Suspending what?

Reminded Connor’s inquest finished 10 years ago tomorrow. I gave evidence yesterday in 2015. I rarely, can barely, bear to think back to those days. Even writing this first sentence fills me with an overwhelming sense of dread. Eased in part by remembering the unwavering support we received from so many people. Family, friends, friends of friends, colleagues, and countless others. The courtroom was full daily with people who cared. Who recognised Connor mattered. He matters. 

Memory tattery. The family room packed with fast food smells, intense ‘strategic’ discussions with our legal counsel held perching on the arms of the massive, dark blue settees or lost in the depth of these beasts where it was hard to know where limbs, bodies, warmth, love started or ended in the strangeness and sadness of that room. Its furnishings, safety and the cruelty of the courtroom a few steps beyond.

Looking back now, we collectively owned the space without recognising it. Not just the nosh wrappers. A bank of integrity, George Julian’s live tweeting at the frontline. Amplifying the unspeakable hostility and defensiveness the NHS leans into when it fails people so blinking badly. Rising above quibbles about tweeting interfering with the court recording devices to let people beyond know what unfolds in these processes.

Love, Nintendo distraction, waiting, exhaustion, so much sadness. Rage. Always rage. Dirty, grubby tricks. And love.

The #JusticeforLB collective standing firm against everything thrown at us. The coroner’s officer Beth checking we were ok, making sure Connor’s photos were prominently displayed. My Life My Choice members attending daily, negotiating the dated courtroom setting and rules, learning to stand (why?) when the coroner entered the room. 

The stuff of barrel scraping conducted by legal counsels was all the more remarkable because the death of someone with learning disabilities rarely led to an inquest hearing. Erasure mechanisms worked seamlessly until the likes of a pesky mother wrote a blog providing contemporaneous records that could not be ignored. Leading to intense efforts to discredit, destroy. Howlers and howlings around me daring to work full time and failing to inform health professionals about the very basics in basic health care.

The work of our legal team, Charlotte Haworth Hird, Caoilfhionn Gallagher KC and Paul Bowen KC meant these efforts landed awkwardly, missed the mark. The jury were sharp, attentive and invested in justice. Their consistent questioning of each witness further highlighted the absurdity of the ‘defence’ of those responsible. 

It’s interesting that what I remember now is what was recorded at the time, words and photos. The big story. While so much else went on. Friends picking up dog walking, cooking, everyday life outside of walking into the Oxfordshire County Council building for two weeks. To listen to the unspeakable.

Now, I wonder how or why so much of what unfolded was allowed to go unchallenged by the coroner. Blame blasts fired without comment. At the time, I was focused on the endpoint. Of getting accountability for Connor’s death. That was what mattered. Answer, obey, don’t rise to provocation.

The proceedings were, with hindsight, grotesque. Two years later, at a GMC hearing run by the MPTS that dragged on for over a year, the brutality of the responsible clinician’s legal counsel cross-examination led to me becoming unwell. This was apparently fine. No one stepped up to say stop it at the time, or after. No one. A letter to the chair of the MPTS about the brutality of the questioning was knocked backed with a ‘tsk tsk, if you dare complain about a medic, you should be prepared to be robustly challenged’ answer.

I live with the experience of gripping a witness box edge to look at a jury and answer questions about my failings as a mother when my beautiful boy was left to drown in a hospital bath. I live with the experience of sitting in a room on the fifth floor of a building on the Oxford Road in Manchester, near where I now work, being told that the responsible clinician was upset by my witness statement about her ‘care’. In front of a GMC panel who after nearly two hours of cross examination didn’t ask if I wanted a break as my world visibly spun out of kilter. 

These processes (still) operate by allowing the brutalisation of bereaved families and protecting (certain) health and social care staff.

How is it possible to sit by and allow this to happen? What the hell do you suspend to allow yourself to simply. not. notice?

And what would it take to wake you from this?

PS. He wasn’t late.

Louis Cartwright and the absent blood tests

Louis is the latest young person whose inquest was covered by George Julian. Her posts include family photos of a beautiful young cheeky chappy who looks like he’s on the cusp of taking on the world. Except he can’t. Because a dereliction of anything resembling “health care” led to his death before he could enjoy his 18th birthday trip to the US.

