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A) INTRODUCTION
1) My wife Doreen is in a state of low awareness following an emergency brain operation in 1999. I am
appointed as her Deputy by the Court of Protection. You can read Doreen’s Story at
www.scribd.com/doc/230217688/Doreen-s-Story The NHS decided on continuing health care at Elderholme
Nursing Home and Doreen moved there in October 2000. I have been fully involved in caring for her after training
by the NHS in hospital. My involvement in my wife’s care created no real problems until a new matron arrived in
2008. The new matron considered that her judgement over ruled the advice from the specialist services.
Elderholme’s new matron asked my wife’s GP to tell me to restrict that involvement. In order to obtain her aim she
held a meeting at which she made false statements. During this meeting the GP realised that he had been given
incorrect information and refused her request. He confirms that the matron became aggressive towards me.
2) Afterwards I asked the NHS and Social Services to investigate the circumstances of the eviction and my wife’s
GP made a statement in evidence. The NHS and DASS concluded that neither party had followed their own
policies and guidelines to rectify the failure by Elderholme to meet expected standards of care. Both apologised and
I accepted their apologies and considered the matter closed.
Read the NHS Clinical Investigation Report at www.scribd.com/doc/226717371/NHS-Clinical-Report and the
Final Report at www.scribd.com/doc/226717601/NHS-CCG-Final-Report and the Social Services Report at
www.scribd.com/doc/226717785/DASS-Report-Elderholme-Evict-Doreen-Beddows
2) I repeatedly asked the CCG to see this “new evidence” but was told that Elderholme would not agree to my
seeing it. I applied to the CCG under the Freedom of Information Act but they still declined. I applied to the
Commissioner of the FOI office. The CCG eventually complied with FOI and sent me Elderholme’s written
“evidence”.The Commissioner said that I was free to publish any of this documentation on the internet or anywhere
else as it concerned both me and my wife. This decision took nearly another year.
3) I asked the Parliamentary and Health Services Ombudsman to decide that the CCG could not retract an NHS
Independent Report well over a year after it was published. Based on Elderholme’s new evidence, which at the time
I had not seen, the Ombudsman had found in favour of the CCG. I asked for a review of their decision and after
another year they said that as new evidence had appeared the CCG could retract.
4) I do not accept the retraction of Independent Investigation Reports by the CCG. Elderholme wrote: Regrettably
the report published by the CCG is unbalanced, unchecked ,full of inaccuracies, errors of fact, and opinions on
procedure contrary to accepted medical practice and unsupported by guidelines. It would appear that Elderholme
management are completely unaware of NHS procedure and accepted guidelines. They wrote:The following
information will clearly demonstrate that the CCG report was inaccurate, misleading and by virtue of its
premature publication, significant damage has been inflicted improperly to Elderholme Nursing Home and to our
matron manager.The matron writes “I pride myself on my integrity and honesty and find it shameful that Dr has
suggested I lied to him” . People can make their own judgement from the following comparison of statements
as to who is telling the truth and whether “ the potential damage” to Elderholme’s reputation emanates from
the GP or the home itself. Inaccurate comments by Elderholme are shown in red.
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5) Elderholme’s evidence was no more than statements from the matron and their ceo, that contradicts the NHS own
records. There was no clinical documentation provided to support their statements. In fact much of it provides
evidence of Elderholme’s lack of integrity. The alphabetical headings here relate to the same as in the full
explanation of all of the statements seen at www.scribd.com/doc/343771600/Statements-Comparisons-2017
E) GPs Statement
When we arrived at Elderholme the matron asked if I would change my wife’s GP from Bebington Practice to
Willaston Practice as it was nearer and they had many patients at the Home. I agreed. He was not my own GP and I
seldom met him because he made morning visits before I arrived. The matron told him various unsubstantiated
complaints about me. She then called me to a meeting at which the GP was speaking on behalf of Elderholme when
he repeated the matron’s accusations. He repeated to me what the matron had told him. He was Elderholme’s
“witness” at the meeting, not mine. A doctor whom Elderholme recommended and hardly knows me, is not going to
write a statement that is “inaccurate and misleading”. The matron claims to have witness statements from other
staff who will verify her accusations. She forgets that the other nurses had left the room BEFORE I was called in.
