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Record of Interview of Doctor Jane Ann Barton conducted by Detective Sergeant and Detective Constable at Fareham Police Station

  • 25 Jul 2000
  • Crown Prosecution Service
  • Document ID: CPS001904

Interview commenced: 11.59. Other persons present: Mr Ian Barker (Hempsons Solicitors). Refers to: Mrs Richards' death, Mrs Mackenzie, Mrs Lack, 'happy for nursing staff to confirm death', medicine, War Memorial Hospital, Haslar, Mr Beed and consultant at Haslar. Annotation on pahe 2 reads: 'Lack of clarity in [...] explanation[?] [...] as to use of a syringe driver.' Dr Jane Ann Barton's responses consist mostly of 'No comment'. Associated with: CPS001871, CPS001873, CPS001885 and CPS001901.

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Police Statement of Dr Jane Barton'

  • Crown Prosecution Service
  • Document ID: CPS001903

Refers to: Dr Barton's medical background, her responsibilities as Clinical Assistant, Glenheathers Nursing Home, Dr Ian Reid (Consultant Physician in Elderly Medicine, Queen Alexandra Hospital), Dr Banks (Psycho geriatrician), medicines, Dr Reid saw Mrs Richards in hospital (on 3 August), Daedalus Ward, Dr Lord, admission to GWMH (dated 11 August), RHH, medical notes relating to Gladys Richards, Barthel score (2), X-Ray Department (GWMH), Philip Bede (ward manager), Surgeon Commander Spalding, surgical intervention, fluids, Coroner's Officer, fractured neck of femur sustained on 30th July [13 August crossed out] and Mrs Richards' daughters. Associated with: CPS001871, CPS001873, CPS001885 and CPS001901.

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Witness statement of Mrs Gillian Mackenzie (retired Personnel Manager) referring to Mrs Gladys Richards taken by Detective Chief Inspector R J Burt

  • 6 Mar 2000
  • Crown Prosecution Service
  • Document ID: CPS001899

Annotated: 'S4' and '161'. Refers to: Lesley Lack (sister), Glen Heathers Nursing Home, Dr Bassett (GP), medicines, Toxic Psychiatry (book), telephone call from Mrs Karen Reed (niece) to Gillian Mackenzie (dated 30 July 1998), Haslar Hospital, Dr Reid, Social Services Department, Gosport War Memorial Hospital, Queen Alexandra Hospital, Royal Hospital Haslar Medical Record (AF/1/C/63), Dr Barton, Philip Beed, Rebecca (niece), syringe driver, drip, haematoma, handwritten notes by Lesley Lack (exhibit LFL/2), Lesley Humphrey (Quality Manager, Portsmouth Health Care Trust), additions to Lesley Lack's notes, additional un-numbered page of notes by Lesley Lack (exhibit LFL/2A), Lesley Lack's notes (exhibit GM/1), Gladys Richards' admission to Gosport War Memorial Hospital from Haslar Hospital (dated 11 August 1998), Orthopaedic Ward (Haslar Hospital), correspondence from Max Millett (Chief Executive) to Lesley Lack (dated 22 September 1998) (exhibit LFL/3), Detective Chief Inspector Burt, Barbara Robinson, Health Records relating to Gladys Richards (exhibit LH/1/C), Staff Nurse Jenny Brewer, Health Support Worker Cook,Staff Nurse Couchman, x-ray, Philip Beed (Charge Nurse), transfer on a sheet, continuing care, terminal care, Dr Brigg, Report by Dr Lord (exhibit LH/4), Death Certificate, broncho-pneumonia, haematoma and Major Crime Complex (Support HQ). Associated with: CPS001871, CPS001873, CPS001885 and CPS001897.

