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The Health Ombudsman has taken up the case of the sexual assault on a patient who had her knickers removed during an operation by a nurse even after she had expressly forbidden it and she was then given a suppository against her consent.  The hospital have constantly refused to investigate the case and discipline the staff and interestingly when the GMC investigated no one would admit removing the patient knickers or giving the suppository or seeing anyone do it. If it was done as a genuine mistake one would expect people to own up and say SORRY.

 

Due to the work load it will be 7 months before the Ombudsman can start their investigation. In the mean time will a nurse and the other nurse continue to sexually assault more patients?  The Ombudsman has found in favour in this case once and passed it back to the HCC who said a doctor can force treatment on a patient if its in their interest even if they say no. This is of coarse a stupid statement against all British law and it seems the HCC were upset as the Ombudsman found they hadn’t done their job properly, they did fight it and it had to go to the highest level in the Ombudsman .

 

Leighton Hospital TOLD TO IMPROVE


09:56 - 09 October 2007
The organisations running the ambulance service and Leighton Hospital
have been told to improve how they handle complaints.
An audit carried out by the Healthcare Commission has revealed that
North West Ambulance Service (NWAS) NHS Trust and Mid Cheshire Hospitals
NHS Trust are not meeting the basic standard to ensure patients,
their relatives and carers are not discriminated against when complaints are made.

The audit also revealed that NWAS Trust's complaint system needed
to be more accessible in terms of registering formal complaints
and feedback on the quality of services.

The healthcare watchdog launched the audit after becoming concerned
about how patients' complaints are handled locally.

The trusts were two of 32 chosen for inspection because of concerns
that they were not meeting Government standards.

The basic standard requires trusts to make complaint procedures
accessible, ensure complainants are not discriminated against
and act on concerns and make changes where appropriate.

The Healthcare Commission said that trusts should do more to
make it easier for people to raise a complaint.

Mid Cheshire Hospitals NHS Trust, which runs Leighton Hospital,
received 288 complaints in 2006/7 - a drop on the previous year's
figures of 300 - and has received 147 complaints this year to date.

Officials reacted to the Healthcare Commission's findings by
forming Matron Forums for staff to discuss complaint handling.

A spokesman said: "A thorough audit of complaints has taken place and
systems have been implemented to ensure staff are trained in dealing
with complaints."A NWAS spokesman said: "North West Ambulance Service
NHS Trust treats complaints very seriously and welcomes the findings
of the audit to ensure best practice is achieved across all areas.

"Following the audit on complaints handling within the former Mersey
Regional Ambulance Service NHS Trust, areas for improvement were noted
by NWAS and included in the trust's action plan.

"NWAS immediately reviewed and amended its new complaints policy and
stated its intention to provide information on staff attitudes, staff
support and emphasised the issue of not discriminating against
complainants of the services it provides.

"The Healthcare Commission acknowledged the swift action
the trust has taken in response to the findings.

"The trust remains committed to ensuring all its staff
are fully aware of the trust's complaints policy and procedures."

Have you lodged a complaint with one of the trusts?
 

Trust fined £14,000 for Leighton hospital patient’s fall

MID Cheshire Hospitals NHS Trust has been fined £14,000 after a man with mental health problems was seriously injured in a fall from a window at Leighton Hospital in Crewe. The patient, a 30-year-old who has not been named, was injured in the incident when he managed to climb out of a first-floor window at the hospital on August 4, 2005.

The Trust, which manages Leighton hospital, was fined £12,000 for breaching the Health and Safety at Work Act, £2,000 for breaching health and safety management regulations, and was ordered to pay £3,982 costs at a hearing at Crewe Magistrates Court.

A Health and Safety Executive spokesman said the hospital had failed to learn from similar incidents in the past or take on board guidelines issued by the NHS, and urged bosses at Leighton hospital to take action to ensure the same cannot happen again.

Pensioner’s operation delay plight Full Story

AN ELDERLY woman was kept waiting for a sight-saving operation in a hospital waiting room for four hours – then sent home because her medical files had gone missing.

Seventy-four-year-old Ivy Long was due to have cataracts removed from both eyes on Thursday, but must now spend another two weeks with blurred vision.

Ivy, of Queensway, Winsford, had had nothing but a glass of water from 7am when she arrived at Leighton Hospital at 11.45am. Her husband, Jim, had an angina attack at the hospital due to the stress the mix-up caused.

‘In today’s age of computers you would think they’d be a bit more organised,’ said Jim. ‘It’s not good enough.

 




 
 
 
 
Leighton Hospital

If you have been abused or sexually assaulted by Health Care workers the site above may be able to help

From the Post Bag

I must bring to your attention the disgusting state of the "Chapel" of rest at Leighton Hospital. My niece died on Monday morning on Ward 7 and was moved to the chapel for visiting at Lunchtime.
 
Unfortunately this experience totally undermined all the skilful nursing care that my niece received on ward 7. The trolley was completely viewable from the viewing window as was the mattress. My niece was draped in an unironed sheet. This part of the hospital was more like a spoof scene from a Carry On film. Thank God my elderly parents decided they were unable to make this visit, they would have been appalled and horrified.
 
This area needs to receive urgent attention, a most unsatisfactory experience in 2008 and a disgrace on Leighton Hospital and the trust.
 
Sean T Traynor
Sean T Traynor
The Fox Inn
Troston Road
Honington
Bury St Edmunds
Suffolk
IP31 1RD

S West went into hospital 2007.

