When trusts go bad

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Walked into Oxford earlier with Rich. One of those days when there were no end of brilliant photos to take. Including a cheeky bee.

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Got home to find out one of the rebel governors, Peter Bell is under formal investigation by Sloven. Yep. Sloven are formally investigating the actions of a (rare) governor.

Sloven who:

  • initially said LB died of natural causes and all due process was followed.
  • tried to stop the publication of the first Verita investigation which found LB’s death was preventable.
  • spent nearly £300,000 on legal expenses at LB’s inquest to try to avoid accountability.
  • spent nearly £50,000 to try to sink the Mazars review into their death reporting.
  • have been found to be failing by numerous coroners over the past five years
  • etc, etc, etc…

Blimey. A formal investigation…
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‘Seriously derogatory remarks’…. Not sure where, in the guvs’ code of practice, it states ‘thou shalt not say owt negative against the hallowed trust’. What a load of bullying bullshite. Those of you following this deeply harrowing tale of a trust gone bad will know that an extraordinary meeting to discuss a vote of no confidence in the Sloven leadership was stopped on May 17 by interim chair, Tim Smart. He got the Capstick heavies involved. The discussion remains to be had. Now this.

Truly, truly extraordinary.

Extraordinary timescales too. An ‘investigation’ into the actions of a governor with such priority it can be sorted in a month. We’re into the fourth year of investigations into LB’s death. GMC, NMC, HSE.. Every one of them drawn out because of Sloven slovenliness. Delay and obfuscation.

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LB died. He died. Without any accountability. But the investigation into the actions of a governor is racing on. Interviews, evidence collecting and all. By an organisation who failed to investigate 100s of unexpected deaths in their care. I almost think I’ll wake up in a mo. Surely this can’t be happening in full view of NHS Improvement, NHS England, the CQC and Jeremy Hunt?

Surely…

In a final piece of [no words left] the Sloven annual report has been signed off.

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My incredulity monitor has finally broken.

Another sordid little tale of failure

Sloven have shut the psychiatric intensive care unit at Antelope House for 8 months. Reported in the media last week. The board papers published yesterday provide more detail (around p72).

The closing of these beds mean patients who really should not be, will be shipped to a unit in London. To a unit that ‘needs improvement’ according to the latest CQC inspection. Yep. Closing shite provision and shipping seriously unwell patients to sub-standard provision. Extraordinary.

The board papers describe how a ‘tipping point’ was reached:

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To the extent the Deanery raised concerns about the quality of Antelope House as a training place for Junior Doctors…. Deep breath. Hold on to something solid.

Sloven run a unit that isn’t a fit space to train doctors.

How can any NHS Foundation Trust run a unit that is not considered a fit space to train doctors?

What about the safety and wellbeing of the patients?

I suspect Deanery concerns led to the sudden closure of the ward at Antelope House. The CEO/Board could clearly ignore the 4/5 year of failings publicly documented over the past 3/4 years. Lives lost. Non lessons learned. Inquest after inquest after inquest, failed CQC inspection after failed inspection and the Mazars review.

Deanery rumblings and concerns around junior doctor training (with implications for Vanguard membership) generates ‘action’.

As my brain, again, slowly, slowly melts, I (easily) stumble upon a news report about Antelope House from September 2011. Yep. Really.

A report on failings identified during the inquest of a patient in 2008 and a recent (2011) failing CQC inspection report. Risk assessments not updated,                                                                                                                                                inadequate records, lack of training, etc etc. The same old same old failings. Identified over and over and over again. The then Medical Director, Huw Stone, long gone (sensible guy), did the old learning lessons spiel:

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Mr Stone, back in the day, 14 months before Sloven took over the STATT unit LB died in, said all care plans and risk assessments were now reviewed. Extra checks were conducted on standards of care. And further made up blarney. How any NHS exec can stand in front of the press/coroner and say these empty words when the lives of patients are at stake is beyond me.

