💙 Lara Vanessa 💙

I’m still reeling from yesterday’s evidence. Nottingham Healthcare Trust have Multidisciplinary Team (MDT) Meetings that are not minuted. So how do you document patient progress, or input from the multi-professionals about what has to be done etc etc. MDTs are an enormously powerful tool when used properly. They give a 360 degree view of a patient from all angles and all professionals. They’re incredibly important. To have weekly MDTs and then treat them like a joke is a total failure of governance by the Medical Director, Chief Executive and all of the senior management team. No wonder they have got so much and so badly wrong. MDTs aren’t a knees up with a cup of tea & biscuits, having jokes, they are very serious meetings. Any Mental Health Trust not formally recording/minuting your MDTs please under duty of candour, report yourselves to the CQC. Corporate failure is what this is at every level. No one at any level questioned this practice. I can’t quite believe it. @CareQualityComm @nottslive @Alison1mackITV @EmilyMayTV

There was no relationship. A failure of a care coordinator relationship. A total waste of 2 years of pretending to get to know a patient and the risk they present to public. Failure to document MDTs Failure to challenge Psychiatrists and endorse depot Failure to make notes Failure to risk assess Failure to contact university Failure to pick the right MHA section Failure to protect the public/students against a known violent man Failure to make and implement any care improvement plan Failure to express an opinion at MDTs Failure to contact GP pre discharge Failure to cancel discharge due to missed appointments Failure to be professionally curious Failure to visit on discharge Failure to confirm address Failure to Nottingham residents by letting VC walk the streets knowingly uncorcordant with medication Failure of use of any codes of practice for a care coordinator Failure to use any code of conduct of Notts care coordinators Failure to use NMC principles I think I’ve missed out a few other failure’s that my tormented mind can’t think of.

Today’s main evidence was from Claudia Birtles who was irreverent and unbelievably devoid of an empathy. She is VC‘s Care Coordinator now known as lead professional. In charge of case since first diagnosis in Nottingham of May 2020. She’s in charge of looking after his care plan, attending multidisciplinary team meetings and see that things are going according to the clinical plan. Examination of the notes today reveal the MDT’s seem like a chat, there’s no agenda, no template, no organisation and there seems to be no structure to these meetings. There were no minutes taken and hence no documentation. As you and I both know if something isn’t written in the medical notes it basically didn’t happen. Throughout the whole of evidence there was a feeling of lethargy, no curiosity, not challenging the Psychiatrists with their flawed management who themselves were of the poorest professional standard that I have come across. Basically there is no plan in place. It seems like a clinically stumbling stroll. The care coordinator is meant to know their patients really well yet knowing lack of concordance, there is no suggestion of a community treatment order (CTO) after Sec-3. Just repeated recording of lack of concordance with medication with no plan to pursue. He’s not taking medication and hence section after section repeated x4 with absolutely no improvement in management. What does improve is Birtles self management where she puts in the notes that VC is not to be visited singularly because she felt unsafe and the irony here that really upset me is that she didn’t give a second thought to the safety of much younger students. She never contacted University to alert of risks. Today’s evidence was particularly upsetting because at the end of every sentence that this Care Coordinator came up with she could have insisted on a different therapeutic direction like depot, but didn’t insist. Devoid of the vision of what might happen. Had there been a different course of Mx, depot, assertive outreach, any change of clinical direction ,VC I’m convinced would’ve missed our children. Claudia Birtles treated the whole 2 year management like some paper exercise with no positive intervention by herself. Selfish, lazy unprofessional but more importantly to me she had the opportunity to change VCs course and she didn’t. As for her totally inappropriate smiles and laughter, showed a total lack of empathy for the bereaved or respect for the Inquiry process. @bbcemt @BBCNews @GBNEWS @nottslive @nmcnews @wesstreeting

@Prof_DawnArcher @KerryDaynes @clifflansley 🙏🙏🙏 help us to understand the factors at play in the Piers Morgan Russell Brand interview. I need this to be on your list 😳!

The Southport inquiry report this week, published while the Nottingham inquiry is telling a not unrelated story of avoidable tragedy, was devastating. Unusually, it levelled blame at perpetrator’s family. But its criticism of agencies was no less powerful. 2 things stood out.

After 7,000 patients and 25 years, I’m more certain than ever: the most underdiagnosed cause of chronic symptoms is stress, trauma, and emotional burdens that no one has asked about. It’s time to start asking. Learn more at symptomatic.me. Sources: Clinical experience of Dr. David Clarke. Bussières et al. "Adverse Childhood Experience Is Associated with an Increased Risk of Reporting Chronic Pain in Adulthood" (2023). European Journal of Psychotraumatology.