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Witness statement of Lesley Frances Lack (retired Registered General Nurse) relating to Gladys Richards taken by Detective Chief Inspector 7410 R J Burt

  • 31 Jan 2000
  • Crown Prosecution Service
  • Document ID: CPS001898

Annotated: 'S3'. Signature witnessed by: Detective Chief Inspector 7410 R J Burt. Refers to: Gladys Mable Richards (maiden name Beech), Gosport War Memorial Hospital, Glen Heathers Nursing and Residential Home, admission to Haslar Hospital (dated 29 July 1998), Social Services Department, John Perkins (RGN and Home's Matron/Manager), Southampton Airport, answer machine messages from the Home to Mrs Lack, Sue (night staff, Glen Heathers), x-ray, Pauline (RGN and consultant/advisor to the Home), statements from members of staff, handwritten notes prepared by Lesley Lack (exhibit LFL/1), physiotherapy, Gillian Mackenzie, telephone call from Mrs Lesley Lack to Complaints Department (Portsmouth Health Care Trust) (dated 19 August), Quality Manager, Portsmouth Health Care Trust, visit on the ward by Mrs Sue Hutchings (dated 20 August 1998), original hand-written notes (exhibit LFL/2), further page of notes (exhibit LFL/2A), medicine, misinterpretation, telephone call from Karen Read (daughter of Lesley Frances Lack) (dated 13 August 1998), RGN, telephone call from Daedalus Ward to Mrs Lack, x-ray unit, Dr Barton, transfer back to Gosport War Memorial Hospital (dated 17 August 1998), Casualty Theatre, Charge Nurse Manager, Philip (Ward Manager), massive haematoma, correspondence from Max Millett (Chief Executive of the Portsmouth Health Care NHS Trust) to Mrs Lack (dated 22 September 1998) (exhibit LFL/3), correspondence with Lesley Lack's handwritten comments (LFL/3A), Enquiry Report (exhibit LH/4), report prepared by Dr Lord (dated 22 December 1998) (exhibit LH/6), Dr Lord (Consultant, Daedalus Ward), Portsmouth Health Care NHS Trust Risk Event Record (exhibit LH/2), Dr Brigg, Health Care Record relating to Gladys Richards (exhibit LH/1/C), no doctor's notes from 18 to 21 August 1998, symptoms of bronchopneumonia, transfer on a sheet, Surgeon (Royal Hospital Haslar) and Royal Hospital Haslar Medical Record (exhibit AF/1/C). Associated with: CPS001871, CPS001873, CPS001885 and CPS001897.

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Correspondence from Detective Chief Inspector Ray Burt (Senior Investigating Officer, Hampshire Constabulary) to D R H Connor (Branch Crown Prosecutor, Crown Prosecution Service) re 'Allegation of Unlawful Killing - Gladys Mable Richards'

  • 11 Dec 2000
  • Crown Prosecution Service
  • Document ID: CPS001896

Refers to: War Memorial Hospital, Daedalus Ward, Royal Hospital Haslar, Glen Heathers Nursing Home, transfer to Daedalus Ward (dated 11 August), Dr Jane Barton, cause of death: bronchopneumonia, Mrs Lesley Lack, Mrs Gillian Mackenzie, Mrs Mackenzie contacted Police (dated 27 September 1998), Crown Prosecution Service, reviewing CPS lawyer, Superintendent Whiting (Professional Standards Department, Hampshire Constabulary), Detective Superintendent Longman, admission to Royal Hospital Haslar (29 July 1998), statement of Mrs Lack, statement of Mrs Mackenzie, Professor Brian Livesley (medical expert in the care of the elderly recommended by the National Crime Faculty), Philip Beed, Margaret Couchman, Christine Joice, Counsel, Advice File (6 Volumes), Volume 4 includes papers 'submitted to the CPS following the first investigation', criminal culpability, Senior Investigating Officer, Detective Sergeant Sackman (Case Officer) and Detective Constable Jupe (Exhibits/Disclosure Officer). Associated with: CPS001871, CPS001873 and CPS001885.

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Analysis of Events' re Mrs Gladys Richards from 12 August 1998 to 17 August 1998 with typed annotations by Mrs Lack's sister

  • Crown Prosecution Service
  • Document ID: CPS001895

Refers to: Mrs Gladys Richards, Haslar Hospital, GWMH, Daedalus Ward, Dr Reed, Enrolled Nurse Pulford, Mrs Lack, Dr Barton, S/N Joice, Mrs Karen Reed, Philip Beed (Clinical Manager), HCSW, S/N Brewer, X-Ray Request Form, Accident and Emergency (Haslar), Mainline Ambulance Crew, transfer by sheet, S/N Couchman, Duty Doctor, Consultant Radiologist, haematoma, euphanasia, dentures, syringe driver and kitchen orderly. [Note - only pages 6 to 12 were present at the time of cataloguing] Associated with: CPS001871, CPS001873 and CPS001885.

