FPPR closure letter from CQC to St. Georges re Paula Vasco-Knight

“Dr Minh Alexander referred Paula Vasco-Knight to CQC on 12 October 2015 regarding Fit and Proper Person issues, and as of 11 May 2016, has not yet received a substantive response. However, St. George’s has disclosed a copy of  a letter from Mike Richards CQC Chief Inspector of Hospitals to St. Georges dated 16 February 2016, closing the matter. This is the letter.”

 

Sarah Wilton

Interim Chair

Chief Executive’s Office

Room 28, 1 st Floor, Grosvenor Wing

St George’s University Hospitals NHS Foundation Trust Blackshaw Road

Tooting, London SW17 OQT

 

16 February 2016

Care Quality Commission

Health and Social Care Act 2008

Fit and Proper Persons: Information of concern received

Provider name: St George’s Healthcare NHS Trust

Dear Ms Wilton

Thank you for your letter of 4 February 2016 which outlines the action the registered provider took to review the fitness of Dr Paula Vasco-Knight. This was supplied in response to our earlier correspondence with Mr Christopher Smallwood, now retired, raising information of concern we had received.

We have fully considered the more detailed information you have provided on behalf of the registered provider in respect of the queries we raised. We note that, on the basis of this information, Mr Smallwood was satisfied that Dr Paula Vasco-Knight is a fit and proper person. We note the extent to which he sought to gain an accurate picture of the allegations against Dr Paula Vasco-Knight and that the fit and proper person check for the registered provider has been completed and is thorough.

The Fit and Proper Person Management Review Meeting on 10 February 2016 concluded that, subject to confirmation by the Nursing and Midwifery Council (NMC) of their judgement, St George’s Healthcare NHS Trust, the Registered Provider, has not breached regulation 5. We were subsequently able to gain this confirmation from the NMC and consider the matter closed.

This concludes our review of the registered provider’s processes. We reserve the right to re-open the case if further information that comes to light indicates that we should.

Yours sincerely

 

Professor Sir Mike Richards

Chief Inspector of Hospitals

Cc Dr Paula Vasco-Knight, St George’s Healthcare NHS Trust cc Jim Mackey, NHS Improvement

Open letter from whistleblower Re: Paula Vasco-Knight

Open letter 26 April 2016 to the Council of Governors, St. George’s University Hospitals NHS Foundation Trust

Dear Sirs,

Ms Paula Vasco-Knight and Fit and Proper Person issues

My name is Clare Sardari. I am an Organisational Development Professional by background and one of two NHS whistleblower’s from Torbay in South Devon. In 2012 we raised concerns of nepotism by Ms Paula Vasco-Knight, who was then Chief Executive of South Devon Healthcare NHS Trust. We suffered reprisal and were both dismissed. In January 2014 an Employment Tribunal concluded that the trust run by Ms Vasco-Knight had covered up the nepotism and victimised us for whistleblowing.

Sir Robert Francis, who led the MidStaffs Public Inquiry, responded to the outcome of the Employment Tribunal with this strong criticism of the trust:

“It is important that no tolerance is afforded to oppressive managerial behaviour of the sort identified only last week by an employment tribunal in the South West, which victimises staff who raise honestly held concerns.”

“Every such case is damaging to the confidence of other staff who are contemplating raising concerns. It is clear there is much to do in this area.”

Ms Vasco-Knight stepped down as Chief Executive following these events. However, in September 2015 I was deeply shocked to hear that senior figures in the NHS had welcomed Ms Vasco-Knight back into the fold and that she had been employed at St. Georges as an interim Chief Operating Officer. I was even more astonished this week to hear that she had been promoted to Acting Chief Executive.

NHS Trusts are legally obliged to ensure that their directors are of good character and meet the Fit and Proper Person test, and under Regulation 5 the Care Quality Commission (CQC) is supposed to ensure that NHS Trusts do this effectively. I struggle to see how the board of St. Georges and the CQC could come to a reasonable conclusion that Ms Vasco-Knight is a Fit and Proper Person to be in charge of people’s lives in the light of serious criticism of her conduct by the Tribunal and its comments about her as a witness. It seems to me that only a tokenistic, diluted attempt could have been made at the Fit and Proper Person test.

Indeed, information from the Trust shows that both St. George’s staff and governors expressed concerns about Ms Vasco-Knight’s appointment. It also shows that the governors were only given a list of documents relating to the whistleblowing case, and not the actual documents themselves.

The way Ms Vasco-Knight and South Devon Healthcare NHS Foundation trust dealt with me was personally devastating, and I am now unemployable. Prior to that, I had served in the NHS and Local Government for over 25 years. I truly do not want anyone else to experience what I endured, and I am very concerned for staff and patients at St. George’s. St. George’s is under pressure and it is crucial that staff can raise concerns with confidence and resolve

them safely. However, I do not know how trust staff will have confidence to raise concerns in the light of Ms Vasco-Knight’s appointment and promotion to the top job.

The praise given to NHS whistleblowers for their courage is only lip service if the senior managers who harm them are quickly recycled back into the NHS, as if nothing ever happened.

I ask for the sake of staff and patients that the Council of Governors now examines all the relevant documents and robustly scrutinises the evidence that the St. George’s trust board claims shows that Ms Vasco-Knight is a Fit and Proper Person. I am happy to be contacted for more information.

Yours sincerely,

Clare Sardari

cc Sir Robert Francis QC

Health Committee

Jane Ellison MP Battersea, Balham and Wandsworth

Rt. Hon Sadiq Khan MP Tooting

Care and Health Overview and Scrutiny Committee Wandsworth Council

 

 

Doctor suspended for revealing Muslim surgeon REFUSED to take off hijab before operating

Express
PUBLISHED: 10:28, Mon, Mar 7, 2016
A HOSPITAL consultant has been suspended after he blew the whistle on a surgeon who refused to take off her hijab for an operation – even though it had BLOOD on it.

Royal Hallamshire and Vladislav RogozovSWNS•ROSS PARRY•IG

Vladislav Rogozov has ben suspended by the Royal Hallamshire

Vladislav Rogozov confronted his colleague when he realised she was going to keep herheadscarf on during the procedure at Royal Hallamshire Hospital, Sheffield.The hospital initially backed Dr Rogozov, 46, because its rules state religious headscarves are “excluded in areas such as theatre, where they could present a health and cross-infection hazard”.

Royal HallamshireSWNS•ROSS PARRY

The Royal Hallamshire

But after writing about the incident on a blog the Czech-born anaesthetist was suspended by the trust, who had not made the incident public when it happened in 2013.He said other medics wanted to speak out but were afraid to.

He wrote: “No one dared to highlight this issue because they feared being accused of racism.”

And he also said Muslim staff at the Yorkshire hospital took unscheduled prayer breaks during surgery.

Vladislav RogozovIG  Dr Vladislav Rogozov

It has nothing to do with the medics being Muslims. It’s his fear they let their beliefs come before the patients

Medical source

A source close to the doctor said: “Dr Rogozov won’t tolerate anything that puts patients at risk.“It has nothing to do with the medics being Muslims. It’s his fear they let their beliefs come before the patients.”

It is understood he was suspended, pending an inquiry, after a Slovakian paper and a Czech website published articles.

Royal HallamshireSWNS•ROSS PARRY

The Royal Hallamshire

Dr Rogosov’s claims are under investigation, and the surgeon he complained about left Royal Hallamshire after the trust sided with him.Sheffield Teaching Hospitals’ Dr David Throssell said: “Patient safety is our top priority. As soon as we were made aware of the publication of allegations we began an investigation.

Health boss Paula Vasco-Knight suspended over finance claims

BBC News   4 May 2016
Dr Paula Vasco-KnightImage caption Paula Vasco-Knight was suspended in 2014 after being accused of nepotism for recruiting her daughter’s boyfriend to a job at Torbay Hospital

A health boss previously criticised for her treatment of whistleblowers who had concerns of nepotism has been suspended over “financial allegations”.

London’s St George’s University Hospitals NHS Foundation Trust said the claims against acting chief executive Paula Vasco-Knight related to a previous employer.

Dr Vasco-Knight was suspended from Torbay Hospital in 2014, accused of recruiting her daughter’s boyfriend.

She resigned in May 2014.

Dr Paula Vasco-Knight has been acting chief executive at St George’s for two weeks.

The trust said: “The trust board has asked the medical director, Professor Simon Mackenzie, to fill Dr Vasco-Knight’s role.

“The allegations are financial in nature and relate to her work at a previous employer.

“The trust is not in a position to comment further at this stage.”

