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Witness statement of Sylvia Roberta Giffin (Staff Nurse) referring to Gladys Richards taken by Detective Constable (Hampshire Police Officer)

  • 6 Jun 2000
  • Crown Prosecution Service
  • Document ID: CPS001623

Refers to: Portsmouth Health Care Trust, Gosport War Memorial Hospital, Daedalus Ward, Doctor Barton, Doctor Lord, Gladys Richards, Anita Turbritt (Senior Staff Nurse), syringe driver, Haslar, prescription record for Mrs Gladys Richards (exhibit LH/1/C/24), Mrs Richards' health record (LH/1/C), medicines and maiden name (Webber). Associated with: CPS001582, CPS001583 and CPS001622.

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Advice' - 'Re Robert Wilson' (Operation Rochester) by David Perry QC and Louis Mably

  • 27 Oct 2006
  • Crown Prosecution Service
  • Document ID: CPS001621

Refers to: Gosport War Memorial Hospital, Dryad Ward, cause of death: 1a congestive cardiac failure, 1b renal failure and 2 liver failure, Dr Jane Barton (Clinical Assistant in Elderly Medicine), Hampshire Constabulary, gross negligence manslaughter, 'the evidence does not reveal the commission of the offence of gross negligence manslaughter', Code for Crown Prosecutors, Royal Navy, alcohol, Queen Alexander Hospital, Accident and Emergency Department, x-ray, medicines, Dickens Ward, Dr Lusznat (consultant in old age psychiatry), Fareham and Gosport Primary Care Trust, Portsmouth Health Care NHS Trust, Dr Althea Lord, Forton Medical Centre, Dr Anthony Knapman, Dr Ewenda Peters, syringe driver, medical notes relating to Robert Wilson, Crown Prosecution Service, Commission for Health Improvement (investigation launched 22 October 2001, report published May 2002), Sir Liam Donaldson (Chief Medical Officer), Professor Richard Baker (Head of the Department of Health Sciences, Leicester University), statistical analysis of mortality rates, Anita Tubbritt (nurse), bundle of documents re concerns of nursing staff in 1991 and 1992, Dr Barton, 90 cases reviewed by the police, Professor Robert Forrest, categories of care: optimal, sub-optimal and negligent, General Medical Council, Dr Andrew Wilcock (Reader in Palliative Medicine and Medical Oncology, University of Nottingham and Honorary Consultant Physician, Nottingham City Hospital NHS Trust), Dr Robert Black (Consultant in Geriatric Medicine), Dr Wilcock's report (dated 21 May 2006), Dr Black's report (dated 19 November 2005), Professor Baker's report (dated February 2006), Dr Jonathan Marshall (consultant, Horton Hospital), Dr Jonathan Marshall's report (dated 28 April 2006), Dr Barton's interview by police (dated 19 May 2005), Ian Barker (Dr Barton's solicitor), Dr Barton's prepared statement, summary of her statement, BNF, R v Adomako (1995), Bolam v Friern Hospital Management Committee (1957), Lord Mackay (Clashfern LC), R v Amit Misra, R v Rajeer Srviastova (2004), Attorney General's Reference (No 2 of 1999) (2000), R v Prentice (1994), House of Lords, Crown Court, Court of Appeal and R v DPP, ex parte Manning (2001). Associated with: CPS001582, CPS001583 and CPS001620. [Clean copy of CPS001612]

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Annotated copy of 'Background Note' (Operation Rochester) by David Perry QC and Louis Mably with subheadings 'Overview', 'The Police Investigation', 'The Experts' and 'Legal Analysis'