I was interested to read your campaign against sexual abuse as the very same thing happened to me. I went into Leighton Hospital for a leg operation and went into surgery with my underwear on when I came out of surgery I had had my knickers removed without my consent and I felt sexually violated. The operation site didn't require my knickers to be removed so why did they do it. The thought of  a group of people removing my knickers and seeing all my private parts when I was unconscious and unable to defend my self makes me sick. If this had happened anywhere else the people that did it would be up before the courts for sexual assault. The hospital doesn't  seem to have any idea of patients feelings you are just a piece of meat the other worrying thing is if any of the people who do this are perverts in any way they are getting away with it with no check on them. Procedures must be put into place to protect patients so that no one can have their underwear removed without written consent unless its an emergency.

J Jones (Went as a patient) said on 29 Jan 2008


Staffing levels seemed to be inadequate. On one night shift there were only 2 nurses covering 3 wards which contained a large proportion of people confined to their beds. On this and many other occasions people were ignored when they pressed their call buttons. I personally, and others in the ward, waited regularly from between 5 and 20 minutes for a bed pan and even when we got one we were often left perching on them for similar time periods. This was very distressing for some patients, and I found it very difficult as I was in a lot of pain from a broken hip. I personally dread having to come back into hospital for any length of time if I have to go through the same experience. When I was in hospital for a week prior to my recent stay I witnessed similar levels of care with many elderly patients not receiving the care they deserved and often being ignored.
I also think some staff should consider patients feelings during shift hand over. I was talked about as if I was stupid, some of the facts were incorrect at hand over and some of the nurses seem to think you are deaf and can't hear what they are saying! I was upset by some of the tactless comments made at hand over.
Communication overall could be improved.

Webmaster Note it seem that Leighton Hospital hasn't changed in its care of the elderly since the HCC report and its frightening that people are still treated this way  in 2008 if you are old and need to go into hospital you can choose which one you go into you should read the HCC report and these pages and then make an informed decision which is the best hospital for you

Anonymous 1 (Went as a patient) said on 17 Dec 2007

What you liked:
The midwifery staff in general were friendly, however there was a great variation of staff who appeared unprofessional and uninterested to the wonderful but few, who were brilliant and trying to pull the weight of all the staff who really couldn't be bothered.
Morale appeared very low.

What could be improved:
My labour was difficult with the midwife delivering my baby pronouncing that she wasn't very good at this! Praise God for a senior midwife stepping in and taking over.
Staffing levels were very poor, my baby was supposed to have hourly observations, however this was only done once!
I have a medical condition which means it is very hard for me to get around, when i arrived on the ward the midwife was brilliant and very helpful, however once the shift changed i didn't see anyone till i hobbled down to the desk to ask for help!
The hospital was dirty with blood on the floors and in the bathrooms and dry vomit on the frame of the bed!
The discharge process was very poorly organised and despite having been seen and discharged by the doctors it took the midwifery staff several hours to fill in the tick chart for our discharge.

Fury at patients left malnourished

Feb 6 2008



HUNDREDS of patients have been discharged malnourished from Leighton Hospital, according to shock figures discovered by an MP.

Tory Stephen O’Brien, whose Eddisbury constituency covers the Crewe hospital, found from 2006-07, 842 patients left malnourished from Leighton and the Victoria Infirmary, Northwich, which are both run by the Mid-Cheshire Hospitals Trust.

The Shadow Health Minister says the Government’s own figures show across Britain, 139,127 patients were discharged from hospital malnourished – an 84% increase on 1997-98.

A total of 130,594 patients were admitted to hospitals in a malnourished condition – an 85% rise from 1997-98.

Mr O’Brien said: “It is a scandal that in 21st Century Britain, we allow vulnerable patients to be let out of hospital in a malnourished state, and it is even worse that we allow thousands of patients to get more poorly while they are in hospital.
“Malnourished patients are more prone to infections, have more complications after surgery, and have higher mortality rates – yet the Government allows over 130,000 patients to enter hospital in that state.

“Nurses need to be given the time and equipment to get on with the job of caring for our most vulnerable patients.”

A spokesman for the Mid-Cheshire Hospitals Trust said it had introduced a number of initiatives during the past few years which aim to ensure the nutritional and dietary needs of patients are fully met during their stay at either Leighton Hospital or Northwich Infirmary.

“All patients identified with malnutrition are referred to a named ward dietitian and seen within 24 working hours, These patients are given a care plan, and where required, assistance at meal times.”

Emma Whittle, senior dietitian at the trust said: “Good nutrition is an essential element in patient care and recovery, so it is important patients are encouraged to eat and drink with the assistance of nursing staff, a family member or a volunteer mealtime assistant.

“In some instances, the help given may be as simple as unwrapping a bread roll or cutting up food for the patient to feed themselves. However, a considerable number of patients benefit from having one-to-one encouragement and assistance with their meal.

“When patients leave hospital, many may still be classed as ‘malnourished’’ but they will be receiving intensive treatment. Malnutrition is not something that can be rapidly corrected
.”

 

A&E Leighton Hospital

I attended Leighton Hospitals A&E with a patient who had a suspected broken leg knee. After a 2 hour weight we saw the doctor who asked the patient to jump up on the bed. The patient was crying as it was with pain sitting in a wheel chair. When I pointed out the fact the patient was small and couldn’t jump up on the bed if she was fit the doctor said I am not bending down to look at the knee. The patient was then crying with extreme pain forced to try and climb up on the bed. If the leg was broken it could have pushed the bone through the skin.

After xray it was decided that it was badly strained and swollen. The doctor offer the crying patient pain relief and asked are you allergic to anything who replied yes Paracetamol and it will be on my notes.

The patient was then given tablet containing Paracetamol which if she had taken could have been fatal even a child would not have given these tablets knowing she was allergic.

