Re-Sumission of Judicial Review of PHSO 09/06/2023

 

Signed and dated Statement of Truth.

Corrected application, as not represented by PHSO.

The final decision by the PHSO and dated decision to be reviewed

Grounds for the Judicial Review and a photo of Edward 8th-9^th Sept 2021, when we are still in the dark about how he was so battered and suggest it could have been the fatal attempted section of him.

Kind Regards

Mary Moss

Looking at former cases challenging the Ombudsman's handling of complaints under the 1983 MHA shows that in the case my dead brother Edward Moss’s complaint before he died, which is the case in point here the PHSO’s decision not to investigate after two years and the decision-making process is unlawful, in that they have used one area of my complaint, about a service's monitored by them, in the health setting, to debunk all other valid complaints about my brothers care and treatment in the NHS.There is evidence in their correspondence of a legal stand point and technicality to close the case and so this evidences a pre-determination of the outcomes of any investigation, into my brother's care, in the NHS, which is in their duty to investigate. The standard of review is unclear and cannot be consistently applied by due process, on each complaint.

l seek a judgment that re-affirms the importance of the role and function of Ombudschemes, which offer a valuable route of redress for persons aggrieved by fault or service failure by the bodies or organisations that fall within the remit of those schemes.

In particular, so that it affords a free and less formal way of getting redress than through the courts and Ombudschemes so PHSO can be able to recommend a wider set of remedies, including apologies or systemic changes that might not be available through traditional proceedings before a court or tribunal.

What are City of London Officers up to Saturday 3rd June? Wagon driving towards me on a quiet and lovely Saturday sunset at my home, the two blue City of London ones drive together. It's just not their patch???

 

From four officers to fourty in the same very quiet residential street!!!! What were they also doing in the London Borough of Camden last Sunday 28th May when they past me shopping for a Sunday Roast?

The PHSO said they sent me a reply April 9th by post I didn't get. It lessened my time (3months) to apply for Judicial Review! Just done it

27/05/2023 Aqeel Yaqoob Dear Aqeel, I am putting you on notice of my intention, which you have pre-empted in your letter date 9th April and I have only received by an email yesterday, to take PHSO for Judicial Review. I have always been aware of the time limits in doing so but on top of your failure to investigate Edwards treatment in hospital which formed the bulk of my complaint and is in your remit, I find it insult to injury after 2 years for you to even mention costs. I will be representing myself and would like to make you aware of Jackson Law and a cap on costs, which I will be applying for to apply in Edward's case. Regards Mary Dear Aqeel, Please send proof of postage as I have not ever been sent any such letter. Also explain why when I repeated asked for a reply from you, why you never mentioned this letter? I don't believe any letter had been sent to me and I will not be taken for a ride by the PHSO. I will now read what for me is regarding the death of my brother and your decision to investigate or not! Regards Mary
 From: "Aqeel Yaqoob" 
Sent: Friday, May 26, 2023 12:57 PM
Received: Saturday, May 27, 2023 9:37 PM

Subject: Your Complaint with PHSO - C-2045983 Dear Mary, Please see attached the letter sent to you in the post dated 6 April 2023. Kind regards, A. Yaqoob ATTACHED You can contact me on: 0300 061 4630 Our reference: C-2045983 Aqeel.Yaqoob@ombudsman.org.uk In Confidence Ms Mary Moss Flat 32
Tonbridge House
Tonbridge Street
London WC1H 9PB 6 April 2023 Dear Ms Moss Your complaint about Camden and Islington NHS Foundation Trust (The Trust) 
Thank you for your patience whilst we considered your request for a review. We are sorry you have concerns about our decision.

As you may know PHSO is the last stage in the complaints process and our decisions are final. If someone can show us reasons to think our decision may be wrong, we can use our discretion to carry out a review. But a review is not a further stage in the complaints process. It is something we do on cases where we can see there is a good reason to look at our decision again to be assured it was the right one.

Your review request has been considered by myself and my manager You disagreed with our decision that we have decided your complaint against Camden and Islington NHS Foundation Trust is out of remit. In coming to our decision not to consider the complaint further we assessed your complaint looking at all the available information and the email conversations we had. We considered all the information available and have reviewed the information in light of the comments you have made, and the YouTube videos you kindly attached. In coming to our decision, we carefully considered each part of the complaint you brought to us and still consider the complaint to be out of remit. We can assure you we have not closed the complaint on a legal technicality. Rather, we really are not able to look into the complaint as it is not within our remit. The Health Service Commissioners Act 1993 sets out what we can and cannot investigate. That Act does not give us remit to determine whether actions of any organisation were lawful or otherwise. That role is for the courts and tribunals. We cannot look at the decision to detain as this is a matter for the mental health tribunal. Therefore, the component would be out of remit for our organisation. The further complaint regarding sectioning would relate to the sectioning decision which would also be outside of our remit as above. Section 2 of the Health Service Commissioners Act 1993 also sets out the organisations we can look at. That does not include Mental Health Tribunals. The subject matter complained about is not an administrative matter. The complaint is about the conduct of the tribunal. It is unfortunately not therefore in our remit to consider. We have reviewed all the YouTube links you shared relating to different junctures of Edward’s experiences, sectioning and funeral. We thank you for sharing such personal videos to consider. However, these videos do not bring any new relevant evidence which would make us question our original decision. 

 We have decided we do not need to review our decision because your review request has shown no reason or new evidence that calls into question our decision on your complaint.

Therefore, our decision in your case (reference C-2045983) is our final view on your complaint and we will not take any further action on it. 
If you believe that decision is wrong, it is open to you to consider taking legal action to challenge it by way of Judicial Review proceedings. Judicial Review is a legal action where a decision or action by a public body is reviewed by a senior judge. You can read more about Judicial Review here: Administrative Court judicial review guide - GOV.UK (www.gov.uk)

It is usual to provide Pre-Action Protocol letter setting out your concerns in advance of issuing proceedings. The requirements are set out here: https://www.justice.gov.uk/courts/procedure-rules/civil/protocol/prot_jrv.

As you will see the protocol sets out a code of good practice and contains steps which parties should generally follow before Issuing proceedings.

Please be aware that claims for judicial review must be issued promptly and, in any event, not later than three months after the grounds to make the claim first arose. It is therefore important that you consider seeking independent legal advice as soon as possible if you think that you may seek to pursue such an action. Please also note that legal proceedings can be costly, and you may have to pay PHSO’s costs if you are unsuccessful. Your legal representative will be able to advise you about prospects of success, time limits and costs.

If you wish to pursue a legal action, please send any Pre-Action letter or issued proceedings in writing marked for the attention of the Legal Team at PHSO, CityGate, 47 – 51 Mosley Street, Manchester, M2 3HQ. If possible, please also send a copy by email to legal@ombudsman.org.uk

I am sorry if this is disappointing for you, but this letter marks the end of our process. Any further contact from you about your complaint will be added to our records, but we may not correspond any further with you about it.