No other words really.

I just wonder.

  1. How those who should be doing something about this continue to look the other way/slumber despite documented failings.
  2. How those around those who should be doing something about this, allow their colleagues, family or friends, to continue look the other way/slumber despite documented failings.
  3. How those directly implicated look the other way/slumber.
  4. When any of the the above will realise that we will continue to document this shite for as long as it takes.

 

 

I start walking…

Started walking to work this week. Prompted by consistently destructive levels of rage generated by the continued non action around the Sloven senior team.  (Despite an extraordinary evidence base of failings.) About 3-4 miles depending on the route. Monday was day 1. Bit spooky walking along a long, isolated stretch of footpath by the river to University Parks. Rich came with me the next day, love him. We found a spooked dog. Pippa. I got to work later than planned. I changed my route to High Street/George Street/St Giles…

Then went to Staffordshire, via Birmingham New Street, on Wednesday so walking was shelved. London on Thursday. Watching walking instead.

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Yesterday we walked to town. Raging slightly muted by pounding the streets. Absorbed by watching/snapping everyday life. Back on the High Street, a vaguely familiar couple were snugged up on the bench by the bus stop.

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I photographed them before. Four long years ago. In the life that was. As snug. Just mobile.

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George Street, Oxford. August 2 2012

Today I didn’t leave the house. Among working and hoovering I started reading Victim and Victimhood by Trudy Govier. Unpacking what and who a ‘victim’ is, what being a victim means and different ways of making sense of victim and victimhood. Silence, blame, deference and restoration. Hmm. I’ll keep reading. And walking.

And get a print of the photo to drop off to the couple who apparently sit on the same bench most days. And, I suspect, have a story or two to tell.

And wait. Still.

State sanctioned cruelty

L1020557Rich and I were back on the bus to London at lunchtime to meet with Norman Lamb and the Health and Safety Executive (HSE). Brilliant sunshine on the walk from Victoria to Westminster. People going about their daily biz. Three years and three days after LB died a preventable death in the care of Sloven Health. 266 days after a jury determined LB died through neglect. And still no accountability.

The meeting, at Portcullis House, largely involved discussion around the length of time the HSE investigation has taken so far as detail couldn’t be discussed.

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Our love for Norman Lamb has been a constant since the curry night when we first met him. He was instrumental in getting the HSE to investigate LB’s death. Writing to the CEO after the HSE originally decided not to investigate. I’ve not seen him in action up close before today. He was deeply impressive, carefully questioning the HSE trio throughout the meeting.  Sense, clarity, knowledge and sensitivity. Pinning down timings, process and progress.

Why did the HSE decide not to investigate originally?

I assumed when I was informed there would be an investigation it would happen straightaway.

Why is it taking so long?

Why did you not work in tandem with the police?

This is not being given the seriousness it deserves. I can only conclude it’s an indication of how learning disabled people are seen as less than human…

It amounts to cruelty to take this long. It isn’t complicated what happened.

I don’t understand why it is taking so long

Where does the failure lie?

There were mixed answers, some contradiction and non answers. The back story is that the HSE originally decided not to investigate because they decided (no idea why) that LB died as an outcome of a clinical decision. [Howl]. After Norman Lamb’s intervention five HSE people reviewed the decision and, with particular focus on the Verita report, decided to investigate. Apparently there was some blurring over investigative responsibility while the police were still involved and the HSE took primacy for the investigation after LB’s inquest in October 2015.

The HSE inspector finished her report in February and it then got stuck in some interminably slow process of internal checking for around five months until this week. It’s now been sent to legal advisors and next steps are expected to be announced at the end of October…

It’s taking so long because these things can do, it depends on the complexity of the particular case, because there was a lack of clarity over responsibility. It most definitely is not related to LB being learning disabled or (slightly less emphatically) because an NHS Foundation Trust is involved.