Webmaster Note Is the Doctor that gave the  Paracetamol totally incompetent or was this a deliberate act as this patient has a complaint against the hospital. If this was the case then its a very serious case but its hard to see why when she was told of the allergy and its on the notes she still gave what could be a fatal medicine. 

Trust Reviews

You can get the full review for all the hospitals on the above link overall Leighton Hospital comes out as week

Healthcare organisation Quality of services Use of resources Mid Cheshire Hospitals NHS Trust
     Leighton Hospital *
     Leighton Hospital *  Weak  Weak

Some of the questions and the answers from the Health Commission Survey of patients. To get a full picture you must read all the surveys at the link above. We have picked on these answers as they show that by the HCC survey that a lot of people are not giving informed consent to treatment and the answers for side effects is very low all round. If informed consent isn't given then consent is invalid.

Question Leighton Best NHS
Did staff explain why any tests were needed? 79 89
Did staff tell you how you would find out the results of tests? 75 89
Did staff explain the results of tests? 68 82
Did staff explain what would happen before any treatment? 88 95
Did staff explain the risks/benefits before any treatment? 82 91
Did staff tell you about medication side effects? 53 75

This site is run to fight for justice and freedom and protect the weak.  The information on this site is collected from a variety of sources Government Depts , Press, Newsgroups, BBC, Medical forums  and anonymous  members of the public. The site is hosted outside of the UK in various locations across the world. As such its contents can’t be affected by any UK court or court order and any attempt to have the site removed by UK courts will fail. The owners of the site will not reveal any of the contributor’s names to any UK court and indeed may not even know them anyway see our main page.

The only way to shut this site down is for Leighton Hospital to stop making mistakes that ruin people’s lives. Once this has been achieved the site will no longer be needed.  It provides a voice for these people so that they can be heard without threats of legal action from the hospital.

We have been under attack by lawyers working for Leighton Hospital who have attempted to take this site and other sites down this has been done by issuing threats contacting ISPs and threatening victims whose stories are mentioned on these sites. Their attempts have failed and if the site should be ever shut down then 50 new ones will appear all over the world within hours and I have told them this. If Leighton Hospital spent more money on patients and less on fancy lawyers this site wouldn't be needed.

We find it frightening that Leighton hospital should go to such lengths to hide the truth it makes us believe that there is more going on than was first thought and that they are trying to cover some great mistake. Due to this attack we have stepped up our efforts to discover what they are hiding. We are seeking information and if you have any knowledge of the following please get in touch.

The death of an old lady in November 11th 2005 in ward 11

The hospital giving out medical records without the patients consent and these records being sent abroad without consent.

Anyone who has been give a suppository or had underwear removed without consent.

 


Webmasters Notes This case has shaken the Hospital to the extent that they have employed high power lawyers to harass the patient and family who are witness in a GMC case and they have attempted to have my sites removed by threats to ISP's all of which have failed and resulted in me putting more sites up all over the world.

Leighton Hospital have in this case totally failed in there duty of care in this case.

The failed to obtain informed consent as the GMC have identified that the doctor taking the consent couldn't give enough information for informed consent so technically the whole operation was assault.

The failed to assess her anaesthetic needs which resulted in her nearly dyeing and being in extreme pain.

The gave 10 mg of Midazolam in one dose as shown on her records which is potentially fatal.

They gave 900mg of local instead of 400mg and didn't give adrenaline which was nearly fatal.

She was sexually abused by having her knickers removed when she had expressly forbidden it.

She was sexually abused by them giving a suppository when she had said no.

They failed to take care of her pain relief.

What is worse when they complained they failed to find anything wrong and cover up what had happened. After the GMC HCC and Ombudsman have found all the problems its hard to see why Leighton Hospital didn't find anything wrong but put further patients at risk from the surgeon another potental Barbara Salisbury. They are refusing to name the nurses who sexually assaulted this patient Witness are helping to fight this case and the people who did this will be brought to justice.

My partner went into Leighton Hospital Crewe for a very simple hernia operation to be done under local anaesthetic and sedation she was supposed to go in at 12 and be home for 2 oclock the operation was supposed to last 30mins.


She gave consent for sedation and local anaesthetic but this was not INFORMED consent as at no time did they tell her she would be in terrible pain or may die from the sedation, or that no anaesthetist would be present. The GMC in there investigation found that the young doctor who took the consent didn’t have the knowledge to answer any question or give enough information for the consent to be valid the hospital in one of their reply state She was given insufficient information about the operation Therefore the whole operation was done without consent which makes all those who took part guilty of Assault and battery

The operation was carried out on November 11th 2005 at approximately 3pm.We arrived early as requested at 11:30 and went to the new medical centre at which point I was told that the patient must go in alone as partners weren’t allowed. She sat there alone terrified from 11:30 until 3 oclock and during this time a nurse asked her how she would pay for her pain relief. She was shocked as she was told not to bring valuables into the hospital. The nurse said if she wanted pain relief after the operation she would have to pay for them.

Before the operation when they were preparing her she told the sister she didn’t want her knickers removing and the sister agreed she could keep them on as they were not in the way she also told the Doctor she didn’t want a suppository for pain relief after the operation.

She was taken in for the operation and according to her medical records given 10 mg of Midazolam in one go which is a potentially fatal dose. The hospital now deny their own records and say it was given over a long period of time but the evidence shows they couldn’t have done as the correct dose is 1 mg over 2 mins and then wait 2 mins before giving anymore total time 40 mins she was in theatre 10 mins after the anaesthetist came and they state the surgeon gave the sedation so unless he operated with one hand he gave all 10 mg in one go. Why the anaesthetist didn’t give the sedation while she was there is a mystery. The operation chart clearly show that she was given 10 mg of Midazolam in one go. Midazolam is an interesting drug as its main use is to make you forget what has happened to you and is often used to take out teeth and other short term pain full minor operations. Its not pain relief but can be used to make you forget what happened so you don’t remember the pain and this is often the case as its used as a cover up. If this operation had only lasted 30 mins as it should we would have never known what happened.
 


