Benidorm and ‘being sane in insane places’

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I found out earlier today that LB features in a school psychology course in Benidorm. Rosie’s mate, Molly, working with Oxford summer school students, was asked if she’d heard of ‘Laughing Boy from Oxford’. The class had been focusing on David Rosenhan’s ‘Being Sane in Insane Places‘ and drew on what happened to LB.

Rosenhan’s work was a cracking piece of research conducted over 40 years ago when he and a group of people feigned ‘hearing voices’ to gain admittance to psychiatric hospitals. Once admitted (all 12 of them were admitted to various hospitals in the US) they dropped the pretence of ‘symptoms’ and told staff they were no longer unwell. They were all eventually released (stays lasted between 7-52 days) with the label of schizophrenia ‘in remission’. As Rosenhan describes in the following brief clip, average contact with staff was 6.5 minutes a day, few people visited patients and the experience was one of dehumanisation. Psychiatric hospitals as storehouses for ‘problematic’ people .

Rosenhan could be describing STATT, the now closed unit that LB died in really. Described graphically in a subsequent CQC inspection a couple of months after LB died. Forty odd years after Rosenhan’s study.

[Fill in any words here, I’ve none.]

As a sort of aside, I started to dip into academic grief literature yesterday. After two years. Ignoring the crappy, intrusive, psychobabble nonsense that dictates how parents should feel and act after the death of a child/children, there’s interesting research around sense-making and purpose finding. When a death is sudden and unexpected, bereavement is seen as an assault on meaning making.

I’m not sure how to make sense of the Benidorm story. I find it extraordinary. I almost want to contact the teacher who introduced LB’s story into these young Spanish students lives and thank her/him. I’m shocked that professionals so far away seem to get what happened and understand the wider significance, given the craphole feet dragging, and worse, we continue to experience with the relevant public bodies here.

It also highlights the exceptional learning and teaching resourses #JusticeforLB has randomly generated. A collection of artwork, proposed legislation, film, text, photography, music and other materials, crowdsourced and freely available. This includes David Harling’s powerful and shaming animation about what happened to LB which always deserves another shout out.

I learned about Rosenhan as an undergraduate when LB was a tot. A newly diagnosed tot who bounced around on his toes like Tigger. Before he was prescribed with heavy shoes. To stop him bouncing.

 

Going global and getting it

In a week in which the Justice Shed was rocked by the police decision not to put a case to the Crown Prosecution Service, there were some brighter moments. Internationally. Katherine Runswick Cole and Dan Goodley spent a chunk of last week flying the LB flag in Australia. They were at the Centre for Disability Studies, University of Sydney for various activities including a symposium on institutional disablism and workshop about the value of self-advocacy.

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Katherine then went on to New Zealand to meet with The Family Network and University of Otago, School of Education, where she shared the platform with Paul Gibson, the New Zealand Disability Rights Commissioner (pictured third from left below). And continued the tradition of LB flag flying brilliantly. Seriously. Did anyone imagine the symbolism, reach and resilience of this wondrous piece of cloth?

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The international spread of #JusticeforLB continues next week as Rich and I head for the Society for the Study of Social Problems annual conference in Chicago. A resolution proposed by Mark Sherry about LB’s death was agreed at last years conference. As Mark wrote to me at the time:

Sara, there were hundreds of people involved in motion. It went to a Directors (or Chairs) meeting, before it went to the general assembly. There were some minor ammendments, and people wanted elaboration, but it eventually passed unanimously. I was very moved, I left that session close to tears. There are good people in the world. I will scan it and send the entire resolution to you. But the massive outcome is this: “Be it further resolved that SSSP add a special session at our next conference in honor of Connor Sparrowhawk. The session will ensure that the issue continues to be discussed into the following year, with scholars examining the social problem further”.

And it is. Next Friday morning.

Among the horror, incredulity, uncertainty and and intense relentlessness of trying to gain justice and accountability from publicly accountable bodies in England, so many people, groups and organisations get it so blinking right.

