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Cygnet Hospital Godden GreenCQC overall ratingRequires improvement4 July 2019See the report

CYGNET, GODDEN GREEN SEVENOAKS, KENT TN15 0JR

RC DR RUVINI SENESINGHE

RC OF SUFFOLK WARD CHASE FARM HOSPITAL DR HELEN MOOREY

TRANSFER DATE 25TH JUNE 2020

Having been held in seclusion since 7.00pm Saturday 20 June, Elizabeth was finally released from seclusion by Suffolk Ward this morning (24th June) following calls from myself /other family members and friends who had no luck in getting through to her. We knew nothing about what happened – someone apparently set fire to Suffolk Ward. This incident was not caused by Elizabeth. When I got to hear I was told by MH Reception member of staff that “noone was hurt” – it was just a little fire”. Around this time Elizabeth had complained that had been was cooped up on the ward for two days without fresh air and mentioned some patients had barricaded themselves into a room on Suffolk Ward and that staff wanted to inject them. Here is her exact message: “We’ve barricaded ourselves into the bedroom on ward with friends please come and call the police”. Elizabeth’s sister visited Suffolk Ward that evening to bring with her hot barbeque food but was not told her sister was in seclusion. Now we know Elizabeth did not get the food and no doubt this was thrown in the dustbin. No-one informed us about the incident of fire or the barricading by patients in a room but this all needs to be investigated by the CQC . Furthermore they need to speak to my daughter Elizabeth because I have seen nothing but error and distortion of truth by professionals in file notes and records by BEHMHTNHS (Barnet Enfield and Haringey MH Trust) that I have now had time to study in detail. They state that Elizabeth got into a fight but serious incidents that have occurred under their care through lack of observation in the past have been covered up. It is wrong to cover matters up as the truth always comes out in the end. It is best to be honest and open and I would have respected this. I am asking for Barnet Enfield and Haringey MH Trust’s Policy on seclusion. I thought seclusion should be no longer than 72 hrs? Elizabeth was in seclusion from Saturday 7 pm until sometime this morning and I would like to know how long? They knew Elizabeth has been multiply abused under MOTI VILLA THE RIDGEWAY ENFIELD EN2 where crack cocaine was being dealt and captured on CCTV a 2 hr ordeal for my daughter all covered up and the way this is done is to drug someone. We all know now so why cover things up? The other thing is they have taken her phone away and she has been without a phone for days at Enfield. Cygnet’s Policy is no phones at Sevenoaks but this was not the case at Cygnet Stevenage or Beckton. I am very concerned and I think that the CQC need call at Cygnet Sevenoaks to interview Elizabeth and check she is OK after her ordeal under BARNET ENFIELD AND HARINGEY MH TRUST. Whilst talking about Barnet Enfield and Haringey MH Trust I would point out they have two male wards and only 1 female ward – the other ward is mixed and they wanted to put Elizabeth on mixed Dorset Ward whose RC is Dr Greenside. This had already been tried before but Elizabeth reacted in terror – they all know this! – how can you put someone who is terrified of men on a mixed ward without any due consideration and why is there no other ward for solely females? If she had intensive trauma therapy in the first place she would not have gone downhill.

Due to lockdown since her admission we have not seen anything of Elizabeth as no visitors are allowed on wards however in light of lockdown special allowances should surely be made to let patients have access to their phones. I will be speaking to Cygnet Sevenoaks tomorrow about this. In terms of privacy and dignity special allowances should be made. These PICU settings can be very noisy and volatile and all they did at the previous PICU was forcibly drug her by depot (Paliperidone) metabolite of Risperidone previously found to be allergic to. They all knew this at Barnet Enfield and Haringey MH Trust and the RC of Suffolk Ward had indicated this fact on a drugs chart she signed previously.

ending my daughter a fair distance away is nothing new to Enfield as they have sent her all the way to Wales and worked together to restrict contact between myself and Elizabeth. It is cruelty and brutal punishment, not care and the environment is totally wrong. My blog Meds at Cygnet shows that disregard is been given to a patient’s well being and I am in touch with parents and relatives affected and know of those whose relative has died under Cygnet.