A spokeswoman for Torbay and South Devon NHS Foundation Trust told BBC News: “So far as we are aware these allegations do not relate to any previous role held at South Devon Healthcare NHS Foundation Trust.”

Dr Vasco-Knight was the chief executive of Torbay Hospital but, in January 2014, a tribunal found Claire Sardari and Penny Gates had been victimised as a result of whistle-blowing about their concerns.

In May 2014, the then South Devon Healthcare NHS Foundation Trust said she had decided to relocate to the north-west of England for “family reasons”.

Dr Vasco-Knight is yet to comment.

How HR can manage the new NHS whistleblowing policy

The new NHS whistleblowing policy is not going to be easy for HR teams to implement and manage. It’s not through lack of commitment by trusts, but enforcing a set of standards fine-tuned to a specific trust, will be a considerable challenge. Ben Western, public sector business development manager, at Software Europe, provides advice on how trusts can navigate the new policy and provide tips for getting started.

The arrival of the national whistleblowing policy shouldn’t be a surprise to trusts. The initial consultation took place in November last year and we’ve already had trusts talk to us about receiving policy support in the last few months. However, forewarned is not always forearmed.

There’s a lot to do and not much time. Existing local policies and procedures, if they exist, will now need urgent review to take into account the new whistleblowing policy.

Some trusts that we speak to don’t actually have an existing whistleblowing policy and others, which are able to demonstrate a policy, lack the tools to effectively manage any cases raised. Excel spreadsheets have become the de facto tool for logging all types of employee relations case, but unfortunately it doesn’t cut the mustard here.

Excel lacks the functionality to record key data, make it available to multiple people, lock down information from other people, or provide any sort of timeline or deadline alerts. No surprise really, it wasn’t designed for this job. Excel is just not going to give staff the confidence that whistleblowing cases are being handled properly.

In the next 12-months, it’s going to be important for trusts to review the new national policy, draft, ‘tweak’ or merge local policies to suit their employees and find the right tools to support them. Here’s my four tips for getting started.

 

Policy guidance

Firstly, when looking at existing policy, trusts must ensure that they are simple and easy to understand and ensure the policy is easily accessible to everyone. It should include and support as much of the workforce as possible. It needs to clearly set out the standard of behaviour expected by employees. It’s got to make clear what sort of disclosures or malpractices are covered. Transparency around whom and how to approach managers with any concerns is paramount.

 

Environment

HR managers also need to look at the wider business. Is there an environment which embraces the whistleblowing culture so it is no longer frowned upon? HR will need to make sure employees are comfortable with the whistleblowing process and understand that they will not suffer any detriment or dismissal through raising the concern.

 

Tools

HR will also need the right tools in place to do the job. Without those tools HR is hamstrung and no employee will have the confidence that a whistleblowing policy is going to be taken seriously. Any whistleblowing IT system needs to keep HR updated at every stage of the process. Email reminders and alerts are essential to keep the case on track. The system must be able to log concerns appropriately, securely and with no details missing. Depending on the case type, it should be possible to markup and treat certain cases as sensitive and confidential. It should also be possible to generate reports and automate the sharing of information with senior management and other parties so that they can evaluate the success of the policy and evaluate trends.

 

Analysis

Analytics is essential. A good system should be able to manage and interrogate case data, providing insights which managers can use to proactively identify issues and intervene. For example, if multiple whistleblowing concerns are being raised against a specific line manager, HR will be able to investigate and implement additional training or other programme to rectify the issue early.

 

The four tips above provide a good starting point for all NHS trusts facing the challenge of effectively handling whistleblowing cases compliant with policy before the 2017 deadline.

 

Equal Opportunity for all at the Caring Quality Commission

EQUAL OPPORTUNITIES FOR ALL AT THE CARING QUALITY COMMISSION – A SPARKLY LITTLE TIMELINE 

 

8 April 2016

 

An individual interested in applying for CQC’s National Guardian post wrote:

 

“I’m seeing David Behan re the NG post next week”

 

15 April 2016 a question was raised with CQC cc David Behan

 

May I enquire if potential candidates are free in the meantime to contact Mr Behan or other senior CQC staff and to request a meeting? If so, has this opportunity been publicised to ensure equal of opportunity. Please direct me to any published information on contacting CQC and arranging a meeting regarding the position. 

Yours sincerely, 

Dr Minh Alexander”

 

19 April 2016 the CQC recruitment department advised that they would not offer candidates contact with the recruiting manager before jobs are advertised:

 

I can confirm that once a vacancy is advertised on our website, if we receive a role specific query from a candidate we would allow them to speak with the recruiting manager to discuss in more detail. As a recruitment team we would not offer this prior to advertisement.”

 

 

25 April 2016, the question of 15 April was repeated to CQC cc David Behan

 

“I would be grateful if Mr Behan could address the questions from my email of 15 April, below, relating to the period before the National Guardian post is advertised:

 

“May I enquire if potential candidates are free in the meantime to contact Mr Behan or other senior CQC staff to request a meeting? If so, has this opportunity been publicised to ensure equality of opportunity. Please direct me to any published information on contacting CQC and arranging a meeting regarding the position”.

 

Best wishes,

Minh”

 

3 May 2016 CQC replied that potential applicants had NOT been invited to meet senior CQC staff:

 

“Dear Dr Alexander,

 

CQC has not invited potential applicants to contact senior CQC staff, but would consider and, where possible and appropriate, facilitate requests Russell Reynolds may receive from potential applicants to discuss the post.

 

3 May 2016 a further question was put to CQC cc David Behan:

 

“Please could Mr Behan advise if any meetings between him and individuals interested in applying for the National Guardian post were (1) arranged (2) took place before the National Guardian post was advertised on 29 April 2016.

 

Best wishes,

Minh”

 

5 May 2016 reply from CQC confirming that David Behan had met with candidates prior to advertisement of the National Guardian post on 29 April 2016:

 

“Dear Dr Alexander,

 

Mr Behan has had meetings and phone conversations with people interested in applying for the National Guardian post. Meetings were arranged and took place before 29 April. Where an individual requests a meeting – via Russell Reynolds, and where Russell Reynolds have advised that the person meets the criteria for the role – Mr Behan would be willing to meet/discuss the role with any potential applicant, subject to availability and if a mutually convenient time can be arranged.

 

Remember campers, closing date for applications is 18 May 2016. Don’t all rush at once!

From: “Docherty, Matthew” <Matthew.Docherty@cqc.org.uk>
Subject: CQC recruitment to National Freedom to Speak Up Guardian post
Date: 5 May 2016 at 13:47:50 BST
To: Minh Alexander <minhalexander@aol.com>

 

Dear Dr Alexander,
 
Mr Behan has had meetings and phone conversations with people interested in applying for the National Guardian post. Meetings were arranged and took place before 29 April. Where an individual requests a meeting – via Russell Reynolds, and where Russell Reynolds have advised that the person meets the criteria for the role – Mr Behan would be willing to meet/discuss the role with any potential applicant, subject to availability and if a mutually convenient time can be arranged.
 
Kind regards
 
Matt
 
Matt Docherty
Senior Correspondence Officer
Chairman and Chief Executive’s Private Office
Care Quality Commission
151 Buckingham Palace Road
London 
SW1W 9SZ 
 
 
Statutory requests for information made pursuant to access to information legislation, such as the Data Protection Act 1998 and the Freedom of Information Act 2000, should be sent to: information.access@cqc.org.uk
 
 
From: Minh Alexander [mailto:minhalexander@aol.com] 
Sent: 03 May 2016 14:56
To: Docherty, Matthew
Cc: Behan, David
Subject: CQC recruitment to National Freedom to Speak Up Guardian post
 
Many thanks Matt.
 
Please could Mr Behan advise if any meetings between him and individuals interested in applying for the National Guardian post were (1) arranged (2) took place before the National Guardian post was advertised on 29 April 2016.
 
Best wishes,
 
Minh
 
 
From: “Docherty, Matthew” <Matthew.Docherty@cqc.org.uk>
Subject: RE: CQC recruitment to National Freedom to Speak Up Guardian post
Date: 3 May 2016 at 14:18:05 BST
To: Minh Alexander <minhalexander@aol.com>
Cc: “Behan, David” <David.Behan@cqc.org.uk>
 
Dear Dr Alexander,
 
CQC has not invited potential applicants to contact senior CQC staff, but would consider and, where possible and appropriate, facilitate requests Russell Reynolds may receive from potential applicants to discuss the post.
 
Kind regards
 
Matt
 
 
From: Docherty, Matthew 
Sent: 25 April 2016 14:57
To: ‘Minh Alexander’
Subject: RE: CQC recruitment to National Freedom to Speak Up Guardian post
 
Dear Dr Alexander
 
Thank you for your email I will ensure that a response is sent to you.
 
