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Shame on TEWV Profile picture
Shame on TEWV
@Shame_On_TEWV
This account is run by a survivor of TEWV services, and is used to highlight patient deaths and harms caused by TEWV systemic failings #TEWVdeaths #TEWVinCrisis
Apr 14, 2022 • 88 tweets • 17 min read
CW: Suicide

Zoe's inquest. Day four.

#JusticeForZoe

The coroner begins with a short recap of the inquest, and re introduces all the people present in the court. He provides a description of the day - arguments for whether article 2 is still engaged, submissions from 1/ counsel and arguments for regulation 28 report. Finally, the finding of fact and the inquest conclusion.

Ms Stone, Jean's barrister begins with arguments for article 2. She states that her submission is that this continues to be a case where article 2 is engaged. Her pre 2/
Apr 13, 2022 • 167 tweets • 29 min read
CW: Suicide

Zoe's inquest. Day three.

#JusticeForZoe

The day begins with questions posed to Mr Philip Robertson, who conducted the independent review into Zoe's care. The coroner asks Mr Robertson to describe his role and qualifications. Mr Robertson indicates that he has 1/ been a mental health nurse for 42 years - 32 years within the NHS and 10 in independent work. The coroner asks him in what way is the report "independent". Mr Robertson explains that he is not employed by the NHS, has no staff involvement, and has no stake in the outcome of 2/
Apr 13, 2022 • 6 tweets • 2 min read
🧵 Zoe's Inquest: A collection of threads detailing Zoe's inquest, day by day.

Content warning: While precautions have been taken in terms of not sharing graphic or particularly upsetting details, there is mention of suicide, self-harm, & iatrogenic harm.

#JusticeForZoe Day One. 11th April 2022.

Apr 12, 2022 • 122 tweets • 21 min read
CW: Suicide

Zoe's inquest. Day Two.

#JusticeForZoe

Dr Kuster (Zoe's inpatient psychiatrist) returns to give evidence. First questioned by Jean's solicitor. She asks Dr Kuster about a phone call which had come to her attention, the call was not documented in Zoe's notes. 1/ On May 5th 2020 an MDT took place regarding Zoe's care, and this was attended by Dr Kuster. The meeting included discussion of an advanced directive. The solicitor informs Dr Kuster that Zoe had an appointment with her GP on the 4th but had not ever mentioned an advanced 2/
Apr 11, 2022 • 103 tweets • 19 min read
CW: Suicide

Zoe's inquest. Day one.

We're at the Northallerton coroner's court. Assistant coroner John Broadbridge (JB) is leading the inquest.

Proceedings began at 10am. Discussed pre inquest review hearings and the evidence submitted to the court.

#JusticeForZoe

1/ Inquests are a fact finding forum. No blame, no determination of criminal responsibility. A discussion of who, how, when, and where, and the important facts surrounding those.

The inquest is for Zoe Emma Zaremba, born 7/1/95 in Northallerton to Jean and John Zaremba.

2/