Thread by @GeorgeJulian

This re-framing of history by Jezza and KP is ridiculous... painting her as honourable for not disagreeing with a 16yr old... then she resigned...

Let's dig deeper shall we.

A wander down #JusticeforLB memory lane... lead role for this thread is the awesome @BBCMBuchanan

1/25

https://twitter.com/sarasiobhan/status/1530159299896479744

9 Dec 2015 bbc.co.uk/news/av/health…

"This is the story of how the #NHS failed to question why hundreds of patients died unexpectedly... a trust that didn't talk to families, was not interested in learning lessons... senior managers who failed to do their jobs"

2/

Featuring interview with Tessa Summers parents, she died aged 20 in 2013

"there's lots of people involved paid to do a job and they didn't do it" Jim Lynock, Tessa's stepfather

Nearly 1,200 unexpected deaths not investigated over previous 4yrs

3/

"There is no reason why in 2015 a report like this should come out, no reason at all, the Board and the senior team are completely responsible for this, utterly shameful" @sarasiobhan

"They should go?" asks @BBCMBuchanan

4/

"Without a doubt. They should have gone already, they've read the report" @sarasiobhan

@BBCMBuchanan describes the report as a damning inditement of one of the country's largest #mentalhealth trusts... a failure of leadership @Southern_NHSFT, a lack of transparency

5/

@BBCMBuchanan introduces Katrina Percy as the woman now in the firing line, Mazars report said the "failure to bring about sustained improvement in the identification of unexpected deaths is a failure of leadership and of governance"

6/

How did @Southern_NHSFT respond? By complaining about the report of course...

The report authors had said they had "little confidence that the Trust has fully recognised the need for it to improve its reporting and investigation of deaths"

7/

"What really worries me is there appears to be no sense that the trust is learning, that they're changing their practice and I think in the light of this report there has to be some accountability here, someone has to be held to account, at a senior level" @normanlamb

8/

Everyone else could see it for what it was, the failings of the CEO and her brazen denial and deflection, her refusal to take responsibility or show any leadership, for what it was.

How did @Jeremy_Hunt respond?

Said he was shocked and it was... bbc.co.uk/news/av/health…

9/

"totally and utterly unacceptable... that only 1% of the unexpected deaths of patients with learning disabilities were investigated"

Odd given he chose not to make LEDER mandatory or fund it properly.

As @beverleyfs1 said the findings were "just the tip of the iceberg"

10/

"Until there is a proper ongoing mortality review, we wont understand the scale of the problem" @beverleyfs1

[Completely agree with Bev, I've written lots about this before here if you'd like to know more georgejulian.co.uk/curated-topics…]

No statement was given by Sloven or NHSE

11/

Two more bereaved parents were spoken to by @BBCMBuchanan

Mandy Park who's daughter, Hannah Groves died in 2012, aged 20 and @Richard39450952 Richard West, who's son, David, died in 2013 aged 28. A member of the trust described David's death as "like losing baggage"

12/

Next day, 11 Dec 2015 @BBCMBuchanan caught up with Katrina Percy

"A failure of leadership was blamed... but Katrina Percy says she's not resigning... she went on to criticise the report's authors saying they'd not properly understood the data"

13/
bbc.co.uk/news/av/health…

This was of course a totally baseless accusation by Katrina Percy, perhaps she hadn't understood the data, after all it was big numbers, something that she clearly struggled to keep under control - more on that in a little while.

14/

Julie O'Shaughnessy's son Mark killed himself while under the care of @Southern_NHSFT The trust acknowledged they could have provided more support.

Julie wants Katrina Percy to resign

"I think watching Katrina Percy's interview, its despicable..."

15/

"Katrina Percy's defiant attitude today, refusing to resign, attacking the authors of the report, may have to change in the coming days.... when the full details are revealed it's hard to imagine there wont be new leadership @Southern_NHSFT"

That was @BBCMBuchanan Dec 2015

16/

In a truly breathtaking interview after the Mazars Report was published, on 17 Dec 2015, Katrina Percy said this:

"We're really sorry to anybody who loses a loved one, and its really sad whenever a loved one dies, and all of us have experienced that" bbc.co.uk/news/av/health…

17/

She cont'd:

"and we know its a very difficult time and we're very upset and sorry to say that we might have added to that grief by not investigating appropriately... my job is to continue to lead this organisation"

Despite numerous bereaved relatives asking her to resign

18/

The Board meeting that Jezza was reflecting on earlier, was reported by @BBCMBuchanan here bbc.co.uk/news/av/health…

"Extremely inappropriate that you would even say that you might have added to our grief as a family, when you've definitely piled it on, all of you" Tom

19/

"The Trust told the meeting however, that no-one would resign" that was Jan 2016 bbc.co.uk/news/av/health…

April 2016 Board Chair, Mike Petter, resigned ahead of publication of damning CQC report. Katrina Percy continues to claim she's indispensable bbc.co.uk/news/av/health…

20/

May 2016 and the new Chair of the Board, Tim Smart, cancelled a meeting where a vote of no confidence in the Board was expected bbc.co.uk/news/uk-englan…

June 2016 Tim Smart claimed he's conducted an extensive review, not sure how extensive given it lasted just 6 weeks

21/

He concluded that the @Southern_NHSFT executive team had been "too stretched to guarantee high quality services"... that Katrina Percy had been "too operationally focused" but he'd found no "evidence of negligence or incompetence" by any board member

22/
bbc.co.uk/news/uk-englan…

End of July 2016 @BBCMBuchanan revealed that Katrina Percy had paid millions to her associates bbc.co.uk/news/uk-englan…

"One firm received more than £5m despite winning a contract valued at less than £300,000, while another was paid more than £500,000 without bidding at all"

23/

Finally, a month later, in August 2016, Katrina Percy resigned as CEO, due to "media attention", apparently...

"Katrina Percy has finally accepted what most people concluded months ago, that her position was untenable... " reported @BBCMBuchanan

24/
bbc.co.uk/news/uk-englan…

Tim Smart created a £240k role for KP, that wasn't even advertised bbc.co.uk/news/av/uk-eng…

Months later Smart and Percy had to eventually concede defeat and resign. KP getting a £190k payout bbc.co.uk/news/uk-englan…

That's the full story, not quite as simple as suggested

/END