Fran is back

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A frazzling/exhausting couple of days, but Fran is back. Reinstated to the investigation panel. Thanks to Team LB for such an instant and remarkable response to her removal, and the power of social media for such dedicated and collective support. And good on the Trust for listening and responding.

On a related note, thanks also to the hospital solicitor who sent us original polaroids she found in his notes. Carefully packaged in corrugated cardboard packaging and laccy bands.  Kind of small act but enormous in its preciousness. LB as a pup. Unexpected and unseen pics.

LB 1
LB 2

When is an advocate not an advocate?

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So here’s the gig. A couple of weeks ago, the NHS Trust let us know that an advocate (family member or otherwise) would be part of the investigation panel. Up to us who. This person would fully participate in the investigation, attending meetings, interviews and contributing to the final report.

Well. That’s something, we thought. An internal investigation still made our brains implode, but at least there would be a measure of transparency. A positive development. Always particularly welcome in extreme times. We asked Fran. Fran, who has a wealth of personal experience and is a trained advocate. One of the kindest people you could ever meet. She agreed (an enormous commitment on her part, both in time and emotion).

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Yesterday it was all change. The Trust’s legal team had discovered a conflict of interest. A conflict of interest? 

Hold on to your hats for a tenuous link worthy of an oscar; Fran does some voluntary charity work. The Chair of the charity used to be CEO for the Trust that used to run the unit.

I thought you might struggle with this so I’ve created a diagram (see Figure 1).

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I hope this makes it clear. A conflict of interest worthy of ‘the dog ate my homework Miss’. A conflict of interest trumped up in such unspeakably awful circumstances.

So, before she’d even started, Fran was off the gig. The only person so far, in this tragically appalling tale, to lose her position. And two Trust employees (employees) sit securely on the panel.

That’s not all.

Because we’d had the gall to suggest an advocate with a conflict of interest, we’d lost our right to choose an advocate. We were to nominate an advocacy group and the Trust would select an appropriate advocate from this group.

That’s not all.

  1. The new advocate was no longer allowed to sit in on staff interviews.
  2. The new advocate was to sign a confidentiality agreement so we would be told nothing during the course of the investigation.

When is an advocate not an advocate? When they ain’t a fucking advocate. That’s when.

Off to cry again now.

A truly battering day

I don’t think there can be many worse experiences than having your son (with epilepsy) drown in the bath in a secure NHS setting.

But then, instead of being able to grieve ‘in peace’ (not that I can ever imagine feeling peace again), we have to deal with the monster that is the NHS and the procedures that kick into action when something like this happens. And this is fucking hideous.

This state run organisation, supposedly built on the premise of care, is able to investigate its own cock-ups and, at the same time, grind bereft, shattered and exhausted families to bits. How can this be? I’d heard terrible, terrible stories from other parents but thought timing wise, given all the recent talk of change and reports into the way the NHS is run, there would be some improvement in the way in which it deals with unexpected deaths.

Well you can chuck all the post-Francis, post-Keogh, post-Berwick talk in the bin. Post-my arse. So many cliches spring to mind thinking about these reports. Wind, pissing, paper, written, teapot, chocolate.. endless. Simon Denegri nicely illustrates how the language of these reports suggest inertia rather than action. Yep, inertia, surely a central feature of a monolithic structure. Oh, and you can lob ‘post-Winterbourne’ in the bin too while you’re at it. Given LB died in a treatment and assessment hellhole.  Empty, meaningless statements of change. Almost embarrassing really.

We (stupidly – well more me than Rich to be honest) thought that we were being listened to. That our concerns and our lack of confidence in an internal [yes, really, internal] review were taken seriously. Our CID guy even forwarded the link to my ‘letter to the internal reviewer’ to the person leading the review. Love him. The acronyms disappeared, LB was called by his name. And the Trust introduced some innovative levels to the review. Innovation Simon, not inertia. Some comfort. Movement in the right direction.

And then, yesterday, an about turn. Innovation suddenly reduced to a shell. A complete sham. It was a rug, feet situation. We walked round for the rest of the day reeling and raging. Truly battered. Our son died while in the ‘care’ of this organisation. And now, this same organisation is wielding a level of power over us that is astonishing in its wrongness. Astonishing in its hypocrisy.  Astonishing in its cruelty.

The dream

I went into the kitchen and was a bit taken aback. A black marble bridge type structure divided it in half. With small arches to the sink. There, sitting at the kitchen table, wedged in next to this new feature was LB. Wearing a bright red, knobbly knit jumper and red striped shirt I hadn’t seen before. It was a bit of a dodgy combo but he looked a complete chill pill. That cheeky half grin on on his face.

The next moment, he was standing next to me enduring the biggest hug I’d ever given him. He was never a hugger, love him. He chuntered away under his breath as usual.

“Do you like Irish lorries, LB?” I asked him.
He grinned.
“I love you matey”, I said.