There is a lot of complaints about the use of this drug as you forget what has happened but your subconscious mind can still react to what happened see http://ideas.4brad.com/archives/000100.html. It is also used as a date rape drug and this means you cant remember being raped but your mind will react to what has happened. This makes things worse as you don’t know why you are having strange feelings.

Its often used as a Date Rape drug and a male nurse got 7 years for using it

Midazolam can lead to the patient experiencing daydreams with a sexual content.
For more info see

http://versedbusters.blogspot.com/2005/12/introduction.html or

http://www.askapatient.com/viewrating.asp?drug=18654&name=VERSED
Recovery chart showing the massive over dose
Click on  the chart for a full screen note it confirms she was given 10 mg in one go and note how they suddenly fail to fill in the details when things go wrong and how the chart has been altered


Leighton hospitals own chart show she was given 10 mg midazolam in one go but they now deny this. But look at the states for 15:08 its shows her O/2 level was down to 38% but someone has changed it to read 100%. At no other time during the operation was her O/2 ever 100% we believe this is a deliberate forgery to hide what has happened. Note also how they take the states every 15 mins but suddenly after her heart drops they don’t take it again for over and hour other information which they collected up to that point suddenly isn’t recorded either. The surgeon Professor Aluwihare now claims he didn’t give the sedation but left it to a very junior doctor who was incapable of giving the drug properly but we have a letter from Leighton Hospital solicitor stating that he did administer the drug.

She was given local aesthetic for which according the Health Care Commission (they investigate complaints about hospital) the MAXIMUIM dose for her is 400mg which must be mixed with adrenaline so the heart doesn’t stop they gave her 900mg and no adrenaline. We believe this was negligence on their part which could have killed her.

As soon as she was asleep they removed her knickers in the most vile and perverted way without her consent even though she had forbidden them to do so we believe this assault and battery. This was done at the beginning of the operation but the surgeon claims it was at the end so they could give the suppository which the patient was awake and positive they had already been removed so why do they lie? The nurse said they were removed for none medical reasons ie to stop them being stained with iodine.

She was asleep for the start of the operation but later when she woke up during the operation and screamed with pain which was 10 times worse than having a baby this is everyone’s worse nightmare. She describes seeing all her stomach covered with blood and her insides on her stomach. They then suddenly realized she was awake and put a board up so she couldn’t see. The surgeon claims he didn’t hear her scream but was aware of her pain and her crying. The surgeon called for an anaesthetist but there wasn’t any so he carried on with her in pain he made no attempt to stop or see the patient was all right. On 3 separate occasion she was screaming the place down in pain and trying to get the mask off as she shouted stop.

After 50 mins her heart rate dropped over 10 mins from over 80 bpm to 30 bpm at which point she passed out and believed she died. She remembers the doctors panicking at this point. She tried to tell them she couldn’t breath but she was fighting for her life and unable to speak or get her breath. It took them the ten full mins before they gave her a drug to bring her heart back up. The chart shows what happened. Click on the chart to see it full screen

An overdose of local or sedation can cause the heart to stop and we believe this is what happened due to their negligence this experience is life changing.

The operation finished after 2 hours and they then gave her the suppository without her consent they simply lifted her legs and said you have got to have this no explanation or request she was still groggy from the sedation but knows her knickers weren’t removed at this point as the surgeon suggested. A similar case http://www.bmj.com/cgi/content/full/310/6971/43 an anaesthetist was struck off for the same thing.

She was kept in Leighton hospital for 2 days without any explanation as to why and wasn’t told what had gone wrong or why the 30 min operation took over 2 hours. They kept saying she couldn’t go home until a doctor had seen her but none came we had to effectively force the issue by saying she was going home now. While she was in Ward 11 she was terrified as it was full of dieing people and in a statement to the GMC's solicitors she describes how an old women was dieing and kept asking for the nurses to call her family she was told to shut up and go back to sleep and received no medical treatment this went on all night. In the morning she had died

We complained to the hospital the same day and made a formal complaint within days of the operation and also the GMC and the Health Commission who have taken a year to investigate.

Extract from the GMC Report

Professor Aluwihare the surgeon responsable

The surgeon  Professor Aluwihare  if you have any complaints about this man let us know as the GMC would like to know

The GMC have filed a series of charges against the surgeon Professor Aluwihare who did a runner abroad as soon as they investigated.

The Case Examiners have noted the conclusions of the HCC report into this matter. It is obvious that the HCC expert interpreted many of the facts of the case in a way different to that of the experts commissioned by the GMC. However, this may be explained by the remit of the HCC being different from that of the GMC.

Both experts are united in the conclusion that Professor Aluwihare should have seen the patient himself earlier, and should have postponed the surgery if no anaesthetist was available.

Professor Aluwihare either did not discuss the procedure with the patient when he met her, or if he did, failed to record what was discussed. Neither scenario is good medical practice. Professor Aluwihare says he had a detailed discussion but that he omitted to make a record. He had delegated consent taking to Dr Ahmed, but did not ensure that the patient was fully advised of possible risks and complications. The expert's view is that a junior doctor would be unlikely to be able to give detailed advice about what an experienced surgeon would deem to be a difficult operation.