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Fax from DS Dave Sackman (Hampshire Constabulary) to Mr Close (CPS) enclosing 'Operation Rochester' - 'Briefing Note' and correspondence from Professor Brian Livesley to Detective Superintendent John James re 'Re: Operation Rochester'

  • 19 Jun 2001
  • Crown Prosecution Service
  • Document ID: CPS001894

Refers to: Det Supt James, briefing sheet, meeting (dated 19 June 2001) and Mr Perry. Enclosing: 1. 'Operation Rochester' - 'Briefing Note'. Refers to: conference (dated 14 June), other SIOs who have used Professor Livesley as an expert witness, Essex Police, 'Deaths in nursing homes', fluids, Professor Livesley, 'Deaths in Intensive care Unit', ICU (Basildon hospital), Dr Mundy (consultant Geriatrician, Frimley Park Hospital), medicines, 'once last week Cardiff CC' (annotation), 'Cardiff - inquiry into deaths of patient - nurse Philip Reed administered deliberately' (annotation) and '10/14 years age def[?] who had paramedic who qu[...] con[...] of BMA'. 2. Correspondence from Professor Brian Livesley to Detective Superintendent John James (Major Incident Complex, Fratton Police Station) (dated 18 June 2001) re 'Re: Operation Rochester'. Refers to: previous correspondence (dated 5 June), Shipman Enquiry, Law for Doctors by MA Braithwaite (2000), 'Manslaughter by gross negligence', R v Bateman (1925), House of Lords, R v Adomako (1994), Court of Appeal and Gladys Richards. Associated with: CPS001871, CPS001873 and CPS001885.

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Annotated excerpts from 'Advice' including 'Gladys Mabel Richards - Interview summaries' with subheadings 'Introduction', 'Professor Livesley's report', 'Margaret Couchman - 29 June 2000' and 'Christine Joice - 15 June 2000'

  • Crown Prosecution Service
  • Document ID: CPS001893

Subheadings also include: 'The legal framework', 'Professor Livesley's conclusions', 'Outline Chronology', 'The evidence of Mrs Lesley Lack - an outline', 'Dr Jane Barton - 25 July 2000' and 'Philip James Beed - 24 July 2000'. [Note - some pages are unnumbered and pages are not in chronological order] Refers to: Daedalus Ward, War Memorial Hospital, Dr Barton, standard of care, nursing staff, Mrs Lesley Lack, report by Professor Livesley, Mrs Gladys Richards, Dr Barton's statement, 'culture of inappropriate medical practice', 'Mrs Lack has serious reservations about the standard of care at Glen Heathers' (annotation), medicines, Mr Philip Beed, Ms Margaret Couchman, Ms Christine Joice [various spellings] (staff nurse), detailed chronology, admission of Mrs Richards to Royal Hospital Haslar (dated 29 July 1998), hip operation, readmission to GWMH (dated 17 August), ambulance transfer on a sheet, syringe driver, Linda Boldecinos (health care support worker), Spiritual Healing, National Federation of Spiritual Healers, chest infection, Jean Dalton (pharmacist), statement of Sue Hutchin (Manager at the hospital), radiologist, fluids, Dr Peters, Dr Beasley, Dr Brigg, Dr Brooks, no oral medication, Daedalus Ward, Dr Bodkin Adams (1957), Devlin J, Principles of Criminal Law (1999), Gillick v West Norfolk and Wisbech Area Health Authority (1986), Re F (1990), Airedale NHS Trust v Bland (1993), House of Lords, Lord Scarman, NHS Trust A v M (2001), Dame Elizabeth Butler-Sloss P, Ward L J, In re A (Children) (Conjoined Twins: Surgical Separation) (2001), R v Adomako (1995), A-G's Reference (No 2 of 1999) (2000), massive haematoma (annotation), kidney failure (19 August) (annotation), 'Lack strongly believes that mother did not have a rattly chest or other symptoms of bronchopneumonia' (annotation), Portsmouth Healthcare NHS Trust, Lesley Humphrey (Quality Manager, Portsmouth Health Care Trust), signs of anxiety misinterpreted as pain (annotation), Discharge Letter from Royal Hospital Haslar, Dr Barton's medical training, Coroner's Officer, Philip Beed's medical background, BNF, Queen Alexandra Hospital, Monica Crawford (nurse) and Staff Nurse Marjoram. Associated with: CPS001871, CPS001873 and CPS001885.