 Yours sincerely Aqeel Yaqoob Caseworker Important details about how we use your information You can read more about how we use your information in our privacy notice. The notice explains how we use and look after information about you, or that could identify you, and how long we keep it. It also explains your rights and how to request your information. You can find the privacy notice online at www.ombudsman.org.uk/information-you-give-us. If you would like a copy in a printed or other format, please contact informationrights@ombudsman.org.uk or call the number at the top of this letter. MM-230525-162745 From "Mary Moss" To Aqeel Yaqoob Sent Thursday, May 25, 2023 5:27 PM Subject Re: Your Complaint with PHSO - C-2045983 Dear Aqeel, I did not get a 6th of April email? Kind Regards Mary
 From: "Aqeel Yaqoob" 
Sent: Wednesday, May 24, 2023 4:55 PM
Received: Thursday, May 25, 2023 5:26 PM
To: "NN/YP Youth Parliament" 
Subject: Your Complaint with PHSO - C-2045983 Dear Mary, I hope you are well. I do apologise for the delay in responding. I am sorry to hear of your dissatisfaction with our decisions, as per our letter dated 6 April 2023, we have now concluded our process and subsequent review. This letter explains the options available to you. As explained, we will not engage in any further correspondence regarding this matter. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 E: aqeel.yaqoob@ombudsman.org.uk W: www.ombudsman.org.uk 23/05/2023 18 months out of time! Aqeel Yaqoob Dear Aqeel, It's over a week since 15th May, could you reply? Kind Regards Mary 17/05/2023 No reply? Aqeel Yaqoob Dear Aqeel, I have not had any response from you? Kind Regards Mary Moss 28/04/2023 Aqeel Yaqoob You Hi, Thank you for your message. I am out of the office until 15 May and will have not have access to my emails. These will be responded to upon my return. Sincerely, Aqeel Yaqoob
Caseworker 28/04/2023 Aqeel Yaqoob Dear Aqeel, Considering that this involves the death of my brother and the monitoring of the grotesque treatment he received at the hands of the trust with you being the ultimate watchdog, keeping my family waiting, even despite covid backlogs is unforgivable and a disgrace to your service. Mary Moss 15/04/2023 Reply Aqeel Yaqoob Dear Aqeel, I have not had any reply from you. Please update me on my brothers' case and let me know if you have decided after two years whether to investigate yet? When he signed the complaint forms, he believed justice would be served regarding the way he was abused in the hospital. Kind Regards Mary Moss 20/02/2023 Extension request? Aqeel Yaqoob Dear Aqeel, Could you give me your permission to extend the deadline until March 20th as most direct access lawyers can't answer that quickly so I had many rejected due to this restriction. Kind Regards Mary Moss 15/02/2023 Your Sign-posting Advice had no Contract to Act Aqeel Yaqoob Dear Aqeel, I hope you are well. We agreed a mid-Jan 2023 extension when you sent me a letter in the Christmas holidays and I said New Year would be slow as stated in my extension request to comeback to you, following advice from PowHer, that you sign-posted me to. It turned out that it was slow but moreover they did not hold a contract to act even for advice in the matter. They told me Re-Think held the contract for Camden. We agreed another extension reasonably, due to that error. I have now dealt with PowHer who have signposted me to legal advice as they say they too cannot advise. I have contacted a number of firms, none of which can act as they neither do legal aid, mental health and medical personal injury, fatal claims except Irwin Mitchell of Newcastle and they don't have capacity to give the answer to your legal standpoint. So, yesterday I contacted a law firm to pay. They have directed me to; Andrew Tull You Dear Madam Thank you for your recent enquiry seeking direct access assistance. I have circulated your email to the members that are licensed to accept work directly from members of the public and unfortunetlay I will not be in a position to offer anyone that could assist within the timings you make reference to. If it assists, you may find someone with availability by expanding your search using the Bar Council’s direct access portal: Make enquiry (directaccessportal.co.uk) Kind regards Andy So I wondered given that I had a run around the houses with the sign-postings and now I have to pay, to answer you, since I don't know how you could decide not to investigate, using the fact that I don't believe, Edward should have been sectioned. Yet that is my view point but he signed to make the complaints about his treatment, that has led to his death and he has a right to have those complaints investigated. My view should not matter they are his valid complaints, with video evidence and also after his death forged medical notes. On the notes this shows a history of being given sodium valproate yet he had no medical history and 3 other GP's will verify this, as I have evidence from them all but was waiting for the investigation stage by the watchdog PHSO. Therefore, I request another extension until 1st March to pay for a few hours direct access advice. Thank You Mary Moss 08/02/2023 Order of YouTube Edward Video's Aqeel Yaqoob Dear Aqeel, Please see attached for the order of dates of video's that Edward complained to me in and others for reference. Kind Regard Mary Moss In the Attachment; https://www.youtube.com/watch?v=Vayg_Rk7Xc4 8th July 2016 https://www.youtube.com/watch?v=-GpqgYTNjDM 8th July 2016 Edward’s Birthday Ed gets arrested by Charing Cross police and is privately sectioned. He then get’s transferred to Camden and this is what he says on 19th Dec 2019 https://www.youtube.com/watch?v=L-ZTfgDE2C4 regarding his treatment in an NHS hospital, for mental health, in Highgate. https://www.youtube.com/shorts/jH9kP7T-994 22nd Dec 2019 https://www.youtube.com/watch?v=8fI2BoNIA5c&t=2s Dec 2019 https://www.youtube.com/watch?v=2Hmld_JBxXo&t=45s 25th March 2021 https://www.youtube.com/watch?v=iIT-t2rZVO8 29th Mar 2021 https://www.youtube.com/watch?v=S8rI9I7T5L8&t=4s 18th – 21st April 2021 https://www.youtube.com/watch?v=yc01r_vSXZk 27th April 2021 https://www.youtube.com/watch?v=9_Sy8hiO1XU&t=1s 3rd May 2021 https://www.youtube.com/watch?v=KoKVHMOfs5k&t=2s 5th May 2021 https://www.youtube.com/watch?v=5OJQpG0ff9w 5th May 2021 https://www.youtube.com/watch?v=rjiqH3FgAiA&t=2s 6th May 2021 https://www.youtube.com/watch?v=RDQzt_WeeJM 6th May 2021 https://www.youtube.com/watch?v=4RcfL53bRME&t=1s 6th May 2021 https://www.youtube.com/watch?v=mTZtPsWjJhQ&t=4341s 10th May 2021 https://www.youtube.com/watch?v=bXScg5MW3aA&t=4s 18th May 2021 https://www.youtube.com/watch?v=wx4HWJF9aAQ&t=5s 8th June 2021 https://www.youtube.com/watch?v=Cdgvl3Oo5dM 9th June 2021 https://www.youtube.com/shorts/1K-folY11zQ 9th June 2021 https://www.youtube.com/watch?v=ljzrYGJt5Go 12th Sept 2021 Hid Ed, found at morgue https://www.youtube.com/watch?v=0D3KQfGi0AA 20th Sept 2021 https://www.youtube.com/watch?v=WB5Ff0JstVk&t=635s 20th Sept 2021 NHS complaint Gabriella@rethink.org> You Hi Mary, Just sending you an email because I have not yet received anything from you. As discussed on the phone, I will get in touch with you next week. In the mean time, if you need anything please contact me on 07467748333 Kind regards, Gabriella 