Professor Aluwihare admits that the sedation and supplemental pain killer was given under his guidance by the House Officer. He disputes how much was given, believing that the midazolam was not given as a 10 mg bolus, but in increments, as recommended. The case notes would suggest this is not the case as it is clearly recorded that 10 mg midazolam was given at 15:26. It is in dispute whether 10 mg bolus was an incorrect choice in the case of a patient as large as the patent. However, as Dr Ahmed was acting under direct instruction from Professor Aluwihare, it would appear that the Professor had delegated the performance of the sedation to someone who did not have the appropriate competence and experience. Professor Aluwihare maintains that midazolam was given incrementally. The midazolam, therefore, was either given as a 10mg bolus, (which Professor Aluwihare accepts would have been inappropriate), or he failed to ensure that an accurate record was kept to show that the drug was given in increments.

The expert opinions both believe that express consent is required for the use of suppositories, and that Professor Aluwihare did not obtain this.

The case is now referred to a Fitness to practice panel



Leighton  hospitals replied to our complaints

Main points from the hospitals replies

Dr R Okell, Clinical Director Anaesthesia has answered these questions
Had the patient been given a general anaesthetic, she would have certainly experienced less pain but as I advised you in my previous letter, this carried a greater risk to the patient because of her weight. Professor Aluwihare did ask for an anaesthetist during the procedure but none was available although one was present at the beginning of the procedure and helped to get the line in. If one had been available, they may have been able to increase the efficiency of the sedation, which would have reduced the likelihood of the vasovagal episode and the fluctuation in pulse and BP might have been less.

Dr Okell tells me that he does not know how surgeons acquire training in the use of Midazolam ( I find this reply very frightening shouldn’t they know if people are qualified)

The patient says during the operation she was in so much pain she was screaming the place down and crying. You ask if we can confirm that she was screaming and for how long.

Professor Aluwihare tells me that he cannot remember The patient screaming at all. She had discomfort from time to time and articulated this quietly or briefly cried very quietly. He tells me he could see The patient face and was very aware of the need to control her pain.


Main points from the Health Commission reply

The independent clinical adviser comments that it was predictable that this would probably be a difficult and long operation. A general anaesthetic was not contraindicated due to the high BMI of 54, but would present significant risks. However, the technique using local anaesthetic reduced the risks of general anaesthetic, but carried risks associated with local anaesthesia. The independent clinical adviser clarified that the clinical records showed the amount of local anaesthetic used was lidocaine (2%) 400mg, marcain (0.5%) 100mg and lidocain (0.5%) 400mg.

In the clinical adviser’s opinion the maximum amount of plain local anaesthetic would have been in the order of 3 x 138 (weight of patient) = 414mg. He states that it is surprising that so much local anaesthetic was used and that adrenaline was not added.

The patient was therefore possibly at risk from the dose of local anaesthetic. However, having an anaesthetist present would have reduced the risks as the anaesthetist would have been able to monitor, administer appropriate drugs, and resuscitate in the event of vomiting and aspiration which was essential in such a patient (with a BMI of 54 and weight 138kg).

The clinical adviser recommends that the trust formulate a policy concerning the presence of an anaesthetist, especially when a patient receives large doses of local anaesthetic, for abdominal procedures and patients with a BMI of 54.

My expectation is that Mid Cheshire hospitals NHS Trust will contact you in writing within the next 25 working days in order to set out the steps that it will be taking in response to the recommendations for further action that I have made. I would also expect you to be informed in due course of the outcome of that action, and I will be asking the trust to copy the Healthcare Commission in on the relevant correspondence. The letter was sent on 21 December but the hospital has not complied with the above order in the time stipulated.

The Ombudsman's report

The Ombudsman has completed their investigation and found the HCC failed to identify that the removal of a women's knickers after she had said they couldn't be removed and giving a suppository without consent must be reinvestigated as soon as possible.  We believe that this will reveal that the patient suffered assault and battery which is a criminal offence.

Battery is defined

A battery is the wilful or intentional touching of a person against that person’s will by another person, or by an object or substance put in motion by that other person. Please note that an offensive touching can constitute a battery even if it does not cause injury, and could not reasonably be expected to cause injury. A defendant who emphatically pokes the plaintiff in the chest with his index finger to emphasize a point may be culpable for battery (although the damages award that results may well be nominal). A defendant who spits on a plaintiff, even though there is little chance that the spitting will cause any injury other than to the plaintiff's dignity, has committed a battery.

Assault and battery has a 6 month custodial sentence and a £5000 fine at Magistrates Court. 

We hope that Leighton Hospital will now reveal the names of the people who committed these crimes as up to now they have been protecting these criminals by failing to supply their names. The ruling is significant as Leighton Hospital give suppositories  all the time without consent so now people can sue them for this and the doctors can be struck off. Many patients have complained to us that they had there underwear removed while they were sedated totally without their consent. The hospital just don't understand the effects this has on people and they are committing criminal acts by doing it


Experts Opinion

1. We sent Steve Bolsin BSc, MB BS, FRCA, FANZCA, MRACMA, MHSM, DLitt (Hon)
Director of Perioperative Medicine, Anaesthesia & Pain Management
The Geelong Hospital Geelong Victoria 3220 the notes and asked for his comments which are


