‘Oh Katrina,…’

I can still hear Shaun, from My Life My Choice, asking this question at the extraordinary (extraordinary) board meeting back in January:

Oh Katrina, you were clearly struggling. Why didn’t you ask for help?

While she has been strongly defending her leadership this week of course Percy ain’t a lone ranger and has a board and a council of governors to support her/ensure good governance. She also received offers of help from outside the trust. Gary Walker contacted her back in December, for example. You can’t accept help though if you don’t think you need it. And despite Shaun’s wise words, Percy continues to deny failings.  To the extent she refers to “alleged ‘failings'” in her latest report to the board.

This truly astonishing position, so far from any whiff of candour and transparency, makes me wonder how many senior bods in NHS England and the like have toe curling moments reading repeated Sloven protestations.

The jury determination at LB’s inquest was not alleged ‘failings’. The Mazars report does not contain alleged ‘failings’. The CQC  warning this week makes it clear that there are longstanding failings:

We found longstanding risks to patients, arising from the physical environment, that had not been dealt with effectively. The Trust’s internal governance arrangements to learn from serious incidents or investigations were not good enough, meaning that opportunities to minimise further risks to patients were lost.


The Sloven response to the warnings issued this week are so blinkingly similar to their response to the warning they received in March 2014. With no apparent reflection they are simply repeating the shite they dredged up two years ago.

The CQC state longstanding risks, Percy talks about recent concerns. The CQC say action was only taken by Sloven as a result of the warning notice. Percy says good progress has been made. In both responses, Percy talks about “agreement” with Monitor/NHS Improvement about what needs to be done. And takes them both “extremely seriously”. In 2014, she is going to sort it all out “over the coming weeks”. In 2016, “I, and the Board, remain completely focused on tackling these concerns as quickly as possibly”. Jaw dropping spin exposed again by Ally Rogers.

Back in December, when the Mazars report was published, Percy argued the trust wasn’t an outlier in not reviewing the deaths of certain patients. An argument so wrong given the content of the report it continues to baffle. Really? Did she really say that? In a typical Sloven move, she/they also tried to position the trust as leading the way in improving death reporting at this point. This extract from an ITV report;

kp bullshit

Spin extraordinaire. Complete billy bullshit. And George Julian laid the ‘not an outlier’ argument well and truly to rest with a monumental analysis of trust responses to the Mazars review published yesterday. George’s post demonstrates that many trusts are doing a good job (thank fuck). And responses to the Mazars report you’d  expect [in the real world that is, not Sloven spin city]. That is, a determination to scrutinise current processes to make sure they are effective. How we are still dealing with this tinpot bunch of exec muppets who clearly wouldn’t know what ‘Deliver improvements in our quality governance and Board governance’ [2014] means, remains beyond me.

petter and percy

10 thoughts on “‘Oh Katrina,…’

  1. Absolutely. Way beyond a resignation matter. Can Jeremy Hunt really have fettered his own and NHSI/Monitor’s discretion to the point where they have to allow this disaster to continue for another 6 months before actually doing anything?

  2. clear that heads at the Trust are bowed thinking when will this exposure ever go away, as the saying goes just when you ask yourself when are things ever going to get better ? they suddenly get a lot worse.

  3. The olympic gold in unconscious incompetence shown by KP is not the only issue here. For the chairman must go too, now. For a chairman to protect and bolster delusion of these dimensions, in face of all this evidence, is creepy. Some may have a stronger assessment.

    Is, something REALLY creepy going on in this Trust that people are so securely silenced?

    I suspect that the very good bits of this Trust (and people know where they are) trundle along every day, solely on the sinew and grit of it’s staff.

    No leadership or direction apart from a (cheer) leader with (viral) pom poms ? ; a bit like a huge ship fueled by rowers or a steam engine with no one hanging on to the handle; they keep on going till the fuel runs out, or hit something/someone.

    When is someone going to be brave enough to step up – speak up; stop this and turn it around?

  4. agree, turn it around for everyone , the warning was to allow sinking in time but the message was clear. Stand aside , you failed and then you carried on failing, hand over to people who will live and breathe to restore trust. Don’t continue to blacken the reputation of essential health services that people must rely on in times of need up and down the country.

  5. Sloven will continue because they can. If Sara hasn’t called their bluff, who is left. LB died, and Sloven go on. Because they can. And because our society is corrupt. Read Finola Moss.

  6. Katrina is merely a tool, and SLOVAN, and all the other trusts, the machinations of ‘governance’, a honed self preservation, unwieldy bureaucratised, gravy train machine, that is now the NHS.

    Made so, deliberately by successive governments read ‘NHS for Sale Myths, Lies and Deception’ .

    It would make no difference removing her, and the whole board, anyone, could replace them, and would still be part of this system, which is rotten, and, would continue with a few, probably temporary, tweaks to mental services.

    We need accountability in the systems.

    We need a minimum of registration of number of deaths with reasons, and proper post mortems with toxicology reports as standard.

    We need enforceable legal rights, and choice given to parents, and the mentally disabled ie the service users.
    We need this for all mental health services, not just those provided by public bodies.

    There is no point, allowing an attack on one trust to be excuse for take over and further privatisation of the NHS mental, without these basic rights and accountability.