 Dear Gabriella, Thank you for that. There was no .uk at the end so it bounced back. Not to worry glad you emailed thinking outside of the box, fab! Please see attached. With Best Wishes Mary Moss Owner
One Percent 4 ART Gabriella@rethink.org> You Hi Mary, Thank you for speaking with me on the phone. Please see attached a document of legal organisations that can offer you advice. You can also contact your local citizen advice bureau. I have attached a link to their page. 1. Action Against Medical Accidents (AvMA): Is the UK charity for patient safety & justice. They provide free independent advice and support to people affected by medical accidents (lapses in patient safety) through their specialist helpline, written casework and inquest support services. They can refer to their accredited clinical negligence solicitors if appropriate. They also work in partnership with health professionals, the NHS, government departments, lawyers and, most of all, patients to improve patient safety and justice. https://www.avma.org.uk/ 0845 123 23 52 (helpline only – Mon-Fri 10am - 3.30pm) (However, if you do not have 0845 numbers included in your mobile contract you can call 0345 123 2352) 2. The Law Society:The Law Society is the independent professional body for solicitors. They represent and support members, promoting the highest professional standards and the rule of law. http://solicitors.lawsociety.org.uk/ 020 7242 1222 3. The Law Centres Network: Law Centres defend the legal rights of people who cannot afford a lawyer. They are specialists working in their local communities to uphold justice and advance equality. www.lawcentres.org.uk 020 3637 1330 4. The Public Law Project: The Public Law Project can give you more information about how to make an application for judicial review. www.publiclawproject.org.uk 020 7843 1260 5. Your Legal Friend: Your Legal Friend provides legal services to customers without compromising on professionalism while ensuring affordable access to justice. https://www.yourlegalfriend.com/ 0151 550 5228 Adviceline - Citizens Advice Camden (camdencabservice.org.uk) I wish you all the best. Kind regards, Gabriella Find your local Advocacy service > Mon 16/01/2023 This message has been classified as Sensitive. Hi Mary, Further to the above matter. I have noted your comments from your email dated 12 January 2023. I will accept your extension request of 28 days as you are dealing with POhWER. I will look at the reasons you present to challenge to our decision all at once. When you have the further information you want us to review, please send that to me so I can review that together with the reasons outlined in your email dated 12 January 2023. The new deadline to present all your reasons to challenge our decision is 13 February 2023. If you have any questions, do not hesitate to get in touch. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 E: aqeel.yaqoob@ombudsman.org.uk W: www.ombudsman.org.uk MM-230112-141146 From "Mary Moss" ( naypic@hotmail.com ) To Aqeel Yaqoob Sent Thursday, January 12, 2023 2:11 PM Subject Re: Your Complaint with PHSO - Ref: C-2045983 Dear Aqeel, Yes they would be the grounds. I am still waiting the advice from the advocacy group but meanwhile, yes can you reply to those. Kind Regards Mary From: "Aqeel Yaqoob" 
Sent: Thursday, January 12, 2023 1:55 PM
Received: Thursday, January 12, 2023 2:09 PM
To: "NN/YP Youth Parliament" 
Subject: Your Complaint with PHSO - Ref: C-2045983 Dear Mary, Further to your email dated 9 January 2023. From the body of the email, it seems to suggest this would be the grounds you would be challenging our decision. Please confirm if these are the reasons for which you wish to challenge our decision so that I can consider the same. I look forward to hearing from you. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 E: aqeel.yaqoob@ombudsman.org.uk W: www.ombudsman.org.uk 09/01/2023 14:11 NN/YP Youth Parliament Aqeel Yaqoob Dear Aqeel, I have been looking at former cases challenging the Ombudsman's handling of complaints under the 1983 MHA. It makes me think that your decision not to investigate and your decision-making process is unlawful, in that you have used one area of my complaint, about a service's monitored by you, in the health setting, to debunk all other valid complaints about my brothers care and treatment in the NHS. There is evidence in your correspondence of a legal stand point and technicality to close the case and so this evidences a pre-determination of the outcomes of any investigation, into my brother's care, in the NHS, which is in your duty to investigate. Your standard of review is unclear and cannot be consiostently applied to each point I complained of through due process, the CQC and then you. I therefore notwithstanding that you rule that my brother has an issue initially with detainment, ask you to investigate all other matters forwarded. Thank you Mary Moss Sun 09/01/2023 12:41 NN/YP Youth Parliament candi@rethink.org Dear Rethink, Can you take case on as you have the contract. Thank you Mary Moss Sun 08/01/2023 10:50 NN/YP Youth Parliament Aqeel Yaqoob Dear Mr Aqeel Yaqoob, I just received the reply from Powher, the process of providing me advocacy to progress my late brother's complaint, about his care and treatment at the hands of the C&I trust, will reasonably need another 28 days. This is a copy of the progress thus far, which is helpful. Dear Mary, Firstly I’d like to express our thoughts and deepest sympathy to the passing of your Brother and thank you for contacting POhWER, POhWER are an independent advocacy service that provides Information, Guidance and Advocacy support to people wanting to make a formal NHS complaint. We will be providing you with our Self-Help Information Pack which shows you how you can make a complaint yourself and how to construct a letter, and this may be enough for you to progress the complaint yourself. If you need further or more specialised support then you can refer yourself to us. We are not part of the NHS and are not medically/legally trained and POhWER are unable to investigate complaints ourselves, however we can support you to navigate the complaints process and its stages. We can support you to create your complaint in whatever format that is and explain how to submit it to the right people at the relevant NHS body. Once the complaint is submitted we would close your case and then you can come back to us when a response is received, if you need further support or guidance around what you have received. If you wish to proceed with our service we will need to following details to process a referral: • DOB • Full Name • Full Address • Contact Number/email or both • Communication preferences, such as if you need information in another language or easy read • A desired outcome from the complaint you wish to make • The address of the NHS service you wish to complain about We will also need to ask you further information which we are required to monitor and this includes asking you about your: • Ethnicity • Gender • Sexuality • Religion/faith • Any information around any specific needs around physical and sensory impairments, mental health, dementia, substance misuse or any information that we would need to know top provide a better service to you If you prefer not to answer these questions you can decline and we can record that you did. You can also decide to give us this information at a later date as well. If you would prefer to provide these details over the phone you can contact our support team on 0300 456 2370 and an advisor will be able to assist you. We will need to seek consent from you before we can allocate your case to an advocate, and we will be sending this to you to complete and return to us. This consent is important as we require this to be able to contact other persons involved with your case other than yourself. Once consent is received the case can be allocated, and an NHS advocate will make contact within 5 working days to support you with your complaint. Kind Regards Richard I would be seeking the 15th Feb reasonably to be up to speed. Kind Regards Mary Moss EMAILS RE: PHSO COMPLAINT THAT I NOW NEED HELP WITH BY 10th Jan 2023 or ASAP From "Aqeel Yaqoob" ( aqeel.yaqoob@ombudsman.org.uk ) To NN/YP Youth Parliament Sent Thursday, December 22, 2022 4:02 PM Subject Your Complaint with PHSO - C-2045983 This message has been classified as Sensitive. Dear Mary, Many thanks for your most recent email. Your reasons for an extension are reasonable and I have now extended the deadline to 16 January 2023. I hope this helps. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 E: aqeel.yaqoob@ombudsman.org.uk W: www.ombudsman.org.uk From "Mary Moss" ( naypic@hotmail.com ) To Aqeel Yaqoob Sent Wednesday, December 21, 2022 2:33 PM Subject Re: Your Complaint with PHSO - C-2045983 Dear Mr Aqeel Yaqoob, Thank you for expressing condolences. The 29th December 2022 as you said will not be a reasonable timescale to reply to you on the; • Why you think our decision is wrong. • What you would like to happen now. • Any supporting or new evidence. I propose 28 day being more helpful reasonably due to the holidays, having started for many organisations like PohWer. The New Year 2023 can also be very slow for organisations getting back to work, if they do help me, it would be reasonable given often their tight budgets, covid constraints and caseloads to give them three weeks, 15 working days. Then I can adequately reply. Regards Mary From "Aqeel Yaqoob" ( aqeel.yaqoob@ombudsman.org.uk ) To NN/YP Youth Parliament Sent Monday, December 19, 2022 4:08 PM Subject Your Complaint with PHSO - C-2045983 This message has been classified as Sensitive. Dear Mary, Firstly, I would like to express my condolences with regards to your brother. I was not aware he had died up until you told me in your most recent email. You can present a challenge to our decision by sending me the following in writing (please let me know if you need a reasonable adjustment to our service to do this): • Why you think our decision is wrong. • What you would like to happen now. • Any supporting or new evidence. Please provide this, with all the information you want us to consider by 29 December 2022 or we may decide not to consider your challenge. Please let me know before this date if you think this timescale will not be reasonable for you. Once we receive your challenge to our decision, we will get in touch with you if we need more information or when we have reached a view on it. Please note there is no automatic right to a review of our decisions. We will decide whether there are good reasons to review the decision based on the information you provide. We will not accept a repeat of your complaint issues as a challenge to our decision. So please focus on why you think what we told you in our decision is wrong. Be as specific as possible about why this is and what evidence supports it. Where a challenge to our decision is presented, someone who was not involved in the decision making will impartially consider this. They will first consider whether your case relates to a more serious injustice or public interest. If it does, they will consider whether you have shown we got something wrong which might change our decision. If so, we will review our decision or arrange for further work on your case. If we find we got something wrong we will take action to put this right. Advocacy Support POhWER provide support for people who because of disability, illness or other challenges, find it difficult to express their views or get the support they need. I would advise you contact them if you require any assistance with this complaint. Tel: 0300 4562370 I provide a link here to their web site: POhWER Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 E: aqeel.yaqoob@ombudsman.org.uk W: www.ombudsman.org.uk 19/12/2022 14.30 NN/YP Youth Parliament Aqeel Yaqoob Dear Mr Aqeel Yaqoob, Thank you for your letter to me 29th November 2022, following my submission of a formal complaint to the PHSO 8th Sept 21. I would firstly like to know why you did not tell me the contents of letter in the first place bearing in mind our 14 months of emails? I would also like to have the procedure sent to me to formally appeal your decision bearing in mind the 1983 MHA. I would like also to add two more elements to the complaint. As it was clear to me that in your use, of the word, 'was', re my brother, you know he is dead. He died the day the complaint reached your department, having gone through the CQC. Kind Regards Mary Moss From "Mary Moss" ( naypic@hotmail.com ) To Aqeel Yaqoob Sent Wednesday, November 23, 2022 9:34 AM Subject Re: Your Complaint with PHSO - C-2045983 Dear Aqeel, I appreciate your reply. Thank you Mary From "Aqeel Yaqoob" ( aqeel.yaqoob@ombudsman.org.uk ) To NN/YP Youth Parliament Sent Tuesday, November 22, 2022 2:40 PM Subject Your Complaint with PHSO - C-2045983 This message has been classified as Sensitive. Dear Mary, Many thanks for your email. To confirm, email correspondence is all we have had as you have opted to communicate in such a way. Regarding the actual issue of the complaint, to understand the complaint properly we have had to ask follow-up questions to confirm who/what specifically you are complaining about. This is to ensure we can look at this complaint i.e. to see if the complaint is within our remit. I will communicate in the next week or two what we are doing with your complaint and appreciate the patience. Kind regards, Aqeel 22/11/2022 14:27 Following your statutory requirement 17th Oct 22 letter under HSCE NN/YP Youth Parliament Aqeel Yaqoob Dear Aqeel , In your letter firstly you state we had 'conversations', so just to put on the record, we have strictly had email correspondence. You said in July 2020 due to Covid 19, PHSO had a four months backlog due to an overwhelmed NHS. My complaint was submitted long after that, a year later and was accepted on 8th Sept 2021. That is 10 months before I heard from you. Now I have been is some email communication with you, you do not do anything other than try to confine my complaint, to 'sentences' and whilst this can be confusing at times, as if you are attempting to condense the issues, the procedure, is far from timely in any way, shape or form, for a complaints body. Under the 2015 and your statutory requirement for there to be no further delays, you state 'I am currently considering all evidence I received (yet you have not asked me yet for 'evidence' you said you were 'deciding' if the complaint merited 'investigation') and our recent 'conversations'. I hope to have some further information for you about what we can do in relation to your complaint in the next three weeks and update you of the same. So, I ask, bearing in mind the ombudsman is supposed to be hailed as the answer to saving babies from mould by Gove at present, what is happening? Please let me know ASAP. Best Mary From "Mary Moss" ( naypic@hotmail.com ) To Aqeel Yaqoob Sent Friday, October 21, 2022 1:57 PM Subject Re: Your Complaint with PHSO - C-2045983 Dear Aqeel, Firstly I do not appreciate your tone and any threat to withdraw the complaint stated in a very small time frame as if I have not treid to be helpful to you. Yes, is the answer to your question. He should not have been sectioned. Therefore giving him dangerous drugs, against his will and mine is how you want it put. Thank you and don't threaten me again! Mary
 From: "Aqeel Yaqoob" Sent: Thursday, October 20, 2022 3:47 PM Received: Friday, October 21, 2022 2:53 PM To: "NN/YP Youth Parliament" Subject: Your Complaint with PHSO - C-2045983 This email, created by aqeel.yaqoob@ombudsman.org.uk, has been securely delivered using Egress Switch and was decrypted on Friday, October 21, 2022 2:53:26 PM+01:00 This message has been classified as Sensitive. Dear Mary, Further to the above matter. In order for me to progress the complaint I need to understand exactly what the complaint is about. As I previously informed you, if I am not able to ascertain the information required, I will be unable to progress the complaint and will then have to consider withdrawing your complaint. I ask the specific question, apart from Aripiprazole, are you saying the Sodium Valproate and Lithium should not have been administered to your brother because he should not have been sectioned in the first place? You have previously stated you feel the sectioning was unlawful so while he was under section, are you saying he should not have been given the medications above. Please respond to me by 27 October 2022. I hope this helps. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 E: aqeel.yaqoob@ombudsman.org.uk W: www.ombudsman.org.uk From "Mary Moss" ( naypic@hotmail.com ) To Aqeel Yaqoob Sent Wednesday, October 19, 2022 8:28 AM Subject Re: Your Complaint with PHSO - C-2045983 Dear Aqeel, The year passed by in Sept 7th 2021. We are not even at the investigation stage. I want to clarify that the initial reason Edward was put into the service of mental health was also due to being in Charing Cross police station. As you know there was abuse there at that time and that has been also outlined in the complaint that was acccepted on 7/9/21 by you the PHSO. Thanks Mary Moss
 From: "Aqeel Yaqoob" Sent: Thursday, October 13, 2022 4:30 PM Received: Wednesday, October 19, 2022 9:23 AM To: "NN/YP Youth Parliament" Subject: Your Complaint with PHSO - C-2045983 This email, created by aqeel.yaqoob@ombudsman.org.uk, has been securely delivered using Egress Switch and was decrypted on Wednesday, October 19, 2022 9:23:25 AM+01:00 This message has been classified as Sensitive. Hi Mary, I hope you are well. As your complaint is now reaching up to a year with us, it is a statutory requirement for us to write to you explaining the reasons for the delay. I will be sending a letter to you explaining the reasons as to why the complaint has taken this long to consider. On the whole, a significant portion of the delay is due to the queue system being in a back log, but I will confirm the same to you in a letter. If you have any questions do not hesitate to get in touch. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 E: aqeel.yaqoob@ombudsman.org.uk W: www.ombudsman.org.uk Dear Aqeel, What I am saying is that he was on 15mg of Aripiprazole This dose was something that he agreed to. He was forcibly sedated with Sodium Valporate and Litium, against his will and mine which weaken him, and was dangerous for the hole in his heart and put him in respitory difficulties twice. I am saying he was not a danger to himself or to others. He was taken from his accomodation against his will and mine and when seen by his brother in A&E he presented as he normally did, albeit very frightened. We excercised our right to have him discharged and we were met with obstacles on a disproportionate basis. Thanks Mary 