This expensive facility is all being paid for by the NHS and funded by Enfield Commissioning CCG as far as I know and I will find out the exact cost but it is bound to be at least £10000 per week? – correct me if I am wrong. Some people end up in facilities for life like this but Elizabeth has family and she has a flat and bearing in mind the review on this branch of Cygnet close scrutiny will be given I hope. I telephoned Cygnet today as I found out about the move third party – a nurse called Ade had phoned me on my old telephone number as they had not updated their records.

I presume this expensive facility is being paid for by:

NORTH EAST LONDON COMMISSIONING SUPPORT UNIT OR ENFIELD CCG?

I thought the NHS was short of money but it doesn’t appear to be the case. When a patient is sent away from out of area the local team are well and truly involved. I can prove it. Elizabeth is under the local team of BEHMHTNHS who are in close liaison with CYGNET CASTLE WARD and as Dr Sarker told me he was being guided by ENFIELD.

Elizabeth is being sent away for rapid tranquilisation and forced drugging second time in a short space of time by ENFIELD. ST PANCREAS HOSPITAL PICU RC DR NEIL SARKER drugged her with Paliperidone, contraindicated to her physical health conditions. So why send her so far away to a very expensive private hospital Cygnet Sevenoaks, Kent and how much is this costing. Perhaps Jinjer Kandola (CEO) will have the answers to this question and especially as to how much this is costing Enfield and why there are no decent facilities for someone who has been so badly abused and traumatised for people like my daughter.

https://www.cygnethealth.co.uk › locations › cygnet-hospital-godden-green

Cygnet Hospital Godden Green to open new PICU service for women. Castle Ward, our new 12 bed female PICU service at Cygnet Hospital Godden Green near Sevenoaks in Kent, is due to open on Monday 4th November 2019.

  • Location: Godden Green, Sevenoaks, Kent, TN15 0JR
  • Godden Green, Sevenoaks TN15 0JR · 01732 763491

 Cygnet Hospital Godden Green – Castle Ward – Specialist PICU Service for Women

Written by a member of staff14th September 2019

The nursing staff, (including ward managers and team leaders) MDT, Kitchen, Maintenance and doctors here are utterly wonderful, kind heroes. I had the pleasure of working with them. However they are sorely let down by the senior management (clinical/hospital manager and above). Cygnet is clearly more interested in profits than care. They treat their staff like dirt under their feet and take our their stress and anger on them. The CEO turned up to visit in a Ferrari! Well done care staff. Keep going. You guys are incredible.Recommend.

 Written by a carer21st November 2017

My child was drugged up to the eyeballs. After discharge, CAMHS were shocked at the amount of medication my child had been prescribed. I questioned the doctor during my child’s stay but was fobbed off; after all the professionals know what they are doing… My child did not engage much in the therapy offered and was not encouraged to. My child self harmed during stay, should have had stitches but was just given steri-strips. My child was there as an NHS patient, maybe if we were private my child would had had better treatment. Having said that, nurse Alice was lovely. There have been cases of theft; could only have been staff. Lack of communication- I always had to phone for information and updates.

Castle Ward – Specialist PICU Service for Women

Castle Ward is our new 12 bed female PICU service at Cygnet Hospital Godden Green and accepts emergency and crisis admissions. Referrals are accepted from all areas, including acute and prison services.

Our aim is a short, rapid intervention to help service users regain a sense of control and order in their lives, so they can move to a less restrictive care setting and ultimately return home.

The service will provide expert, intensive, short-term, individualised care for women detained under the Mental Health Act. Service users will present with increased risks that require them to be assessed and treated in a PICU environment.