I have reviewed the notes that you have sent and certainly there is evidence of a large overdose of lignocaine and an inappropriately high dose of midazolam in the first instance. However there are other more systemic issues relating to the planning and anaesthesia for such an operation. For example it might have been safer to undertake the procedure on a patient weighting 135 Kg under general anaesthesia to anticipate and prevent some of the potential problems that arose during the procedure. Who undertook the anaesthetic assessment for the patient? What type of block was used for the surgery? What factors led to the operation taking 2 hours? Why was the atropine given? (Presumably for bradycardia). What was the cause of the bradycardia? Why did the surgeon proceed with any operating while the patient was in pain? This would imply withdrawal of consent for the operation at that time and under those circumstances and may be an assault.
The specific answers to your questions are:
Yes it is far too much midazolam in one dose and is evidence of lack of experience with the drug and the technique of sedation.
The local could drop the heart rate but if the patient could not breath then there may be more significant reasons such as hypoxia followed by bradycardia.
The local dosage is a large overdose and inappropriate in the circumstances.
I can not see the correction in my copy but if there has been an alteration this is a very significant piece of information in itself. You need to find out who altered the chart and for what reason? If the bradycardia was due to hypoxia the saturations must have fallen. If there was no fall in saturations then the bradycardia was due to the local anaesthetic overdose and is still very significant.
Yes the operation should be pain free.
Hyperthermia for long operations can be easily prevented by warming blankets. these usually blow hot air over the patient and should have been used for any operation taking more than 20-30 mins.
I hope this brief assessment helps you.
Steve



Effects of the operation


An open letter to nurses and doctors
 

Special note here the patient express her personnel feeling of what happened during an operation she was sedated for some of the experience with a drug known to give sexual daydreams.

 
I went into Leighton hospital for a simple hernia operation as a day case and before the operation I told the nurse I didn’t want my knickers removed. She said as I was 21st they were not in the way and that was fine I also told her I didn’t want a suppository. I was taken into the anaesthetic room and given a massive dose of Midazolam 10mg all in one go according to my medical records.
I then started having a terrifying dream of being gang raped I was in a room full of people and they were removing my knickers in the most dirty, vile filthy and perverted way I feared for my life. I was unable to stop them doing these vile things to me and I was totally humiliated being stripped in public in this way it was the most terrifying experience of my life.

 Midazolam is know to enhance sexual feeling and  lots of cases of people having these feeling that's why it popular as a date rape drug. My knickers were removed for none medical reasons they claim so they wouldn’t get stained. Any women would prefer to loose a 50p pair of knickers instead of being forcible striped by complete strangers. I don’t know if it was done so people could look at my private parts in order to get sexual pleasure or what. As it’s a criminal offence of Assault and Battery which can have a 6 months custodial sentence I wouldn’t think anyone would do it without they got pleasure out of it. To ask a women while awake to remove her own knickers is one thing but to forcibly strip someone is a totally different thing As I was coming around from the operation I was awake when a nurse lifted my legs and buggered me.

Both the things were done totally without my consent and expressly against my wishes I don’t care how good a reason you had you did it totally without consent and for that reason its sexual assault.


It has now been nearly 2 years since this happened and I still wake in the night from horrendous nightmares screaming and trying to cover my self from the sexual assault my heart rate goes through the roof and I cant breath. My life has changed I am dirty and can never be clean again I have been sexually abused just the same as if I had been raped but its worse than that as I was helpless and had no way of stopping the attack, I couldn’t even fight back. I cant have any sort of sexual relations as I am unclean and cant stand the thought of anyone touching me. I have been buggered and deeply humiliated  without my consent has taken place and once again I was unable to stop this happening to me.
What makes this worse is the hospital refuse to sack this woman or name her so she can be brought to justice. She has no excuse for what she did its her job to ensure she obtains consent before she touches anyone and simply asking if its ok and explaining what she wanted to do is all it took but she didn’t do any of these things just simply buggered me. No decant caring nurse would do this terrible thing without first obtaining consent.

In the last 2 years I have lost over 11st in weight due to this incident. If I go out and see a group of people it can bring on panic attacks were I think they are going to strip me again my heart races and I cant get my breath. The attacks can happen watching television if there is anything similar to what happened to me. My life is a total mess I am depressed and often go into a world of my own for a week at a time. I cant talk about what happened without getting flash backs.

The hospitals attitude is once you give consent to an operation they can do what the fucking hell they like to you. For senior management to refuse to give the names of the perverts that did this is unbelievable. The senior management at the hospital refuse to answer any emails and have not bother to even apologise for the sexual assault they claim it was all done above board but if you bugger someone and remove their underwear without consent there is no grey area its assault. The GMC have ruled that these things were done without consent so there is no doubt that in the eyes of the law a crime has been committed but still the hospital refuse to name or discipline the nurses who have done this to me.


I want all doctors and nurse to read this and I hope they will then think before they do anything to a patient without first obtaining consent they must remember that people are not just pieces of meat but have feelings and fears and are very vulnerable. Maybe reading this they will understand what effect their actions can have on someone. To them removing underwear is nothing but to many this has the effects that I have described. Many modern women might not mind but there are thousands who feel like I do.

I noticed my time in hospital that most don’t ask consent or explain what they intend to do they think they are gods better than the rest of us and can abuse patients and get away with it. I believe that most of the violent attacks on staff are because they don’t explain what they are doing and don’t seek consent. It take a second to say I want to take some blood is that ok.

I do accept that the whole incident was done for all the right reasons and nothing untoward happened but this doesn't make any difference to what I felt and what I still feel a lot of the feeling I believe are enhanced by the drug Midazolam that they used and it show they have considered the side effects of this drug. Midazolam can lead to the patient experiencing daydreams with a sexual content.



 

These are the GMC Rules for good medical practices for surgeons and every hospital should use these as their standards. If they don't you can complain to the GMC  Here These rules apply to minor operation done on a day patient as well.