Louis’s inquest lasted one day. There were four witnesses; two doctors from the hospital, a GP and an expert witness. Louis was taken to A&E in January 2023 after being pale and out of sorts to an extent that alarmed his parents, Jackie and Ian. Once there, he was seen by Dr Morelli who was ‘unable’ to do a blood test as Louis did not cooperate. Given he’d sat for 5 hours on a chair in A&E clearly feeling like shite, this is no big surprise. Dr M arranged for him to go home and come back in the morning.

Louis was then seen by Dr Therabandu. He looked at Louis and made the judgement he didn’t look unwell. He did no observations other than ‘looking’ because Louis was sitting on the floor in the corridor. Quite some medical practice there; the monstering of Louis happening in full view and offered as an excuse for medical failings. Monstering underlined by Dr T referring to Louis’s ‘adult size’. It was time for Louis to go home (again) and get the blood sample done in the community.

We knew in Louis’s case many children or adults with learning difficulties, being out of their own surroundings is more harmful than good. 

Louis was very distressed, we were having to hold a big strong man.

Got to keep these people in the wild, in their own surroundings. Not in an emergency hospital department.

So, Dr T, asked the coroner. What would you say the cause of death was? Well natural causes of course. I have a lot of medical experience.

As witnesses were questioned, Jackie occasionally intervened with questions screaming in my head.

I don’t understand the blood tests should have happened, I know I’m just his mum, don’t have any legal background or medical background, but this is just common sense. I’m telling them he’s not well, these are consultants practically, they are very serious doctors. I’m sorry I’m ranting.

Hush now.

Next witness was Dr Ryba, a GP who did a home visit a few days after the failed blood tests. By now, Louis was not well enough to leave home. She described how;

He was placid, he was silent, he didn’t speak to me throughout my visit. He was docile and compliant and seemed at ease and not too anxious or distressed in any way.

Docile and compliant comments again pointing to monstering and fear. Dr R said Louis was “clinically stable” and off she went into the night. He was dead 12 hours later.

What do you think the cause of death was, asked the coroner. Difficult to say without a blood test, Dr R said. Anything else?

I’ve given it an enormous amount of thought, stress how difficult it must have been for his parents, would like to stress what a warm and loving environment he was being cared for in.

Just a reminder, this is a 17 year old school boy, not a rescue chimp from Senegal. Anyway, over to questions from other interested parties:

SD [counsel for the family]: When you saw Louis did you see he was jaundiced?

PR: No.

Jackie: there was no light on.

SD: Did you see him with the light on?

PR: Yes, the bedroom light was on.

Jackie: It wasn’t the big light

The coroner said it was important not to confuse the witness.

This exchange highlights how the coroner leaned into medical witnesses across the day, dismissing Jackie’s expertise. Witnesses were protected while Jackie was left to flounder, trying to correct inaccuracies in evidence. The main light was not on. The GP could not see if Louis was jaundiced just as Dr T could not make informed judgements without formal observations. We are back in the familiar land of nonsense and absurdities. A weaving of a tale about the boy and impossible blood tests. Dr T’s next answer underlines this beautifully. She was asked about a photo showing Louis’s skin colour:

I wouldn’t make a diagnosis of jaundice from looking at those photographs.

And yet three medics made a range of judgements asserting Louis was well based on looking (in the dark).

Finally, expert witness. Dr Habibi. We reached the pinnacle of absurdity with Dr H’s evidence. Dr H stated blood tests would have offered an opportunity to explore why Louis was clearly unwell. He had been fit and well a few weeks before and there was nothing in his postmortem to suggest nasties that could not be recovered from. The absence of blood tests closed this avenue.

You can’t say that, Dr H. There were no blood tests. We cannot know what they would have shown! Er, well yes. Exactly. Without the blood tests we can only assume Louis died of natural causes, there is no other plausible reason. Yes. So blood tests should have been taken. But they weren’t and we’ve heard from three MEDICAL witnesses that Louis didn’t seem unwell.

We should start from the fact obviously tragically Louis did die. Final illness, even though it appeared not particularly concerning, it obviously was because it led to his illness in the end.

When you hear sense among the absurdity it is like watching a single raindrop on a spring bulb.

Louis died. He was clearly ill.

The coroner moved to submissions. Jackie had been told she could ask questions after witness evidence. She splurged a devastating ‘why?’ filling in the answers herself.