When I stated my explanations to these complaints, Elderholme wrote that I was “accusing” the matron and she
categorically repudiated them all. For the first time since 2009 Elderholme have put in writing their explanations.
Although they persuaded the NHS that everyone else was lying except themselves, the following comparison of
statements proves that the complaint made to the NMC should have been upheld and the reasons given by
Elderholme for the eviction were bogus and not based on fact.
1) The NHS Continence Service: In October 2008 Doreen’s Urological Consultant, Mr Kutarski, confirmed the
supra pubic as the best option for Doreen. Elderholme disagreed and, disregarding his advice, asked the Continence
Service to remove the catheter. The specialist nurse would not do so, as she considered it to be in my wife’s best
interests.
GP: The Continence Nurse wrote a report to me following her visit which confirms that her treatment plan was
based on Mrs Beddows best interests
Matron: GP point is inaccurate and misleading. In our opinion she did not need to be catheterised. We would
appreciate sight of the report which GP says he has from the continence nurse stating that this catheterisation was
in Mrs Beddows best interest. It was Mr. Beddows who wanted her to remain catheterised.
LB: In the NHS letter of 11 th July 2011, the Head of the Continence Service has confirmed that Elderholme asked
them to remove the catheter because they were having difficulty changing it. (Doc 1)
NHS Continence Nurse Report 26th March 2009: I discussed with Mrs (sic) Beddows performing the re-
catheterisation-myself and he was in agreement that this would be in Doreen' s best interests (Doc 4) (for
documents see www.scribd.com/document/251161043/Documentary-Evidence
2 )The NHS Dietetic and Nutrition Service: GP: HW, matron of Elderholme, informed me that the dietician had
made complaints that Mr Beddows was interfering in the care of his wife. From the NHS letter dated 11 th July 2011
it is confirmed that Elderholme informed the Dietetics department that Mrs Beddows was passing too much urine.
Matron: DR.M. statement is inaccurate and misleading. . I can state that we never had or raised a concern that
Mrs Beddows was passing too much urine.
NHS Head of Nutrition & Dietetic Service, in their letter dated 11 th July 2011:“The records show that
Elderhome’s RGN contacted the Service on 3rd March 2009 concerned about Mrs Beddows’ fluid intake…. the
RGN felt this was too much as there was a high urine output… This letter can be seen at Doc 1
LB: The matron’s statement that Elderholme never had or raised a concern that my wife was passing too much urine
is therefore untrue.
M) Elderholme’s “Evidence”: 8 th Example of dishonesty – not open and honest about Reason for
Elderholme Meeting with my wife’s GP 12 th May 2009: GP : I can confirm HW arranged a meeting with me and
Len Beddows to discuss Doreen Beddows’ care and it was only during the meeting that I realised that Len Beddows
had been given no prior warning of the meeting but that it had simply been arranged with me at a time when Len
was likely to be visiting his wife.
Matron: GP is inaccurate and misleading. GP was asked to attend a meeting at Elderholme by myself to discuss
the care of Doreen Mr Beddows was asked to the nurses’ office and of course was not previously aware of the
nature of the conversation that followed.
LB: The GP had not asked to see me about my wife’s diet. Why was the matron not open and honest with me as
required under the NMC code of conduct?
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O) Elderholme’s “Evidence”: 10th Example of dishonesty – Permission to contact GP
GP Statement: HW informed me that Mr Beddows had instructed her that his permission was required before they
could contact me and that Mr Beddows insisted on being present on my visits
Matron: GP is inaccurate and misleading. I never made the statement to GP that Mr Beddows’ permission was
required before staff could contact the GP.
LB: I have never given any such instructions. The matron writes that “I never made that statement”. The matron
made this comment to the GP in front of me at a meeting on 12 th May 2009. (doc 2) It was the reason the GP agreed
to the meeting.
R) Elderholme’s “Evidence”: Care Plan failing – Always providing three staff for transfers
GP: HW informed me that Mr Beddows had been insisting on three staff to transfer his wife.
Matron: GP is inaccurate and misleading. Mrs.Beddows has since admission to Elderholme in 2000 has had 3
staff to transfer her as instructed by Wirral Neuro Rehabilitation Centre. At no point did I “complain” to Dr. about
this.