Consent

Intimate Examinations

December 2001

The GMC regularly receives complaints from patients who feel that doctors have behaved inappropriately during an intimate examination. Intimate examinations, that is examinations of the breasts, genitalia or rectum, can be stressful and embarrassing for patients. When conducting intimate examinations you should:

  • Explain to the patient why an examination is necessary and give the patient an opportunity to ask questions.
  • Explain what the examination will involve, in a way the patient can understand, so that the patient has a clear idea of what to expect, including any potential pain or discomfort (paragraph 13 of our booklet Seeking patients’ consent gives further guidance on presenting information to patients).
  • Obtain the patient’s permission before the examination and be prepared to discontinue the examination if the patient asks you to. You should record that permission has been obtained.
  • Keep discussion relevant and avoid unnecessary personal comments.
  • Offer a chaperon or invite the patient (in advance if possible) to have a relative or friend present. If the patient does not want a chaperon, you should record that the offer was made and declined. If a chaperon is present, you should record that fact and make a note of the chaperon’s identity. If for justifiable practical reasons you cannot offer a chaperon, you should explain that to the patient and, if possible, offer to delay the examination to a later date. You should record the discussion and its outcome.
  • Give the patient privacy to undress and dress and use drapes to maintain the patient’s dignity. Do not assist the patient in removing clothing unless you have clarified with them that your assistance is required.

Anaesthetised patients

You must obtain consent prior to anaesthetisation, usually in writing, for the intimate examination of anaesthetised patients. If you are supervising students you should ensure that valid consent has been obtained before they carry out any intimate examination under anaesthesia.

You may find some hospitals don't get the proper consent and if for instance they were to give you pain relief by way of a suppository while you are under sedation if they do they must get your permission in writing before you are sedated or the doctor may be struck off for assault.  A lot of Hospitals use Midazolam (versed)  for sedation during minor operation like a hernia and by the rules they must tell you the risks.

One of the risks is it can make you forget which you may think is a good thing but some people don't want to forget. You may be given a pain relief Voltkol which is given as a suppository if they haven't told you about this and obtained your permission in writing as per the above GMC rules then you can complain to the GMC or look for compensation for sexual assault. The problem is because of the Midazolam you may not know they did this you would have to apply for your medical records to see. You don't need this pain relief you can have tablets and according to the rules they must explain this to you and give you the chance to opt out.

 

 

 

 

Leighton hospital was condemned  by the Health Care Commission in January 2006 See the full report here

Health watchdog finds that failings at the Mid Cheshire Hospitals NHS Trust led to unacceptable levels of care for older patients Published: January 24th 2006 Serious lapses in the care of older people at Leighton Hospital have been identified in an investigation report published today (Tuesday) by the independent healthcare regulator the Healthcare Commission. The investigation followed the conviction in 2004 of Ward Sister Barbara Salisbury on two counts of attempted murder.

The conviction related to incidents that occurred at Leighton Hospital in 2002 and involved the inappropriate administration of diamorphine, a powerful opiate analgesic, to patients. The aim of the investigation was to look at whether there were failings in systems to protect patients in the trust in 2002, and to assess whether these failings were still a problem. The investigation found that the trust failed to meet adequate standards of care.

This, together with poor leadership and management, staff shortages and a lack of learning from complaints, resulted in the safety of patients being compromised. Patients were often not assisted to take their medication or helped with eating and drinking. The Commission found that the general lack of attention by staff sometimes prevented patients from getting to the bathroom or using the bedpan in time, adversely affecting their dignity, morale and health.

Healthcare assistants reported having no time to shave patients or answer buzzers, and there were numerous examples of drug rounds being late and tablets being left on tables out of reach of patients. Following the conviction of Barbara Salisbury, many nurses and some families reported serious misgivings that patients were not receiving adequate pain relief. Marcia Fry, Head of Operational Development at the Healthcare Commission, said: “There is no excuse that allows for the care and dignity of patients to be compromised in this way. “This report has highlighted serious problems, some of which go right up to the most senior level at the trust.

We are pleased that the trust has already taken some urgent action to improve the service for patients. It must continue on this path and make every effort to implement all of the recommendations in this report. It must do everything in its power to build a service that staff, patients and their families can rely upon. “As performance manager and commissioner of services of the trust, the local strategic health authority and primary care trust must share responsibility and work with the trust to improve the situation. “The Healthcare Commission will keep a close watch on the trust over the coming months to make sure that the necessary improvements are made.” In order to address the concerns identified in the investigation the Healthcare Commission has made the following urgent recommendations:

* Recruit additional frontline nursing staff to provide an acceptable and safe standard of care

* Improve governance and management of the medical directorate

* Investigate and address the cause of poor clinical outcomes in the medical directorate, including apparently higher than average mortality rates in recent years

* Review management and accountability arrangements in the trust In addition, the trust must also:

 * give greater priority to the care of older patients in line with the national service framework for older people

* provide care that puts the needs of patients first and treats them with dignity and respect

 * review its arrangement for providing patients with appropriate pain relief

 * take action to address poor care when it is identified through complaints and/or reporting

* develop action plans in response to serious complaints and ensure that they are implemented and monitored Mid Cheshire Hospitals NHS Trust have developed a detailed action plan to address the recommendations in the report.

A number of these actions have already been put in place including a high level review of the trust’s management arrangements. The trust is reviewing its risk assurance framework; they are also reviewing arrangements for governance and management particularly in the medical directorate. In addition to this, the trust, which is under the leadership of a new acting chief executive, has recruited 44 new nursing staff, and introduced a new approach to handling and learning from complaints. An audit of the care of older people has been launched. Cheshire and Merseyside Strategic Health Authority and the Healthcare Commission regional team will closely monitor progress made against the action plan.