Solidarity. As simple as.

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We need to talk about Mencap

The CQC published a chilling review of a Mencap run ‘service’, Precinct Road in Hillingdon, on Friday. Yep. Mencap. Documenting so much so wrong I can’t summarise it here. A series of human wrongs.

This went under the radar until Mark Neary came across it this morning and started to tweet about it.  A teeny tiny (anti) press release was eventually published later today stating very woodenly;

Mencap takes very seriously any requirements and recommendations on how to improve the quality of support we provide. After a recent CQC inspection of Precinct Road in Middlesex we have apologised fully to the people we support and their families.

We have taken immediate steps and great care to fully address the actions outlined by the CQC’s requirements and recommendations. Our procedures and environment at Precinct Road have improved as a result.

Mencap is committed to ensuring that we offer the highest quality care to enable people with a learning disability to live the lives they choose to live.

This was missing the hallmarks of a typical Mencap press release; speed and a grandiose statement by the Chief Exec – usually in cahoots with the CEO of the Challenging Behaviour Foundation – ‘calling upon the government’ to do diddly squat. (Ensuring their continued seats at any table, breakfast or otherwise, where endless, pointless but costly discussions about the provision of services can be chewed over a doughnut or ten). Oh, and no link to the CQC report. Breathtaking.

I’m left thinking… Mencap (or Menace as my autocorrect keeps calling them):

  • How could you possibly be required to improve the services you provide given you are the (self proclaimed) ‘leading voice of learning disability’? With the £b?/millions you have at hand?
  • Why did it take a CQC report to make you act at Precinct Road when it’s clear from the CQC report that the problems identified were apparent for several months?
  • Why have you only apologised to the four people who ‘live’ at Precinct Road and their families? Surely you should issue a wider apology. To all those you ‘support’ and those who fundraise and volunteer for you?
  • How you can possibly say you are committed to ensuring you offer the highest quality care to enable people with a learning disability to live the lives they choose to live… when you don’t?
  • And finally. Are you a provider or a campaigning charity? Because you clearly can’t be both.

The Tale of Laughing Boy

 

This year #107days ended with the launch of The Tale of Laughing Boy produced by My Life My Choice and Oxford Digital Media with funding from Oxford City Council. Tommy, Tyrone and Shane from MLMC worked with Oxford Digital Media (who gave their time – blooming shedloads of it – for free). Saba Salman has written a review of the film here. Since the online launch there has been a remarkable response to the film.

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It’s being shared widely as it should be by a range of people and organisations; CQC, providers, commissioners, charities and other third sector organisations and people. Even Mencap.

A screening was held last Thursday evening at the Old Fire Station in Oxford to a full house. Including our MP, Andrew Smith, BBC Oxford news (tv and radio) and the Oxford Mail. Andrew Smith, love him, was all over Sloven’s potential ‘land grab‘. Absent were representatives from Oxford City Council, Oxfordshire County Council, Oxford Healthwatch and the Oxford Clinical Commissioning Group. Typically staunch supporters of the work of My Life My Choice.

I was chatting on Skype with a colleague yesterday. He’s arranging a screening of the film at his university over a lunchtime. He was shocked when I mentioned the Oxon screening boycott. He couldn’t understand how people (ordinary, decent people) can seemingly so easily ditch their humanity and act as state agents.

I gave him the briefest outline of the early, and as yet unpublished, findings from the Mazars death review.

He visibly froze.

#107days again… Er, really?

Naive beyond naivety. We were pitched into a completely devastating, toxic, harrowing and obscene space/journey on July 4th 2013 without warning. In an instant. From pretty much nought to a billion with the opening (as kind and sensitive as you can possibly be in the circumstances) words of an A&E consultant. On that baking, baking hot July morning. The snuffing out of a young life and unleashing of horror, devastation, disbelief and pain that defies description.