On the bus home, I had a look through recent HSE press releases. Three bath related investigations since December 2015.

Joseph Hobbin died in June 2013. Ark Housing Association pleaded guilty and were fined £75,000. [December 2015]

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A patient died in April 2008. NHS Kent and Medway Social Care NHS Partnership Trust pleaded guilty and were fined £107,000 plus £25,000 costs. [January 2016]

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A patient died in August 2011. The European Healthcare Group pleaded guilty and were fined £100,000 plus £50,000 costs. [June 2016].

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Blimey. Should never have happened. Well documented risks. Legal duties…

Same old same old. An alternative re-run of Sloven related inquests over the past five years. Lesley Steven, Medical Director, popping up to say lessons learned/changes made and the CEO in hiding. A grotesque and macabre dance around death. Dripping in (meaningless) and lengthy bureaucratic processes. A fine and a non rap over the knuckles. Disconnecting and siloing. No linking between instances of shit care. To enable the wheels to keep turning.

Meanwhile families continue to be brutalised.

We know LB should never have died. We knew before we walked out of the John Radcliffe A&E into blistering sunshine that July morning. He was completely failed by the state who had a duty to care for him. Since then, evidence of Sloven failings have been unprecedented. Both in volume and the extent to which they have led to no action.

Norman was spot on when he said this is a form of cruelty. State sanctioned cruelty. With no end in sight.

 

The judgement

Tim Smart makes public his judgement today. Smart was sent in by NHS Improvement, on the back of the findings of the Mazars review, of failing CQC inspections stacking up since 2013. Of clear warnings about safety issues flagged up as far back as 2011. Sent in on the back of (and only because of) the actions of people who have campaigned relentlessly, stepped up and refused to accept typical NHS (public sector) whitewash/cover up.

This has been an almighty battle. It too often is when the NHS fails. With the enduring culture one of deny, bat aside, ignore, obstruct, deny further, smear and obliteration. We have a series of NHS scandals (followed by reviews, well meaning but ultimately empty recommendations and rhetoric) to draw on. So much evidence. So little action.

The Sloven story, like any story, has many versions. The focus and attention of the post apocalyptic reviews conducted by Tim Smart, the improvement director (forgotten his name… Clive summat?) and the independent consultants brought in to review governance will all use different (but I suspect similar) lenses. None of them have engaged with families.

After a late, late night worrying about what is to unfold I’m left thinking If the people who died weren’t learning disabled or didn’t have mental health issues, none of this would have happened. If it had, to non disabled people, the CEO and board would have left Sloven pastures long ago.

A simple and damning as.

The JT Show

For some time now, we’ve had a bit of a beef with Mencrap in the Justice Shed. Not least because they continue to make the extraordinary claim to be ‘the voice of learning disability’. A claim so inappropriate I don’t really know where to start. I’ll just leave it at their failing service provision (details of which are buried deep on their website…)

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Well, and the ludicrously extravagant Strategic Executive Assistant to the CEO post currently being advertised to do the work that the CEO should probably be doing herself.

George has written about her experiences of working for Mencrap and, more recently, of daring to challenge the organisation on live television. Post Victoria Derbyshire, there was further approbation from a couple of parents on twitter. Including a baffling post about ‘Two mums’ that seems to accuse #JusticeforLB of being the equivalent of a Young Ones tribute band. Ho hum.

Anyway. Back to today. The Telegraph (I know) ran a spread about Mencrap CEO, Jan Tregelles (JT). This coincided with Mencrap’s Learning Disability Week and was published in their Lifestyle/Women section.

What did we learn from this article?

JT dined at the Sloane Club that day (a reference for typical Telegraph readers) and “Mencrap’s about giving people with learning disabilities the opportunity to experience life to the full”. She doesn’t mention it but I hope the learning disabled people she took with her enjoyed the “posh lunch with the great and good”.