 From: "Aqeel Yaqoob" Sent: Monday, October 10, 2022 4:00 PM Received: Wednesday, October 12, 2022 2:17 PM To: "NN/YP Youth Parliament" Subject: Your Complaint with PHSO - C-2045983 This email, created by aqeel.yaqoob@ombudsman.org.uk, has been securely delivered using Egress Switch and was decrypted on Wednesday, October 12, 2022 2:17:21 PM+01:00 This message has been classified as Sensitive. Hi Mary, I hope you are well. Regarding the response you sent, there is quite a lot of information to comb through so apologies in the delayed response. As you know, regarding mental health complaints we as an organisation need to carefully consider the aspects of the complaint you raise. Specifically, regarding the medication given to your brother, are you saying the medication given to your brother should not have been administered as you feel he should not have been sectioned in the first place? I look forward to hearing from you. Kind regards, A. Yaqoob Wed 21/09/2022 14:14 NN/YP Youth Parliament Aqeel Yaqoob Dear Aqeel, Please ignore the last email content as written last night and there were many mistakes in there. This is the corrected version of scope. If I have mentions things, you cannot deal with please let me know, how to condense what you can deal with. Scope Misuse of the MHA to administer drugs without consent, under an unlawful section, where Edward was witnessed by family as acting normally. The drugs were administered by deception, with Camden having a recent history of sectioning him on about five occasions since 2019, when he joined the borough and by prevarication and so called ignorance of me being the ‘next relative’, when this was or should have been available in his medical notes, as to who Edwards ‘next relative’ was, and despite knowing from Edward and me, who repeatedly told them and they knew. Tribunals deliberately being cancelled to then prolong use of non-consensual medication, doing further damage to Edward, knocking him senseless for the tribunals and then not waking him up on request from his next relative, just saying to her, ‘he is sleeping’, staff being rude and evasive, condescending, short tempered and aggressive. Transcripts and minutes of meetings not being provided and ‘strict proof’ that Edward is a ‘danger to himself or others’ or even adequate plausible ‘reasons’ for the section, not being made available to Edward, the ‘next relative’, or the legal advisor for Edward, Fernanda Stefani of Duncan Lewis solicitors. Sections and paperwork for them, not being signed off with two doctors, or even one, and no independent advisor or number given to Edward to call. The psychiatrist did not have recourse to any medical notes, in 2019 before medication was administered. This endangered Edward. Subsequent sections, still had no historical medical notes from Hammersmith & Fulham. Psychiatrists and practitioners as well as people who had never met Edward, were given platforms at meetings as If they knew him and whole reports where concocted by them and given weight and credence. There was no duty of care. This was a shambles. The zoom connection was interrupted so that Edward could not even hear the judge at the tribunal and then when asked something he couldn’t hear, he was told to leave his own meeting. He managed to say, ‘no assistance required’ and ‘this is a farce’. This meant he could not advocate or communicate with the tribunal and since he potentially, deliberately, was severely drugged, leading up to the tribunal, when this avenue of a tribunal was potentially deliberately compromised, he was then at the mercy of the mental health practitioners, to be drugged up again and again, weakening his constitution. Notably, extreme dosages of medication were given in days leading up to important meetings, where he as the patient could easily miss the meeting or may as well since he would be seemly awake but unable to communicate either bodily or mentally.
 In the tribunal we were told that Edward was in danger from the others in his ward, this was a reason to dismiss him from there, as he was not in danger outside but this was ignored. He was then assaulted by others in there. When the mental health practitioner could see that Edward was fighting for his right to not be at his mercy, he strategically, used his sectioning powers, to pervert any kind of administrative safeguards or historical informed consent. In fact Edward was privately sectioned by Charing Cross police prior to his Camden saga and that was illegal too. A reasonable person would not make barring order if the patient posed no history of threat, no immediate threat and so that was a grave and unjust use of the practitioners powers that seemed timely, only when the next relatives normal legal functions had been restored. I would suggest they kept back this power to not act in the patients best autonomous interests but to outwit us in a system they understood and therefore abused and regularly do so. The practitioners frustrated due process and safeguards, using the MHA incorrectly. This happened unlawfully and could potentially be common practice, if a practitioners do not get their ways. A ‘ban on discharge’ should be reserved for extremities, when a person is evidenced as a danger to themselves or others and not misused to get around a persons objections, be that through the clear communication with their legal representatives or through their next relative. Mis-interpreting emotional events as crisis points, which can be a common failing as staff have often no knowledge of persons real life events, such as an illness or death in the family or of a friend. They often don’t ask ‘what is the matter’ so that non-trained or non-accountable staff can make dangerous and poor decisions around care, allowing point of easy entry by police, leading to false imprisonment, without a fair and full trial, or any bail or holding period, to represent themselves with the help of their legal representative, or next relative, especially in any setting with care co-ordinator. Deprivation of essential well being items such as nicotine, routinely being with-held. Addictions, such as in Edwards case crack, containing cocaine (a rich persons drug) and baking soda, should easily be able to seek treatment for as soon as possible and for assistance with withdrawal symptoms, if self-withdrawing, followed by blood tests. In blood tests for side effects of pharmaceuticals close eye for illicit substances should be obtained, or else the research on these effects do not follow correctly. Since the side effects of crack withdrawal, such as nausea, depression & suicidal thoughts, anxiety, fatigue, and muscle pain, can be very intense they should be monitored by a healthcare professional and in Edwards case in hospital, they were not. Neither was his blood monitored for the vast amounts of pharmasuitical drugs given. In fact Edward and his next relative, Mary attended the Camden Mental Health drug services, and saw psychiatrists there voluntarily on five different occasions and were refused any help whatsoever. They said they can only deal with heroin. Edward during covid asked his GP also for help for a replacement such as codeine. The substance crack is so addictive the subject of that addiction can begin to lack agency on the addiction, so if they ask for help they clearly want it, it therefore should be provided. Instead Camden’s unspoken policy is to lock up addicts and ignore drug addictions diagnosing them as mental health issues. This is wrongful incarceration for taking drugs and should be immediately redressed. The two cannot be joined together and therefore many are locked up illegally right now. One requires rehabilitation, that is not available for crack only heroin, Edward and his next relative were told. Yet it was used against him to obtain wrongly obtained detention and torcher by way of the administration of more lethally dangerous drugs, to his parituclar system as well as wrongful sedation and incapacity of normal bodily functions causing him embarrassment and humiliation too. The components of cracking coca leaves, is arguably less dangerous than clozapine or sodium valproate or even amid of the two causing myocardritis. Clozapine according to Imperial College London’s research in April 2022 shorten’s life expectancy by 14 years. Mental health cannot be considered in most cases to be permanent, it’s like breaking an arm, the mind can also heal after a good supportive plaster cast and with the right support. Drugs in hospital of a pharmaceutical nature are very often it would seem, given in experimental cocktails by practitioners with no consent or information given as to what they are for just an elite ‘I know best’ attitude but are proven by research, to be more dangerous to addicts and have more side effects than street drugs. Taking the pharmaceutical do not lead to better outcomes, in fact they have poorer outcomes for addicts, who