Kind regards
 
Matt
 
From: Minh Alexander [mailto:minhalexander@aol.com] 
Sent: 25 April 2016 14:44
To: Docherty, Matthew
Cc: Behan, David
Subject: CQC recruitment to National Freedom to Speak Up Guardian post
 
Thank you Matt.
 
I would be grateful if Mr Behan could address the questions from my email of 15 April, below, relating to the period before the National Guardian post is advertised:
 
“May I enquire if potential candidates are free in the meantime to contact Mr Behan or other senior CQC staff to request a meeting? If so, has this opportunity been publicised to ensure equality of opportunity. Please direct me to any published information on contacting CQC and arranging a meeting regarding the position”.
 
Best wishes,
 
Minh
 
cc David Behan CEO CQC
 
From: “Docherty, Matthew” <Matthew.Docherty@cqc.org.uk>
Subject: RE: CQC recruitment to National Freedom to Speak Up Guardian post
Date: 25 April 2016 at 14:37:26 BST
To: Minh Alexander <minhalexander@aol.com>
 
Dear Dr Alexander,
 
Thank you for your query regarding the CQC’s recruitment to the post of the National Guardian. The recruitment timetable is being finalised and I can confirm that the post will be advertised on the NHS jobs website, the CQC website and in the national press. The recruitment process will be supported by an external search company who will be able to provide all the necessary information about the post.  As is standard in all recruitment by the CQC, the process will incorporate the CQC’s diversity and equality policy.
 
Kind regards,
 
Matt Docherty
Senior Correspondence Officer
Chairman and Chief Executive’s Private Office
Care Quality Commission
151 Buckingham Palace Road
London
SW1W 9SZ 
 
 
Statutory requests for information made pursuant to access to information legislation, such as the Data Protection Act 1998 and the Freedom of Information Act 2000, should be sent to: information.access@cqc.org.uk
 
 
 
From: Minh Alexander [mailto:minhalexander@aol.com] 
Sent: 15 April 2016 16:09
To: Enquiries
Cc: Behan, David
Subject: CQC recruitment to National Freedom to Speak Up Guardian post
 
Enquiries Team CQC 15 April 2016
 
Dear Sirs,
 
CQC recruitment to National Freedom to Speak Up Guardian post
 
Thank you for your email of 7 April 2016, below, in which you advise that the next advert for the National Guardian will be placed soon on the NHS Jobs site.
 
May I enquire if potential candidates are free in the meantime to contact Mr Behan or other senior CQC staff and to request a meeting? If so, has this opportunity been publicised to ensure equal of opportunity. Please direct me to any published information on contacting CQC and arranging a meeting regarding the position.
 
Yours sincerely,
 
Dr Minh Alexander
 
Cc David Behan CEO
 
 
From: Enquiries <Enquiries@cqc.org.uk>
Subject: 20160407 ENQ1-2453415259 CQC Advertisement of posts that comprise the National Guardian’s Team Response
Date: 7 April 2016 at 10:29:37 BST
 
Dear Dr Alexander,
 
Thank you for contacting the Care Quality Commission (CQC), your enquiry reference number is ENQ1-2453415259.
 
Please accept our sincere apologies for the significant delay in responding to your email enquiries dated 21 January and 1 February 2016, regarding the Advertisement of posts that comprise the National Guardian’s Team”.
 
I have been informed that the National Guardian role will shortly be advertised externally via NHS Jobs extending to some national press, but we are currently unable to give exact dates. However, it is possible to set up alerts through NHS Jobs, which will keep you updated as soon as anything is posted.
 
Once the National Guardian is appointed, we expect this will likely influence roles within the team, which will be advertised via NHS Jobs.
 
I do hope the above is helpful but please let us know if we can assist with anything further.
 
Yours sincerely,
 
Helen Burke
National Customer Services Centre Officer
National Correspondence Team
Customer & Corporate Services Directorate
Care Quality Commission
Telephone number: 03000 616161
 
The Care Quality Commission is the independent regulator of all health and adult social care in England. We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.
 
www.cqc.org.uk. For general enquiries, telephone the National Contact Centre: 03000 616161.
 
Follow us on Twitter: Twitter.Com/CareQualityCommission 
 
Statutory requests for information made under access to information legislation such as the Data Protection Act 1998 and the Freedom of Information Act 2000 should be sent to: information.access@cqc.org.uk.
 
From: Minh Alexander [mailto:MinhAlexander@aol.com] 
Sent: 01 February 2016 21:36
To: Enquiries
Subject: Fwd: ENQ1-2435133394 RE: Advertisement of posts that comprise the National Guardian’s Team
 
To Suzanne White National Customer Services Officer, CQC, 29 January 2016
 
Dear Ms White,
 
RE: Advertisement of posts that comprise the National Guardian’s Team
 
As I indicated in my later email to the enquiries team of 27, I am seeking clarification because your social media team did not provide full clarification.
 
I would be grateful for answers to my questions of 27 January to the enquiries team could be processed.
 
Yours sincerely,
 
Dr Minh Alexander
 
 
From: Enquiries <Enquiries@cqc.org.uk>
Subject: ENQ1-2435133394 RE: Advertisement of posts that comprise the National Guardian’s Team
Date: 29 January 2016 at 14:18:11 GMT
To: “‘Minh Alexander'” <minhalexander@aol.com>
 
Dear Dr Alexander,
 
Thank you for contacting the Care Quality Commission (CQC), your enquiry reference number is ENQ1-2435133394.
 
I can see on your Twitter feed that our Social media team have been discussing your queries with you. I trust these are now resolved, however, if you have any further questions please do get in touch via any of the below methods.
 
I hope that this helps. If you have any further queries please do not hesitate in contacting us again.
 
We welcome feedback and your thoughts, comments and suggestions are very valuable to us. Please share your experience with us by clicking here.
 
Yours sincerely,
 
Suzanne White
National Customer Services Centre Officer
National Correspondence Team
Customer & Corporate Services Directorate
Care Quality Commission
Telephone number: 03000 616161
  
The Care Quality Commission is the independent regulator of all health and adult social care in England. We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.
 
www.cqc.org.uk. For general enquiries, telephone the National Contact Centre: 03000 616161.
 
Follow us on Twitter: Twitter.Com/CareQualityCommission
 
Statutory requests for information made under access to information legislation such as the Data Protection Act 1998 and the Freedom of Information Act 2000 should be sent to:information.access@cqc.org.uk.
 
 
From: Minh Alexander [mailto:minhalexander@aol.com] 
Sent: 21 January 2016 17:43
Subject: Advertisement of posts that comprise the National Guardian’s Team
 
Dear Sirs,
 
I write to follow up my enquiry by twitter correspondence today: https://twitter.com/Minh_Alexander/status/690224155921420289
 
Please can CQC advise if the posts that comprise the whistleblowing National Guardian’s team will be advertised.
 
If these posts will be advertised, can CQC advise when and where the adverts will placed?
 
Yours sincerely,
 
Dr Minh Alexander

The bullying health chiefs who put cuts before care: Whistleblowers ignored and threatened with the sack

Mail on Line  By LIZ HULL FOR THE DAILY MAIL  2 May 2016
  • Health bosses at top NHS trust put thousands at risk with aggressive cuts
  • Executives ignored warnings from whistleblowers, threatened to sack them
  • Liverpool Community Health Trust bosses desperate for foundation status
  • They presided over an ‘oppressive’ culture of bullying and harassment 

Resigned: Chief Executive Bernie Cuthel

Health bosses at a top NHS trust put thousands at risk by aggressively driving through cuts at the expense of patient safety, a report has revealed.

In a case likened to the Mid-Staffordshire scandal, executives ignored endless warnings from whistleblowers – and threatened to sack them when they complained.

The £160,000 report said bosses at Liverpool Community Health NHS Trust were so desperate to gain the Government’s coveted foundation status that huge budget cuts came before care.

They presided over an ‘oppressive’ culture of bullying and harassment between 2011 and 2014, where staff were afraid to speak out.

In one case, a district nurse was taken hostage at knifepoint and sexually assaulted by a patient’s relative in 2013 – but they did nothing. Some workers were ‘driven to the brink,’ while others even considered suicide.

Only when whistleblowers alerted an MP were watchdogs brought in and top managers forced out.

It is thought to be the first time NHS staff have forced out chiefs and kept their jobs. At least one boss is still working in the NHS, but the report recommends they should be investigated.

The report, ordered by the trust’s new management imposed in April 2014 and written by an independent law firm, likened the situation to that at Mid-Staffs Hospital, where up to 1,200 patients died.