  • 27 Oct 2006
  • Crown Prosecution Service
  • Document ID: CPS001613

Refers to: Hampshire Constabulary investigation (Operation Rochester), Gosport War Memorial Hospital, Elsie Devine, Elsie Lavender, Ruby Lake, Arthur Cunningham, Enid Spurgin, Robert Wilson, Geoffrey Packman, Helena Service, Sheila Gregory, Dr Jane Barton (local General Practitioner and Clinical Assistant), Dr Richard Reid (Consultant Geriatrician), Dr Andrew Wilcock (Reader in Palliative Medicine and Medical Oncology, University of Nottingham and Honorary Consultant Physician, Nottingham City Hospital NHS Trust), Dr Robert Black (Consultant Physician in Geriatric Medicine, Queen Mary's Hospital and Associate Member, General Medical Council), excessive administration of medication, gross negligence manslaughter and Code for Crown Prosecutors. Associated with: CPS001582, CPS001583 and CPS001611. [Annotated copy of CPS001604]

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Advice' - 'Re Robert Wilson' (Operation Rochester) by David Perry QC and Louis Mably

  • 27 Oct 2006
  • Crown Prosecution Service
  • Document ID: CPS001612

Refers to: Gosport War Memorial Hospital, Dryad Ward, cause of death: 1a congestive cardiac failure, 1b renal failure and 2 liver failure, Dr Jane Barton (Clinical Assistant in Elderly Medicine), Hampshire Constabulary, gross negligence manslaughter, 'the evidence does not reveal the commission of the offence of gross negligence manslaughter', Code for Crown Prosecutors, Royal Navy, alcohol, Queen Alexander Hospital, Accident and Emergency Department, x-ray, medicines, Dickens Ward, Dr Lusznat (consultant in old age psychiatry), Fareham and Gosport Primary Care Trust, Portsmouth Health Care NHS Trust, Dr Althea Lord, Forton Medical Centre, Dr Anthony Knapman, Dr Ewenda Peters, syringe driver, medical notes relating to Robert Wilson, Crown Prosecution Service, Commission for Health Improvement (investigation launched 22 October 2001, report published May 2002), Sir Liam Donaldson (Chief Medical Officer), Professor Richard Baker (Head of the Department of Health Sciences, Leicester University), statistical analysis of mortality rates, Anita Tubbritt (nurse), bundle of documents re concerns of nursing staff in 1991 and 1992, Dr Barton, 90 cases reviewed by the police, Professor Robert Forrest, categories of care: optimal, sub-optimal and negligent, General Medical Council, Dr Andrew Wilcock (Reader in Palliative Medicine and Medical Oncology, University of Nottingham and Honorary Consultant Physician, Nottingham City Hospital NHS Trust), Dr Robert Black (Consultant in Geriatric Medicine), Dr Wilcock's report (dated 21 May 2006), Dr Black's report (dated 19 November 2005), Professor Baker's report (dated February 2006), Dr Jonathan Marshall (consultant, Horton Hospital), Dr Jonathan Marshall's report (dated 28 April 2006), Dr Barton's interview by police (dated 19 May 2005), Ian Barker (Dr Barton's solicitor), Dr Barton's prepared statement, summary of her statement, BNF, 'terminal; pall = appropriate' (annotation), 'Causation' (annotation), 'terminal' (annotation', 'v Wilcock' (annotation), 'Not clear if remit of diamorphine' (annotation), 'Neg' (annotation), R v Adomako (1995), Bolam v Friern Hospital Management Committee (1957), Lord Mackay (Clashfern LC), R v Amit Misra, R v Rajeer Srviastova (2004), Attorney General's Reference (No 2 of 1999) (2000), R v Prentice (1994), House of Lords, Crown Court, Court of Appeal and R v DPP, ex parte Manning (2001). Associated with: CPS001582, CPS001583 and CPS001611.