Why didn’t he get a blood test? Because he presented as difficult in different settings, have to remember all doctors said what they said because they don’t want to say what didn’t do. Lots of what was said was factually incorrect as we saw at the time. Dr Morelli made the decision to send him home, we did not want to leave. We wanted to stay in the hospital until, pointless going back and coming back, we knew would be more difficult next day to start the process again. It needed to be done. Hospital is the place where blood tests are done, nowhere else to go. […] I think that’s because Louis is boy with Down’s Syndrome, they couldn’t ask him questions, we had to present as best we could, hoping they’d listen to us. He was very, very unwell. Louis would rely on us as his parents, he trusted us more than anyone else. We were the people who he looked at and wanted to help him.

There was no answering these questions because the witnesses were released. The coroner concluded Louis died of unascertained and natural causes. Move on now, nothing to see here.

There was nowhere to take your beautiful and clearly unwell boy to keep him alive.

Imagine.

Social Murder

New book is out today which is exciting (terrifying). Full details are here. You can get 20% off with this code 25AFLY2 which is cool.

It’s a grim read. In the preface, the series editors, Antonia Lyons and Kerry Chamberlain write:

This book is at times a distressing read, being ultimately about human rights, who they are and are not afforded to, and who is colluding in human rights abuses. We all – researchers, medical professionals, policymakers, charities and anyone engaged in this field – need to be thinking much more critically about people with learning disabilities and our responsibilities for and towards them, and consider how complicit we are in both disavowing the ordinary aspects of everyday life and other people with learning disabilities.

I spent a year reading research and writing about people with learning disabilities and concluded a whole swathe of people are involved in these entrenched failings, either wilfully or ignorantly. Until this group wake up to this and act, people will continue to die years earlier than their non-disabled peers.

The book is dense with references so I’ve produced a summary which is more accessible. Many thanks to those who fed back on earlier drafts of this. It is a nifty document that should be shared with all those I mention in the previous paragraph.

But does it bollocks?

Connor’s headteacher and two (more) staff members saw the play last week. Sally Withey, now retired, posted on facebook, remembering ‘that call’ in her office nearly eleven years ago. She commented “and of course […] love for our Connor – we shared lots of stories of him during our day together.”

‘Our Connor…’

Connor sprinkled more than his share of stories across his school years and beyond. I don’t think there was a ‘formal’ meeting which didn’t include a right old belly laugh relating to something he’d done or said. This blog became a mechanism for capturing some of this magic, his humour, his righteous, beautiful ‘outlandishness’. Tales of teaching staff and Connor chuckling at the latest mydaftlife blog post at lunchtime, the absorption of school diary entries and more.

On Saturday, Rich and I were tromping in the peaks with Sid when the matinee was about to start. We bumped into a couple (doubling the number of people we’d seen in two hours of walking) on Revidge hill and got chatting. A semi retired journalist and headteacher. With a 21 year old autistic son now in a supported living gig after an unspeakable spell of sectioning. Talked about against a backdrop of impossible beauty, space. And sadness.

I’ve developed a Laughing Boy ritual before each performance (when possible). I listen to songs from LB’s mixtape (played to the audience pre-show), watch the #107days intermezzo and look forward to the daily show report/post-show comments a couple of hours later. Descriptions of rapturous, warm and tearful applause in the report and more detailed personal accounts on social media…

Then there are the selfie opportunities. Last night, Caoilfhionn Gallagher KC and Molly Osborne added to Michael Buchanan and Norman Lamb’s Daniel Rainford hall of selfie fame photos.

I don’t want to preempt a final London performance selfie with Lee Braithwaite and a certain silver fox… or Charlie Ives and George Julian at Bath. Let’s see what unfolds.

Tonight, listening to Chumbawamba’s Tubthumping from LB’s mix tape before the second performance of the day, I finally listened to the words spoken at the start of the song. Turns out it’s Pete Postlethwaite from Brassed Off:

“Truth is I thought it mattered, I thought that music mattered. But does it bollocks! Not compared to how people matter”.

Connor was clearly writing the script way back then.

Love him beyond words.

Laughing Boy, Crunchie the support dog and more…

Extraordinary responses to Laughing Boy continue post performance by performance. Some of this captured by two kickass posts by George yesterday; Witnessing solidarity: the power of Laughing Boy and Evidencing Difference: beyond Laughing Boy. I’ve seen the play four times now and the moment when this beautifully crafted and devastating photo montage by Matt Powell (with London Transport font) and Holly Khan’s haunting melody is shown, is the stuff of pin drop silence.