It revealed that regulators and commissioners who inspected LCHT – providing community health services for 750,000 people in Liverpool and Merseyside – also failed to notice what was going on.

Last night, Labour MP Rosie Cooper, contacted by the whistleblowers after complaints about her own elderly father’s care, demanded an inquiry. The report also revealed that bosses stockpiled £3million of taxpayers’ money due to be spent on district nurses.

Review author Moosa Patel, head of governance at law firm Capsticks, said problems began in 2011 soon after LCHT was formed.

He said chief executive Bernie Cuthel, her executive nurse and operations director Helen Lockett, director of human resources and organisational development Michelle Porteus – and the non-executive board – were determined to gain foundation status.

It meant they pushed through savings regardless of the impact on patients or staff. Introduced by Labour in 2002, foundation status enables best-performing trusts to set their own pay and build wards without prior Whitehall approval.

Michelle PorteusHelen Lockett
Named: Michelle Porteus (l) and Helen Lockett (r). A report said bosses at Liverpool Community Health NHS Trust were so desperate to gain the Government’s foundation status that huge budget cuts came before care

But the policy was discredited after it was revealed that criteria were too focused on savings.

Mr Patel found there was ‘a sustained drive from day one to achieve NHS foundation status. Inappropriate and unsafe care was not addressed and the response to adverse incidents was grossly deficient.

Speaking out about concerns was not easy. Such was the impact of this culture that some staff were driven to the brink.’

The report found that when staff raised concerns they were ignored or threatened with the sack.

When dentistry directors refused to sign off a 49 per cent or £2.7million budget cut they were suspended. Only when the chiefs were removed and new managers installed were they re-instated.

Last night Miss Cooper, who prompted the Care Quality Commission to investigate in January 2014 which led to the resignation of all three top managers, said a clinical inquiry was ‘vital’.

‘This report has uncovered an NHS scandal similar to Mid-Staffs but in community services,’ she said. ‘It is a peek through the keyhole.

‘There can be no hiding place for the executives who presided over this disgraceful state of affairs.’

An LCHT spokesman admitted there had been ‘deep-rooted’ problems but more than 150 nurses and other frontline staff had been recruited to boost quality of care.

 

Queen’s personal surgeon quits NHS Grampian 11 months after controversial suspension

The Press and Journal

23 April 2016 by Stephen Walsh

Professor Zygmunt Krukowski
Professor Zygmunt Krukowski

The Queen’s surgeon in Scotland has quit his post at NHS Grampian – a year after being controversially suspended by the health board.

Professor Zygmunt Krukowksi was suspended from his job at Aberdeen Royal Infirmary in May following a probe into his conduct.

Last night, health chiefs confirmed the 67-year-old had left NHS Grampian.

His colleague Dr Wendy Craig, who had also been suspended, has also stepped down from her job at the health board.

Neither Prof Krukowski nor Dr Craig could be contacted for comment.

The Queen’s Surgeon in Scotland is responsible for the care of the monarch when she stays at Balmoral.

It was not clear last night whether Prof Krukowski will continue with his royal duties.

When his suspension was announced last year, his predecessor Colonel Michael Stewart publicly backed him and described him as “a most professional and remarkable surgeon”.

The resignations of Prof Krukowski and Dr Craig were confirmed just days after the conclusions of a report into the behaviour of senior staff at the north-east’s flagship hospital were made public.

The report, carried out by the Royal College of Surgeons in England (RCS), called for “major changes” to be made at ARI.

It found there was “real potential” for the working environment to “impact on patient care”.

The health board came under fire following its decision to suspend both surgeons, and refer them to the General Medical Council.

The board’s former medical director, Donnie Ross, was among those who accused health bosses of taking “revenge” on the pair after they raised concerns about the running of ARI.

In addition, a total of 21 medics – all with links to NHS Grampian – criticised the suspensions, and demanded that the truth about the move was made public.

In an open letter to Health Secretary Shona Robison, they suggested it was simply because they had spoken out against management and urged her to reinstate them.

The signatories demanded a judge-led inquiry into the management of the health board.

The RCS was commissioned to lead an investigation into a “dramatic breakdown” in team work at the hospital.

The inspectors were asked to examine the behaviour of surgeons, as well as outcomes of 16 operations – mainly on the gall bladder, liver and bile ducts – in September 2014.

Initially, health bosses refused to publish the report, despite a groundswell of opposition to their decision.

The Press and Journal made two attempts to view the report under freedom of information laws – only to be given a copy of the 69-page document with 49 pages blacked out line-by-line.

However, on Monday, the Press and Journal revealed the conclusions of the report after a Scottish Information Commissioner’s ruling paved the way for them to be made public.

It emerged that a number of unnecessary operations were carried out on patients.

The report stated that “with the benefit of hindsight, the surgical treatment of these patients may not have been in their best interests”.

It also raised concerns over communication between staff at the hospital.

‘Desperate’ Tory plot to organise own letter from doctors exposed in bombshell leaked email

The Mirror   10 APR 2015
BY ANDREW GREGORY

Jeremy Hunt has been left red-faced after the leaked email was posted on social media by top health commentator Roy Lilley


Red-faced: Jeremy Hunt

Jeremy Hunt has been left red-faced tonight as a bombshell leaked email exposes a “desperate” Tory plot to organise their own letter from doctors.

It comes just days after more than 100 leading doctors signed a letter accusing the Tory-led coalition of endangering the NHS in England.

They described how the health service is “withering away”, and warned that patients would be faced with higher costs but lower standards due to the growing involvement of private firms in the NHS.

Tonight the leaked email was published on social media by top health commentator Roy Lilley who tweeted: “Tories canvassing for a ‘support the NHS’ letter from doctors – the games continue!”

Email to Doctors asking them to write to Jeremy Hunt’s advisor to get a letter asking the government to stop using the NHS as a political football
Titled “CONFIDENTIAL – Conservative Health”, it said: “Dear doctor members, There is a letter being put together saying that the NHS shouldn’t be used as a political football during the election campaign.

“If you are willing in principle to support this, please reply to Jeremy Hunt’s adviser (Christina Robinson, cc’d) and she’ll share the draft text with you.

“You can then confirm to Christina if you are happy to be a signatory.”

A Labour source told the Daily Mirror: “This is desperate stuff from a Tory election campaign that is stuck in the gutter.

“David Cameron has nothing to offer patients and can’t escape his dismal track record on the NHS. It won’t escape people’s notice that it comes on the same day waiting lists hit a new high.”

In the letter to The Guardian earlier this week, the doctors wrote: “People may be unaware that under the coalition, dozens of accident and emergency departments and maternity units have been closed or earmarked for closure or downgrading.

“In addition, 51 NHS walk-in centres have been closed or downgraded in this time, and more than 60 ambulance stations have shut and more than 100 general practices are at risk of closure.”

Prime Minister David Cameron talking at a Dementia Friends, Alzheimer's Society event at The Clare Charity Centre in Saunderton, BuckinghamshirePrime Minister David Cameron talking at a Dementia Friends, Alzheimer’s Society event at The Clare Charity Centre in Saunderton, Buckinghamshire

 

Signatories to the letter include Dr Clare Gerada, a former chair of the Royal College of General Practitioners; Prof John Ashton, retired director of public health; epidemiologist professor Michel Coleman; and Simon Capewell, professor of public health in Liverpool.

Trisha Greenhalgh, professor of primary care at Oxford; Martin McKee, professor of European public health, and Raymond Tallis, emeritus professor of geriatric medicine in Manchester, also gave their names to the document.

The Conservatives responded to the doctors’ letter by accusing Labour of orchestrating it in an attempt to “weaponise” the NHS.

Labour and Dr Gerada denied the claim.

Dr Gerada said she had put the letter together with “a few other medical leaders”.

She added: “I’m not doing this from a party political point of view. My views on the health service and the health and social care act go back and are well-known. This letter was drafted by me and some others.”

The email exposed tonight will be embarrassing for both Mr Hunt and Mr Cameron after the Conservatives have repeatedly accused Labour of “weaponising” the NHS.

A Conservative spokesman did not deny trying to organise a letter and told the Daily Mirror: “Of course we think it’s completely wrong for the NHS to be used as a political football and want as many doctors as possible to make this clear.”

NHS whistle-blower investigator in ‘Freedom to Speak Up’ role

The Telegraph  5 April 2016
Kelvin Cheatle
Kelvin Cheatle was appointed to investigate bullying allegations against the whistle-blower CREDIT: CAPSTICKS

An independent investigator who suggested an NHS pharmacist was too honest to work for the service is involved in Jeremy Hunt’s flagship scheme to encourage whistle-blowers to speak out, the Daily Telegraph can disclose.

