19.1.07

Part 8 - Ralph Winstanley - FACTS about his death - 23Apr2004

Click for A Full Index - but stay on this page if you want to read the main facts


Table of FACTS in respect of Ralph Winstanley’s death
23Apr2004 - plus numerous supporting document abstracts

Eighth part - 23Apr2004

23Apr2004
FACT:
At 11am Ralph Winstanley’s two daughters were refused permission – for two hours - to enter the room in which he lay. During this time Dr Gillian Harding and Dr Rachel Sykes, continued to state that Ralph Winstanley was ‘dying of terminal Oesophageal Cancer’. They both stated it several times to both daughters. Dr Harding also suggested that he should also be given Hyoscine hydrobromide, to add to the load of drugs. Dr Sykes prescribed it. And it is believed, administered it. The quantity of Hyoscine hydrobromide prescribed was noted in the Medical Record.
Affidavit abstract - Linda Kirby - No 68a
Affidavit abstract - Charlotte Peters Rock - No 68b
GP Medical Record - Dr Rachel S Sykes - No 80

23Apr2004 - 11.30
FACT:
Dr Gillian M Harding, made notes in the Nursing Notes:
‘Palliative medicine’
‘Patient reviewed advanced CLL & probable oesophageal ca.
Chronic ill health & recent and rapid deterioration
Unconscious for 3 days
not drinking or eating
noisy chest secretions
Hyoscine hydrobromide
(other writing at bottom of page – which can’t be read)(Then over the page)
‘My impression is that this man is dying & is in the very terminal stage.
Further investigation or treatment other than best supportive care is inappropriate '

Nursing Notes – abstract – written by Dr Gillian Harding, Lead Clinician for Palliative Care, Medical Director of St John’s Hospice - No 78a
Nursing Notes – abstract – written by Dr Gillian Harding, Lead Clinician for Palliative Care, Medical Director of St John’s Hospice - No 78b

FACT: About Ralph Winstanley’s ‘probable oesophageal ca.’. It had certainly been known since 15 March 2004 that he did not have any malignancy in the area of his oesophagus or stomach..and any GP could have checked that for herself

Consultant Physician and Gastroenterologist Dr Gary James - Letter – 14Mar2006 - No 10i
Consultant Physician and Gastroenterologist Dr Gary James - Letter – 14Mar2006 - No 10ii

FACT: Ralph Winstanley’s unconsciousness was caused by the application of Diamorphine, Haloperidol and Midazolam, prescribed by Dr Kevin Lee, who never met the ‘patient’ and continued by Dr Rachel Sykes, who had every opportunity of checking- at her Field Road Surgery - the current state of health of the patient. Dr Gillian Harding, recommended adding Hyoscine hydrobromide – in a dose which does not seem to have been recorded.
Prior to this drugging - and during the first 36 hours of it - which began on 18Apr2004, he had been walking about, eating and drinking and speaking relatively rationally.
Affidavits – abstracts – 18/19Apr2004 - Charlotte Peters Rock - No 72
Affidavits – abstracts – 18/19Apr2004 - Charlotte Peters Rock - No 73a
Affidavits – abstracts – 18/19Apr2004 - Charlotte Peters Rock - No 73b
Danum Doctors Services Limited - Dr Kevin LeeLetter – 18May2004 - No 36a
Danum Doctors Services Limited - Dr Kevin LeeLetter – 18May2004 - No 36b
Nursing Notes abstract - Dr Gillian Harding - No 78a
Nursing Notes abstract - Dr Gillian Harding - No 78b

18-23Apr2004
FACT:
Ralph Winstanley was not given any diet or fluid during the time after drugs began to render him unconscious – thus unable to shift for himself. That fact is borne out by the Community Nursing Assessment sheet of 21Apr2004
Mr Winstanley is not currently receiving any diet or fluids’
Community Nursing Assessment Sheet - abstract - District Nursing Sister Julie Marshall - No 71

FACT: On 18Apr2004 he was both eating and drinking - with no sign of difficulty – when the first nurses arrived at Grange Farm. Until the first injections and the drugs entering his system via the first syringe-driver began to render him unconscious, he still both ate and drank with no difficulty nor any gagging nor any sickness.
Community Intervention Team - Dependency Scale - 18Apr2004 - No 48
Affidavit abstract - Charlotte Peters Rock - No 72
Affidavit abstract - Charlotte Peters Rock - No 73a
Affidavit abstract - Charlotte Peters Rock - No 73b