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Handwritten notes with subheadings '7. Philip Beed', '8. Margaret Couchman', '9. Christine Joice', '10. Other Members of Staff', '11. Jean Dalton' and '12. Doctor Lord'

  • Crown Prosecution Service
  • Document ID: CPS001892

Refers to: Philip Beed (Clinical Manager, Daedalus Ward), interview of Philip Beed (dated 24 July 2000), syringe driver, Doctor Barton, admission of Mrs Richards (dated 11 August), x-ray, Mrs Lack, Haslar hospital, Mrs Richards reviewed by Doctor Barton (18 August), fluids, cause of death: bronchopneumonia, Mrs Mackenzie, nursing records relating to Mrs Richards, Margaret Couchman (E grade Staff Nurse, Daedalus Ward), interview of Margaret Couchman (dated 29 June 2000), Bartel Scale, Linda Baldacchino (health care support worker), medicines, nursing home, Christine Joice (Registered General Nurse), interview of Christine Joice (dated 15 June 2000), re-admission of Mrs Richards (dated 17 August), transfer notes from Haslar Hospital, no oral medication given, palliative care, Jennifer Brewer (E Grade Staff Nurse), Sylvia Griffin [Giffin?] (nurse), Christina Tyler (health care support worker), Jean Dalton (pharmacist, War Memorial Hospital), interview of Jean Dalton (dated 18 July 2000), Doctor Lord (consultant geriatrician), interview of Doctor Lord (dated 27 September 2000) and the medical records of Gladys Richards. Associated with: CPS001871, CPS001873 and CPS001885.

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Handwritten notes: 'Operation Rochester - 'Advice re: Gladys Mabel Richards

  • Crown Prosecution Service
  • Document ID: CPS001890

Refers to: Gladys Mabel Richards (died 21 August 1998), War Memorial Hospital Gosport, Lesley Lack (daughter), Gillian Mackenzie (daughter), Hampshire Constabulary, prospect of conviction, 'evidence does not reveal the commission of any criminal offence', Code for Crown Prosecutors, Glen Heathers Nursing and Residential Home, Royal Hospital Haslar, Mrs Richards' fall (dated 29 July 1998), admission to Daedalus Ward (dated 11 August 1998), Doctor Jane Barton (clinical assistant in elderly medicine), medicines, massive haematoma, cause of death: bronchopneumonia, Philip Beed (Clinical manage), Jean Dalton (pharmacist), Mrs Lack's statement, physiotherapy, syringe driver, Mrs Lack's notes following her mother's transfer to the War Memorial Hospital on 11 August 1998, Lesley Humphrey (Quality Manager, Portsmouth Health Care Trust), Professor Brian Livesley [various spellings] (Professor in the Care of the Elderly, University of London), Philip Beed, Margaret Couchman, Christine Joice, Doctor Barton's medical background, interview of Doctor Barton (dated 25 July 2000) and Coroner's Officer. Associated with: CPS001871, CPS001873 and CPS001885.

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Handwritten notes referring to the treatment of Mrs Gladys Richards, medical staff, culpability and comments on a report

  • Crown Prosecution Service
  • Document ID: CPS001889

Refers to: Glen Heathers, Mrs Richards' fall, syringe driver, Dr Lord, NHS Continuing Care wards, Haslar, QA, ambulance crew, surgical intervention, Professor Livesey [Livesley?], correspondence (dated 9 November 2000) - 'without prejudice', unlawfully killed, murder, manslaughter, Haslar, bronchopneumonia, rattly chest, Pharmacist, massive haematoma, Philip Beed, Bartel scale (2) on 11 August, Couchman, Joice, Linda Baldacchino, Jennifer Brewer, Sylvia Griffin [Giffin?], Jean Dalton (Pharmacist), Doctor Lord, legal terms, unlawful killing, breach of duty, gross negligence, Lit[...] Braithwaite (2000), Doctor Barton (GP), Mr Beed, Miss Couchman and Miss Joice. Associated with: CPS001871, CPS001873 and CPS001885.