The new Mencrap campaign faithfully reflects JT’s vision for learning disabled people. Such power and omnipotence. Blimey. I hope she’s using it well….

How are you using it JT?

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Oh boy. This generated some sandwich related mischievousness on twitter. Not surprisingly. From the Sloane Club to cheese sarnies down a well in the space of a few sentences*.

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JT could not peg her true colours to the learning disability gravy train she is riding more openly. Empathy? What about empowerment, autonomy, civil and human rights… ?

Sadly, the article doesn’t end there. It rattles through clothes, grooming, family, number of marriages and volunteering at Citizen’s Advice where something (not revealed) ‘clicked’ and bounced JT to Mencrap where she became PA to the ‘director’. From there it was PA to CEO.

And a series of statements so blinking depressing/enraging:

I just wanted to do something that I wanted to do. 

I would have done it for nothing. 

I could do support work now though.

Why, when you get on a bus and there is someone a bit odd are you instantly fearful.

We need to equip people to see someone with a learning disability as a person

Now Jan. I know you’ve blocked me and you ain’t interested in anything #JusticeforLB has to say but seriously, if you really want to make a difference, you are going totally arse over ‘immaculately polished’ tit about it.

  • Public attitudes really ain’t the main problem. The establishment, including Mencrap, is.
  • In Learning Disability Week the focus really ought to be on learning disabled people.
  • You should have a look at Learning Disability England. This fledging organisation has a more legitimate claim to the voice of learning disability already.
  • I really wouldn’t do support work if I was you. I’m not sure you’d be very good at it.
  • There are some serious issues around what Mencrap as an organisation do. Not least the services you provide. If you need the support of a Strategic Executive Assistant perhaps the focus of this role should be less about public relations, media and project management objectives and more about actually improving people’s lives.

But what do we know?

Postscript: To those who think it’s heresy to critically challenge ‘the voice of learning disability’, I say do one. After you’ve done the sums.

*Turns out sarnygate was freeloaded from this Brene Brown Tedtalk… (thanks to  FionaQuigs for the sharp spot).

Leadership and contact traces…

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John Sutherland, police commander, has written a cracking post  identifying 10 things he’s learned about leadership. Sloven CEO, Katrina Percy (KP), wrote a piece for the NHS Leadership Academy in August 2014. In this brief (under 400 word) piece she flags up her maternity leave and the problems she returned to. [No mention that these problems were an outcome of the (non) actions she took before maternity leave]. In the same month she wrote a letter to me in which she further elaborates on her “leadership” style.

Here I meander through Sutherland’s 10 points (summarised in italics below) and the Sloven approach to “leadership”. It ain’t a pretty read.

I.     It’s people stupid

Leaders who don’t care about people aren’t leaders at all. They might be bad managers, but that’s really not the same thing. People are precious and rare and extraordinary and brilliant and brave and creative and resourceful and kind. They are also thinking, breathing, feeling, bleeding, sometimes flawed souls who, every now and then, need a helping hand. Great leaders understand these things. They understand people.

KP doesn’t understand people. Though she talks a good ‘staff’ game. Notably the ‘thousands of staff I lead’ [shudder…]. These are the people she is ‘keen to support and promote wherever and whenever they do’ things brilliantly. Services and families are below staff ‘and partners’. Patients don’t feature. Tim Smart, interim Board Chair, clearly gets the people bit. He was open about this during the meeting with My Life My Choice.

II.     Every contact leaves a trace

Every time two objects come into contact with one another, an exchange takes place – fingerprints found at house that’s been burgled; microscopic fragments of broken glass found on the clothes of the burglar. Every time two people come into contact with one another, an exchange takes place. Spoken or unspoken, for better or for worse. Great leaders understand not only that what they do is important – but that how they do it is equally so. Because every contact leaves a trace.

