Bedlam,’barbaric’ secure hospitals


via Bedlam¹,’barbaric’ secure hospitals, #rightfullives

37765453 - the bethlam royal hospital also known as bedlam

“At least 40 people with a profound learning disability or autism have died while admitted to “barbaric” secure hospitals the government has promised to close since 2015, a Sky News investigation has found.” Read full story here→

Most alarmingly, the number of cases of restraint in England rose from 16,660 in 2016 to 28,880 last year, a rise of 73%. NHS England alleges that the increase is explained by better reporting of incidents. [Oh really?] If we believe that, 12,220 cases of restraint went unrecorded in 2016 – 235 per week. Who’s being held to account for that?  

And the allegation that health services in Scotland, Wales and Northern Ireland were unable to provide figures is simply scary.

Sir Stephen Bubb² said that government’s failure to act was putting patients’ lives at risk:

“There are deaths of people in these institutions, some of them unexplained. We know there are significant problems and there will be at some stage another scandal, and yet we know what we need to do.

“The idea that in the 21st century you lock people up, you restrain them, you use prone restraint, you hold them down, I think is disgusting, it is barbaric and it is unacceptable, and it needs to be made unlawful.”

ignorance Plato


Adapting the words of Greek philosopher, Plato, in the context of mental health & LD:



¹ People with illnesses, which we now recognize as schizophrenia, depression, autism, and epilepsy, might all have found themselves in Bedlam.

² Sir Stephen Budd led the work, commissioned by NHS England, to support and enhance existing activity, to ensure thousands of people with a learning disability, who are still stuck in Assessment and Treatment Units, are supported to move back to their local community. The press release about the work with links to the full report is here→


Our strategy is to wear them down!

BCC4In advice to it’s staff, Southern Health publicises that Gloucester Police have been fined £80,000¹ for disclosing 56 names and email addresses by failing to use the BCC facility! The police realised their error two days later and recalled the emails.

The words, POT, KETTLE, BLACK come to mind. Southern Health made the same mistake in September 2017. At a Board Meeting on 26.09.17, a member of the public stated:

Bcc Q & A 4

To avoid breaching the addressees’ privacy again, CRASH will not be publishing the errant email – just the Trust’s answer – also from the Board Meeting Minutes:
BCCs Trust Answer 002

In short, no answer at all. Kicked into the long-grass: to the best of our knowledge and belief, the ‘offending’ email was not recalled.

And note that the full public statement is ‘sanitised’ in the body of the Minutes as, Issues relating to data security, whilst the full statement is posted separately from the Minutes on Southern Health’s web site as an Appendix here→. How many just read the Minutes and then look for separate document? There is no logical reason why the Minutes and Appendices should not be in one document.

CRASH, Dr Sara Ryan and others have considerable experience of Southern Health’s compliance (or lack of it) with information governance legislation over the years. The Trust clearly has been reading

Dilbert by Scott Adams © 2018, Andrews McMeel Syndication

Recently, there has been another very serious breach of data protection legislation, which cannot be reported for legal reasons.

In Memoriam – ‘Vital Interests‘ Exemption

Despite Southern Health’s record on data security , when they can disclose data legally in the ‘vital interests’ of a patient (Sch. 3(3) of The Data Protection Act 1998¹), they don’t.



Wherever we go, it’s hard to avoid Southern Health. This sad epitaph is at Hythe Marina overlooking Southampton Water. 

A 20-year old lad told a therapist at Antelope House that he intended to end his life.

They told the family he had made an appointment, but not that he had threatened to kill himself.


Read full story here→ but note the comments of Dr Cory De Wet (amongst the usual duck-billed platitudes):

“Our staff work hard to assess risk and agree a balanced response with each patient, taking into account their wishes about confidentiality.”

Nonsense! Many staff work hard, but, in this case, aside from the obvious ‘vital interests’ test) Southern Health had broken confidentiality already in telling the family he had an appointment at a mental health unit. Common sense might have been a useful asset too!

Perhaps Dr De Wet, you should work harder to train your staff in matters relating to The Data Protection Act and also tell them to use their common sense if there is a threat to life. ‘Data Protection myths and realities‘ is perhaps one of the best papers published by the Information Commissioners Office:

“Data protection law reinforces common sense rules of information handling, which most organisations try to follow anyway.

“Some organisations understandably err on the side of caution and do not release information when they could do so.”

¹  The Data Protection Act 1998 was replaced by The Data Protection Act 2018 and The General Data Protection Regulations (“GDPR”) from 25 May 2018. Harsher penalties are available under the 2018 Act and GDPR but they cannot be applied retrospectively – or Gloucester Police’s fine might have been even higher.

Spinning around, spinning around

KONICA MINOLTA DIGITAL CAMERAWe thought we had written enough about poo but found some for sale very close to Southern Health’s HQ shortly after seeing their take on the latest CQC report. It appears to us that Southern Health have been busy polishing again.

CQC report (lower half of page 1):

CQC Report ReducedNo ‘Outstanding overall ratings: read the full CQC report here→

Southern Health’s News Release, paragraph 1:

“Today (2 October 2018) the Care Quality Commission (CQC) have published their comprehensive report into Southern Health NHS Foundation Trust. Whilst the Trust remains rated as ‘requires improvement’ overall, the CQC have found many signs of progress across the organisation, with over 84% of service areas now rated as ‘good or ‘outstanding’.”

Whirligig icon cartoon


(Spinning around, spinning around)
I’m spinning around.¹  


Read the spin news release here→. Sadly no mention  here of the leadership requiring improvement.

Readers can compare the two and draw their own conclusions. 

CRASH is sure there are caring and responsive staff at Southern Health, who warrant a ‘Good’ rating but what is the point of caring and responsive staff when patient safety, effectiveness of services and leadership all require improvement?

Indeed, we can reasonably argue that Southern Health would recruit even more permanent caring and responsive staff (saving money on locums, freelancers and ‘bank staff’), if prospective recruits believed they were joining a safe, effective, well-led Trust.  

2013 MTV Movie Awards


(Sorry boys – Royalty Free images, very limited)

¹ Kylie Minogue

Lyrics here