23Apr2004
FACT:
There is no record of the amount of Hyoscine hydrobromide, injected into Ralph Winstanley, by Dr Sykes, at her last visit on 23rd April 2004.
GP Medical Record - Dr Rachel S Sykes - 23Apr2004 - No 80

23Apr2004 - 11.15
FACT:
The only nursing notes of that day, after the night-sitter left and before Ralph Winstanley finally died, were written at 11.15.
There is no indication in those notes, that a nurse might have put Hyoscine hydrobromide into either syringe-driver, since they were both already refilled, by 11.20 with
1. Diamorphine and Haloperidol
2. Midazolam
as stated in the Nursing Notes of 11.15.
Nursing Notes abstract - District Nursing Sister Julie Marshall - RGN Sarah Grimshaw - 11.15 23Apr2004 - No 70a
Nursing Notes abstract - District Nursing Sister Julie Marshall - RGN Sarah Grimshaw - 11.15 23Apr2004 - No 70b
Nursing Notes - Syringe Driver Form - RGN Sarah Grimshaw - 11.20 23Apr2004 - No 41b
Whereas, Dr Harding’s notes, state that they were not entered until 11.30. They are within the Nursing Notes. Nurse’s notes are timed at 11.15

It is believed that the notes of Dr Gillian Harding, entered at the end of the notes of RGN Brenda Rigo – the nightsitting nurse, show that a gap had been left on that page, by the two nurses present, as Ralph Winstanley’s daughters noticed on most of the original Nursing Notes, before Ralph Winstanley died. Those gaps had been filled in when the Nursing Notes were retrieved by South Yorkshire Police.
Nursing Notes abstract - District Nursing Sister Julie Marshall - No 74a
Nursing Notes abstract - District Nursing Sister Julie Marshall - No 74b

FACT: There is no record in the Nursing Notes of the destruction of any remaining Hyoscine hydrobromide.. which leaves the supposition that it was all injected during that visit. – unless contemporaneous notes can be found, to show otherwise
Nursing Notes abstract - District Nursing Sister Julie Marshall - RGN Sarah Grimshaw - 11.15 23Apr2004 - No 70a
Nursing Notes abstract - District Nursing Sister Julie Marshall - RGN Sarah Grimshaw - 11.15 23Apr2004 - No 70b

FACT: Amount prescribed was '600microgrammes/ml Supply (10)1ml ampoule(s) TWO AMPOULE OVER 24 HOURS Dr R Sykes'
Only 2 ampoules are stated to need to be used over 24 hours. So if this drug was injected, who injected it, how much was used - & what happened to any which remained?
GP Medical Record - Dr Rachel Sykes - Hyoscine hydrobromide - 23Apr2004 - No 80

22/23Apr 2004
FACT:
there is no indication – in the nursing record – or any other document which we have - that Ralph Winstanley was in any way distressed, either overnight or on that day, 23Apr2004, which might necessitate the use of Hyoscine hydrobromide on a man who it was obvious was now dying.
Nursing Notes abstract - RGN Brenda Rigo - nightsitting nurse - No 70
Nursing Notes abstract - District Nursing Sister Julie Marshall - RGN Sarah Grimshaw - No 70a
Nursing Notes abstract - District Nursing Sister Julie Marshall - RGN Sarah Grimshaw - No 70b

No comments:

Protest songs and poems - coming shortly

  • A Full Index
  • Abide With Me (mine)
  • Dead An Buried? Ardly!
  • Director of Public Health - Dr Tony Baxter
  • If - (not by Rudyard Kipling)
  • Jayne Brown - The Cover-Up Woman
  • Practice - Field Road Made
  • Quack Quack Dr Lee
  • St John's Hospice - My Father Was Not Dying
  • Thanksgivin? Thanksgivin? Ah'll be Waitin On
  • The NHS/PCT Thinks You Should Go
  • The Palliative Gillian
  • The Power behind the Patient Dr Brown

Who was Ralph Winstanley?

My photo
sister sites: 1.http://rwinstanley.blogspot.com 2.http://ralphwinstanley.blogspot.com 3.http://ralphwinstanley83.blogspot.com 4.http://winstanleyr.blogspot.com 5.http://ralphwinstanleyofwath.blogspot.com