Compassionate leadership in healthcare: creating a culture where every voice matters journals.rcni.com/nursing-standa…

Quick reflections and brain dump of day four. Dear God; what sheer incompetence. To stand with the Kumar and Coates family has been an equal measure of heartbreak, solidarity and resilience. I so admire and love you all. For Grace. For Barney. For Ian.💚💛 #nottinghaminquiry

This is the mum of Barney Webber, the young student murdered in Nottingham alongside his friend Grace and caretaker Ian Coates. She is sharing updates of the public inquiry. Do follow her account. It’s so important that these families are heard ⬇️

When my son was restrained & secluded in his mainstream primary school, we were forced to move school due to safeguarding concerns & inaction surrounding his case. He moved to another mainstream primary school, as he had no SEND statement at that time, they paid for an assistant

Today marks the end of the survivor participation for our rape gang inquiry hearings. I simply have no words that describe the bravery and courage of these women who have come forward. No words. What they have been through is indescribable. It has been a life-changing experience for me. I never thought such evil was possible. Never. Not here, in Britain. In our towns, in our communities. It is pure evil. These men are so utterly depraved. If it were up to me, thousands of them would receive the death penalty. To do what they did, on such an industrial scale, to innocent young girls - many of whom were already in such an incredibly vulnerable place? There is no redemption possible. The world is a better place without them in it. I started this inquiry because so many others failed. Speaking honestly, I did not understand how deep this evil is rooted in our society. Police, politicians, council officials, the NHS, social workers, children’s homes - it is everywhere. IS everywhere. Not was. IS. Meeting these women, and men, listening to how severely they were failed by those tasked to protect them? My views have changed forever. I knew it was bad. I never knew how bad it was. Every single one who has come forward is a hero in my view. The courage and grace in how they have conducted themselves is unlike anything I have seen in my life. All because they don’t want others to suffer the same fate. That is an extraordinary sacrifice. They could have just moved on with their lives. Tried to forget. But no, they chose to do this. I am in awe of all of them. Our hearings will finish tomorrow, following the contribution of three more expert witnesses. Then the next stage begins. We will produce a report, and then we will seek to put people in prison. There are FAR more testimonies and evidence to release - this will keep coming and coming and coming. Even with a media blackout, we have reached tens of millions. We have made real progress. And following such immense demand, we will reopen the portal so that more women can tell their stories. This is just the beginning. Politicians from all parties have failed these girls, again and again and again. I do not intend to join that list. To everyone who donated, thank you. To our team, thank you. And especially to the survivors, thank you. I believe that together we can start to make Britain understand what is happening, and then finally do something about it.

A year ago my brother was arrested My brother qualifies as mentally disabled by 2 IQ points The police later agreed he should not have been arrested and dropped all charges. However, he was held for 8 hrs and interviewed without a solicitor. This is how the safeguarding went…

9/9 I would urge school leaders & system leaders to think very carefully when reviewing their mobile phone policies. The situation requires pragmatism, compassion and balance. An outright ban could prove harmful - devastating, even - for a huge number of young people. End.

Good example of how under- & over-diagnosis can exist simultaneously. We may be over-diagnosing well-functioning adults & missing young offenders for whom treatment of “ADHD” will change the course of their lives. theguardian.com/society/2025/d…

Okay UK SEND Twitter I need you to do your thing. My son has found the 'mike the knight treasure hunt' flip and sound book and desperately wants it Unfortunately it has been discontinued for a decade. So has anybody in the UK got one I can purchase?

Today I turn 29 years old, which means it’s been 13 YEARS since I was on #EducatingYorkshire. I want to dedicate this post to all the amazing teachers who change a young person’s life for the better. I am privileged to have received the love throughout the years. Thank you

Just under two weeks till the THL in-person leadership conference, for mid level NHS managers. It brings us to the end of what’s been a vibrant, inspiring and informative leadership programme so far…. #NHSleadingfromthemiddle

@elly_chapple @RoseUnwin @senmum05

Maltreated children are nearly 10x more likely to exhibit symptoms of three or more neurodevelopmental conditions. Yet trauma is often prioritised in assessments, while underlying neurodevelopmental traits remain undetected. Find out how Adverse Childhood Experiences (ACEs) and neurodevelopmental conditions intersect, compounding risk via stress responsivity and diagnostic oversight. 1/14 🧵

Anonymous Post: How do primary schools effectively manage persistent pupil lateness? I’m looking for examples of supportive, yet firm and effective policies or approaches that balance pupil welfare with accountability.