Since the Holder report (2012) there has been more contact trace in Sloven dealings than in an entire box set of CSI. The Sloven CEO and board have consistently failed to recognise this. Contact trace is even more important (in a non criminal context) where this trace can be circulated and re-circulated on social media. Since Smart’s appointment there have been some traces of fresh air through Sloven corridors. Not least the mediation agreement, statement and subsequent inclusion of LB’s pic on the Sloven front page for four weeks.

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III.        Leadership is service

The first responsibility of a leader is to serve. Before anything else, to serve. If the pursuit of my own ambitions has become more important than the cause we all serve, then I have lost my way. If my promotion matters more than your progression, then I am in danger of losing myself.

The words ‘serve’ and ‘service’ were clearly replaced by reputation, dosh, ruthless ambition some time ago. Down Sloven way.

IV.     Everything can’t be a priority

If everything is a priority, then nothing is. Leaders have to decide what matters more. Leaders need to be absolutely clear about what’s most important – particularly in a world of limited resources. And they have to be consistent about it. 

In her letter to me, KP argues

good leadership is founded on a determination and deep commitment to do what is right for all parties concerned, not necessarily what might be either easiest or most popular at any particular moment in time or demanded most loudly or persistently by one group or interest than another.

This self defeating and clumsily constructed statement is yet another attempt to stick the boot in. In fact Sloven do prioritise. Their reputation. They always have. Sutherland should perhaps revise this point to capture effective and reflective prioritising.

V.     Two ears, one mouth

Great leaders are great listeners. And they understand that there is a difference between listening and hearing – and between hearing and actually doing something about what’s been said.

KP’s letter is an exemplar in not listening. A bombastic exercise in ‘me, me, me…’, brutal in callous delivery. Statements like it was ‘absolutely right’ for us to (4 mentions), ‘I believe/strongly believe’ (8 mentions), ‘deeply proud’ (1 mention) and ‘absolutely confident’ (1 mention) are breathtaking in both number and emphasis in a two page letter. Ally Roger’s analysis of KP’s communication further explores her use of language and what it reveals. Contempt and disregard basically.

VI.     Leadership requires bravery

Having courage doesn’t mean that you never feel afraid. It means feeling afraid and doing the right thing anyway. It is both physical and moral. Great leaders stand for what is right, even if it comes at personal cost. Great leaders stand against what is wrong, even if it comes at personal risk. Great leaders have difficult conversations (with people, not about people). And they do these things constructively and positively and professionally – because bravery and bullying have nothing whatsoever in common with one another.

I suspect KP thinks she’s brave. She’s refusing to step down, insisting she needs to steer the flotilla out of the darkness. This ain’t bravery (see IX below). It’s a combination of arrogance and complacency (and stupidity?) She’s not having difficult conversations with people. Audio recordings of Sloven board minutes make it clear there’s little ‘standing against what is wrong’. Little of anything at all.

VII.      The difference between activity and progress

Being busy and making a difference are not the same thing. I played a game in my younger days that involved placing my forehead on an upright broom handle and spinning round in rapid circles, before affording my  friends the opportunity to have a good laugh at my attempts to walk in a straight line. Plenty of movement. No progress whatsoever. I know a lot of busy, dizzy people.

The Sloven leadership has nailed talking the talk and making no difference. From burying the Holder report, to repeatedly not ‘learning lessons’ at inquests and failing CQC inspections. They must be dizzy at the sounds of their repeated (and meaningless statements).

Chillingly, in the 26.1.16 board minutes (around 3hrs 36 minutes) in response to James Younghusband’s mother asking KP about the Holder report and identified ligature risks, she responds that the Holder report is archived and they’ve only found the process documents not the ligature risk report. Eh? Those old contact traces? What did KP say about this back in 2014…

Firstly, openness and transparency are fundamental when things go wrong…

VIII.     Leaders must be dealers in hope

The more challenging the context, the greater the responsibility that leaders have to deal in hope – to tell the kinds of stories and to paint the kinds of pictures that get people up out of their seats and cause them to come, running. It’s not the critic who counts.