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Annotated copy of correspondence from Professor Brian Livesley (Professor in the Care of the Elderly, University of London) to DCI Ray Burt (Hampshire Constabulary) re 'Re: Gladys Richards (deceased)' enclosing a report by Professor Brian Livesley

  • 9 Nov 2000
  • Crown Prosecution Service
  • Document ID: CPS001888

Refers to: 'serious concern about what appears to have been a culture of inappropriate medical practice on Daedalus ward at Gosport War Memorial Hospital', Mrs Richards, Dr Barton and 'I recommend that further enquiries be made to determine if other patients at the Gosport War Memorial Hospital have been affected'. Annotated: 'Why?', 'Culture of inappropriate clinical practice', 'she was in pain' and 'what if she was in pain'. Enclosing: two copies of 'Initial medical report for discussion only' - 'Concerning the case of Gladys Mable Richards deceased' prepared for Hampshire Constabulary (Major Crime Complex, Fratton Police Station) by Professor Brian Livesley. [Note - only one copy of the report was present at the time of cataloguing] Refers to: Daedalus ward, Gosport War Memorial Hospital, Mr Philip James Beed (clinical manager and charge nurse, Daedalus ward), Ms Margaret Couchman (registered general nurse, Daedalus ward), Ms Christine Joice (registered general nurse, Daedalus ward), Mrs Gladys Richards, statement of Gillian Mackenzie (eldest daughter of Mrs Gladys Richards), statement of Mrs Lesley Frances Lack (youngest daughter, retired Registered General Nurse), Mrs Gladys Mable Richards' maiden name (Beech), Glen Heathers Nursing Home, Dr J Bassett (GP), Royal Hospital Haslar, Dr Jane Ann Barton (clinical assistant in elderly medicine), Dr Anthea [Althea?] Everista Geredith Lord (consultant physician, department of elderly medicine), medicines, syringe driver, questionable cause of death: bronchopneumonia, Queen Alexandra Hospital, Dr Reid (consultant geriatrician), E6 Ward (Royal Hospital Haslar), transfer to Daedalus Ward (11 August 1998), Cdr Spalding, Nursing Contact Record, Dr Peters, radiologist, x-ray, Dr Domjan (Consultant Radiologist), re-admission to Daedalus from Royal Hospital Haslar (dated 17 August 1998), syringe driver, fluids, Appendix A (documents Professor Livesley received and read, Toxic Psychiatry, Jane Page (Principal Nursing Home Inspector, Portsmouth and SE Hants Health Authority), unannounced visit to Glen Heathers Nursing Home by Jane Page (dated 11 August 1998), meeting (dated 23 November 1998) attended by Mrs Lack, visit from Mrs Sue Hutchings (dated 20 August 1998), Glossary, correspondence from Clive Ward-Able and Lee Neubacher (New Product Specialist) to Professor B Livesley re 'enquiry to Roche regarding Hypnovel (midazolam)' (dated 19 April 2000), correspondence from Dr R J Donnelly (Medical Director, Janssen-Cilag) to Professor Brian Livesley re 'Re: The subcutaneous use of Haldol decanoate (haloperidol)' (dated 3 November 2000), correspondence from J Medlock (Manager of Medical Information and Pharmacovigilance, Norton Healthcare) to Professor B Livesley re 'Re: Serenace ampoules' (dated 6 November 2000) and Appendix E (Professor Livesley's qualifications and experience). [Annotated copy of CPS001688] Associated with: CPS001871, CPS001873 and CPS001885.