 
 Nurse gets five years for seeking to kill two patients but was she innocent?

 Nurse gets five years for seeking to kill two patients

Ward sister weeps at verdicts after trial that heard of her ruthless desire to free beds by causing elderly to die

Helen Carter
Saturday June 19, 2004
The Guardian

A senior ward sister was convicted yesterday of attempting to murder two elderly patients under her care because she was motivated by a ruthless desire to free up beds at a hospital which was in the throes of a bedblocking crisis.

Barbara Salisbury crossed the line between humane nursing and callous dispatch of patients at Leighton hospital in Crewe by administering diamorphine or lying them on their back so they would drown in their own secretions. She was jailed for five years after being found guilty at Chester crown court of the attempted murders of May Taylor, 88, and Frank Owen, 92, in March 2002.

Article continues
Salisbury, 47, from Pontybodkin, north Wales, wept as the guilty verdicts were read out. Sentencing her, Mr Justice Pitchford said: "Your duty and your trust was one of care towards your patients, and under the direction of the doctors, the respect for and preservation of human life. The jury has found that in the case of two elderly patients who were nearing their end, you broke that duty and abused your trust by attempting to hasten death."

He added: "It is impossible for me to fathom what it was to cause you to act as you did. You chose to exercise control over life and death of patients whose time had not quite come."

Salisbury had faced four attempted murder charges. But she was cleared of any unlawful involvement in the deaths of James Byrne, 76, and Reuben Thompson, 81.

Two years ago, the Cheshire hospital which serves a community with a large number of elderly people, was in the middle of a bedblocking crisis, which has since eased. The court heard that when she arrived back on the ward after six days off sick, she saw Mr Owen, who had been a patient for three months, and asked: "What's he still doing here?"

The prosecution said she had been constantly pressing for him to be discharged to a nursing home, despite Mr Owen needing a drip. She told her colleagues to lie him on his back "so his lungs will fill with fluid and he will die".

Despite colleagues telling her that Mr Owen was not in pain, she gave him two injections of diamorphine. The former mechanic died five minutes after she finished her shift. One witness described her actions as "callous and unprofessional". Later, she was asked if his death was peaceful. She replied: "Yes, thanks to me."

Salisbury had lied to doctors to ensure Mrs Taylor, a widow, was given excessive doses of diamorphine. When challenged, Salisbury had replied: "Why prolong the inevitable?"

She had been accused of telling James Byrne, who had suffered a minor stroke: "Give in, it's time to go," as she gave him diamorphine.

When she appeared in the witness box, Salisbury repeatedly denied hastening patients' deaths, but admitted using the phrase "It's OK to go now" to those close to death, in an effort to be soothing.

The prosecution claimed Salisbury had arrogated to herself the right to decide when patients should die and attempted by her actions to shorten what remained of their lives. But she said: "I have probably said, 'It's OK for you to go now.' It's a term I often used to use in intensive care, meaning it's OK, you can leave this life," she told the jury. "I said it in a gentle way to let them know there was somebody there." She could not remember any of the four patients.

Unpopular

Salisbury was said to have been unpopular among her colleagues on the ward because of her brusque manner. Many of the nurses were traumatised by what they witnessed, while others were bullied into obeying her orders. Following the death of Mrs Taylor, nurses Katherine Darby and Alexandra McNally were so appalled by her treatment at the hands of Salisbury that they complained to their managers.

There were other incidents involving elderly people. Nurse Annie Denson said that on Christmas Day 2001, Lila Hillyer, 86, was nearing death. She had left her on her side aided by an oxygen mask so she might survive until relatives could see her. Then Salisbury came into the side room and said: "Lose the oxygen and lie her flat." The nurse ignored the instruction and the patient survived two more days.

Salisbury's barrister, Peter Birkett, said in mitigation that she had no criminal record and suffered from depression, for which she was treated in hospital from August 2002 to July 2003.

Salisbury, a mother of two, had been a nurse for most of her working life. Born in Liverpool, she began training in 1975 while in the RAF. She went on to qualify as a state enrolled nurse and a registered general nurse and worked at hospitals in Peterborough and King's Lynn, principally in intensive care. In 1993, she moved to Leighton hospital. She had risen to the rank of Grade E staff nurse and three years later she was promoted to a Grade F ward sister.

She worked on Ward 5, a general medical ward with a number of geriatrics, until 2000, when she transferred to Ward 4. The following year, the trust's chief executive, Simon Yates, presented her with a Learning to Be a Leader award.

"She had a pretty good reputation with the management," said a source at the hospital. "They looked upon her as being efficient. But the people who worked with her had no time for her at all. They certainly didn't like her attitude and she upset and offended an awful lot of people."

For more than a year, a team of detectives from Cheshire police were based at the hospital as part of a lengthy investigation led by Detective Chief Inspector Adrian Wright. Salisbury was eventually charged with the attempted murders in June 2003. The inquiry team examined 20 deaths of elderly patients at the hospital over a five-year period. A hotline set up for concerned relatives received more than 100 calls in its first few weeks.

In a statement, the Cheshire and Merseyside Strategic Health Authority paid tribute to the whistleblowers. "We are grateful to the hospital staff who first raised their concerns with the trust for bringing the matter to the attention of the police," it said. "We have agreed with the trust that the SHA will commission an independent investigation to look into the issues surrounding this case."

A statement from Salisbury's husband Derek said: "My wife is a devoted nurse, who has dedicated herself to the care of the sick. Always she has put the interests of patients first. We do not accept this jury's verdict. We know her to be innocent of any crime. This is a tragic day for her, for us her family, and for the nursing profession."

 

Full report of the investigation and how it was conducted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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