Our service user profile:

  • Women, aged 18+
  • Detained under the Mental Health Act
  • Experiencing difficulties that present a risk to the well-being of themselves or others that cannot be treated in an open environment
  • Diagnoses may include:
    • Acute mental illness
    • Acute depressive illness
    • Psychosis
    • Schizophrenia
    • Bi-polar disorder
    • Personality disorder
    • Dual diagnosis
  • May present with co-morbid presentations:
    • Self-harm
    • Substance misuse issues
    • Complex needs

Sevenoaks Cygnet Hospital rated good after ‘care concerns’

  • 8 May 2018
Cygnet Hospital
Image captionThe CQC said significant but necessary improvements had been made

A mental health hospital in Kent that was criticised about its care standards has been rated as “good”.

The Care Quality Commission (CQC) inspected Cygnet Hospital amid concerns over ward environments and incidents affecting patients’ welfare.

Inspectors said the NHS provider in Sevenoaks had made significant changes.

Cygnet Health Care said it had taken “all necessary steps” to allay concerns raised and the wellbeing of people using its services was “top priority”.

In February, Anya Auckland, 17, criticised the care she received at the hospital in Godden Green.

Natasha Sloman, from the CQC, said concerns were raised over the ward environments, the number and severity of incidents affecting the health, safety and welfare of patients in children and adolescent mental health wards and a failure to report incidents to external bodies.

Anya Auckland
Image captionAnya Auckland said she was ignored and not supported

She said: “Cygnet Hospital has worked hard to make the significant but necessary improvements required to ensure the safety and well-being of its patients, including changes to the management.”

Nicky McLeod, Cygnet’s chief operating officer, said: “We have taken all necessary steps to allay previous concerns raised, including implementing extensive learning development programmes for all staff and establishing a specialist management team.”

She said Cygnet would continue to work collaboratively with the CQC and NHS.

‘Disgusting’ treatment at Kent mental health service

  • 19 February 2018
Anya Auckland
Image captionAnya Auckland said she was ignored and not supported

A 17-year-old mental health patient has described the care she received at a Kent hospital as “disgusting”.

Inspectors recently criticised the Cygnet Hospital in Sevenoaks, and issued three warning notices.

Anya Auckland was admitted last year and said patients aged between 12 and 18 were secluded, sometimes for weeks, to “control” them.

The head of Cygnet Health Care said they are looking at ways to “improve procedures, protocols and training”.

‘Worthless’

The Care Quality Commission (CQC) carried out an urgent inspection after concerns were raised over the safety of young people.

Inspectors found patients were not protected against abuse and “seclusion and segregation was used to control and contain young people in the absence of other behaviour-based approaches”.

Miss Auckland was admitted after feeling suicidal, but said staff made her feel “worthless”.

She recalled seeing a patient “dragged along the floor” because they were in the wrong corridor.

Cygnet Hospital in Sevenoaks
Image captionConcerns were raised over Cygnet Hospital in Sevenoaks

She added: “One time a girl was in seclusion in a room for one or two weeks.

“Once she was out, we were playing outside… The ward manager came out and said to her, ‘you’d better stop or you’re going to go back to where you belong’.

“You’re stuck in this world, which makes everything much more intense. When your words aren’t being taken into account, you work together.

“The most support I had was from other patients.”

Nicky McLeod, chief operating officer at Cygnet Health Care said: “We recognise we have not always dealt with issues raised around the care we offer as comprehensively as we might.

“But as a responsible mental healthcare provider we take any comments on our hospitals very seriously.”

Ms Auckland met with the new manager of the centre and director of nursing to give feedback, and the service is being re-inspected to check progress.