Grief states

States, rather than stages, of grief are becoming recognisable. I’m going to describe these here to chuck ’em into the general mix of grief discussion and well worn (out) Kubler Ross type models.

My fledgling states, in no particular order;

  1. Delayed. A state of ok-ness. Open to distraction. Ability to function reasonably well. Happens in social/work situations. Able to have a good belly laugh. [Good.] Tends to end with a need to find some space to cry, to hold on to some memory of LB.
  2. Intermittent. A peculiar dotting of terrible but fleeting grief moments that happen in the instant. Without warning. Generating a strange, dissatisfying, strangled cry without tears. Kind of easy to recover from, in terms of picking up where I’m at. Wearing and unexpected.
  3. Raging. A star spangled, expletive drenched anger. Directed at the health and social (non) care LB received.  A constant and harrowing emotion fuelled by the contrast between the extraordinary (and unrecognised) level of care we (like other families of disabled kids) provided and the ‘care’ he received from health and social (non) care.  Ending with him dying so carelessly. In such a setting. There are no words. Just consuming rage. How could they?
  4. Numbness. A temporary halt on emotions. Like yesterday, when my parents, lil’ sis and I were planting flowers around LB’s grave. The enormity of this action sort of generates a shutdown. To create a space to get through.
  5. Fleeping. An almost cathartic state in which tears spill silently without control. Like a flooding, weeping thing but without the sobs. Or anything. Just tears. Last night the combination of curry and ‘Never Mind the Buzzcocks’ caused fleeping. Curry and/or the Buzzcocks always generated a cheeky appearance from LB. Either to scoff a plate of food (or two), or to seamlessly squeeze in next to Chunky Stan to watch Noel Fielding post bedtime. LB loved Noel. These appearances were always amusing and Rich kind of encouraged them. With hindsight they demonstrated a contentment LB had with himself. And we loved the way in which his cheeky rule breaking was accepted by the other kids. They never questioned the differential treatment he received. Instead they added it to family folklore.

How to live life once a child dies? In such a terrible, unnecessary way?  Rich and I have moved beyond a state of shock, of saying repeatedly ‘I can’t believe it..’, to saying ‘I bloody hate this’.

And added by my mum and sis;

  • I find the night-time silent sobbing without tears the worst – either not getting off to sleep or waking after a couple of hours with a real pain in the chest and trying not to shake the bed with silent sobs. We are all feeling totally bereft, not just losing our beloved eldest grandson, but realising that the rest of his family will never be the same again, so we have lost the funny family unit they used to be as well. It’s a double whammy.
  • For me its still the driving to Oxford …possibly because I do it most on my own and have time to think about LB (quite often in the present then have to remind myself he is no longer physically present) and no amount of Radio 2 or Heart or cd of the day can distract the thoughts……sad sad sad.

     

    Whatever grief state is in play, life is crapshite now.

Tricking misery

My plan to avoid the weekly countdown, the terrible events of that morning, were scuppered yesterday. I did the early to work thing, avoiding the raging ‘real time’ weekly tweets. Firmly focusing on cracking a few (more) candycrush levels on the bus. I walked a different way to the office.

Got through the work stuff. Went home. Rich was at Warwick. Tom in the park playing football with his mates. I hunkered down with Bess and Chunky Stan. Thinking time. Space to cry.

Then a sickening noise. My (defunct) health and safety mechanism instantly re-engaged. Outside a crowd. Several people on their phones. A motorbike lying in the road. A shattered looking person moving their car off the road. A sense of collective doing and being. Such a contrast to what happened to LB. Locked away from social life. Cut off from goodwill and sense.

Various emergency vehicles pitched up. The sirens. Those fucking sirens. On our doorstep.

I gave in to irrational nerves after about 25 minutes and wandered across to the park to check on the footballing boys.

They were sauntering back home. Past the cavalcade of flashing vehicles carving out a recovery space for motorbike guy. On the London Road.

He was being lifted into some seated stretcher thing. Chattering to the paramedics. The crowd still clustered collectively around the police. There was an atmosphere of cheer. People sharing their recollections, their evidence. Their input into an episode of sensational everyday life. Motorbike guy was seemingly ok-ish. Alive.  (My new bar).

‘You got any homework, Tom?’, I asked.

Day whatever/lifetime

Time for a ‘grief’ update. Ahead of the usual Thursday morning countdown that I tend to save for twitter. A sort of minute by minute remembering of the catastrophic events that unfolded on that sunny July morning. Today I’m planning to try and trick the misery by going to work early. Instead of lying in bed tweeting my rage about what happened while sobbing at the inevitable sound of passing sirens, and signing off with a ‘stay classy NHS’ you bastards.

So, life is pretty much awful now. Transformed and coated with darkness. With OK bits. And then lovely bits that involve the kids, family, friends, colleagues and people we don’t know.

