[Libre-soc-dev] Fwd: PALS REF: 38242

Thu May 1 15:24:40 BST 2025

---------- Forwarded message ----------
From: PatientSupportServices <PatientSupportServices at uhs.nhs.uk>
Date: Thursday, May 1, 2025
Subject: PALS REF: 38242
To: lkcl <luke.leighton at gmail.com>

Dear Luke

Thank you for your patience while we have looked into the questions you
raised below.

>From your email I raised several questions with the Emergency Department
and I have received a response from them copied below for your information:

Is there any evidence that the head nurse was verbally aggressive towards
him?

The ED nurse in charge tried to give Luke clear and firm boundaries about
his discharge when asking him to leave ED. Unfortunately, Luke had been
causing disruption to the 'major' area of the Emergency Department by
declining to be discharged when there was no medical reason for him to
stay, requiring the prolonged input of his named clinician, two senior
doctors and the nurse in charge. This caused delays to other patient's care
at a time when the ED was exceptionally busy. There were elements of Luke's
behaviours that caused distress to other patients. The ED nurse in charge
tried to de-escalate the situation using the ED recommended de-escalation
tools LEAPS and the 5-step appeal, with no success. (Please note, Luke had
been extensively reviewed / investigated in ED during 2024, with 37
attendances by this point, most of which featured similar symptoms).

Is there any evidence of a raised BP of 160?

There is no evidence on the ED records that Luke's blood pressure raised to
160. Luke's blood pressure recordings for this attendance were 18:55
118/62; 19:45 135/76; 22:44 133/78; 00:20 right arm 108/63; 00:20 left arm
114/71.

Did Luke receive any treatment for anaphylactic shock?

Luke was not diagnosed with anaphylactic shock during this attendance and
therefore did not receive any treatment for anaphylactic shock. Luke was
assessed by an ED clinician who concluded that there were no medical
concerns that required ED treatment. His presentation received senior
review by an ED consultant who agreed.

Is there any evidence that he was violently assaulted, terrorised and
abused?

>From the contemporary adverse event reports written by the security
supervisor at 02:22 and the ED nurse in charge at 02:45, I can confirm that
Luke started shouting and screaming 'help, help, assault, assault' when
informed he could go home. There was no one in the cubicle with Luke when
he was shouting this. Due to his previous history of escalation when told
he can be discharged, security support was requested by the ED senior
doctor prior to Luke being told he can leave. With security officers
present, the ED nurse in charge again told Luke he was medically optimised
for discharge and can leave. Luke threw himself on the floor and began
crawling down the major's corridor. Whilst doing so he continued to shout
'help; 'assault' and 'call the police'. The ED nurse in charge and security
officers followed at a short distance to maintain his safety and ensure no
one encroached on his personal space. He was asked multiple times to stand
and walk out. At the doors to the adult waiting room, Luke remained on the
floor 'thrashing around'. The ED nurse in charge tried to de-escalate the
situation but Luke was not willing to stand and walk out of ED. Having the
doorway to the adult waiting room blocked for a prolonged time period was a
patient safety concern, particularly given how busy the waiting room was
and the fact that many patients with major problems such as chest pain,
breathing difficulty and abdominal pain come into the clinical areas of ED
through this door. It was eventually decided that Luke would be supported
by the security team to leave ED. They lifted Luke up from the floor and
escorted him out. Because he made his body go limp when lifted, a third
officer was called to offer their support. Once outside, Luke crawled
across the road but after a short time stood up and walked off site.

What communication was there with the Police?

When Luke was told he could be discharged home, he began shouting and
screaming 'help, help, assault, assault. No one was in the bay with him. He
then rang 999 on his mobile phone telling the call handler he was being
assaulted and saying "come quick I need help". The ED Nurse in Charge
recalls providing Luke with verbal reassurance during this call, saying
that he was not being harmed, he was safe and he did not need to call the
police. The call handler was on speaker phone and so could hear this
reassurance. The call handler disconnected the call and, as far as the ED
nurse in charge is aware, no further police involvement occurred.