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Background Note' (Operation Rochester) by David Perry QC and Louis Mably with subheadings 'Overview', 'The Police Investigation', 'The Experts' and 'Legal Analysis'

  • 27 Oct 2006
  • Crown Prosecution Service
  • Document ID: CPS001604

Refers to: Hampshire Constabulary investigation (Operation Rochester), Gosport War Memorial Hospital, Elsie Devine, Elsie Lavender, Ruby Lake, Arthur Cunningham, Enid Spurgin, Robert Wilson, Geoffrey Packman, Helena Service, Sheila Gregory, Dr Jane Barton (local General Practitioner and Clinical Assistant), Dr Richard Reid (Consultant Geriatrician), Dr Andrew Wilcock (Reader in Palliative Medicine and Medical Oncology, University of Nottingham and Honorary Consultant Physician, Nottingham City Hospital NHS Trust), Dr Robert Black (Consultant Physician in Geriatric Medicine, Queen Mary's Hospital and Associate Member, General Medical Council), excessive administration of medication, gross negligence manslaughter and Code for Crown Prosecutors. Associated with: CPS001582, CPS001583 and CPS001600.

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Correspondence from Mrs Pauline Danks (Portsmouth and South East Hampshire Health Authority) to Dr Jane Barton re offer of appointment as Clinical Assistant in Geriatric Medicine enclosing 'form of acceptance'

  • 24 Aug 1988
  • Crown Prosecution Service
  • Document ID: CPS001599

Refers to: Gosport War Memorial Hospital, two months' notice, General Medical Council, medical insurance and registration, annual leave, Portsmouth and South East Hampshire Health Authority, Consultants, Personnel Officer (Medical Staffing) and St Mary's Hospital. Associated with: CPS001582, CPS001583 and CPS001594.

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Job Description for the Post of Clinical Assistant to the Geriatric Division in Gosport (Portsmouth and South East Hampshire Health Authority)

  • Crown Prosecution Service
  • Document ID: CPS001597

Refers to: Gosport War Memorial Hospital, Northcott Annexe, Redclyffe Annexe, Consultant Physicians in Geriatric Medicine, Local Manager Fareham/Gosport, Hospital/Premises Manager Gosport, Ward Sisters, Medical Records Department, Heads of Paramedical Services, Pharmacy, Dieticians, General Practitioners, Social Services, Voluntary Service Organisations, 24 hour Medical Cover, Dr Wilkins, Dr Grunstein, Discharge Summary, HRM 60, death certificates, cremation certificates and Consultant rounds. Associated with: CPS001582, CPS001583 and CPS001594.

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Statement of Dr Jane Barton' referring to her responsibilities as a General Practitioner and Clinical Assistant in elderly medicine at Gosport War Memorial Hospital

  • Crown Prosecution Service
  • Document ID: CPS001595

Refers to: Forton Medical Centre, role of Clinical Assistant, Health Care Trust, Daedalus Ward, Dryad Ward, Dr Jane Tandy, Dr Althea Lord, Queen Alexandra Hospital, St Mary's Hospital, Clinical Director for the Trust, minimal Bartell scores, excessive workload, resignation in 2000 and staffing issues. Associated with: CPS001582, CPS001583 and CPS001594.

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Record of Interview of Jane Ann Barton conducted by Detective Constables at Fraud Squad Netley Support HQ

  • 4 Nov 2004
  • Crown Prosecution Service
  • Document ID: CPS001592

Interview commenced at: 1123. Other persons present: Mr Ian Barker (Solicitor, Medical Defence Union Legal Department). Refers to: DS Grocott, Elsie Devine, Dr Barton's prepared statement, Gosport War Memorial Hospital, Bed Fund Holders, Clinical Assistant, HRM60 or 60 form, renewal of Dr Barton's contract, Wessex Protocols, patient care plan, pharmacy, BNF, Philip Bead, syringe drivers, verification of deaths and coroners office. For the most part, Dr Barton's response to questions is 'no comment'. Associated with: CPS001582, CPS001583 and CPS001590.