Hope schmope. The Hansard transcript from the recent Westminster House debate details the lack of hope being generated by Sloven leadership. The NHS Staff Survey similarly illustrates increasing staff disillusionment with working there:

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Hopeless.

IX.     Leadership is about character

It was the American General, Norman Schwarzkopf, who said:  ‘Leadership is a potent combination of strategy and character. But, if you must be without one, be without the strategy. Who I am matters. What I believe in and what I stand for matters. Great leaders ask you to do as they say. And as they do.

When the latest shedload of contact (CQC) trace hit the fan in May, KP (again) disappeared. Lining up sidekicks to face the barrage of press interest (badly) and without apparent support. Again, the ghost of the Leadership Academy trace (ironically called ‘When the going gets tough’) shows KP arguing:

Visible leadership is crucial, for both staff and patients.

X.     Legacy

Great leaders provide the shoulders for others to stand on. To adapt a quote from the journalist Walter Lippman: ‘The final test of a leader is that they leave behind them in others the conviction and the will to carry on.’

Not sure about number 10 in Sutherland’s list to be honest. I suppose we will hope KP leaves so we can tell what’s left behind.

There it is. Leadership. And nothing like leadership. In a Sloven nutshell.

 

 

 

The duck boat and turning tides…

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It was the launch of Learning Disability England yesterday afternoon. In the House of Lords. With afternoon tea. I came out of Westminster station with the streets flooding and the London Duck Tour waiting by the lights. Ooof… One of those moments. My mum and dad took LB and Tom for a day out on the duck boat in the holidays. Years ago. I’ve not seen it since (thought it had been disappeared).

Another sign, I thought. As the sign bucket overflowed.

On to the launch. And Learning Disability England. Guts, passion and punch also by the bucket full. A membership organisation for pretty much everyone (£12.00 a pop for membership for individuals), democratically run; e.g. no big decision will be made unless 1/3 of the vote is from learning disabled members… Wow. A wow moment that so shouldn’t wow in 2016. Underpinning principles; challenging, empowering, being creative and putting learning disabled people first. Wow… 

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The various pieces of LDE are just brilliant. Colourful. Random. Expert and passionately committed to improving people’s lives. The rain stopped…

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After nosh, tea and chat, the ‘speeches’ (brief, to the point, heartfelt and led by Gary Bourlet) included Jane Campbell who held her hands up in acknowledgement and recognition that the UK disability rights movement just didn’t think about learning disabled people back in the day. (Physically) disabled people were too busy fighting the civil rights fight.

It was an emotional event.

I remembered another afternoon tea at the House of Commons type jobby. Way back before the duck boats were recommissioned. The Mencap Breaking Point report launch. A small group of (uppity) families travelled by the train from Haddenham. We got through the day, kept a lid on the excitement, stopped a stampede on the cake table and managed to calm down a cab driver on the way back to Marylebone after LB announced there was a bomb in Big Ben… We were very much the mint chocs that come with the bill that day. Meaningless and typically tasteless trimmings.

Hearing Jane Campbell put her hands up to an omission of non inclusivity (everything about us without us…) in a diverse crowd of people, made me think how far we have come. Then that blinking boat went past on the river. Twice. In one day. A reality check.

Bring it on Learning Disability England. We will be supporting, cheering and challenging.

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The magic wand

Friday afternoon I left work mid afternoon and went to the cemetery. The outcome of the ‘settlement’ reached on Wednesday was impossible to make sense of. I just kept crying. On the bus home I received an emailed letter from Lesley Stevens (Sloven Medical Director). About the unethical study they are conducting into families experiences of their death review process. The letter inviting people to take part is being reviewed and revised by three ‘service users’, the Health Research Authority have said no ethics approval (or ethical thought apparently) is necessary and Stevens defends the use of the questions being asked of bereaved families (e.g If the review process had been perfect – if it had been everything that you would want it to be, what would it have looked like for you?with reference to the “Magic wand” question:

“if you had a magic wand, and could have three wishes granted…” (see Verma, N., (2014) Appreciative Inquiry: Practitioners’ Guide for Generative Change and Development) and the standard Solution Focused “miracle” or “future perfect” question: “Suppose a miracle happened tonight?” (see Jackson & McKergow (2002), The Solutions Focus: The simple way to positive change).”