From thinking about the prom on the bus to work to autopsies, coffins and cremation.

We had no idea then that two years later we’d be locked in a foul, stench ridden, rotten corner with both Sloven and Oxfordshire County Council (OCC) doing their best to extricate themselves from any responsibility for what happened. Sloven by withholding documents, pulling dirty stunts like arguing drowning is a natural way to die, sending bullying letters and consistent obstruction. OCC by conducting a secret and completely biased (non) investigation into what happened. We had no idea that the actions of both (public) bodies (and others who remain shadowy in the background through their non action) would actively add to and increase the intensity of pain and agony.

Bastards.

Naively and even despite the above, we thought that #107days this year (we never expected or wanted to have to revisit the almost spontaneous explosion of goodwill, celebration, solidarity, commitment, awesomeness and magic that unfolded last year) would incorporate the outcome of various ongoing reviews; General Medical Council, Verita and Mazars.

A nonsensical expectation.

Instead, we have no outcomes and an additional ‘thing’ to add to the wait list; the revised OCC ‘investigation’. [This is a ‘might as well wait for the fucking cows to come home’ item supposed to be finished in June.]

So what the fuck are we actually waiting for? And why?

What’s the big mystery?

LB was a fit and healthy young dude with a diagnosis of epilepsy. The STATT unit he was in was clearly crap. It was taken over by a “Trust” based 100 miles away 8 months before his death. OCC and the Oxfordshire Clinical Commissioning Group were apparently happy to shell out £3500 a week for his non care indefinitely. An independent report published 16 months ago established his death was preventable. The unit has since shut and a series of failed CQC inspections across the county have highlighted the maggoty state of provision in Sloven’s “Northern patch”.

As a vague aside, no one seems to be (publicly) going near the question of what happens to the prime chunk of land that the STATT unit was on. If it’s sold, who gets the readies? If the dosh goes to Sloven and into their southern based coffers where does that leave people/kids in Oxfordshire who need support? Ho hum. Awkward questions that won’t disappear but a brief glance at Sloven’s latest Board papers for the meeting tomorrow suggest that property sales form part of their ‘business’.

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Setting aside the monetary considerations which, along with reputation, seem to be the only thing Sloven and OCC respond to, I keep coming back to the question; what the fuck are we waiting for?

Dan Goodley and Rebecca Lawthom raised this question as they took the #JusticeforLB flag back to Glastonbury for a second year;

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Without answers, they repeated their remarkable commitment to sharing what happened to LB with Glastonbury revellers. They managed to share LB’s story, keep the flag flying high with no flagpole breakages and hook up with Rosie and Jack. Love em.

Legendary work.

Keeping the hope flickers well and truly fanned. With joyousness, humour, love and dedication. Maybe someone/organisation with any power/influence will step up too. And act. As we continually say, it ain’t rocket science.

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Of moths, pride and Paloma Faith

We’ve got a moth infestation. To the extent that I now wander round obsessively fixated on looking for tiny thin dark/black marks on walls, especially near door frames or down the sides of furniture. And then crush em. We’re going to have to repaint pretty much everywhere. Or extend moth cull to a level in which it resembles some new decorating technique; “papery flakery. In dull grey to blackish.”

Rosie was my fellow moth destroyer. We had some hilarious days a few weeks ago. Systematically searching them out with a spongy baseball bat. But Rosie’s left home now. Gone to moth free pastures [I hope]. I wonder if LB might have taken up the cause. I don’t know. He was a dedicated and committed litter hound and did a cracking number (with constant encouragement/involvement) on weeds in the front garden. I’m not sure if fleeting, flitsy/flaky insects would have rocked his boat.