.0Team and EnvironmentStaff Nurse (Former Employee) – Sevenoaks, Kent – 3 May 2020Chaotic,disorganised, and not particularly friendly.
The staff employed are often those with extraordinarily little to no experienced taken on by those already working at the facility.
This is true of agency healthcare assistant – some may never have worked in such environment but is more often taken on because of who they know.
You are left very much to do a lot by yourself with those who are supposed to support having very little themselves to no experience in dealing with a crisis and is often finding excuses to do something else leaving you to carry the burden if mistakes are made.
The most enjoyable part of the job is when it is time to leave the premises, when you have finally finished certain aspect of the work that those scream at you, putting pressure on you to do the things that they themselves can do when it should be a shared experience.Pros Free lunch, either for the lunch time or evening, not twice a day when on duty. Cons You don’t exactly use the skills you begin the job with, and you never finish work on time. Was this review helpful?YesNoReportShareOfficial response from Cygnet Health Care7 May 2020Hi,
Sorry to hear about your poor experience with us recently, but thank you for providing detailed feedback.
Obviously, we’re keen to improve on any failings – could we speak to you, in confidence, to find out more details?
If could you send your contact details to review@cygnethealth.co.uk<mailto:review@cygnethealth.co.uk> – we will get back to you ASAPOfficial response from Cygnet Health Care7 May 2020Hi,
Sorry to hear about your poor experience with us recently, but thank you for providing detailed feedback.
Obviously, we’re keen to improve on any failings – could we speak to you, in confidence, to find out more details?
If could you send your contact details to review@cygnethealth.co.uk<mailto:review@cygnethealth.co.uk> – we will get back to you ASAP
Thanks for the positive feedback, really appreciated.Official response from Cygnet Health Care7 May 2020Hi,
Sorry to hear about your poor experience with us recently, but thank you for providing detailed feedback.
Obviously, we’re keen to improve on any failings – could we speak to you, in confidence, to find out more details?
If could you send your contact details to review@cygnethealth.co.uk<mailto:review@cygnethealth.co.uk> – we will get back to you ASAP
Thanks for the positive feedback, really appreciated.2.0

Poor ManagementSENIOR PROCUREMENT OFFICER (Former

Employee) – Sevenoaks – 8 November 2019

Management with no people skills or ability to Communicate and Manage staff properly.
Management that was given a position over a pint.
And many other issues they lack of as an organisation.
If they change those individuals, would be ok place to workWas this review helpful?Yes8NoReportShareOfficial response from Cygnet Health Care18 November 2019Hi,
Sorry to hear about your recent experience with us but thank you for providing feedback.
Obviously, we’re keen to improve on any failings – could we speak to you, in confidence, to find out more details?
If could you send your contact details to review@cygnethealth.co.uk – we will get back to you ASAP2.0

Management do not value their staffHCA/Support Worker (Former Employee) – Sevenoaks, Kent – 4 September 2019

Not a place to work if you want to progress further skills as a HCA
Only recognise nursing
No recognition for their hard working staff. And low moral within staff throughout the hospital which has an impact on young person’s progressWas this review helpful?Yes15NoReportShareOfficial response from Cygnet Health Care6 September 2019Hi,
Sorry to hear about your experience with us recently but thank you for providing feedback.
Obviously, we’re keen to improve on any failings – could we speak to you, in confidence, to find out more details?
If could you send your contact details to review@cygnethealth.co.uk – we will get back to you ASAP4.0

Last night I participated in an interesting Zoom discussion organised by http://www.bringingustogether.org.uk.

I, along with other parents with relatives locked away under the UK’s cruel, abusive system took part and had the opportunity to voice our opinions and discuss openly, all of which will be put forward to NHS England.

“Bringing Us Together is an independent and proactive voice for families. We are quick to listen and respond to the needs of our family members through our forums, web chats, resources, news and blog items on topics that we know are important. Our projects aim to move things on and change attitudes by highlighting concerns, show what good looks like, and raise awareness of important topics. We work together with family members, professionals and other parent led organisations to drive up quality and standards by addressing the real issues and barriers impacting our families. We are passionate about making the world a place where our young people are loved, respected, have an equal voice, rights, and opportunities. We want all our young people to grow up feeling strong, happy with their relationships with family and friends, positive about themselves and part of their communities. We actively encourage everyone to become a member so they can share details of events, consultations, surveys, news and resources in our forums. Only registered members can see all of these forums.”

It awaits to be seen if NHS England will take note and most importantly act upon this discussion.