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I read the letter. Blinked. Read it again. And bizarrely (after all this time) realised that Lesley Stevens and a sizeable chunk of the Sloven board will simply never understand (or refuse to understand) that LB died. Or engage with what #JusticeforLB has revealed over the past three years. The burying of the agreed public statement in a PDF, off a link from the Sloven news page, demonstrates the same old, same old, contempt and fakery despite an apparent “successfully mediated settlement” reached on Wednesday. A point not lost on others…

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This afternoon I sorted out some photos for Open Democracy who are going to publish the public statement as a word document so it’s permanently searchable online. [A PDF is not…]

As I did, I thought again about Steven’s reference to “a magic wand” or “a miracle” happening. And wondered [again]… how can these people possibly be in charge of an NHS trust? Still.

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The settlement

Yesterday was mediation day. As part of an action against Sloven about LB’s right to life being breached under the Human Rights Act*. The date was agreed a while back and papers were to be submitted to the mediator seven days before. Sloven submitted nothing. We got more tense the closer it got and by Tuesday night, Rich and I were pretty much in pieces, firing off random, belligerent emails to our (wonderfully calm) solicitor and pacing round the house. Necking wine.

I can barely remember the journey to London first thing in the morning. My rage at what happened to LB, what we’d been put through by Sloven and dread of the day ahead consumed me. Rich listened to music.

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The meeting was held in Doughty Street Chambers and there were three rooms. One for us and our legal team, one for the mediator and one for Sloven and their group (of several people). For the rest of the day, we sat in a big, very warm meeting room with a view, tea, coffee, water and wifi. The mediator came in and out. Our legal team went out and came back in. The sun went in and we waited.

 

At 2.30pm, the Sloven debate started at Westminster Hall. We watched parts of it in between discussions. I half watched the rest of it with the sound off. Following the tweets and texts from a mate. Sloven were getting a deservedly intense and critical panning. On the floor below and over to the left of us, their Chief Operating Officer, another staff member, their solicitors, a partner from their solicitors firm, a barrister, and a NHS Litigation Authority bod sat.

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Mid afternoon there was an enormous downpour. A get people off the streets type downpour. No umbrella could withstand the ferocity and that amount of rain. The atmosphere in the room pretty tense as deliberating and discussion continued. Andrew Smith, MP, was clearly articulating the depth of Sloven failings on the muted screen.

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Eventually, agreement was reached. Seven hours after arriving we left the chambers and went for a drink in the pub across the road. In sunshine. It was hard to make any sense of what was agreed. A good outcome apparently. I just felt deeply sad and a bit odd.

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There are two parts to the settlement.

I’ve woken up feeling as sad and odd as I felt yesterday (with a layer of new exhaustion). The statement is very clear and, given everything that’s happened [he died...] is a form of ‘vindication’, if that’s the right word, without meaningless apology. The money? It was never about money. We’ll talk about that when the kids are all here together in July.

One of our lovely nieces, Clare, messaged earlier asking ‘What does it mean for the campaign?’

Nothing really. This human rights part was never part of the Connor Manifesto so it’s business as usual. Just one horrible, ‘gruesome’ as someone put it yesterday, process done. None of this should have happened.

*We had to make sure the judge could not look back, if the ‘case’ reached court, and say we had turned down any reasonable ‘offer’. If s/he thought we had, we ran the risk of having to pay Sloven’s costs and (I think) being fined.