Kelvin Cheatle was brought in from a private law firm to carry out an independent inquiry into the conduct of a staff member after she raised concerns at the now defunct Berkshire West Primary Care Trust.

He was exposed by this newspaper for apparently coaching witnesses during disciplinary proceedings against the whistle-blower, which prompted concerns about his independence.

He is now involved in Freedom to Speak Up workshops at NHS trusts across the country, encouraging health staff to raise concerns without fear of reprisal from management. 

The Health Secretary introduced the initiative following concerns that whistle-blowers faced “bullying” and “isolation” for speaking out.

Protected disclosures

Maha Yassaie had been working as chief pharmacist at the NHS when she made a number of protected disclosures to regulators in 2011.

 

Maha Yassaie

Maha Yassaie was dismissed from Berkshire West Primary Care Trust in 2012 CREDIT: JULIAN SIMMONDS/TELEGRAPH 

 

Accusations of bullying were then lodged against her, which Mr Cheatle was brought in to investigate in 2012.

In one exchange during a meeting with Mrs Yassaie, the investigator said: “I am thinking that if I had your values I would find it very difficult to work in the NHS.”

The HR consultant claimed there had been a “breakdown of relationship” at her workplace. Mrs Yassaie was later dismissed from her role.

The whistle-blower was later awarded £375,000 in a settlement in 2014, with the Department of Health admitting parts of the investigation and disciplinary processes were “flawed”.

A spokesman for Capsticks, where Mr Cheatle works, said the company had not been engaged by the Department of Health regarding the Speak Up initiative, but confirmed they had jointly hosted an event last year.

He said: “Capsticks and Mr Cheatle provide ongoing support to NHS Trusts around the country in the implementation of the Speak Up initiative.”

The spokesman insisted that Mrs Yassaie’s whistle-blowing allegations were investigated separately by the Trust and not by Mr Cheatle. He said Mr Cheatle had not questioned Mrs Yassaie’s ethics.

He added that Mr Cheatle’s exchanges with Mrs Yassaie concentrated on bullying allegations, and denied any coaching or rehearsing of witnesses. The decision to sack Mrs Yassaie was taken by the Trust, he said.

NHS whistle-blower told she was ‘too honest’ to work for the health service

The Telegraph 4 April 2016  JULIAN SIMMONDS
 Maha Yassaie at her home in Buckinghamshire
Maha Yassaie at her home in Buckinghamshire

An NHS whistle-blower who raised concerns about patient safety was told she was “too honest”​ ​to work for the organisation, The Telegraph can disclose.

Maha Yassaie, chief pharmacist at the now defunct Berkshire West Primary Care Trust, was told by a human resources consultant that her “values” made it difficult to work for the health service.

The investigator, Kelvin Cheatle, who was brought in from a private law firm to examine bullying claims and has carried out several similar inquiries for other NHS trusts, told the whistle-blower during a meeting: “If I had your values I would find it very difficult to work in the NHS”, according to a transcript of the conversation.

The independence of the consultant who made the comments has also been called into question since the conclusion of his investigation, when it emerged that he appeared to coach witnesses during the inquiry.

Mrs Yassaie was subsequently sacked from the Trust. However, following an employment tribunal in 2014, the whistle-blower was awarded £375,000 by the NHS, and the Department of Health was forced to admit that “the investigation and disciplinary processes… were, in some respects, flawed”.

The disclosures about the investigation into Mrs Yassaie after she raised concerns will fuel fears that NHS whistle-blowers are not treated fairly. 

It comes a year after a landmark report made recommendations to improve the poor treatment of people who expose wrongdoing, which the Government agreed to accept.

Former NHS head says whistle-blower report will be “largely ignored”Play!01:21

 

Mrs Yassaie had been working as chief pharmacist and leading a team at Berkshire West Primary Care Trust when she first alerted senior management to a string of concerns in 2011.  These included claims that a colleague was taking money from drug companies to prescribe certain products and a GP who accessed controlled drugs and used them to attempt suicide.

In 2012, the Trust appointed Mr Cheatle to carry out an independent investigation.

Mrs Yassaie said that she was asked to participate in an independent inquiry – believing it would address the safety concerns she had raised – only to find that she had become the target of separate disciplinary action, having been branded a “bully” by management after she made her protected disclosures.

During the inquiry, Mr Cheatle met Mrs Yassaie on several occasions.

In one meeting on August 15 2012, the investigator questioned the chief pharmacist’s “level of ethics” in light of her blowing the whistle on colleagues.

According to a transcript, which was created and circulated by one of Mr Cheatle’s colleagues, the investigator queried whether it was right for Mrs Yassaie to have raised concerns about her colleagues.

“I may know for a fact that some of the neighbours on my street are underpaying their taxes,” he said.Mrs Yassaie felt her claims about patient safety were never investigated

Mrs Yassaie felt her claims about patient safety were never investigated  

“If I report them I will probably never be invited to a street party or any other event. And this is essentially what you do. It is obviously not wrong, but it alienates your colleagues.”

“Surely you would feel you did the right thing though, if you reported your neighbours,” Mrs Yassaie replied.

“The street party would be a small price to pay for feeling good about doing the right thing.”

To which the investigator responded: “After listening to all this, I am thinking that if I had your values I would find it very difficult to work in the NHS.”

Mr Cheatle failed to uphold bullying claims, but concluded that Mrs Yassaie’s relationship with the Trust had broken down. She was subsequently dismissed from her job.

A separate inquiry by pharmacists’ regulator the General Pharmaceutical Council was later launched.  This concluded in February this year and upheld only one of 17 misconduct allegations against Mrs Yassaie. 

Mrs Yassaie told The Telegraph that she felt her claims about patient safety were never investigated.  She accused the NHS of carrying out a “deliberate hatchet job” after she told regulators about her patient safety concerns.  Mrs Yassaie has accused the NHS of “covering up” the allegations she made.

Since the conclusion of the investigation by Mr Cheatle, it has also emerged that he appeared to coach witnesses against the whistle-blower and encouraged them to “rehearse” statements.

“We need to discuss their evidence with them and ask them to focus on why [Mrs Yassaie] cannot return to work. I have held Friday pm, Monday pm, Tuesday and Wednesday and potential slots to rehearse… They should be asked to address their statements and how they feel relations have broken down,” he wrote in one email to the trust’s HR department.

A spokesman for Capsticks, the legal firm where Mr Cheatle works, said that the report he produced was “wholly independent and based purely on witness evidence, objectively obtained”.

They said that the “case was the subject of an internal process and was considered by an independent panel”.

A Department of Health spokesperson said that since Mrs Yassaie’s case they have “taken further steps to create a culture where staff feel confident and supported to raise concerns” and “strengthened protection for whistleblowers”. 

An open letter to the Health Select Committee from @NHSWhistleblowr supporting recent calls for a full independent judicial inquiry into the current inhuman NHS internal disciplinary procedures.

 

Dear Dr Wollaston and Health Select Committee members

I have attached a Times article (1 April 2016): Lawyers press NHS to ditch “kangaroo court” disciplinary process for your information.

This relates to a case which you must be aware of. Amin Abdullah was a prize-winning nurse, a model of professionalism. He committed suicide by self-immolation after being dragged through an unpleasant disciplinary procedure at his Trust. His crime was exercising his legitimate right to speak up on behalf of a colleague. His treatment and suicide are to be seen in the context of this government’s commitment to Learning not Blaming.

Mr Abdullah’s death is reminiscent of Jeremy Hunt’s words to the House of Commons on 11 February 2015 following the launch of the Sir Robert Francis’s Freedom to Speak Up Report:

He (Sir Robert) said he heard again and again of horrific stories of people’s lives being destroyed—people losing their jobs, being financially ruined, being brought to the brink of suicide and with family lives shattered.

Amina Abdullah suffered all these except of course that he did not stop at the brink of suicide.

The Health Committee is well acquainted with the problems staff who raise concerns encounter when they face disciplinary procedures.

In September 2013 in your report After Francis; making a difference, in section 3: Raising concerns and resolving disputes:

Disciplinary procedures, professional standards hearings and employment tribunals are not appropriate forums for constructive airings of honestly-held concerns about patient safety and care quality.

The Health Committee clearly understands the conflict of interest in allowing Trusts to be judge and jury over staff who they want to dismiss.

In the Times article Aprita Dutt speaks of “the vindictive behaviour of NHS managers in disciplinary cases.” That is something many of us reported to Sir Robert Francis in his review.

Following the publication of Complaints and raising concerns in January 2015 you, Dr Wollaston, were widely reported in the media as referring to the mistreatment of whistleblowers as a stain on the reputation of the NHS.