Ray James: My priorities as NHS learning disabilities director

https://www.themj.co.uk › Ray-James-My-priorities-as-NHS-learning…

17/04/2018 · Ray James: My priorities as NHS learning disabilities director By Ray James | 17 April 2018 We all share a desire to help people with learning disabilities or autism to live the lives of their choosing in their local community and, at the same time, to reduce the use of in-patient settings.

I remember Mr James whilst at Enfield when Elizabeth had been dreadfully abused under her scheme. I had tried to get her referred to Integrated Learning instead of mental health who had tried to cover up extensive abuse suffered under Moti Villa, The Ridgeway, Enfield.

No-one took a blind bit of notice. An AMHP later appointed as “nominal NR” stated Elizabeth’s constant hospital admissions were “because of her mother” – however her mother did a thorough investigation to reveal the extent of abuse, joined the police and revealed what was really going on under that scheme, situated in one of the best areas of Enfield. Then you turn to those at the top, such as Mr James whose PA dismissed everything like rubbish in a desperate attempt to cover things up. File notes confirm conditions in Elizabeth’s flat were sub-standard, in breach of health and safety, yet social services will never confirm this to your face. Mouldy food, bins overflowing and I took photos to prove it. How can anyone function on this c800 mg Quetiapine, an enormous quantity of drugs in the community?

The reality was she was trying to avoid drug dealing on the premises – A 14 year old child drug dealer and crack cocaine was being supplied. Elizabeth was afraid of the drug dealers, as demonstrated by her behaviour so was constantly admitted to Chase Farm Hospital where she felt safe. However this was no safe place as Psychiatrists raised Quetiapine to 800mg together with other drugs. All the time Elizabeth was suffering from PTSD due to multiple abuse – CCTV went missing and so did all her possessions. MOTI VILLA – was that scheme.

Anyway, last night’s discussion was very good and great to get things brought out in the open. Sadly I am far from alone as a parent who is extremely concerned by the “treatment” given to their relative in the name of “care” leading to decline and injury. I was not the only one to mention over-prescribing but who listens to a parent? However I have sought advice on the drugs from leading professors backed by research and even then Doctors do not listen. If Doctors are continually allowed to prescribe away without due recognition of prescribing guidelines and contraindications to vulnerable patients then they should be held accountable but instead parents are having to fight for justice at inquests. This is pure evil what is allowed to go on in the UK to so many. This matter concerns me more than Covid 19.

Some parents who took part yesterday commented they were afraid to speak out for fear of what might happen to their sons/daughters under care if they did. However I take a very different view because when a doctor knowingly prescribes a drug previously found to be allergic to and one that is contraindicated, especially in light of Paula McGowan’s son Oliver, then this needs to be brought to everyone’s attention and openness and honesty is the way forward. I spoke about open dialogue last night and also my concerns on prescribing and in general how it feels to have someone locked away, not allowed to see that person or have any contact and no-one communicates effectively then you find out about incidents, some serious and that patients are not allowed fresh air for several days and things have gone missing so no-one bothers to ring, you are treated like nothing as a parent/carer – it is as though you do not exist.

I remember once a church service I attended at Mary Mother of God”, Ponders End where the Priest would talk of every day life situations in relation to God’s words. I will never forget his mention of speaking out openly and honestly against evil and not remaining silent or going along with things that are wrong and against God but this is happening all the time under mental health care of the UK, where staff are ordered by the RC and allowed by UK law to forcibly restrain and drug vulnerable people, such as Elizabeth who have been badly abused under the care of the local area which in this case is ENFIELD. There is plenty abuse going on in the UK which is against God under a mental health system not fit for purposes and in care homes, hospital settings and supported living. This abuse and cruelty goes on behind closed doors by unaccountable professionals and under lockdown even more control and deprival of liberty by a Government who have no idea and compassion.