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Operation Rochester' - 'Allegation of Unlawful Killing of Mrs Gladys Mabel Richards' - 'Note to Counsel dated 3 April 2001' enclosing correspondences from Ray Burt (dated 1 March 2001 and 31 March 2001)

  • 3 Apr 2001
  • Crown Prosecution Service
  • Document ID: CPS001886

Annotated: '7' and 'Ismet[?]'. Final page annotated: 'Mr D Perry.' Enclosing: 1. Correspondence from Detective Chief Inspector Ray Burt (Hampshire Constabulary) to Mr P Close (Casework Directorate, Crown Prosecution Service) re 'Allegations arising from the death of Gladys Mable Richards' (dated 1 March 2001). Refers to: Mr David Perry, Mrs Mackenzie, Police, Professor Livesley, CPS and 'the decision to prosecute, or not, might be subject to 'political' influence given the perceived plight of the National Health Service and the forthcoming General Election'. 2. Correspondence from Detective Chief Inspector Ray Burt (Hampshire Constabulary) to Mr P Close (Casework Directorate, Crown Prosecution Service) re 'Allegations arising from the death of Gladys Mable Richards' (dated 31 March 2001). Refers to: Portsmouth 'News', Mrs Mackenzie, PCA's investigation, meeting with report (dated 30 March 2001) and story to be published on 3 April 2001. Associated with: CPS001871, CPS001873 and CPS001885.

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Handwritten Notes re various individuals including Dr Reid, Warren, Tanner, Lord, Catherine Marjoram and Monica Pulford

  • Crown Prosecution Service
  • Document ID: CPS001884

Refers to: Vol 2, Vol 4, GWMH, syringe driver, Dr Barton, palliative care, medicines, Lord (Consultant Geriatrician), (Health Care Support Worker, Daedalus Ward), (Pharmacist), Health Care Support Worker, Jeannette Florio (RGN), Sylvia Griffin [Giffin?] (staff nurse), Jean Moss (Health Care Support Worker), Monica Pulford (enrolled nurse), Anita Tubbritt (senior staff nurse), Fiona Walker (RGN), Kathleen Wallington (Health Care Support Worker),Mrs MacKenzie and Brewer (E Grade Staff Nurse). Associated with: CPS001871 and CPS001873.

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Operation Rochester' - 'Allegation of the unlawful killing of Mrs Gladys Mabel Richards' - 'Dramatis Personae'

  • Crown Prosecution Service
  • Document ID: CPS001883

Entries re Dr Jane Barton, Philip Beed (Clinical Manager), Margaret Couchman and Christine Joice are annotated: 'All knowingly responsible according to Livesy [Livesley?].' Refers to: admission of Gladys Richards to Royal Hospital Haslar (dated 29 July 1998), Glen Heathers nursing home, Lesley Lack (RGN, daughter of the deceased), Gillian MacKenzie (daughter of the deceased), Dr Jane Barton, War Memorial Hospital, Gladys Mable Richards was in patient at Gosport War Memorial Hospital on 11 and 12 August, bronchopneumonia, Philip Beed (Clinical Manager and Charge nurse in charge of Daedalus Ward), Margaret Couchman, Christine Joice (nursing staff, War Memorial Hospital), Dr Anthea [Althea?] Lord, Prof Livesley (author of medical report), Hasler Hospital, Supt Whiting (Professional Standards Department, Hampshire Constabulary), D Supt Longman, DCI Burt, John Perkins (RGN and Home Matron/Manager, Glen Heathers), Lesley Humphrey (Quality Manager, Portsmouth Health Care Trust), complaint from Mrs Lack to Lesley Humphrey (dated 19 August), Sue Hutching (visited Lack on ward on 20 August), Dr Lord (Consultant, Daedalus Ward) and Dr Basset (GP who visited Glen Heathers). Associated with: CPS001871 and CPS001873.

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Operation Rochester' - 'Allegation of Unlawful Killing of Mrs Gladys Mabel Richards' - 'Instructions to Counsel dated 16 March 2001' annotated 'Mr D Perry'

  • 16 Mar 2001
  • Crown Prosecution Service
  • Document ID: CPS001882

Refers to: Casework Directorate, Hampshire Constabulary, Portsmouth Branch of the Crown Prosecution Service, correspondence from Detective Chief Inspector Burt (dated 11 December 2000), Dr Barton, 'Counsel is asked to advise on whether there is evidence to charge the following persons', Dr Barton, Philip James Beed, Margaret Couchman, Christine Joice, Mr Paul Close (Crown Prosecutor), Kim O'Neill and London Branch 3 (Casework Directorate, Crown Prosecution Service). Associated with: CPS001871 and CPS001873.

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