now have two lots of drugs in their system and are being falsely monitored for one set. One is the chemical cosh, often forced on them by way of humiliating and definitely non-consensual pinned to the floor injections, either initially on the hospital premises, where in Edwards case, he woke up naked or in other cases bribed into them, by way of release into the community, if, the patient complies, and the other set of drugs is the street drugs. Patients with low self-esteem and an irresistible, drug fuelled, reliance on randomly dated, enormous, amounts of mental health disability benefits money, only encourages drug use. For complying to injections, addicts will simply take whatever drugs they are told to take and use their then enriched mental health status, Edward called the ‘mentally nil’ syndrome, and he had a website about it, to purchase street drugs, as soon as they are freed. They are then vulnerable to dealers often already in the fabric of the psychiatrist culture and long stay hostels, woven into police cultures, such as traps by the home office ICE, initiatives in the control of drugs. Patients who find themselves in this cycle of abuse by the authorities, can be rightly paranoid and as such this becomes a self-fulfilling prophecy, with undercover officers patrolling parks and hostels, for small drug use, sectioning/arresting extremely vulnerable people leaving them in danger this psychiatric abusive system. Mental health has to be treated with kindness as a social care issue with safeguards, there is no place for dual diagnoses, non-accountably. Either you are mentally ill or you are committing a drugs crime like the rest of society. One does not excuse the other. Mental health is not permanent, if it was we should all worry, if we have a mental health issue such as a bereavement or a term or episode of anxiety and stress leading for good and real reasons to a breakdown. If we allow society to see the person who may have been abused to become the target of more abuse by a system without wellness being its goal. If we cannot offer accountable social care we are effectively offering nothing. Edwards views on mental health drugs were well known, he had a right not to be drugged. He was with Hammersmith and Fulham mental health and was only on aripriprizole 5mg or 15mg mainly, so he did not give informed consent, and when asked he refused to give his consent. He was a 50 year old middle aged man he knew his own views up until the point where Camden took his views from him and his dignity. In 2021 his next relative obtained his medical notes which were doctored to show he had a history of being given sodium valproate, this was an attempt to-revert the course of justice following the initiation of this complaint and this was to back up Highgate hospital sedating the sense out of him and abusively completely knocking him out. I warned him that Camden now knew that the complaint was with the Parliamentary Ombudsman and to be now very, very, careful as of Sept 2021. Yet we are just only now dealing with this a year on. That’s not right. It protect no one immediately. Systems with lawyers and connection’s protecting themselves first and foremost. Relatives weren’t informed when they had Edward locally to myself at A&E, a five minute walk and therefore, we were not able to judge the validity of sectioning him, for ourselves except that some members of family, forced their way in and found him scared but normal. Being held for 12 hours without sectioning him and then suddenly sectioning him. It can be argued that if he had broken his leg, a relative would or should be told and can see for themselves that the is true and/or valid. This became a pattern where he was forcibly taken and no information was forthcoming until was way too late to prevent harm. There was no financial accountability for the services that were not provided to him prior to admission, for example a lack of a care co-ordinators input and then an electronic fabrication of events, that did not take place, easily signed into a lying and fabricated system. Edward slept with his feet to the door so that he could stop them sectioning him at night. This caused him enormous anxiety. Despite Mary his next relative writing explanatory emails rightly, so that the injustices Edward was now facing, about how his human rights were so regularly breached like a prisoner of war, being taken whenever, they wanted from a cell, they called his home. Mary was ignored too and even Edwards solicitors found the whole incarceration unlawful. The CQC does not respond in timely manner to stop abuse occurring and should be made redundant as an aid to continuing the abuse. It has no immediate alarms in place to safeguard against abuse. Even A&E found it difficult to access Edward when he was found unable to breathe since he had been drugged up so much so, that he respiratory system was at collapse. He contracted pneumonia twice in two separate occasions, of the five sections, in two years, due to respiratory suppressing drugs and the damaging, administration of them. He had a heart condition a hole in his heart since birth and yet they administered large doses of experimental drugs, damaging his heart and made him ill when he was very fit. Edward cried so much, he told his sister, ‘Mary I will die crying’ the abuse was criminal. His Father had physically abused him as a child, so that would be a bad trigger for him, mentally as a man of great dignity, with no criminal record, to end up being ‘restrained’. Then to add insult to injury as if possibly on purpose or certainly with knowledge as all family members 6 siblings told staff and authorities they suggested his Father was his ’nearest relative’ prompting a cycle events to effectively have his Father sign him over to his own, well established ‘next relative’ and next of kin for she had had no contact with their Father for three decades. As if anyone would have their abuser, that prompted care proceedings, as their next relative. That abused his family in itself and was never really repaired due to arguments over contact with someone no one had contact with, yet, were now forced to. They knew of this by way of email from the 18th March 2021 yet they continued bizarrely. This can only be, to have abused the MHA, in any abusive way possible, to keep Edward. The lengths that they went to showed no duty of care and no common sense. They even obtained his fathers number and spoke to him to give him authority if they could have managed to, by way of sending him the paperwork. He to his credit saw the game and did not appreciate it either. That was very abusive to our family of seven siblings that had been in care. Edward and his family of six siblings, were all very much abused in a ripple effect, by the situation of abuse and injustice, of their loved brother, so much so they had a WhatsApp group called ‘Ed Care’ that can be provided for contemporaneous investigation evidence. They attended meetings and sent parcels and yet money was taken, in one. Incident £100 for days, and vapes were said to be ’lost’ yet turned up later upon enquiry sometimes lasting days. Edward spent his 50th Birthday locked up which was so upsetting for him and for us all, so we all attended the ward during covid to cheer him up. Edwards liberty was played with, leave was not provided and had to be hard fought for. Edward upon every legal avenue being ignored by way of discharge eventually broke out. With being chemically coshed his motor movements were compromised and he was again caught sleeping in his bed and was sent back to square one, at the mercy of his captors. People who had already discharged him before with me, as the next relative, still played the game of me not being recognised as ‘next relative’. Meanwhile the torcher continued as they had all the power and the willful ignorance. If in April 2021 they were told formally again by email he had a hole in his heart, why was this not taken into account when providing sodium valproate. Were they weakening his system and causing long term or even short term damage wilfully or just ignorantly. These emails took time to construct, causing stress as it dominated an entire part of the’ next relatives’ life every time he was sectioned. Only to be ignored in the same disrespectful and abusive way he was. With a complaints system not actively fit for purpose and a long winded inquiry type injustice being seen as normalising abuse, in a culture that is an elitist authority, with an outrageous ability, to put a chairperson of an independent tribunal as an in-house Camden figure. How can that be seen to be impartial. The chair was so condescending. I as the ‘next relative’ had already attended meetings and ward rounds in covid and Tony horror as a mask wearer witnessed numerous staff without masks, with no vaccines being given or offered, to patients at all and Wonder how many died therefore of covid? After Edwards release no monitoring of his bloods or side effects was offered. It took over a month to establish me a ‘next relative’ even though it was known. Then the MHA 1983 was abused again, when the practitioner abused it by banning my formal request to release him. This was now game playing. Uphill-struggle for justice. Since