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Record of Interview of Jane Ann Barton conducted by Detective Constables at Fraud Squad Netley Support HQ

  • 4 Nov 2004
  • Crown Prosecution Service
  • Document ID: CPS001591

Interview commenced at: 0957. Other persons present: Mr Ian Barker (Solicitor, Medical Defence Union Legal Department). Refers to: DS Grocott, Elsie Devine, Elsie Devine's medical records, Gosport War Memorial Hospital, Hampshire Constabulary, investigation (started September 2002), medicines, Dr Barton's prepared statement (exhibit JB/PS/1), Forton Medical Centre, Oxford University, Dr Barton's responsibilities as a General Practitioner, role of Clinical Assistant in Elderly Medicine at Gosport War Memorial Hospital, cottage hospital, Health Care Trust, Dryad Ward, Daedalus Ward, Doctor Althea Lord, Doctor Tandy, Queen Alexandra Hospital, St Mary's Hospital, Clinical Director for the Trust, Bartel Scores, patients with end Stage Dementia and Dr Barton's workload. Associated with: CPS001582, CPS001583 and CPS001590.

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Comments regarding Statement of Dr Jane Barton' prepared by Dr Andrew Wilcock (Reader in Palliative Medicine and Medical Oncology) at the request of Hampshire Constabulary

  • 22 Dec 2004
  • Crown Prosecution Service
  • Document ID: CPS001589

Refers to: Dr Jane Barton's statement, Portsmouth and South East Hampshire Health Authority job description for the post of clinical assistant, report regarding Elsie Devine (BJC/16) prepared by Dr A Wilcock (dated 10 December 2004), Dr Barton commenced clinical assistant post in 1988, Gosport War Memorial, Northcott Annexe, Redcliffe Annexe, Dr Lord, Dr Tandy, Good Medical Practice (General Medical Council, 1998), note-keeping, policy of pro-active prescribing and medicines. Associated with: CPS001582, CPS001583 and CPS001587.

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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: CPS001568

Refers to: War Memorial Hospital, Daedalus Ward, Royal Hospital Haslar, Glen Heathers Nursing Home, Dr Jane Barton, cause of death: bronchopneumonia, Mrs Lesley Lack, Mrs Gillian Mackenzie, Mrs Mackenzie contacted police on 27 September 1998, Crown Prosecution Service, Superintendent Whiting (Hampshire Constabulary's Professional Standards Department), Detective Superintendent Longman, statements by Mrs Lack and Mrs Mackenzie, Portsmouth Health Care Trust NHS Trust, Professor Brian Livesley (medical expert recommended by the National Crime Faculty), Philip Beed, Margaret Couchman, Christine Joice, Counsel, Senior Investigating Officer, Advice File (constructed in 6 volumes), Detective Seargeant Sackman, Detective Constable Jupe (Exhibits/Disclosure Officer) and Major Incident Complex. Associated with: CPS001397 and CPS001566.

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Commission for Health Improvement Report: 'Portsmouth Healthcare NHS Trust at Gosport War Memorial Hospital' including cover page reading 'Report by the Commission for Health Improvement (CHI)'

