Just started reading A very British Killing by Andrew Williams. About Baha Mousa, a hotel receptionist, killed by British troops during the Iraq War. A deeply horrific read for so many reasons. In the preface, Williams writes:

The underlined sections could have been written about our experiences/the experiences of other families. Substituting civilian and military commanders with NHS Foundation Trusts, NHS England, NHS Improvement and the Department of Health. Light on apologetic, heavy on disdain. With the Mazars review demonstrating a more systemic and possibly less chaotic approach to the initial violence/harm people experience (not read the book yet so just guessing… sigh).

For three years now, the failing actions of the Sloven exec have been made visible. And they still don’t have to get it. Cosseted in a ‘safe space’ woven with overlapping strands of the Health and Social Care Act (2012), the erosion of accountability and the administrative grotesque, the bureaucratic apathy and institutional failure Wilson discusses, and more.

An example of the impermeability of this space. The Sloven circulation of the briefing about this blog, a day after LB’s death [howl] and the sharing of this unspeakably vile document on these pages, wider social media and during LB’s inquest and wider social media. This exposure, this uncovering and publication of truly toxic action by an NHS Trust would surely lead to censure, to serious reflection and action at board level (and higher) about the priorities/actions of the Trust..?

Nah. Not a dicky bird. Instead, almost three years later – three years littered with failed CQC reports, deaths, critical inquest determinations and no real action – the board papers for the meeting next week state:

‘The Non-Executive Directors challenged whether the ability to respond to external reports and reputational issues should be the the Trust’s highest risk.’

Reputational risk remains top of the (inspirational) leadership board.

Having felt particularly ground down over the last few weeks/months. I’ll dredge up some optimism droplets and end with three reflections;

At least some of the slumbering non executive directors are (at last) waking up…

There will always be memories of the rebel governors and day trip to the Lyndhurst Community (involving a ‘well travelled jar of pickled onions’ with the My Life My Choice crew.)  

And Andrew Williams – who made these links between Baha Mousa, LB and others – is currently making his way through the bundles from LB’s inquest.