Rich and I went to London today. Leaving the moths free to do what they do in a day. [Bastards]. We watched a good chunk of London Pride. Loving the brilliance, joy and creativity. A bit bored/frustrated by the (often lengthy) patches of corporate overkill. London buses featured consistently which was ace, though we were staggered by the ‘wheel stewards’. Every bus/vehicle in the parade/procession had dedicated wheel stewards. For each wheel. On a route fenced off from the public and organised to the hilt. L1014426 L1014283 L1014471-2 L1014306 Wheel stewards? LB was in a specialist NHS unit with a ratio of four staff to five patients (plus the wider learning disability specialist team) 24 hours a day. At a cost of £3,500 per week. And he died?

With no accountability, still.

Wow.

How the fuck does that work?

In more positive news, the #JusticeforLB flag has been flying at Glastonbury. Paloma Faith’s set tonight. Action not bullshit. As always.CIhnOmNWsAAl5sG.jpg-large

Updating the update. Of the update.

We’re fast approaching the second anniversary (hate, hate, hate using this word for this) of LB’s death [Howl]. 16 months after an independent report was published stating LB’s death was preventable.

Here’s an update of the latest update (March 2015). As always (and clearly forever) in no particular order:

1. The inquest: A fourth pre-inquest review meeting is being held at 2pm, September 9th, Oxford County Hall. All welcome. It’s a very public affair. The full inquest is scheduled to start on October 5th. Sloven have “unreservedly apologised” for LB’s death (as the curious Tory template (repeatedly) reminds us) but this hasn’t stopped them pulling all sorts of tricks along the pre-inquest journey. Including a bit of desperate back pedalling from that unreserved apology to argue that drowning is a natural cause of death.

2. Disciplinary councils: We referred one clinician to the GMC in May 2014. This investigation continues, slowed by some additional stuff that has cropped up. Apparently Sloven disciplinary processes led to an undisclosed number of undisclosed staff members referred to the (undisclosed) NMC. Who knows?

3. Police: The investigation continues. Staff interviews are underway.

4. Health and Safety Executive: The investigation (apparently) continues in line with 3. above.

5. Oxfordshire County Council: We’ve received legal advice on the “independent” report OCC commissioned into LB’s death without our knowledge. It seems that it is defamatory so there is ongoing legal action relating to this. OCC are sticking to the ‘We did nothing wrong’ line. Chilling really. The consultant is apparently working through the list comments/issues I was forced to identify a few weeks ago to revise the original report. I still say chuck it in the nearest bin but what power do we have? [I’m dreading receiving another version given the methodological approach].

6. Verita 2: This second, broader investigation into what happened to LB remains ongoing.

Mazars death review: The review into deaths in Sloven learning disability and mental health provision since 2011 has been extended by NHS England to allow additional work to be done. Given the announcement this week of a national review into the premature deaths of learning disabled people, this extended work makes sense.

So. That’s it really. When we sadly started #107days again this year, we naively thought some of these investigations would be completed during this time. It’s now clear that this ain’t going to happen.

It’s all a pile of cock rot really.

I’ll leave you with this pic from a holiday we had in July 2010. When life still had colour, beauty and the extraordinary (in a good way).

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Cut and paste society and template life

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Still a bit baffled by the Tory template [copy below] being pinged out by MPs in response to requests from constituents to support the #LBBill. Some people see this as a sign that the campaign is weighty and demands a response. That it’s referencing the Green Paper, keeping it out there. Yep, I can see that. I also find it pretty offensive to see cut and paste jobbies stating how “deeply saddened” MPs are by LB’s death.

“No you ain’t”, I want to snarl at them. “If you were you wouldn’t blooming well template it…”

Maybe there are bereavement templates in Tory HQ. Who knows. Maybe there’s a whole filing cabinet of templates. One for every occasion. Bit like LB used to say he had a girlfriend for every occasion; camping and funerals.

I’m interested in who produced the template and on whose say. It’s a masterpiece in saying nothing, while saying so much.

I was greatly saddened to learn about the case of Connor Sparrowhawk. I understand that past-mortem findings have shown that that he died as a result of drowning, likely to have been caused by an epileptic seizure.