    In the world of venture capital, or even St Andrews Private charitable, things are even worse.


  7. BRASS NECK: a type of behaviour where someone is extremely confident about their own actions but does not understand that their behaviour is unacceptable to others. ©Cambridge University Press 2016.
    Anyone come to mind?

  8. Make your own tick-list:

    Narcissistic Personality Disorder (NPD) is a pattern of self-centered or egotistical behavior that shows up in thinking and behaviour in a lot of different situations and activities. People with NPD won’t (or can’t) change their behaviour even when it causes problems at work or when other people complain about the way they act, or when their behaviour causes a lot of emotional distress to others. This pattern of self-centered or egotistical behavior is not caused by current drug or alcohol use, head injury, acute psychotic episodes, or any other illness, but has been going on steadily at least since adolescence or early adulthood.

    NPD interferes with people’s functioning in their occupations and in their relationships.

    The simplest everyday way that narcissists show (themselves) is by talking about family, work, life in general as if there is nobody else in the picture. Whatever they may be doing, in their own view, they are the star, and they give the impression that they are bearing heroic responsibility for their family or department or company, that they have to take care of everything because their spouses or co-workers are undependable, uncooperative, or otherwise unfit. They ignore or denigrate the abilities and contributions of others and complain that they receive no help at all; they may inspire your sympathy or admiration for their stoicism in the face of hardship or unstinting self-sacrifice for the good of (undeserving) others. But this everyday grandiosity is an aspect of narcissism that you may never catch on to unless you visit the narcissist’s home or workplace and see for yourself that others are involved and are pulling their share of the load and, more often than not, are also pulling the narcissist’s share as well. An example … is claiming unusual benefits or spectacular results from ordinary effort and investment, giving the impression that somehow the narcissist’s time and money are worth more than other people’s.


    1. Are possessed of an exaggerated sense of self-importance (e.g. they exaggerate achievements and talents, or expect to be recognized as superior without commensurate achievements).

    Translation: Grandiosity is the hallmark of narcissism.

    2. Are preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love.

    Translation: Narcissists cultivate solipsistic fantasies, which is to say that they live in their own little worlds (and react with affront when reality dares to intrude).

    3. Believe they are “special” and can only be understood by, or should associate with, other special or high-status people (or institutions).

    Translation: Narcissists think that everyone who is not special and superior is worthless. By definition, normal, ordinary, and average aren’t special and superior, and so, to narcissists, they are worthless.

    4. Require excessive admiration.

    Translation: Excessive in two ways: they want praise, compliments, deference, and expressions of envy all the time, and they want to be told that everything they do is better than what others can do. Sincerity is not an issue here; all that matter are frequency and volume.

    5. Have a sense of entitlement.

    Translation: They expect automatic compliance with their wishes or especially favourable treatment, such as thinking that they should always be able to go first and that other people should stop whatever they’re doing to do what the narcissists want. They may react with hurt or rage when these expectations are frustrated.

    6. Selfishly take advantage of others to achieve their own ends.

    Translation: Narcissists use other people to get what they want without caring about the cost to the other people.

    7. Lack empathy.

    Translation: They are unwilling to recognize or sympathize with other people’s feelings and needs. They “tune out” when other people want to talk about their own problems.
    In clinical terms, empathy is the ability to recognize and interpret other people’s emotions. Lack of empathy may take two different directions: (a) accurate interpretation of others’ emotions with no concern for others’ distress, which is characteristic of psychopaths; and (b) the inability to recognize and accurately interpret other people’s emotions, which is the NPD style. This second form of defective empathy may (rarely) go so far as alexithymia, or no words for emotions, and is found with psychosomatic illnesses, i.e., medical conditions in which emotion is experienced somatically rather than psychically. People with personality disorders don’t have the normal body-ego identification and regard their bodies only instrumentally, i.e., as tools to use to get what they want, or, in bad states, as torture chambers that inflict on them meaningless suffering.

    8. Are often envious of others or believe that others are envious of them.

    Translation: No translation needed.

    9. Show arrogant, haughty, patronizing, or contemptuous behaviours or attitudes.

    Translation: They treat other people like dirt.


    • The link relates to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, 1994, commonly referred to as DSM-IV, of the American Psychiatric Association.

      I have made a tick list using diagnostic criteria of the World Health Organization ICD-10 Classification of Mental and Behavioural Disorders [1993]: this is used more commonly in European countries.

      The criteria in ICD-10 are almost identical to DSM-IV, so I need not be repeat them here.

      In short, I agree with the implications: my only question is how many individuals at Sloven present with symptoms of NPD. If it were a disease, one might assume it is catching!

  9. Wow just wow! The arrogance of that woman Partridge ( is she a narcissitic sociopath ?). So sorry for your tragic loss Dr Ryan. When I heard the Brummie tones in that abusive phone call to you it sounded suspiciously like a drunk KP! I am so so angry about this a friend of mine rand one of the Southern Health Governors …Cllr Andrew Joy, & asked for Partridge to be sacked. He said “she is a highly competent , professional individual, & they (the Governors) have the utmost faith in her leadership”?! What is the power KP has over these folk? I hope fhe latest BBC revelations bury this woman’s career.

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