The audience and cast share intense horror with respect too often brutally absent.

The juxtaposition of JusticeforLB magic alongside this horror continues. The London South Bank University Annual Lecture was organised to celebrate the play with Rosemary Garland Thompson as an extraordinary guest speaker alongside Peter Cronin, who generated more pin drop moments in a chilling exercise in understatement.

A coach trip organised by the Manchester Met Department of Social Care and Social Work ferried students, self-advocates and staff down to London in a mammoth 10 hour round trip. Feedback included “I had an absolutely brilliant time yesterday, aside from the river of tears that went along.”

Theatre attendees continue to be cheerfully photographed with cast members outside the theatre, while documenting their awe of the play. As Michael Buchanan tweeted;

The play is magnificent – funny, moving & infuriating. If you are in London or Bath, I thoroughly recommend seeing it. As for my fleeting appearance – what an honour. It’s not often you hear a Hebridean accent on a West End stage – well done

My mate Ulla flew over from Finland to see it with me and George. A Danish colleague who randomly sat next to her said (when I ‘properly’ met her at work yesterday), Ulla watched the play with such raw and audible emotions adding further authenticity to the performance. She began sobbing at Alfie Friedman’s opening line and continued between laughter exclamations that reverberated around the tiny space, almost flattening the indefatigable cast.

We fell into the nearest pub after joined by cast members and jabbered till closing time.

‘We need another drink’, Ulla, George and I chorused and moments later were transported to a basement club in Soho with Charlie Ives, Daniel Rainford, Alfie and Rose Quentin, the sweetest enabler. George’s suitcase stashed in a cupboard by the hoover.

People are tweeting their journey to the play, their position in the theatre and more.

I bumped into this bunch in Euston Underground hours after this photo was tweeted. And there, waving in the background is Lloyd Page who also spoke at the London South Bank event. A couple of spare tickets were shared on twitter and Lloyd attended with Steve Hardy (in the blue and green t-shirt).

The daily show rehearsal reports continue though we are on a countdown now with only a week left at Jermyn Street, and four days at the Bath Theatre Royal. [Sob] Apparently the cast, and I suspect theatre staff, are loving the relaxed performances.

Audience participation involved Crunchie the support dog wandering on stage at a matinee performance on Tuesday.

Life. As it should be.

Previews and voucher lives

The official first week of Laughing Boy. Tonight the play will be reviewed by theatre critics. I’m ambivalent about the reviews. The play is political to its core. It’s being performed against an unfolding backdrop of the further brutalisation of disabled people and proposals for (selective) ‘voucher lives’. It’s likely, at least possible, the glimpses of family life portrayed will be unfamiliar to critics and it’s impossible to know how it will land. At the same time, I hope they are as blown away as numerous other audience members have been by love, humanity and righteous anger.

Meanwhile, the layers of care and love at Jermyn Street continue. The willingness of staff (a tiny team) to make sure people are comfortable, help with ticket mix ups (gulp) and answer questions. The visual story to familiarise people with the approach to the theatre and setting. The Spotify playlist of Connor’s favourite songs in the background as people take their seats. The quilt displayed at the church next door for the London run (and then in the Theatre Royal, Bath).

We went to the first preview on Thursday night. Tears, sadness and laughter. A friend messaged yesterday ‘And I did cry all the way through, but as 80 others were doing the same thing I didn’t feel alone.’

The seven (yes, only seven) extraordinary actors are a family, and their love for each other shines in stark contrast to the absurdity and inhumanity of the public sector response to the unthinkable. The behind the scenes work of the creative team has generated an astonishing and breathtaking visual and audio feast.

In a truly moving and hopefully never to be repeated moment, I was encouraged onto the stage during the standing ovation for a heartfelt tribute by Janie Dee. It is hard not to love this bunch.

Then an after show party in a pub around the corner. Joyfulness, chatter, play dissection, analysis, thought, thinking, more talk and laughter. Connor. Always Connor.

Randomly, we ended up in the early hours in a David Bowie pub. The boy still working his magic and the latest I’ve been to bed in yonks.