I greatly sympathise with the mass protests in respect of George Floyd who suffered brutal treatment in the US. However it is not just the Police who give such treatment. In Elizabeth’s case it has not been the Police of the UK at all but professionals under mental health care who forcibly drug and restrain a patient face down – they are just doing their job and obeying orders from the RC but what they are doing is against God. There is also racism so I’ve noticed judging by the ranks of those employed from cleaners to the very top with two white psychiatrists/RCs presiding over them giving the orders that everyone has to obey or else lose their jobs or be threatened with bullying but what they are doing is wrong. Then you look to the very top o with the likes of Boris Johnson who I have previously written to about MH care and this shows how little they care. They allow abusive practices to go on under the law. Nothing has been done to enforce NICE Guidelines, with drugs prescribed at dangerously high levels leading to death and injury, with patients being used as human guinea pigs and experimented on. In Elizabeth’s case the Doctor knew full well that the drug Risperidone was previously recorded as being allergic to and has even signed a drugs chart to this effect.

I would also describe my daughter’s treatment at North Mid Hospital as degrading but the shocking thing is that had she died as a result, there would be no crowds, no demonstrations – nothing. Imagine being held down face down by several so called professionals who possess no communication qualities for a quick solution and use this abusive tactic allowed under UK law. Employees of all races/ethnic cultures are just doing their job but if someone dies then no-one wishes to be accountable and they cover everything up. In the next room Elizabeth could hear staff talking about resuscitation – face down restraint can be life threatening and the treatment brutal – these people are carrying out their orders from those at the top. When you look further you can see who is responsible and that is a Government whose leader Boris Johnson, Health Secretary Matt Johnson and others who sit back and allow for such abuse. The Government go on and on about Covid 19. Abuse under MH and LD being covered up because people have their eyes shut due to Covid 19 and abusive cruel treatment of those with LD, MH and autism if rife and something needs to be done about this urgently.

I have not seen Elizabeth for weeks on end and I am not alone. Many parents spoke of their distress regarding this.

Yesterday I phoned Suffolk Ward, so did other family members but none of us could not get through. Apparently Elizabeth was held in seclusion and her phone taken away. Noone was keen to speak no doubt fearful for their jobs and claimed to be bank staff with noone present on the ward other than bank staff last night.

I’m going up to Chase Farm today as I have given information to the RC on Professor Philip McGuire’s research at Kings College London on Medical Cannabis as well as research papers regarding the links below. No comment regarding this. I would not be sitting here writing this if I as a mother had at least been listened to and communicated with effectively. It is all to easy to push someone aside because it is too much effort to communicate with that person who might have a very valid concern. The way they speak to you over the phone is not good. You are spoken down to and dealt with in an evasive manner, staff keen not to disclose any information to you.

Here is some information and this shows that some Doctors show consideration to their patients – there has been promising results with the research of Professor Philip McGuire and this should not be dismissed by NICE.

  1. Access Medical Cannabis in the UK | Cannabis Access Clinicshttps://cannabisaccessclinics.co.ukThe Clinic Cannabis Access Clinics provides UK patients with access to specialist doctors with experience prescribing cannabis based products (also known as medical marijuana). Cannabis Access Clinics are focussed on helping doctors and patients navigate the regulatory pathway for prescribing medicinal cannabis products in the U.K.
  1. https://academic.oup.com/eurheartj/article/35/20/1306/2293020

Finally, I’ve just received a standard letter from Dept of Health all about Covid 19 and shielding which I have not been doing from the very beginning. Elizabeth was dumped into the community by Suffolk Ward without any care provided whatsoever so I was helping her from the start. Besides I am not afraid of Covid 19 neither do I trust mainstream news.

As for risk! I am more likely to suffer a heart attack because of the lack of decent humane care being given to my daughter and the reality of how past “care” and “treatment” has damaged her beyond recognition. So it says from 1 June shielding guidance slightly relaxed and they suggest you may wish to spend some time outdoors away from your home once a day. Here is what I think RUBBISH! some of us have been unable to do what the Government orders because of caring responsibility and lack of any provision. Now suddenly the Government are relaxing their decisions. Mention was of food boxes but whilst I was thrilled to received a call about this as I have never been offered any support under Enfield before so I offered my services to deliver the food parcels but never heard anything more as how could I shield when I had Elizabeth in need to help not provided. I see that the food parcels and medicine deliveries will be continued until end of July but because I have been going out shopping etc for Elizabeth this is something I have not received. During the time of shielding I had taken Elizabeth to the Chiropodist for an emergency appointment as she was in a lot of pain and I was helping her in general but no support of the kind needed to those who are carers.