  • 1 Jul 2002
  • Crown Prosecution Service
  • Document ID: CPS001567

Subheadings: 1. Terms of reference and process of investigation, 2. Background to the investigation, 3. National and local context, 4. Arrangements for the prescription, administration, review and recording of medicines, 5. Quality of care and the patient experience, 6. Staffing arrangements and responsibility for patient care, 7. Lessons learnt from complaints 8. Clinical governance and Appendices. Refers to: Fiona Cameron (General Manager), Caroline Harrington (Corporate Governance Advisor), Max Millett (Chief Executive until 31 March 2002), Ian Piper (Chief Executive of Fareham and Gosport Primary Care Trust since 1 April 2002), Detective Superintendent John James (Hampshire Constabulary), Portsmouth Healthcare NHS Trust, Gosport War Memorial Hospital, police investigation, Hampshire Constabulary, Dryad ward, Daedalus ward, Wessex guidelines, Sultan ward, Health Service Commission's review, Fareham and Gosport Primary Care Trust, East Hampshire PCT, Essence of Care guidelines, Hampshire and Isle of Wight Strategic Health Authority, Department of Health, NHS south east regional office, CHI investigation team, Alan Carpenter (Chief Executive, Somerset Coast Primary Care Trust), Anne Grosskurth (CHI Support Investigations Manager), Dr Tony Luxton (Consultant Geriatrician, Cambridge City Primary Care Trust), Julie Miller (CHI Lead Investigations Manager), Maureen Morgan (Independent Consultant and former Community Trust Nurse Director), Mary Parkinson (lay member, Age Concern), Jennifer Wenborn (Independent Occupational Therapist), Liz Fradd (CHI Director of Nursing), Nan Newbury (CHI Senior Analyst), Ian Horrigan (CHI Analyst), Kellie Rehill (CHI Investigations Coordinator), medical notes review group, Dr Barry Tennison (CHI Public Health Adviser), Crown Prosecution Service, General Medical Council, United Kingdom Central Council, Nursing and Midwifery Council, Isle of Wight, Portsmouth and East Hampshire Health Authority, medicines, expert witness reports, NHS Plan, Standing Nursing and Midwifery Committee's 2001 annual report, Dignity, security and independence in old age published by NHS Plan (July 2000), Queen Alexandra hospital, St Mary's hospital, Southampton Community NHS Trust, Royal Hospital Haslar, Barthel scores, medicines, Pallaitive care handbook guidelines on clinical management (Portsmouth Healthcare NHS Trust, Portsmouth Hospitals NHS Trust and local hospice), fluids, Feeding People, Prevention and management of malnutrition (2000), Standards for health and social care services for older people (2000), Making a difference (United Kingdom Central Council, 1999), Royal College of Nursing, St James Hospital, Medicines and Prescribing Committee, Association of Chief Police Officers, A First Class Service (Department of Health), District Audit (report dated December 999), Improving quality - steps towards a first class service, CNST, Carekey (risk event database), Documents review by CHI and/or referred to in the report (Appendix A), Views from patients and relatives/friends (Appendix B), Motor Neurone Disease Association, Alzheimer's Society, League of Friends, Gosport Stroke Club, Age Concern, Portsmouth Healthcare NHS Trust staff and non executive directors interviewed by CHI (Appendix C), Meetings or telephone interviews with external agencies with an involvement in elderly care at Gosport War Memorial Hospital (Appendix D), Medical case note review team: terms of reference and membership (Appendix E), Professor Gary Ford (Professor of Pharmacology of Old Age, University of Newcastle and Freeman Hospital), Dr Keith Munday (Consultant Geriatrician, Frimley Park Hospital), Annette Goulden (Deputy Director of Nursing, NHS Trent regional office and formerly Department of Health Nursing Officer for elderly care), analgesic ladder, syringe driver and Glossary. Associated with: CPS001397 and CPS001566.

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Medico-Legal Report' re 'Gladys Mabel Richards, Arthur ""Brian"" Cunningham, Alice Wilke, Robert Wilson and Eva Page' prepared by Professor G A Ford (Consultant Physician, Freeman Hospital) for Hampshire Constabulary