So break a leg tonight! Not sure there is anything you could do better which is really quite something. ♥️

One more day…

Ooof. Almost here. There. The first preview of Laughing Boy is tomorrow. Updates about production progress and the sharing of gems of film and music magic projections continue. A family whatsapp jibber ujabber earlier sparked a playlist of Connor’s favourite songs for when audience members take their seats. Another tumble into joyful memories. The bus trip from Oxford tomorrow afternoon will include Connor’s favourite sarnies; cheese and pickle and sandwich spread [don’t judge]. Among the audience will be Connor’s babysitter Izzy, and two of his teaching assistants Sue and Jude, as well as family, friends and campaigners. Funny exchanges with the theatre box office as Penny Horner cheerfully juggles our chaotic ticket sales, returns and more. The #JusticeforLB quilt will be on display at St James’s, Piccadilly for the next five weeks.

I still blink in awe at the insights this gig offers. It seems like the (cosy?) 4 weeks in the rehearsal room has a ritual ‘ending’ (last Saturday) when a van picks up traces/props and moves the team to the theatre for the final few days of rehearsals. The set designer, video creative, composer and music designer move in with tech gear and spend 12 hour days working, with the cast in out in out, costumes on and shake it all about, to a final dress rehearsal tomorrow afternoon. Wincingly sharp timelines seem to be calmly absorbed by everyone.

Work. Expertise, absorption, creativity. Commitment.

Photo of the creative team sitting at the back of the theatre, laptops and a jumble of wires.

Media coverage has continued with thoughtful contributions from John Harris in the Guardian and Victoria McDonald on Channel 4 News. Re-watching the Sloven director being carefully questioned by Victoria McDonald in a news clip from the end of Connor’s inquest was quite something. Nearly nine years on it offers brutal clarity around the absurdity and ignorance of those involved who should have known better and done better.

This coverage led to several people getting in touch. People who have experienced ‘similar’ failings, old friends, acquaintances and colleagues, names and faces from the distant past before life took a turn. People involved in the campaign. A warm wash of well wishes. [Thank you.]

The play is, as Steve Unwin has consistently said, political. It highlights wider systemic failings that should be the making of scandal and action. Over and over again. Following on from The Lonely Londoners, the play will, through its writing, direction, design and execution make audiences (and those involved in the production) take notice, think and question. As we all should.

Right now though, I’m thinking about this…

A week to go and so much more…

The first play preview night is a week today. Not been back to the rehearsal room for practical reasons, so I’ve been absorbing rehearsal reports from stage manager, Daisy Francis-Bryden, updates from Steve Unwin and messages from the cast/creative team (language/terms are now well bedded in.)

No props originally, there are now mobile phones. Daisy shared a photo of this development; ‘I hope this brings you joy the way it did me.’ [It did.]

And a bus. Discussed in many a rehearsal report. The size, colour, tone, finish. Where it will be on stage. (On the floor, no shelf needed.)

Alfie shared this photo earlier.

Just love.

Last night, Jermyn Street Theatre shared an eight page visual story info document to help people find the theatre, have some idea of the layout and other important stuff.

A document that demonstrates more thought and care than Connor received from many health and social care professionals. In a work meeting earlier, we puzzled over the why (how) of this. Why (how) is this level of thought, sense and attention so often absent, and yet clearly doable in this space? [In a week in which George Julian is reporting the inquests of Marcus Hanlin and Fern Foster, and Dawn Cavanagh and allies organised a #StolenLives protest outside the Senedd, Cardiff.]

Matt Powell, video designer and Holly Kahn, composer and music designer have created a piece of brilliance packed into 75 seconds of film capturing #107DaysOfAction. An intermezzo. I watch it and rewatch it, wondering how this magic is possible, how the hell we pulled it off, and what an extraordinary cast this play draws upon. Literally hundreds of people.

There’s a section about the play with pieces by Saba Salman, Ramandeep Kaur, Steve Unwin, George and me in the latest edition of Byline Times. And other media stuff brewing. Oh, and a book of the script is in preparation. A playtext.

I’m quietly confident it will be a smasher of a play. Setting aside the extraordinary brilliance, commitment and experience of the cast/creative team, I know in practical terms Jermyn Street team thoughtfulness has already helped people. There’s been a shuffling of tickets and attendance behind the scenes. Becca has her (funeral) clipboard back out to organise a bus from Oxford and a large chunk of those in the play will be in the audience on that opening night.

It is really quite something.