I regret there is nothing further that PALS can do with regard to this
matter and the case will be closed.

You previously mentioned that you were still overseas and unable to take up
the offer of a meeting with senior ED staff.    If you are now in a
position to take up this offer please do so via GP as they will be able to
assist you in getting this arranged.

Please be assured that the Trust would like to work with you to enable you
to access any treatment you may need.

Kind regards

Lucy

Lucy Prestidge

Patient Support Officer

Patient Advice and Liaison Services (PALS)

Tel No 023 8120 6325

Working Hours 0800-1600 Mon-Fri

Email: pals at uhs.nhs.uk

 </mail/u/0/s/?view=att&th=1968bdc217b93acc&attid=0.1&disp=emb&zw&atsh=1>

From: lkcl <luke.leighton at gmail.com>
Sent: 10 April 2025 04:40
To: PatientSupportServices <PatientSupportServices at uhs.nhs.uk>
Cc: Libre-Soc General Development <libre-soc-dev at lists.libre-soc.org>;
hiowicb-hsi.stpeterssurgery at nhs.net; iwan.blann at hampshire.pnn.police.uk;
Charters, Sarah <sarah.charters at uhs.nhs.uk>
Subject: Re: PALS REF: 38242

Caution: This sender's email domain is not covered by the NHS secure email
standard. Please do not send personal data to this address. More
information on Staffnet.

thank you lucy: please get them to answer my questions.

they begin "why was the head nurse verbally aggressive sufficient
to cause a BP of 160, why was i left for 2 hours unattended
in continuous anaphylaxctic shock, why was i left untreated
for a further 8 hours in anaphylactic shock, why was i
violently assaulted, terrorised and abused, and why did
they lie to the police"

get me those answers.

don't accept excuses from them.

it's been 5 months: you and i both know they're stalling,
which due to the seriousness is called "Obstruction of Justice".

On Wednesday, April 9, 2025, PatientSupportServices <
PatientSupportServices at uhs.nhs.uk> wrote:
> Dear Luke
>
>
>
> Thank you for your reply.
>
>
>
> I note that in the letter of 13 January to your GP, cc’d to yourself, Dr
Colchester has said “I am writing now to document this latest plan, and
also to copy Luke into this letter so that he is aware that if or when he
returns to Southampton I am happy to arrange a neurology appointment for
him in my clinic if he wishes for this.”
>
>
>
> Please do make arrangements via your GP if you would like to take up this
offer once you have returned to the area.
>
>
>
> Negligence is not something managed by PALS. I have attached a leaflet
which may be of help.
>
>
>
> You may wish to contact the Litigation services at UHS
litigation at uhs.nhs.uk with regards to any legal proceedings. Compensation
is also appropriate for the litigation team to advise on.
>
>
>
> Kind regards
>
> Lucy
>
>
>
> Lucy Prestidge
>
> Patient Support Officer
>
> Patient Advice and Liaison Services (PALS)
>
> Tel No 023 8120 6325
>
>
>
> Working Hours 0800-1600 Mon-Fri
>
> Email: pals at uhs.nhs.uk
>
>
 </mail/u/0/s/?view=att&th=1961acdc36d7a48d&attid=0.0.1&disp=emb&zw&atsh=1>
>
>
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Disclaimer
This email and any files transmitted with it are confidential and intended
solely for the use of the individual or entity to whom they are addressed.
Any views or opinions presented are solely those of the author and do not
necessarily represent those of the Trust unless explicitly stated otherwise.
If you have received this e-mail in error please delete it and contact the
University Hospital Southampton NHS Foundation Trust Helpdesk on:- 023 807
77222
The information contained in this e-mail may be subject to public
disclosure under the Freedom of Information Act 2000.
Unless the Information is legally exempt from disclosure, the
confidentiality of this e-mail and your reply cannot be guaranteed.
This footnote also confirms that this email message has been checked for
computer viruses.
Please visit our website at http://www.uhs.nhs.uk

Think of the environment. Please avoid printing this e-mail unnecessarily.