At the heart of this mistreatment, openly described by Sir Robert in his report as victimisation, is of course NHS disciplinary procedure.

This is the mechanism by which NHS Trusts dismiss whistleblowers, usually for SOSR. It is the instrument which is used by managers to rob whistleblowers not only of their jobs but often also of their careers; their physical and mental health, their ability to provide financially for their families.  In short it is an instrument of torture often used to bring pain and ruin on good staff, to stifle concerns and to keep staff silent. This is why an inquiry into NHS disciplinary procedures is long overdue.

I ask the Health Committee to support John Hendy and Paul Gilroy’s call for a full independent judicial inquiry and to make representations to the Secretary of State for the same. In view of his recent statements you may find Mr Hunt receptive to a suggestion for an inquiry. He already recognises that there is in some organisations a problem with independence.

On 9 March in a statement to the House of Commons he said:

“NHS Improvement will ask for a commitment to openness and learning to be reflected in all trust disciplinary procedures and ask all trusts   to publish a Charter for Openness and Transparency so staff can have clear expectations of how they will be treated if they report clinical errors.”

This was a reiteration of what Mr Hunt told the Global Patient Safety Summit a few days earlier. Sadly, asking those Trusts who currently misuse disciplinary proceedings to publish a “Charter for Openness and Transparency” is likely to be ineffective. What is needed is evidence of the way Trusts have in the past used the disciplinary procedure to dismiss good staff. When this analysed will provide the basis for a set of recommendations which will enable reform.

Mr Hunt ended his speech to the Global Patient Safety Summit with a wellknown quotation from Karl Popper:

“True ignorance is not the absence of knowledge but the refusal to acquire it.”

The knowledge needed to reform NHS disciplinary procedures and “create a model which complies with fair trial requirements” is easily at hand.

I have copied in Professor Kapur who organised the protest over Amin Abdullah’s death. I have also copied the lawyers named in this article and my own MP (for information only at present) Mr Andrew Mitchell.

 

Yours sincerely

 

Dr David Drew

 

Second NHS whistleblower tsar quits as Jeremy Hunt’s Department of Health sinks further into ‘crisis’

Mirror  3 APR 2016    
David Bell’s shock move back to his old NHS job follows the resignation of his boss, Dame Eileen Sills, before she even started work
David BellDeputy National Guardian David Bell has followed his old boss Dame Eileen Sills in stepping down VERY quickly

 

Health secretary Jeremy Hunt’s vow to protect medics who expose patient safety fears has hit a fresh setback.

The UK’s new deputy NHS whistleblowing tsar has left after less than six weeks in the role.

David Bell’s abrupt move back to his old NHS job follows the resignation of his boss, Dame Eileen Sills.

Campaigners say the latest exit is a sign that the new Office of the National Guardian – due to open last Friday – is in a “crisis” that means patients “will suffer”.

It was to be a centre-piece of Mr Hunt’s pledge to protect whistleblowers following the Stafford Hospital scandal.

REX/ShutterstockJeremy Hunt
Campaigners claim Health Secretary Jeremy Hunt is presiding over a ‘crisis’

Dr Minh Alexander, who was forced to quit after she exposed suicides and abuse at a mental health trust in Cambridgeshire, said of Mr Bell’s departure: “This shows the Office of the National Guardian is in crisis.

“I am not surprised – the design of the office has been flawed. What is needed is a truly independent body.

“It is patients who will suffer if the Government continues to insist upon flawed half measures.”

Read more: NHS bosses blew £61,000 on whistleblowing tsar who QUIT before starting job

The national office and a network of local Guardians based in every NHS trust were key demands of Sir Robert Francis’s review in February 2015 into NHS whistleblowing.

PAEileen Sills
Dame Eileen Sills quit before even starting work

The Care Quality Commission, the health watchdog involved in setting up the national office, declined to say if Mr Bell had quit or been pushed to return to his job at the NHS South East Commissioning Support Unit.

Dame Eileen quit last month, nine weeks after the Daily Mirror exposed how she would work only two days a week and would keep her £174,000-a-year job as chief nurse at Guy’s and St Thomas’ NHS Foundation Trust in London.

NHS England: New measures set to support whistleblowers in primary care

1 April 2016 – 09:30

NHS England is today taking significant steps to make it easier for primary care staff to raise their concerns so that action can be taken and improvements made.

Firstly new whistleblowing guidance has been drawn up which will now be consulted on for the next five weeks.  The guidance comes after Sir Robert Francis recommended that the principles outlined in his Freedom to Speak Up report be adapted for primary care, where smaller work settings can present challenges around anonymity and conflicts with employers.

The proposals, developed after working with partners and stakeholders, include:

  • Each provider should name an individual, who is independent of the line management chain and is not the direct employer, as the Freedom to Speak Up Guardian. They can offer support and listen to staff raising a concern.
  • NHS primary care providers should be proactive in preventing any inappropriate behaviour, like bullying or harassment, or discrimination towards staff who raise a concern;
  • All NHS primary care providers should review and update their local policies and procedures by March 2017, to align with the agreed guidance;

Neil Churchill, NHS England Director for Patient Experience, said: “Becoming the world’s safest health system requires us to listen to staff and act on valid concerns. In order to do this, it’s vital that NHS staff who witnesses something that risks patient safety feel able to speak out without reprisal.

“This guidance builds on existing good practice, gives staff in primary care more options to share any concerns and sets out our expectations about how those concerns should be handled. A safe NHS is an open and honest NHS where we routinely learn from mistakes and use that learning to improve patient safety.”

Today also marks NHS England becoming a ‘Prescribed Person’ under the Public Interest Disclosure Order 1999, meaning primary care service staff working at GP surgeries, opticians, pharmacies and dental practices, can raise concerns about inappropriate activity to NHS England.

The new status will provide another source for NHS employees across England to raise concerns and disclosures about their workplace in circumstances where a direct approach to their employer is not favoured, suitable or appropriate.

Karen Wheeler, National Director: Transformation and Corporate Operations welcomed the prescribed persons status, stating it was essential that staff feel empowered and without fear of reprisal for raising concerns about patient care.

“Our priorities are to ensure that NHS staff who witness something that could potentially put a patient at risk of harm feel confident that they are there to help maintain a safe, open and honest NHS where we constantly improve, routinely learn from mistakes and address how to improve patient safety.

“This will really help employees working in primary care who wish to approach NHS England as an external body.  Where NHS staff have concerns, we want to encourage them to raise them within their organisation directly and at an early stage. We recognise, however, that there will be times when NHS workers will want to approach NHS England. This may occur where for some reason staff are not able to raise a concern internally or feel they have been ignored.”

Anyone with concerns can contact the customer care centre on:

Telephone: 0300 311 22 33
Email: england.contactus@nhs.net
Post: NHS England, PO Box 16738, Redditch, B97 9PT

If you use BSL, you can to talk to us via a video call to a BSL interpreter. Visit NHS England’s BSL Service.

NHS Improvement: Whistleblowing policy for the NHS

 

Published on:1 April 2016

A national integrated whistleblowing policy that will help standardise the way NHS organisations should support staff who raise concerns.

Recommended by Sir Robert Francis in his Freedom to Speak Up review   this policy contributes to the need to develop a more open and supportive culture that encourages staff to raise any issues of patient care quality or safety.

Our policy will ensure:

  • NHS organisations encourage staff to speak up and set out the steps they will take to get to the bottom of any concerns
  • organisations will each appoint their own Whistleblowing Guardian, an independent and impartial source of advice to staff at any stage of raising a concern
  • any concerns not resolved quickly through line managers are investigated
  • investigations will be evidence-based and led by someone suitably independent in the organisation, producing a report which focuses on learning lessons and improving care
  • whistleblowers will be kept informed of the investigation’s progress
  • high level findings are provided to the organisation’s Board and the policy will be annually reviewed and improved

We expect this policy to be adopted by all NHS organisations in England as a minimum standard to help to normalise the raising of concerns for the benefit of all patients.

‘Treatment of NHS whistleblowers is ‘a stain on its reputation’

The Telegraph   By Laura Donnelly and agencies     21 Jan 2015
All NHS whistleblowers who are vindicated should be offered a personal apology, and ‘practical redress’ such as compensation or a new job, MPs say
Dr Sarah Wollaston, the MP for Totnes, said that she believed that Downing Street had shelved the idea of open primaries over fears that they may favour “outspoken” candidates.
Dr Sarah Wollaston, the MP for Totnes, said that she believed that Downing Street had shelved the idea of open primaries over fears that they may favour “outspoken” candidates.       

