote link to hear the proceedings but have had no response from the employment tribunal service beyond a standardised letter of acknowledgement.

Frankly as the judiciary is supposed to be committed to ” open justice” I think a refusal to allow people to attend remotely will be seen as ” hole in a corner justice” particularly as employment tribunals do not keep a record of the proceedings themselves.

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