Laughing Boy: the countdown

Approaching the end of Week 3 of rehearsals. The first (preview) night is two weeks today. It feels surreal writing these words. Enormous, unfamiliar, extraordinary, sad.

Documenting random stuff is probably easier than trying to make sense of it.

The script. A whole new world of different folders/formats. How do you physically hold the myriad pages of scribbled over text that will dominate your working life for the next few weeks or months? Ring binders, folio type holders, free style and held together pretty much with a ring tag. Script pages were the glue the two days I was in the rehearsal room in Week 1. My copy was held together with the same metal slider gizmo my dad used to make our homemade childhood holiday scrapbooks (pale grey textured soft card cover, a mix of plain and lined paper with dividers for each day). My over zealous page seeking in the script editing sessions soon dented the flat slide mechanism and I tumbled back into a holiday cottage in the Yorkshire Dales, carefully detailing in giant letters what I’d eaten/done that day.

Scampi And Chips. Ice cream. Sweets. Bed.

Work on the script is an exemplar in collaboration. Everyone in the room involved in poring over a bumpy line, thinking about meaning, language, context and how it may be understood by the audience. Is it even necessary? Cut.

Beautifully forensic scrutiny.

Associate Director Ash Gupta

The people. It’s hard to describe the atmosphere of the Rehearsal Room. There’s a cast of seven actors, the director, two associate directors, video, set and music designers, stage manager and more. The first morning there I answered a series of cheerful and curious questions with laborious answers that I’d forgotten were all in the script. I literally recounted the script to a room of quiet respectfulness.

Then there was a read through of the script. Sitting on chairs and acting, not reading. Eh? Where did that come from? My ignorance was hitting the high ceiling of the room, trying to bounce into the Lion King rehearsal next door while I sat tight. And listened.

It’s off the scale of weird to watch your life being played by a group of people you’ve just met. That they are such a likeable, sensitive, committed, thoughtful and laugh out loud funny bunch was something else. Connor palpably mattered in that room.

The next day. Owen and Tom came along. They had plans to graze record shops after dipping into the rehearsal for a couple of hours. Mid afternoon, after more script revisions, a full read through of the script and lunch, they were also cheerfully and curiously questioned about their childhood, Connor, and what happened. The cast sat around on chairs, laying or sitting on the floor while Owen and Tom chatted about funny and joyous memories, moments. And more. The quiet respectfulness I’d experienced the day before was energised with laughter, life and stories. Stories that sat outside of the script. Life from a sibling perspective.

Now. I get daily rehearsal reports I’m going to miss. Glimpses of the magic of play production and development, hints of the brilliance, the labour, the love and the care. The opening night is too enormous to think about. The production is a joy.

Further info and tickets https://www.jermynstreettheatre.co.uk/show/laughing-boy/

https://www.theatreroyal.org.uk/events/laughing-boy/

Hauntings


Memories of going to Manchester with Rich and Tom in October the year Connor died. Visiting Rosie doing her maths degree. Who looked after Chunky Stan and Bess? Coming across a Goldfrapp installation at the Lowry Gallery. A song named Ulla. A mate who joyfully snaps at my heels while offering so much love. And a beautiful goddaughter.

A performance of Fiddler on the Roof was also on that day. Paul Michael Glaser, my first love (with Doyle from The Professionals who I thought was Blake in Blake’s 7). We were under the same roof as Starsky.

Tom spent a night with Rosie at her student home. We were in a budget hotel that made the most of every space including multi coloured fairy lights around the toilet area. Failing on cellophane wrapped shite for breakfast. A big name was playing at the Manchester Arena that night. Billy Joel. Another childhood figure. So many excited punters, a year or so before Ariana.

Four years later. Yep, four years… The Oxford Road GMC hearing into whether Connor’s irresponsible consultant was fit to practise. [Obviously not.] Rosie turned up at the drop of a strangled phone call the night before to sit with Rich and Charlotte Haworth Hird who represented us at Connor’s inquest in the public section. She came out of friendship.

I shared details of the Kimpton Hotel yesterday with attendees of a workshop we’re holding today and tomorrow to pore over the findings of a research project exploring the experiences of making a referral to a fitness to practise hearing. The Witness to Harm project. The GMC put us up at the Kimpton the night before I gave evidence. Only to be taken apart by a barrister who had lost any sense of human and a panel that looked the other way. A posh hotel for a subsequent breakdown.

Ten years on and the slow wheels keep turning.