 

The treatment of whistleblowers by the NHS is “a stain on its reputation” which has destroyed livelihoods and caused “inexcusable pain” to health professionals, MPs have warned.

The Commons Health Select Committee said repeated failures to listen to staff who warned of risks to patients is jeopardising safety and deterring others from blowing the whistle.

Its inquiry into complaints and raising concern said every NHS whistleblower who is vindicated should be given an apology, and “practical redress” – such as a new job, or financial compensation for the damage to their career.

The damning conclusions come as a separate review of whistleblowing considers more than 17,000 submissions about the treatment meted out to those who have tried to raise the alarm on poor care.

They include Dr Raj Mattu, a cardiologist, who was suspended for eight years, then sacked,

after raising concerns about patient safety. The heart specialist told he was “hounded mercilessly” out of his job at Walsgrave Hospital in Coventry, before winning an unfair dismissal tribunal last year.

Nurse Helene Donnelly told the Mid Staffs inquiry that she became frightened to leave work unaccompanied after warning managers at Stafford Hospital that targets were being manipulated.

In a damning report, MPs said the NHS needed to do far more to ensure staff with concerns felt able to speak out.

“The treatment of whistleblowers remains a stain on the reputation of the NHS and has led to unwarranted and inexcusable pain for a number of individuals,” the report warns.

“The treatment of those whistleblowers has not only caused them direct harm but has also undermined the willingness of others to come forward and this has ongoing implications for patient safety,” it warns.

MPs also called for major changes to the NHS system of complaints, saying there should be “one gateway” for all concerns by patients, regardless of whether their concern was about a hospital, GP or social care.

Dr Sarah Wollaston, chairman of the committee, said too often those raising concerns were “plagued by delays,” while lessons failed to be learned because cases were handled by call centres hundreds of miles away.

She said: “There can be no excuse for not implementing a complaints service which is easy to use and responsive to patients and their families but sadly the situation remains variable.”

The report calls for one” single, easily identified gateway for complainants” which passes complaints to the right place.

Dr Wollaston said too often, cases were passed from pillar to post, with one complaint about a doctor in the South West of the country ending up being handled first by an NHS centre in Leeds, and then diverted to London.

She said: “In the case of primary care for example, we do not feel that complaints should be investigated in an entirely different part of the country or plagued by delays.”

The report says a separate ongoing review of NHS whistleblowing, led by Sir Robert Francis QC, the barrister who led the public inquiry into Mid-Staffs, is now considering 17,500 online responses and more than 600 written submissions.

Ex Social Worker Whistle-blower Carol Woods Detained in the orchard unit lancaster

Expose The Establishment          http://www.exposetheestablishment.com
PRESS RELEASE: DETAINED WHISTLEBLOWER CAROL WOODS INTERVIEW 5 FEB. 2016
CAROL

WHISTLEBLOWER EX CHILD PROTECTION SOCIAL WORKER CAROL WOODS DETAINED by Andy Peacher on Mixcloud

CAROL WOODS INTERVIEW 5 FEB 16                            

“​———- Forwarded message ———-Date: 5 February 2016 at 14:46
Subject: Fw: Police corruption Lancs. Use dead people.
​​

Dear Sirs, I have recently been sent an email by persons who were under the impression my case was about me and my mother. That was in innocence so I told them, my mother has been dead over 20 years, dying young. The use of my dead mother has its motive so I record the why and wherefore here for all agencies and each time the Lancashire Gestapo use my dead mother again I will send this out.

 PRESS RELEASE!

from NB

Carol Woods, CHERRY TREES, SUNNYSIDE LANE, LANCASTER, postcode LA1 5ED

​whistleblower against crimes by Police stealing children, ex-Child Protection Officer, ex-Level 3 Social Worker is missing after exposing crimes by public servants in Lancaster!

Lancashire County Council is under the control of Outside Forces, responsible for covering up serious crimes against babies and children of child kidnap and child trafficking,and ex government members secrets, in conspiracy with Police.

Here is the witness testimony which proves this: 

As a public servant, it is your personal duty to serve and protect the public, particularly whistleblowers, otherwise you are complicit in the serious crimes it is your duty to following the principles of public life.

http://www.exposetheestablishment.com/7-principles-of-public-life/

Please let the supporters of Carol Woods Safety Group know she is safe and well! And her release will be forthwith.

She has been terrorised by members of people in public office in Lancaster.  Anyone involved in these crimes is hereby removed from public office!

Staff speak out against NHS watchdog

The Times Health  March 29 2016

One member of staff said: “It would be better to provide no service at all than to give service users false hope that their concerns will be meaningfully investigated.”

 

A motion of no confidence was passed against the parliamentary health services ombudsmanPETER BYRNE/PA

Pressure is mounting on the NHS ombudsman to resign as whistleblowers at the watchdog expose a “toxic environment” fuelled by unachievable targets with hundreds of patients’ complaints remaining unsolved.

Dame Julie Mellor, the parliamentary health services ombudsman, has been accused of creating a climate of fear in which workers are penalised for raising concerns that patients’ complaints are poorly handled and pushed through simply to meet targets. Last week about 180 members of the executive committee of the Public and Commercial Services Union backed a motion of no confidence in her.

This month Mick Martin, Dame Julie’s deputy, took leave of absence pending an investigation into allegations that he helped to cover up a sexual harassment case at a hospital that cost the taxpayer almost £1.5 million.

A handful of current and former staff have spoken out against the PHSO. Their testimonies, published by the Health Services Journal, reveal an atmosphere in which inadequacy and poor quality are accepted.

One member of staff said: “It would be better to provide no service at all than to give service users false hope that their concerns will be meaningfully investigated.”

A spokeswoman for the PHSO said: “Our staff are our greatest asset. We are working positively with staff and trade unions to address the issues they have raised, as we continue to modernise our service for the benefit of the public.”

NHS bosses blew £61,000 on whistleblowing tsar who QUIT before starting job

The Mirror  29 MAR 2016   
The part-time post cost taxpayers the huge sum after it was spent on a City headhunting firm with links to the Tory party
dame eileen sills
Dame Eileen Sills was appointed as the country’s first ever National Guardian but quit before starting the role

 

Health chiefs blew more than £61,000 on the recruitment of the NHS whistleblowing tsar who quit before starting the job.

The amount is actually more than the £56,000 annual salary for the controversial part-time post.

With the NHS facing financial meltdown, the Daily Mirror can expose the “ridiculous” sum – and disclose how it was spent on an “executive search” by a City headhunting firm with links to the Tory party.

The shocking revelation immediately sparked fury among MPs, whistleblowers and patient groups.

Dame Eileen Sills was appointed as the country’s first ever National Guardian in January to help staff expose poor care after the appalling Stafford Hospital scandal.

But she resigned nine weeks later – before her official start date – after the Daily Mirror told how she would only be working two days a week and would keep her £174,000-a-year hospital job.

Dame Eileen Sills
Dame Eileen Sills receiving an honour from Prince William

 

She later admitted it was “not possible” to serve as the new NHS whistleblowing tsar at the same time as being chief nurse at Guy’s and St Thomas’ NHS Foundation Trust.

The NHS is currently under huge pressure to slash costs.

But we can reveal health chiefs spent £61,300 on the process of recruiting for the part-time whistleblowing job.

The amount would have paid for three full-time NHS nurses.

Read more: Whistleblower tsar only working for TWO DAYS a week but keeps £174,000 a year NHS job

The cash was splashed on “recruitment services” provided by Russell Reynolds Associates, a leading City headhunting firm whose directors include former Tory minister and ex-chair of the Conservative party Lord Patten.

The colossal sum wasted also included advertising costs and “minimal individual expenses”.

Health chiefs declined to provide a precise breakdown.

A furore has erupted after explosive details were disclosed following Freedom of Information Act requests made during a probe by the Daily Mirror.

Getty ImagesA general view of Staffordshire General Hospital
Dame Eileen was appointed after the scandal at Staffordshire General Hospital

 

Senior MPs said patients would be “alarmed” by the revelation, and demanded the Government “explain how” the fiasco “has been allowed to happen”.

Prominent whistleblowers and patient groups also described the “huge” amount of cash blown on the recruitment process as “ridiculous” and “a dreadful waste”.

Our findings will pile further pressure on Health Secretary Jeremy Hunt .

The National Guardian job was a centre piece of his vow to protect patients and whistleblowers following the Stafford Hospital scandal.

The national post and a network of local Guardians based in every NHS trust were key demands of Sir Robert Francis, who led a review into NHS whistleblowing back in February 2015.

His groundbreaking inquiry came after he led the probe into hundreds of patient deaths at scandal-hit Stafford Hospital.

