JUNE 20th MEMORIAL DAY🌹
The day #VictimsOfGosport heard the echoing words:
“A DISREGARD FOR HUMAN LIFE”
This video is to ensure those who lost their lives will never be forgotten & for all to understand it’s a lonely & treacherous road to #Justice
https://t.co/kyjVMtwarX
#VictimsOfGosport
Swiss Cheese Model
Has there ever been an investigation into investigations quite like Gosport 28-years in the making?
•1991–Whistleblower silenced. Nursing /consultant oversight. Exposing Hospital management.
•1998-01-undisclosed police investigation into alleged unlawful killing
•2000-police inform GMC
•2001-Public aware of allegations unlawful killing after CPS say no case to answer.
•1999–2001-Independent Review by Portsmouth Healthcare Trust they did not disclose police investigation.
•2001-Parliamentary Health Service Ombudsman complaints
•2001-2002 -Commission for Health Improvement investigation
•2001-Hampshire Police select 5 cases from 11 concerned families=CPS no case to answer
•2001-formal complaints escalated to Hampshire Police
•2002-Andrea Adams Trust investigation into whistleblowing at GWMH undisclosed by GIP report.
•2002-Professor Richard Baker Report-embargoed for 11 years.
•2002-Whistleblowers come forward with 1991 minutes when Richard Baker arrives
•2002-Operation Rochester relaunches for 3rd time
2006-CPS decision is no case to answer into 10 of 93 deaths.
•2009-non article-2 Inquests into 10 deaths.
•2009-10 GMC hearing into Dr Jane Barton she remains on the register with 11 sanctions.
• 2010-CHRE Investigation GMC-decision they do not refer the case to the high court
•2010-NMC closed door hearing nurses remain on the register
•2009-Families challenge Hampshire Police to reinvestigate in light of new evidence. CPS responds with 32-page document the 10-cases all collated together=no case to answer.
•2013-Families & Hampshire Coroner called for a Public Inquiry the DH tell Hampshire Coroner categorically NO
•2014-Families endured 4-year non-statutory inquiry
•2018-GIP announce there was “disregard for human life”450 deaths with potential 200 more-this report was a means to protect government there was no truth-no accountability
•2018-Operation Magenta launched – the fifth police investigation, now seven and a half years 1998–2026
We have gone full circle, only to find ourselves pending Operation Magenta and the CPS.
⚖️ Layer upon layer of failings. The holes have aligned for far too long.
Professor Baker Report was completed in October 2003 but not placed in the public domain until 2 August 2013—almost ten years later.
Its findings were deeply disturbing. Of the 81 Gosport patients sampled, 76 had received an opiate before death and 72 had received diamorphine. Opiates were used across a wide range of conditions, frequently prescribed in advance and, in some cases, administered without evidence of a careful assessment or the recognised stepped approach to pain relief.
Professor Baker concluded that an “almost routine use of opiates before death” had developed at Gosport and that this practice had “almost certainly” shortened the lives of some patients. He recommended that investigations into individual deaths should continue because his findings reinforced concerns about what may have occurred.
Families were left without this crucial report for almost a decade. Why was evidence of such gravity kept from those whose relatives had died?
Baker also recommended obtaining the working rota of Dr Barton and her GP partners to examine patterns of death more closely. Yet no resulting rota analysis, or full practice-level investigation at Forton Medical Centre has ever been disclosed.
Why was this crucial line of investigation not pursued, and who decided it should go no further?
#VictimsOfGosport 15th investigation into the investigations 1998-26 families wait justice.
Hello Barbara 💕
Your husband is one of those cases that will always remain firmly in my mind it is so disturbing, moreover before your family could come to terms with what had occurred they were requesting body parts.
The woman who administered the injection in front of you disappears without trace. It’s a horror story in a place of safety #euthanasia
#VictimsOfGosport Rendered comatose by powerful drugs and denied fluids, they were left entirely defenceless, while their families were told their deaths were natural and inevitable.
The whistleblowers silenced in 1990 families still waiting Justice not another Judaical process …
Hello Mel, Thoughts with you sending our love and strength 🕊️#VictimsOfGosport#Gosport
This sounds so familiar “whether urgent recommendations are needed on observations”
When Gosport Independent Panel report was finally published in June 2018, it came with a vast online archives thousands of documents, more than a million pages in total. The material was riddled with duplicates, chaotically indexed, and scattered across folders so disordered making it almost impossible to navigate, if you didn’t know who to search. The so-called “transparency” was overwhelming in its opacity: a blizzard of paper that buried the coverup and crucial evidence under sheer volume.
They had a plan; shame on those who sat on that panel.
This 8-year 5th Police investigation remains on that road creating paperwork while 100’s letters for answers sighting the evidence is coming from us… It’s becoming intolerable.
We will always remember them #VictimsOfGosport 🕊️
They may all still be locked together within the political entanglement that has surrounded Gosport since families engaged 1998-2026, each institution bound to the decisions and failures of those that came before it with 100’s dead.
But we are no longer intimidated by that web of officialdom. If anything, every unanswered question, every withheld document and every attempt to ignore and pass responsibility elsewhere has strengthened our resolve.