I am deeply sorry that Connor died whilst in the care of Southern Health NHS Trust who I understand have acknowledged that they failed to undertake the necessary actions required to keep him safe. I think it is quite right that the hospital has now apologised unreservedly to Connor’s family.

I read the proposed Private Member Bill with great interest. I think it is an important contribution to the ongoing debate about how we best improve care for people with learning disabilities. You may be interested to know that during the last Parliament, the Department of Health held a consultation called ‘No voice unheard, no right ignored’ which looked into precisely this issue. In particular it included a section called ‘My right to be independent, to be part of a community and to live in a home I have chosen’.

I hope this is an area that the newly elected Government will choose to examine carefully before deciding how best to support and care for patients.

Thank you again for taking the time to contact me.

June 4th and the #LBBill

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It’s been about 8 months now since the idea for the #LBBill was hatched. Sparked by a tweet by Mark Neary. Acted on with a remarkable combination of expertise, cheek, experience, knowledge, rage, good cheer, humour, collectivity and common sense. What could have been a throwaway comment became something more substantial. Talk turned to action. And gained layers of substance through a chaotically (un)organised campaign of crowd sourced feedback.

Details were thrashed through with meticulous attention by people, disabled people’s organisations, self advocates, carers, professionals and others. This collective focus enabled a remarkable measure of sense to be brought to version 2. Groan dimensions accompanying much legislation/social policy erased by strong statements by those who know.

On June 4th, the ballot will be held to select MPs who will have the opportunity to apply for a Private Members Bill (PMB). We really need to encourage all MPs to get on board with the Bill and, if they’re selected high up in the ballot, lobby the socks off them.

I don’t know much about PMBs. I do know that the #LBBill is the outcome of remarkable endeavour, commitment, love and determination. I can’t imagine there are many better prepared bills in terms of whatever you want to call public involvement/engagement/co-production or just getting on with it, together. Or bills that are such a remarkable expression of joy and celebration of lives too often dismissed and ignored.

I’d champion it if I was an MP. Without hesitation.

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Ground elder and the #LBBill

Justicequilt-281After years of saying I would, I’ve started doing some gardening again. This is after fab help from family and friends (thank you). The main bit of work left now is the ground elder that’s replaced grass over the past few years. I’ve got into a bit of a rhythm trying to get rid of this. Half an hour here and there. A load of worms and two frogs. And a blue plastic leg. Thunderbirds again I suspect.

Ground elder. Blimey. A beast and a half. The roots go on and on and on. Ending in the tiniest threads with remarkable strength. The more digging, the more there is. So blinking similar to our experiences with both Sloven and Oxfordshire County Council. A rhizomatic happening of roots (power, deceit, twists and turns); the surface giving little hint (to the uninformed observer) of the well established, relentlessly strong, thriving activity below.

I clear a patch apparently thoroughly, move to the next bit and pull on a random root that takes me back to the the cleared patch. Wow. How could I miss a foot long root in a tiny patch of earth?

This week I heard that there were rumblings among official type bods that there was too much focus on LB. That

‘… an awful lot of time is being spent reviewing what happened to one young man.’

There could never be too much focus on what happened to LB for me. Well not until we get some sniff of accountability maybe. And maybe not even then. But #JusticeforLB has never been just about LB. As our ‘made up’ manifesto made clear over a year ago now. I tossed out the ‘denial’ stage of useless grief models on day one. Dead is dead and there ain’t no changing it [howl].

The campaign has always been about trying to get broader change in (a ground elder riddled) health and social care structure and provision. About creatively and doggedly both making visible and trying to remove the deep rooted crap that flourishes in these spaces.

One way to do this is by asking MPs to support our Private Member’s Bill; Disabled People (Community Inclusion) Bill 2015 (‘#LBBill’). A fairly straightforward (though speedy) task of tweeting, emailing or writing to your MP in the next week or so to ask for support.

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