I’m back at work, firing on a cylinder or two. (Not sure what the minimum number necessary for action is, but there is some action). And I’m crying a lot. Rich is the negotiator/mediator of my tears. He hunts patiently for my missing x, y or z. Things I always lost in the past (and yes I know it was always hugely irritating), but things I find harder to lose now. He listens when I say over and over and over and over again that I can’t believe LB drowned in the bath. Drowned in the bath? That I will never see him, be with him, chat with him again.

That I miss him beyond words.

And then there are droplets of magic, of fairy dust, that make me think that change is possible. A collective outrage to what’s happened. A resistance to accepting the unacceptable. This manifests in various ways. The police were exceptional in their sensitivity and handling of the investigation. They seemed to genuinely care which was remarkable after months of no care and disregard. The Families and Disability module at Sheffield Hallam University is dedicated to LB, and this blog is being used as a resource on various health and social work courses. I’m pleased about this, as a firm believer in the importance of personal experiences feeding into policy and practice.

ryan5-546Anna Myers is running the Oxford Half Marathon on Sunday in LB’s memory, raising money for KEEN (a fab venture by Oxford Brookes and Oxford University students providing activities for young disabled people and kids). Beth Hill helped Anna run a cake sale at Brookes recently that raised over £200.

The Oxford Bus Museum have agreed to open especially for LB’s birthday, laying on a celebration bus ride. What a gesture. And yesterday I contacted a highly recommended online printing company to discuss getting some medium prints of LB’s Trax painting for fundraising. (We’re planning to set up a ‘fighting fund’ to raise money towards the cost of legal representation at the inquest)*. The sales manager said they would print 100 for free.

More tears. But ‘good’ tears. Which are kind of different.

*I know I keep saying this, but baby steps and all that.

Niceties and ninety

I keep saying there aren’t words to describe this experience. Devastating, shattering, life changing…? Nah. Too insubstantial. Brutal is possibly close, but even that remains a limited enough descriptor to be pretty much useless. Brutal doesn’t capture the ongoing and unfolding devastation/horror/despair/rage. Of trying to understand LB’s death. Without adequate words, it’s almost impossible to articulate. And given we’re (largely) social beings, and life turns typically on talk, being and doing, this is tough.

Having a child die isn’t a common experience in the UK, though I suspect it’s most parents biggest fear. It was mine. And to have this fear realised is worse than I imagined. (Possibly because the thought of it was so unbearable, I couldn’t really go there). The way LB died makes it harder to make sense of. I don’t know how many people drown each year in the bath in the UK, but I suspect it’s a tiny number. The number of people who drown in the bath in an NHS setting must be pretty much a count on one hand jobby. Or one finger.

2013: LB.

This makes my brain scream relentlessly. 

People don’t know what to say. What is there to say? Nothing? Anything? Something? Only one person has said the wrong thing so far, and I think she was shocked into a space of spilling words without thought. She gabbled on about how her grandson who was supposed to not live beyond babyhood and “never amount to anything” had just started university. “Er, good for him..” I mumbled, awkwardly, before walking on.

People can’t help asking “How are you?” And then quickly backtracking with “Silly question, I know…” But there ain’t an awful lot else to say really. I tend to answer either “Crap” or “Ok considering what’s happened”. The former is true, the latter is a softer version of the former; ‘I got up this morning. And got here. And I’m still standing. But crap all the same’. Neither answer really does anything other than fulfil a social obligation. But the exchange is preferable to pretending that nothing has happened.

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ryan5-544Rich and I walked along the canal again this morning to the cemetery. So many people walking along in the sunshine, seemingly oozing joy filled lives. Fragments of conversation. Fun, friends, nights out, kids, more fun. When we moved aside to let people pass, I wanted to say where we were going. But I didn’t.

At the cemetery It was a bit of a shock to see LB’s got new company.  A grave to his left. A woman who died aged 90 a week or so ago. Ninety? Now that ain’t bad. Only 72 years more than LB.

Seventy two more years?

Crushing sadness.

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Thumbnail life

Collecting memories is a core activity at the mo. Rifling through stuffed drawers, surfaces and pulling together discs with school photos, tiny Hornby figures, school diaries, paperwork and printed photos. Thank fuck for hoarding. It’s all here. Somewhere.

Tonight I spent a few hours browsing through thousands of digital photos. In thumbnail mode.

Thumbnail life. Layered snapshots of family times. Of holidays, hanging out at home and family do’s.

The timings jar.

Was this really so long ago? It seems like yesterday. Did this happen straight after that? Before that? Really??? 

I take so many photos that thumbnail life is saturated. Edited, unedited, selected for greater things and barely looked at. Photos rarely deleted. Thumbnail life shows how LB just was. As everyone was. We all just were.

Except of course, LB wasn’t. Because he wasn’t allowed to be.

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