Sir Robert’s whistleblowing review discovered reporting systems were either insufficient or not used or because medics did not feel able to speak up.

He warned patients were being put at risk of harm because details of mistakes or concerns were not routinely being raised by NHS staff.

Jeremy Hunt
The findings will pile more pressure on Jeremy Hunt

 

Mr Hunt eventually confirmed in July last year he would act on the recommendation of Sir Robert to create a National Guardian post and local Guardian posts in every NHS trust.

But the Health Secretary disappointed some whistleblowers by passing responsibility for setting up the Office of the National Guardian to health regulator the Care Quality Commission (CQC).

Key figures have blamed the Health Secretary for the bungled hiring of Dame Eileen in a part-time capacity.

Mr Hunt has declined to comment on the fiasco.

But a Department of Health source has previously insisted the decision to appoint Dame Eileen on a part-time basis had been taken by the CQC and the source claimed the Health Secretary could not have intervened to make it full time.

Dame Eileen, a highly respected nurse of more than 30 years, was appointed in January and hailed by Mr Hunt, who declared that he was “confident” she would “inspire” staff to speak out about poor treatment.

She is widely admired for her campaigning work and history of achievements in the NHS.

St Thomas' Hospital in London
Dame Eileen is chief nurse at Guy’s and St Thomas’ NHS Foundation Trust

 

She is chief nurse at Guy’s and St Thomas’ NHS Foundation Trust – recently rated as “good” by the health watchdog.

But she resigned from her new part-time role as National Guardian earlier this month – before her official start date of April 1.

She quit after admitting she had realised she could not combine her £174,000-a-year job at one of Britain’s busiest hospital trusts with her new two-day role encouraging NHS staff across the country to speak up about patient safety concerns.

In a dignified statement, she said she could not do “justice to both roles”.

Her honesty has been welcomed by health figures, with some privately praising the experienced nurse for having the courage to admit she could not perform the role of a national whistleblowing tsar on a part-time basis.

Dr Minh Alexander, a prominent whistleblower who was forced to quit after she exposed suicides and abuse at a mental health trust in Cambridgeshire, has previously blamed the fiasco on Mr Hunt, saying: “The Health Secretary bears responsibility.”

Andrew Gwynne
Andrew Gwynne has said the findings will be alarming for patients

 

She told the Daily Mirror the amount spent on the recruitment of the National Guardian was “ridiculous” and “excessive”.

She added: “I think the people involved in hiring the National Guardian could have saved themselves a whole lot of trouble – and expense – by including whistleblowers in the recruitment process.

“We could have pointed out what a complex role the National Guardian would be and how there was no way it could be done part-time, if they had only involved some of us in the process.”

Labour’s shadow health minister Andrew Gwynne MP added: “Patients will be alarmed that tens of thousands of pounds has been spent hiring a senior NHS official who quit the job days before she even started work.

“NHS staff need to have confidence that whistleblowers will be taken seriously and that the National Guardian role is filled as soon as possible.

“Ministers need to explain how this situation has been allowed to happen and what they intend to do about it.”

And Joyce Robins, of patient campaign group Patient Concern, branded the fiasco “a mess”.

Health Secretary Jeremy Hunt speaks at the Britain against Cancer conference
Jeremy Hunt needs to explain how the situation has been allowed to happen, says Andrew Gwynne

 

She described the £61,300 splashed on recruiting a part-time whistleblowing tsar as “a dreadful waste”.

She added: “The willpower for real change for patients and whistleblowers clearly isn’t there.

“The setting up of the Office of the National Guardian looks and feels like window dressing.

“People want it to look like patient safety and whistleblowers’ concerns are being taken seriously, but don’t seem to be interested in ensuring they actually are.

“Nobody appears to have given much thought to just how big a job this is, and how important it is, because if they had they would never have appointed someone part-time.

“The huge amount of money spent on hiring someone part-time is a dreadful waste.”

Asked whether it was appropriate to spend more than £60,000 on the recruitment process for someone working two days a week, a CQC spokesman said: “When recruiting senior level candidates CQC draws upon the Department of Health’s existing framework for senior recruitment.

“Russell Reynolds Associates are part of this framework and due process was followed during the recruitment of the National Guardian.”

Russell Reynolds Associates declined to comment.

A general view of Stafford Hospital
Dame Eileen was appointed after the appalling care at Stafford Hospital was revealed

 

The CQC said the £61,300 cost of the recruitment would be met equally by the NHS Trust Development Authority, NHS England, Monitor and the CQC.

When Dame Eileen was appointed in January, it was agreed Dame Eileen would not receive a salary for the two-day whistleblowing role, but would keep her £174,000 a year for the hospital job that would now only be doing three days a week.

At the time, the CQC agreed to reimburse Guy’s and St Thomas’ £56,800 a year for their lost time.

The CQC confirmed to the Daily Mirror that in addition to the £61,300 recruitment costs, it “will be paying Guy’s and St Thomas’ NHS Foundation Trust for a nine week proportion of the agreed salary”.

The spending was only revealed after this newspaper made three separate requests for data about the office of the National Guardian under the Freedom of Information Act.

Officials at the CQC warned our reporter that they had been “permitted to aggregate related requests from the same person for the purpose of calculating costs”, adding that if the “combined cost” of providing all the data was then deemed too high, they would be within their rights to “refuse all” our requests.

But officials agreed to disclose how much had been spent after it emerged the figure was also being provided to parliament.

The healthy body said the “cost of recruiting for the post of National Guardian was £61,300 including VAT”.

It added: “This figure includes the cost of executive search, advertising and minimal individual expenses.

“The recruitment services for the role were provided by Russell Reynolds Associates.”

Health chiefs declined to provide a precise breakdown. But it is thought most went on the “executive search”.

Trainee consultant who blew whistle on understaffed intensive care ward backed by ONE THOUSAND doctors

Mirror  27 MAR 2016      MARTYN HALLE
Dr Chris Day was left in charge of 15 seriously ill patients plus four other wards but has now been removed from national training scheme for consultants
Dr Chris Day
Dr Chris Day is now scraping a living as a locum working in A&E units

 

More than 1,000 doctors have written to the General Medical Council backing a trainee consultant who faces losing his career for blowing the whistle.

Dr Chris Day fears his plans to qualify as a consultant are over after he was left in charge of 15 seriously ill intensive care patients. He warned hospitals managers it was dangerous for him to look after intensive care plus four other wards.

Bosses accepted his whistle-blowing concerns that there were too few doctors on duty. But months later – when he was moving to a new hospital – the 31 year-old found that he had been removed from the national training scheme for consultants.

The move was made by Health Education England – an arm of the Department of Health – which is responsible for junior doctor training.

General Medical Council
Doctors have written to the General Medical Council

The General Medical Council also has a training role and the doctors are appealing for it to intervene.

Chris, a dad of two young children and married to a nurse, said: “They took away my training number and without that you are out. No reason was given and I had no way of appealing.

“When I asked if I could appeal Health Education England told me it had suspended its appeal process.”

 

Attempts to take his case for being a whistle-blower to an employment tribunal foundered last week. An employment appeals tribunal ruled that junior doctors are not covered by tribunals because they only have one year contracts renewed every year.

The judge accepted Health Education England’s argument that Parliament never intended to give junior doctors protection under whistle-blowing legislation.

Chris, from Woolwich, South London, who had glowing reports for his work as a trainee consultant, is now left to scrape a living as a locum working in A&E units. He said: “I think my chances of becoming a consultant in the UK are now over. The ruling is very worrying as it’s saying that if you are one of 54,000 junior doctors and you blow the whistle you have no protection. We don’t think that’s what parliament intended but that was the ruling.”

Stefan Rousseau/PA WireHealth Secretary Jeremy Hunt
Health secretary Jeremy Hunt has denied responsibility for the case

 

Papers setting out Dr Day’s case were served on Health Secretary Jeremy Hunt .

Chris said: “At first Hunt replied promising to review the case. But he then changed his position and proceeded to deny all legal responsibility for my whistle-blowing case.”

He is now pinning his hopes on an appeal to the High Court. Chris blew the whistle while working at the Queen Elizabeth Hospital in Woolwich SE London where he says the intensive care ward was ‘routinely’ understaffed against national guidelines.

Rowan Griffiths/Daily MirrorQueen Elizabeth Hospital in Woolwich
Queen Elizabeth Hospital in Woolwich

 

He said: “There should have been three doctors not just me.” A spokesman for the hospital said that since Dr Day raised his concerns intensive care staffing had been increased. A spokesman for Health Education England said it couldn’t comment as legal proceedings may still be pending.