We will keep pulling at those threads until the truth is finally told to this family. We have provided a mass of evidence from every angle. This letter from the CPS in 2011 is gaslighting and not true; written when we challenged the enormous amount of evidence they withheld refusing to engage. Mum’s case was to go first to the CPS as a “pre-read” — an advance case for prosecutors to examine while the remaining three priority cases were completed after. @bee_devine@VictimsOfGospo1 Victims Right Review (VVR) is this what one can expect from our justice system?
And when 100’s are killed without their consent, outside any #euthanasia framework, those responsible are protected, it is already too late: they are gone in a blink.
#Gosport shows how those in power can and will manipulate the process and deny families justice a fight that is never over. 1999-26 #VictimsOfGosport
Quote..
There has also been no accountabilty for those who died at #Gosport which also speaks volumes about the attitude towards these kinds of practices, they are accepted with complacency and thats why #AssistedSuicide is so dangerous.⚠️��📢
#VictimsOfGosport
NO ONE has be held accountable for the hundreds who went into a place of safety and never returned home..15th investigation into the investigations 1998-26
Amnesia- does not erase what happened. Nor will institutional amnesia..
Further @Jeremy_Hunt the @CPSUK didn’t go down the @H_S_E route because as this CPS note records
Paul Close (CPS) Rob Dryborough-Smith (DPP) head of our justice system 2004 advised Hampshire police to concentrate on Barton. The signed protocol ignored.
“I thought it appropriate that the police concentrated on their primary objective of establishing potential case against Dr B. If no culpability by her then hard to see how any corporate liability would arise. In any event corporate liability in this case would logically only arise by way of corporate omission (as opposed to commission) through, for example, failing to provide a proper and safe system of work, by closing their eyes to the obvious when they knew, or ought to have known, that all was not right. It may be they were on notice about real problems as a result of the ‘secret’ report prepared in 1990.”
Your £M21+ inquiry promised answers least of closure
Eight years later and another £M40+ families still uncovering evidence and how corporate liability was pushed aside and why the HSE was never brought in. That is a national disgrace.
@normanlamb
🧵 Mum was up and dressed by seven o’clock on that fateful day. At 9am she spoke to Dr Taylor and told her that the tablets she was now taking were making her mouth sore (antipsychotic another drug mum had never taken or needed)
Yet nobody bothered to examine her mouth—something Dr Wilcock later criticised at her inquest.
That afternoon, her former daughter-in-law visited. Mum signed her pension book, and they had tea together. She had a bath and her hair washed, which Sandra dried for her.
That evening, her son Harry came to see her. They sat and chatted for about an hour. At around eight o’clock, he kissed his mother goodnight and said,
I’ll see you tomorrow, Mum.”
Harry never spoke to his mother again. By the following morning when mum woke at 7am the powerful 25mcg fentanyl patch was running at full strength. Those ordinary, loving words became their final goodbye🕊️
After 28-years what fun are we having @YvetteCooperMP@andyburnham@wesstreeting
Justice for the #VictimsOfGosport
Justice for the #VictimsOfGosport families torturous journey 1997-26
Why are we still enduring this 7+ years police investigation you know @Jeremy_Hunt Health and Safety offences are rife the signed protocol was never followed.
Your statement in Parliament @Jeremy_Hunt 👇🏻
“Why did Hampshire constabulary conduct investigations that the report says were ‘limited in their depth and range of offences pursued’, and why did the Crown Prosecution Service not consider corporate liability and health and safety offences?”
https://t.co/U1KPmxxATy
“Our vulnerable relatives deprived of their final words and silenced by overdoses”
Read the article 👇🏻
https://t.co/KbO4kE4DiF
My mother, Elsie Devine, had never had pain and never taken so much as a paracetamol she was in Gosport for transition to come home after discharge for UTI in the Q.A. Hospital. Unfortunately all the family were in Hammersmith Hospital where my husband was undergoing a bone-marrow transplant and no one was at home where she lived with us.
At 9am on 18 November 1999, Dr Joanne Taylor recorded her as “happy, no complaints not ^obviously^paranoid”. Just 15 minutes later, a 25mcg fentanyl patch was applied under Elsie clothes unbeknownst to Elsie and her family.
Dr Taylor’s crucial documented assessment was withheld from our family for eight years. We discovered it only through our own tenacity, meticulously searching a different medical file passed to us for Elsie’s inquest. A medical file we had never previously seen and even then this was not her complete original file. More evidence through our own persistence came available in 2023.
Why, then, did the Gosport Independent Panel omit Dr Taylor’s note from Elsie’s case study portraying her with the hearsay from Dr Barton. Why was evidence that described her condition immediately before fentanyl was administered left out?
These questions still demand answers 1999-2026
#VictimsOfGosport
@ann_poppy Failures by police & Coroner most disturbing of all. Police accepted as genuine fabricated & falsified DNR note and letter signed by Trusts' senior figure who was under threat of dismissal for gross misconduct. I think of you often Ann and your dear Mum. Hope you're fit & well.