Redvers v NHS Sussex Integrated Care Board & Mr Adam Doyle Thread 2

From TT:

CM U say her reputation wasnt denigrated
Yes
CM U share the DA report
Yes
CM Do u accept her rep was harmed by yr actions
By the organisation
CM It was yr actions. Lookat p16 suppl, [reads re NHSE/ improvement raised whether drs cld continue to practice

CM in GP roles. So not just her ICB employment in sight but her status as a reg medic
Yes
CM Going thru pack of material following p27 of supp, April 22 email to Mr Toyne of WB re developing THC [reads fast]

CM How did WB know of the Cs Gx?
AD I understand when DSH met w re not being able to take forward I understood MP met him. I think he may have told DSH who then told his practice
CM Further up chain: CCD asking if can share report and discuss potential profess standards panel

AD We were clear had to get thru gX and cldnt rely on the 1st report. Was clear wld still take a while and cldnt update them
CM Re the Cs Sex orientation: how many ppl found out inappropriately? Yday I said imbalance of privacy rights
BW Is a loaded Q
CM Who saw the report

From TT:

Me, MP, I imagine Dyrrant, Investiagtor that worked w her. Also NHSE and GMC
CM WHat did u d/w these bodies
AD That had the report and Gx.
CM Did they need to understand what had gone wrong
AD I dont know what they knew then
CM email re Dr Hall can then share w Gary the business mger

AD Idk. MP may have shared
CM WB business model was in jeapordy cos of C. Isnt that what he's getting it
He says is impeded
CM U knew the C wld continue to raise concerns
No

CM U chose to undermine her
No Cm And concealed the undermining of her
No
CM Did u see a draft of this
Yes
CM ANd pushed back on what u thought was untrue
AD I had quite a lot of issues w it but didnt know how to appraoch it. Wanted to ask chair how best to progress. I wanted best outcome for e'one. Was a Cx and Gx.

CM para 24 of AR: in Summer 20 [reads re informal mentoring of DSH] Did you query this?
AD One of many things I thought was inaccurate but by that time I hadnt spoken to my chair
CM Is this a good time for a break
J Might you go beyond today?
CM I dont think so

J Please dont. I dont want to guillotine you so think about shortening yr questions over the break. Lets have a 15 min break.

COURT ADJOURNS

From TT:

We resume
CM There's no evid of u qualifying the DA report or sharing the SD reprt w GMC
Yes
CM And differing treatment of C and DSH. U say that Gx comes to you and u speak w Galliano
It came to MP, who shared w me and I d/w chair
CM It looks as though (p1649)

CM And p1650, email u [reads re req the Gx from Galliano
Yes
CM Disparate treatment: there are Qs about PBs but I left CMO and CNO to resolve them
Yes
CM Wld u agree that provision of PBs to scores of children if there is no licence is a scandal by ICB

There wasnt a clear national picture ahead of Cass and varying thoughts. After Cass was clear, and NHSE regulated the ICB
CM The PSIR report: I will ask u to read this important doc on p4182 judge
GPs shld not be prescribing gender prescriptions to under 18s is advice

From TT:

CM [continues reading out the guidance]
J During which time period?
CM 2023-June 24. The C says is from 2021 onwards. para 132 shows 78 patients, 65 initiated by Dr A who is DSH. For a dr to prescribe medic w/out licence or authorisation is a scandal?

AD Definitely Qs to be asked about practice not aligning w national guidance
CM materail was know by CM/NO as early as 21
There were things known about GGP and ppl trying to work out what to do. Also WB
CM U didnt refer these ppl to regulators
No

CM Letter from Doyle Clayton re patient X, a disabled vuln child IDing as Trans, aged 16 receiving prescription w/put parents knowledge bu BW - told in May 2023
Yes
CM p2114 shows - I'm looking at comparitor for reputation judge - and more broad reasoning

CM Lisa Wainwright email to Nina Shrimpton of CCG re pat X now receiving GAC under informed consent model from WB- p2114. Asks re informed consent documents and how links w Cass review
Yes
CM Wainwright chases in March 23, and again saying it's urgent, etc

From TT:

Yr respond to DC is identifying name of dr who provided this treatment who we know to be DSH
Yes
CM U personally respond to DC letter
Yes
CM ANd refuse to id DSH
Yes. I took legal advice
CM Your choice and l'ship
I get a lot of legal letters and ask for it to be reviewed.

Yes I sent the letter
Cm U refer them to family courts?
Yes
CM The reason we have these docs in bundle is that C has good fortune to have the same instructing solics. p2211: she's cc-ed into chain of correspondence that follows as is a SG concern raised by the LA

CM None of this was provided by u or the ICB
Yes
CM p2122: DC writes to many incl CQC. p2126 having set out diff circs of this vulnerable indiv and family the treatment shld be regarded as scandalous
Yes
CM There's nothing from u re this letter
It was cc-ed to me

CM Why no Qs from u re what happening on yr watch
AD Bourne Lewis spoke to me about it. Was a national mtg but wasnt privy to that discussion.
CM C says this shows u knew minors were being treated by prescriptions u knew they shldnt have
AD I wasnt in the practice, or a clinician or reviewing these pats. I cant speak to what happened in each of these cases