Mencap comment on today’s full publication of the Mazars report into the high numbers of unexpected deaths of people with a learning disability that were not investigated at NHS Southern Health Trust.
The full report can be found here.
Jan Tregelles, CEO of Mencap, said:
For families affected by the review into deaths at Southern Health Foundation Trust, fundamental questions continue to remain unanswered - what caused the deaths of their loved ones and were the deaths avoidable? The review into deaths at Southern Health has revealed a number of failings by the Trust, including a lack of family involvement in investigations, many of which were of poor quality, took too long to complete, and a lack relevant learning from the deaths took place. Only 4 out of 93 unexpected deaths of people with a learning disability were investigated, which Mazars conclude is inadequate.
The government
The Government are the people who run the country. The Government decide how much tax
Tax is the money that pays for things like schools, hospitals and the police. There are different types of taxes like income tax
Income tax is the money that is taken out of the money you earn every month. It helps to pay for things we all need like hospitals and schools. , VAT
VAT is also called Value Added Tax. VAT is the extra money you pay when you buy things. The money goes to the government to pay for things like schools and hospitals. and council tax
Council
A council is also called a local authority
A local authority is also called a council. They are a group of people who make decisions about some of the things in the area where you live like schools, social care
Social care means the services that give care and support to people who need it. (support for people), parks and dustbin collection. . They are a group of people who make decisions about some of the things in the area where you live. These include: schools, social care (support for people), parks and dustbin collection. Tax is the money that people pay to the council
Although the government and NHS England have outlined a number of recommendations to ensure that deaths are investigated they have not gone far enough to address the underlying reasons for avoidable deaths of people with a learning disability within the NHS. Previous research
Research is a way of finding out information which could come from books, or asking people what they think. by academics has shown that 1,200 people with a learning disability are dying avoidably in the NHS every year and the causes of this are well known.
A lack of understanding of learning disability and institutional discrimination
Discrimination is when someone is treated differently (usually in a bad way) because of things like their disability or their religion
Religion is to do with the things you believe about the world. For example you may believe there is a god or something else. Examples of religions are Christianity, Hinduism, Islam and Judaism. . have continually been mentioned in previous reports and reviews, and the Mazars Review raises similar issues. The government and NHS England must act immediately to address the failures of care that have seen so many people with a learning disability tragically lose their lives within the health system.
Nicki and Sue’s story – a fight for justice
Nicki Rawlinson died on February 24th 2012, 26 years of age in Barnet Hospital, North London. She had a learning disability and had an operation for a twisted bowel at the hospital in October 2011. Nicki weighed under 5 stone when she died, losing almost 20% of her body weight whilst in hospital during the last three weeks of her life. She had weighed eight stone before the procedure.
Sue Rawlinson, Nicki’s mother, was supported by Mencap to apply for the Parliamentary and Health
Ombudsman
An ombudsman is someone who can help you if you have complained about a service, like a hospital. If you think that the service has not looked at your complaint properly, you can take your complaint to the ombudsman. The ombudsman is an independent person who will look at your complaint.
report that was published in May 2015. All three of the advisers for the report stated that other routes of nutrition should have been started weeks before her death. Tragically, none were. The neurology adviser even said that on the balance of probabilities, Nicki would have survived if she’d been given parenteral nutrition earlier.
Sue Rawlinson said:
The way my daughter died shows that the NHS doesn't put a value on the lives of people with a learning disability. The NHS didn’t take any responsibility
Responsibility is managing or being in charge of something. until with the support of Mencap I forced them to investigate the death. This took a lot of time but finally I got some sense of justice. It's an absolute disgrace the way my daughter died. Today’s review is a timely reminder. The NHS must start treating the lives of people with a learning disability with the same value as anyone else's life.
-ENDS-
For further information or to arrange interviews, please contact the Mencap press office on 020 7696 5414 or media@mencap.org.uk
Notes to editors
About Mencap
There are 1.5 million people with a learning disability in the UK. Mencap works to support people with a learning disability, their families and carers by fighting to change laws, improve services and access to
education
Education is when you learn things. When you fill in a form to get a job, education means you write where you went to school, college or university.
,
employment
Employment means having a job.
and
leisure
Leisure is when you have time to do things you enjoy like playing sports or going to the pub.
facilities. Mencap supports thousands of people with a learning disability to live their lives the way they want.
Visit www.mencap.org.uk.
For advice and information about learning disability and Mencap services in your area, contact Mencap Direct on 0808 808 1111 (9am-5pm, Monday-Friday) or email help@mencap.org.uk.
What is a learning disability?
A learning disability is a reduced intellectual ability which can cause problems with everyday tasks – for example shopping and cooking, or travelling to new places – which affects someone for their whole life.
People with a learning disability can take longer to learn new things and may need support to develop new skills, understand difficult information and engage with other people. The level of support someone needs is different with every individual. For example, someone with a severe learning disability might need much more support with daily tasks than someone with a mild learning disability.
Learning disability is NOT a mental illness or a learning difficulty. Very often the term ‘learning difficulty’ is wrongly used interchangeably with ‘learning disability’.