The last paragraph of the standard letter states “it is normal during these uncertain and unusual times to feel anxious and low. Well that does not apply to me as I am far more concerned about the prescribing and injury caused to vulnerable people under MH/LD. The people shielding does affect are vulnerable people like Elizabeth who wanted an MRI scan and was upset when this could not be done and I was looking to pay for it privately then she got admitted and had again turned to phoning Police desperate for conselling and support not given by Enfield Community Treatment Team.

Elizabeth was discharged from hospital prior to the Covid crisis, but had no support in the community. She is now back on Section 3 which in the UK is for treatment of antipsychotic drugs, when she needed support in the community. So many others are in a similar situation because of lack of community care.

Treatment in the past has been Prozac, Risperidone (found to be allergic to), Aripiprazole, Olanzapine at max dosage, Quetiapine plus Haloperidal, Zopical, Lorazepam, Clonazepam, Promazine. When the drugs failed to work Doctors optimized the dosage. That didn’t work either. I then had the P450 liver enzyme which proved she was a poor/non metaboliser. Diagnosis states Aspergers/developmental and Learning disability and complex PTSD but Doctors under Enfield stick with paranoid schizophrenia which we dispute.

Doctors now wish to start depot injections and I am concerned because the drug they wish to inject Elizabeth has previously been found to be allergic to. I feel they should make referrals to experts in the field of Endocrinology and Neurology for necessary scans before treatment goes ahead. For the past month or so Elizabeth has been in seclusion for several days due to shortage of beds then sent to St Pancreas Hospital Ruby Ward where she was forcibly injected with Paliperidol twice. Bearing in mind during titration of Clozapine in 2012 she scored a Mews Score of 3 (critical) and developed tachycardia I feel that what they are about to do is very wrong. Under mental health law of the UK vulnerable people, (inc. LD, autistic) regardless of race can be treated brutally treated, pinned down with face down restraints like George Floyd and injected/restrained by as many as 6 members of staff and no one cares if they die. It is covered up and there is a wall of silence. Families have to fight for justice. These vulnerable people can be locked away, fed through hatches and denied contact with their families. Coercion and gaslighting is rife. Bullying can also be extended to the family if they dare to challenge. Then reports are written behind the vulnerable person’s back making them and their families look bad. At the Royal Bethlem Hospital that is supposed to be world-wide renowned, not one ECG machine was working and Elizabeth was critically ill. I sent an email yesterday along the following lines:

“I am not against treatment but feel that when there are risks of death, in light of evidence attached within the files, Elizabeth needs to be thoroughly assessed first by referrals to specialists such as Neurologists for MRI scans and ultrasound/ Endocrinologist to check on organic pathology.   In Dr A-B’s report it says “kindly exclude any organic pathology” but this should now be included and thoroughly looked into due to past allergies. After all, adverse reaction could lead to death. 

I therefore wondered if you could consider a safer alternative that the whole family would support in terms of treatment in her case where the Bethlem identified her as being “treatment resistant”.    It is Professor Phillip McGuire who is the top person for research on cannabis oil and psychosis based at King’s College London   https://kclpure.kcl.ac.uk/portal/philip.mcguire.html  “CBD could be “new class of treatment” for psychosis.  King’s College London researchers found that CBD could hold promise as a treatment for psychosis, according to reasonable benefits seen in a clinical trial. 

Please can Elizabeth be referred to Professor Philip McGuire (Institute of Psychiatry, Psychology and Neuroscience).  Please can Elizabeth be involved in the research.

https://www.kcl.ac.uk/academic-psychiatry/about/departments/psychosis

https://www.openaccessgovernment.org/treatment-for-psychosis/64091/.&#8221;

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