I cannot complaint to the you about the clinician, I refer you to the abuse of the MHA by others, assisting the clinician, in false detainment by means known to them under the act and the use of the act whenever they could to delay release. They did not use the banning order clause before my attempt to secure his rights to justice, and they used, through systems known to them, and not available to him and to me, that aster last card. The MHA therefore was in effect abused by the hospital MHA staff to assist them and that is not the function of the MHA office. They showed no attempt protect the rights of the patient, which is their function. I believe that should there function as that is what they are paid for. This in-house system often on the premises, therefore shows that there is room for familiarity and abuse by the staff. They are using the MHA office for their own protection. These places cannot be therefore on-site, should be regularly changed, to prevent familiar abuse, or behaviour. Conflicts of interest should be declared where known and therefore avoided, in a system that prides itself with a MHA office for safeguarding patients. This case shows that to be compromised and therefore of no service to patient’s. It was not designed to help practitioners getaway with bad practice aided and abetted by workers that know each other and protect one another in meetings. It’s corrupt. I complained separately to the GMB about the clinical practitioner and safeguards should have been place for a second opinion and a second doctor outside of the practice area. This did not happen as it was meant be under the MHA 1983. So that is a valid complaint for you. Edwards medications, dosages and timelines, further to me being established as the next relative, were not sent to me in timely fashion or at all. Meanwhile Edward was bribed to take a further cocktail of meds or he could not go out to the shop with staff. Namely lithium which he stated that he hated and had terrible side effects where he could not walk. I could no longer communicate with him coherently and he was still saying he was being assaulted. The barring order meeting was held and I was skilfully banned by the chair from speaking. This was abusive. However despite this I had also written evidence which was not looked at, by the panel, that stated again and again the dangerous situation that was occurring, namely that medically he has a hole in his heart and was born with that. He has a hernia so that cannot burst with fat inducing lab drugs. He has respiratory problems on the lab drugs also some of them are prescribed for dangerous dogs. Leaving the complaint with that, if I was, as his ’next relative’ removed, I would accuse them of attempted corporate/medical manslaughter, such was my belief that it was their intention to harm him as this was in no way seen by all our family as mental health care. I think it’s difficult to argue with what is given precriptively to persons under the MHA and if you read the side effects and to whom the relevant dosages are given to and they say for example, epilepsy or bi-polar or extreme schizophrenia and the person you know does not have those diseases or disorders, you feel incapable of complaint due to deference to psychiatrist, even when your relative is sedated in the community. So there has to be a pharmaceutical drugs watch line, to immediately alert that is a medical policing authority emergency response or these places are murdering your relatives and you feel helpless to stop it happening. I turned up and begged them once in the middle of the night to take him to A&E, as I had got a mobile to him, so he alerted me, he could not breathe. I turned up with an ambulance and staff and still was denied access to what is after all a hospital. He had pneumonia and could have died and that was the first section in 2019. They had many attempts on him thereafter. They eventually had him in A&E emergency care the next day. A society with no mental health accountability will and has been abused, as if date raped by the system. Not only compensation needs to act as a warning but corporate heads must roll and jail must be an option if found lethal. Only then will justice be served. Thank you Mary  You forwarded this message on Wed 21/09/2022 14:14 You forwarded this message on Wed 21/09/2022 14:14 NN/YP Youth Parliament Wed 21/09/2022 10:38 Aqeel Yaqoob Dear Aqeel, I have looked at it last night and have made my 'notes' that are as follows; Scope Misuse of the MHA to administer drugs without consent, under an unlawful section and detention, where Edward was witnessed by family as acting 'normally'. This was done by deception and by prevarication and so-called ignorance, when this was or should have been available in his medical notes, as to who Edwards ‘next relative’ was, and despite knowing from Edward and his sister. Tribunals being cancelled to prolong use of non-consensual medication, doing further damage to Edward knocking him senseless for the tribunals and then not waking him up on request from his next relative just saying to her, he is sleeping. Transcripts, minutes and strict proof that Edward is a ‘danger to himself or others ' or even reasons (only later were reasons given, that were argued as normal behavioural circumstances, and that was ignored by them) for section, not being made available to Edward, the ‘next relative’ or the legal advisor for Edward Fernanda Stefani of Duncan Lewis solicitors. Sections not being signed off with two doctors or even one, and no independent advisor or number to call given to Edward. The psychiatrist did not have recourse to any medical notes before medication was administered. This endangered Edward. The zoom connection was interrupted so that Edward could not hear the judge. This meant he could not advocate or communicate with the tribunal and since he potentially deliberately was severely drugged leading up to the tribunal, once this avenue was potentially deliberately compromised, he was then at the mercy of the mental health practitioner. Notably extreme dosages of medication should not be given in days leading up to important meetings where a patient may indeed miss the meeting or may as well since they would be seemly awake but unable to communicate either bodily or mentally.
 In the tribunal we were told that Edward was in danger from the others in his ward. When the mental health practitioner could see that Edward was fighting for his right toot be at his mercy, he strategically, used his sectioning powers, to pervert any kind of administrative safeguards. A reasonable person would not do that if the patient posed no history of threat, no immediate threat and so that was a grave and unjust use of the practitioners powers that seemed timely only when the. Practitioners wanted to frustrate process under the MHA. This happened unlawfully and could potentially be common practice, if a practitioner does not get his/her way. This should be reserved for extremities, not misused to get around a persons, objections be it through clear communication with their legal representatives or through their next relative. Mis-interpreting emotional events as crisis points, which can be common as staff have no knowledge of persons real life events. Non-trained or accountable staff making dangerous and poor decisions around care allowing point of entry by police into false imprisonment without a fair and full trial, or any bail period to represent themselves. Deprivation of essential well being items such as nicotine, routinely being with-held. Addictions, such as in Edwards case crack, containing cocaine (a rich persons drug) and baking soda, should be able to seek treatment as soon as possible for assistance with withdrawal symptoms. Since the side effects of crack withdrawal, such as nausea, depression & suicidal thoughts, anxiety, fatigue, and muscle pain, can be very intense they should be monitored by a healthcare professional and in Edwards case, they were not. In fact Edward and his next relative, Mary attended the Camden Mental Health drug services, and saw psychiatrists there voluntarily on five different occasions and were refused any help whatsoever. Edward during covid asked his GP also for help for a replacement such as codeine. The substance crack is so addictive the subject of that addiction can begin to lack agency so if they ask for help they clearly want it and it therefore should be provided. Instead Camden’s unspoken policy into lock up addicts. The components of cracking coca leaves, is arguably less dangerous than clozapine which according to Imperial College London’s research in April 2022 shorten’s life expectancy by 14 years. Mental health cannot be considered in most cases to be permanent, it’s like breaking an arm, the mind can also heal after a good supportive plaster cast and with the right support. Drugs in hospital of a pharmaceutical nature are very often it would seem, given in experimental cocktails by practitioners with no consent or information given as to what they are for just an elite ‘I know best’ attitude, are proven by research, to be more dangerous to addicts and have more side effects than street drugs. Taking the pharmaceutical do not lead to better outcomes, in fact they