The matron made this comment to the GP in front of me at a meeting on 12 th May 2009. (doc 2) .Dates when only
there are only two signatures on the care sheet, so it is plainly evident that Elderholme did NOT always provide
three staff when I was not there. 2008 January 2nd 6pm, 13th 2pm and 6pm, 21st 2pm and 6pm, 24th 6pm, 27th 9am
and 6pm, 28th 2pm, 30th 2pm,3 1st 2pm 2009 February 4th 2pm and 6pm, 14th 6pm, 15th 2pm, 17th 9am, 21st 2pm, 24th
9am: 2010 February 3rd,10th,18th24th,26th27th and March 2 and 15 occasions in June and up to 5th July 2010
T) Elderholme’s “Evidence”: 13th Example of dishonesty – Checking four times per 24 hours
GP: I have seen the letter from Elderholme written sometime after the meeting in which they suggest that checking
Mrs Beddows when giving her medication four times per 24 hrs. is considered regular enough. In my opinion a
patient in Mrs. Beddows’ condition in a bed with detachable side rails is at risk and checking four times per 24
hrs. is insufficient. In March 2011 I saw severe bruising to Mrs. Beddows’ foot which was unexplained by staff but
was consistent with having been trapped in the side rails of the bed.
Matron: GP states that he has seen a letter from Elderholme which suggests we considered 4 checks in a 24 hour
period is sufficient. Never has this suggestion been made and is refuted by all qualified staff. We find what GP has
written baffling and totally untrue. May we see the letter that we have purportedly written.
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LB: Elderholme’s letter is dated 23 rd December 2010, so the matron’s statement is incorrect. See letter at
www.scribd.com/document/251161043/Documentary-Evidence doc 5
U) Elderholme’s “Evidence”: 14th Example of Dishonesty – Destroying original care plan record
The NHS approved Care Plan Seven called for safety checks to be made and recorded hourly. On 11 th June
Elderholme handed me a letter dated 10th June signed by the Director Mr Woods which stated that they did not get
paid for “additional care” . When I received their letter I told the General Manager that I only wanted the care
described in the care plan. The same afternoon on 11 th June 2010, within two days of the CHC team leader’s
confirmation of the need for hourly checks, Elderholme unilaterally removed the page which called for hourly
recorded checks and destroyed it without making any comments in the plan as to their reasons for doing so and
without consultation of everyone else concerned. The matron writes: We are quite within our rights to change the
care plan to reflect the care she required. Even if this were true, when making a change Elderholme are required to
follow National Minimum Standards, incorporated in the NHS’ own Record Keeping policies: Standard C30 states
“All entries in patients’ health records by health care professionals are dated, timed and signed, with the signature
accompanied by the name and designation of the signatory. Any alterations or additions are dated, timed and signed,
and made in such a way that the original entry can still be read. Outcome: Patients are assured of appropriately
completed health records which are created, maintained and stored to standards which meet legal and regulatory
compliance and professional practice recommendations”. Furthermore under the NMC code of conduct 44 a nurse
must not tamper with original records in any way. By removing the original page and destroying it Elderholme
altered the care plan without following the correct procedures.
Matron: I personally have felt harassed and threatened by Mr Beddows in his attitude towards me personally.
LB: In the last twelve months my wife was at Elderholme I spoke with the matron on only three occasions, two of
which were when she came into the room of her own accord. Once she asked when Mrs Liversage’s funeral was to
take place and the other was to tell me that a dnar had been signed and was nothing to do with me. Why these
conversations would have been threatening to her is difficult to believe.
SUMMARY
Overall Elderholme sent false letters to numerous agencies purporting to be copies of their correspondence to me.
They were not true copies. They altered the care plan without following the proper procedures and failed to provide
the care in the NHS approved care plan. They gave incorrect information to the Dietician, failed to monitor urine
when asked and made false statements to my wife’s GP that would be detrimental to her care, telling him that they
had received complaints from NHS departments when this was not true. Elderholme disregarded the advice from
these services, asked the GP to issue a DNAR knowing it was against my wishes and was aggressive towards me.