  • 12 Dec 2001
  • Crown Prosecution Service
  • Document ID: CPS001563

Professor G A Ford is also Professor of Pharmacology of Old Age (University of Newcastle upon Tyne). Includes cover page. Report written for Hampshire Constabulary. Contents: 'Introduction and remit of the report', 'Report on Gladys Mabel Richards', 'Report on Arthur ""Brian"" Cunningham', 'Report on Alice Wilkie', 'Report on Robert Wilson', 'Report on Eva Page', 'Opinion on clinical management at Gosport War Memorial Hospital', 'Appendix 1 - Pharmacology of opiate and sedative drugs' and 'Apprendix 2 - British National Formulary guidelines on prescribing in palliative care and prescribing in the elderly'. Refers to: Professor Ford's experience and training, Detective Superintendent John James (Hampshire Constabulary), Gosport War Hospital, Hampshire Constabulary, 'Comments on the recorded causes of death', correspondence from DS J James (dated 15 August 2001), 'Terms of Reference document', hospital medial records of Gladys Richards, Brian Cunningham, Alice Wilkie, Robert Wilson and Eva Page, witness statements of Leslie France [Frances?] Lack and Gillian MacKenzie, report of Professor Brian Livesley, transcripts of police interviews with Gosport War Memorial staff (Dr Barton, Mr Beed, Ms Couchman and Ms Joice), transcripts of police interviews with Royal Hospital Haslar staff (Dr Reid and Flt Lt Edmondson), transcripts of interviews with patient transfer staff (Mr Warren and Mr Tanner), transcripts of police interviews with or statements from medical and nursing staff (Dr Lord, LM Baldacchino, M Berry, JM Brewer, J Cook, J Dalton, W Edgar, A Fletcher, J Florio and A Funnell), Accident and Emergency Department, Haslar Hospital, Gladys Richards admitted to Haslar Hospital (dated 29 July 1998), Surgeon Commander Malcolm Pott (Consultant orthopaedic surgeon), hemiarthroplasty (dated 30 July 1998), Dr Reid (Consultant Physician in Geriatrics), correspondence from Dr Reid (dated 5 August 1998), medicines, Dr Coales, 'transfer letter' from Sergeant Curran (staff nurse) to the Sister in Charge (dated 10 August 1998), Daedalus ward, Dr Barton [various spellings], Barthel score (2), Dr Brigg, Cdr Spalding, Dr Hamlin (House Officer), bronchopneumonia as cause of death, medicines, Dr Lord, Queen Alexandra [various spellings] Hospital, DC Colvin, DC McNally, Surgeon Commander Scott (Consultant Orthopaedic Surgeon), Dr Reid (Consultant Geriatrician), Staff Nurse Brewer, correspondence from Dr Bell (Clinical Assistant) (dated 2 December 1994) re Arthur Cunningham, Merlin Park Rest Home, Dr Banks (Consultant in Old Age Psychiatry), Mulberry A Ward, Thalassa Nursing Home, Dolphin Day Hospital, Dr Lord, staff nurse Tubbritt, Dryad Ward [various spellings], Mr Barton, Addenbrooke Rest Home, Philip Ward (Queen Alexandra Hospital), Alice Wilkie's Mental Test Score (0/10), Alice Wilkie's Barthel score (1/20), Dr Peters, staff nurse Sylvia Roberts, Dr Lusznat (Consultant in Old Age Psychiatry), Robert Wilson's Barthel score (5/20), Dr Knapman, Dr Harris, Dr Shain, Charles Ward, Mrs Page transferred to Dryad ward (27 February 1998), Dr Laing, Barthel index for Mrs Eva Page (0/20 and 2/20), General Medical Council, National Health Service, United Kingdom Central Council for Nursing, Midwifery and Health Visiting and British National Formulary. Associated with CPS001397. [Note - Appendix 2' - 'BNF Prescribing in palliative care' is blank] Associated with: CPS001397 and CPS001562.

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Consultant Timetable' from 4 May 1998 to 8 February 1999 annotated 'APP.A 14 12 2 5' and 'E73'

  • Crown Prosecution Service
  • Document ID: CPS001559

Refers to: Dr D Jarrett (Consultant), Mary W/R, OPD (QAH), Guernsey W/R, Audit/Education/Appraisal, Laurel Day Hosp/OPD Petersfield, Dr A B Dowd (Consultant), Trevor Howell Day Hospital, Victory W/R, Jubilee House, Elizabeth W/R, Drugs/Therapeutics, Dr S Poulton (Consultant), Edith Keen W/R, George W/R, Kingsclere W/R, Ortho-Geriatrics, Amulree Day Hospital, Anne W/R, Dolphin Day Hospital, Syncope Research, Dr R Logan (Consultant), John Pounds W/R, Rosewood W/R St Christopher's, Shannon/Briarwood St Christopher's W/R, Dr A Lord (Consultant), Philip W/R, OPD SMH, OPD GWMH, Daedalus/Dryad W/R, Daedalus W/R, Dr V Vardon (Consultant), Charles W/R, Cedar Ward Petersfield and Prof M P Severs (Consultant). Associated with: CPS001397.

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