have poorer outcomes for addicts, who now have two lots of drugs in their system, one the chemical cosh, often forced on them by way of humiliating and definitely non-consensual pinned to the floor injections either initially on the hospital premises, where in Edwards case he woke up naked or bribed into them by way of release into the community if, the patient complies. Patients with low self-esteem and a great drug fuelled reliance on randomly dated and enormous amounts of mental health disability benefits, only encourages drug use. For complying to injections, addicts will simply take whatever drugs they are told to take and use their then enriched mental health status, Edward called ‘mentally nil’ to purchase street drugs, as soon as they are freed. They are then vulnerable to dealers often already in the fabric of the psychiatrist culture and woven into police cultures such as traps by the home office ICE initiatives in the control of drugs. Patients who find themselves in this cycle of abuse by the authorities, can be rightly paranoid and as such this becomes a self-fulfilling prophecy, with undercover officers patrolling parks and hostels, for small drug use, sectioning/arresting extremely vulnerable people leaving them in danger this psychiatric abusive system. Mental health has to be treated with kindness as a social care issue, there is no place for dual diagnoses non-accountably. Mental health is not permanent, if it was we should all worry, if we have a mental issue. Edwards views on mental health drugs were well known, he had a right not to be drugged. He was with Hammersmith and Fulham mental health and was only on aripiprazole 5mg, he did not give informed consent, and when asked he refused to give his consent. In 2021 his next relative obtained his medical notes which were doctored to show he had a history offing given sodium valproate, this was to backup Highgate hospital sedating the sense out of him and abusively completely knocking him out. Relatives weren’t informed when they had Edward locally to the relatives, five minute walk, in A&E and were therefore not able to judge the validity of sectioning him for themselves. It can be argued that if he had broken his leg a relative would or should be told and can see for themselves that the is true and/or valid. This became a pattern where he was forcabily taken and no information was forthcoming until was too late. There was no financial accountability for the services that were not provided to him prior to admission, for example a lack care co-ordinators input and then an electronic fabrication of events that did not take place easily signed into a lying fabricated system. Edward slept with his feet to the door so that he could stop them sectioning him at night. Despite Mary his next relative writing explainatary emails rightly so at the injustices Edward was now facing and how his human rights were so regularly breached like a prisoner of war being taken whenever they wanted from a cell they called his home, Mary was ignored too and even Edwards solicitors found the whole incarseration unlawful. The CQC does not respond in timely manner to stop abuse occurring and should be made redundant as aid tabus continuing. It has no immediate alarms inlace to safeguard against abuse. Even. A&E found it difficult to access Edward when he was found unable to breather he had been drugged up so much so that he respiratory system as at collapse. He had a heart condition since birth and yet experimental drugs made him ill. Edward cried so much, he told his sister, ‘Mary I will die crying’ the abuse was criminal. His Father had psysically abused him as a child so that would be a bad trigger for him mentally as a man of great dignity with no criminal record, to end up being ‘restrained’. Then to add insult to injury as if possibly on purpose or certainly with knowledge as all family members 6 siblings told staff and authorities they suggested his Father was his ’nearest relative’ prompting a cycle events to effectively have his Father sign him over to his own, well established next relative and next of kin. As if anyone would’ve their abuser that prompted care proceedings as their next relative. That was his family abuse in itself. They knew of this by way of email from the 18th March 2021 yet they continued bizarrely. This can only be, to have abused the MHA, in any abusive way possible, to keep Edward. Edward and his family of six siblings, were all very much abused in a ripple effect, by the situation of abuse and injustice, of their loved brother, so much so they had a WhatsApp group called ‘Ed Care’ that can be provided for contemporaneous investigation evidence. They attended and sent parcels and yet money was taken £100 for days, and vapes were said to be ’lost’ yet turned up later upon enquiry sometimes lasting days. Edwards liberty was played with, leave was not provided and had to be hard fought for. Edward upon every legal avenue being ignored by way of discharge eventually broke out. With being chemically coshed his motor movements were compromised and he was again back to square one at the mercy of his captores. People who’d discharged him before with me assent relative, still played the game of me not being recognised as ‘next relative’. Meanwhile the torcher continued as they had all the power and the ignorance. If in April 2021 they were told formally again by email he had a hole in his heart, why was this not taken into account when providing sodium valproate. Were they weakening his system and causing long term or even short term damage wilfully or just ignorantly. These emails took time, causing stress as it dominates an entire part of the’ next relatives’ life. Only to be ignored in the same disrespectful and abusive way he was. With a complaints system not actively fit for purpose and a long winded inquiry type injustice being seen as normalising abuse in a culture that is an elitist authority with an outrageous ability to put chairperson of an independent tribunal as an in-house figure. Had attended meetings and ward rounds in covid and witnessed staff without masks and no vaccines being given to patients. After Edwards release no monitoring of his bloods was offered. It took over month to establish me a ‘next relative’ even though it was known. Then the MHA 1983 was abused again, when the practitioner abused it by banning my request. Since I cannot complaint to the you about the clinician, I refer you to the abuse of the MHA by others, assisting the clinician in false detainment by means known to them under the act and the use of the act whenever they could not delay things, end not before events of his rights to justice through systems available to him and to me. The MHA therefore was in effect abused by the hospital MHA staff to assist them and that is not the function of the MHA office. They showed attempt protect the rights of the patient. I believe that should there function as that is what they are paid for.This in house and therefore shows that there is room for familiar abuse by staff. These places cannot be therefore on-site, should be regularly changed to prevent familiar abuse or behaviour. I complained separately to the GMB about his practitioner and safeguards should been place for a second opinion and a second doctors outside of the practice area. This did not happen sit was meant be under the MHA 1983. That is a valid complaint for you. Edwards medications, dosages and timelines, were further to me being established as the next relative were not sent to me in timely fashion or at all. Meanwhile Edward was bribed to take a further cocktail of meds or he could not go out to the shop with staff. I could no longer communicate with him coherently and he was still saying he was being assaulted. The barring order meeting was held and I was skilfully banned by the chair from speaking. This was abusive. However I had written evidence which was not looked at stating again the dangerous situation that’s occurring, namely that medically he has a hole in his heart and was born with that. He has a hernia so that cannot burst with fat inducing lab drugs. He has respiratory problems on the lab drugs also as some of them are prescribed for dangerous dogs. Leaving the complaint with that if I was as his ’next relative’ removed I would accuse them of attempted corporate/medical manslaughter. If you can help me, make these above 'notes' into the 'scope' of the investigation that would be appreciated but meanwhile I will now try to convert the issues for you myself, so that also may be a few days of research to find the 'correct scope'. I may also run this by others to not fail Edward. Kind Regards Mary Moss NN/YP Youth Parliament Tue 20/09/2022 16:16 Aqeel Yaqoob Dear Aqeel, Right okay that is a lot clearer, I will look at it again and try to get the scope by Monday. Thanks Mary Aqeel Yaqoob Tue 20/09/2022 10:45 You Hi Mary, Many thanks for your response. The scope of issues in other words is the basis of your complaint to us, what specific things you are complaining about. In order to progress the complaint, what we need from you is what exactly you think went wrong and what impact this has had. You have already confirmed the outcomes you seek as a conclusion for the complaint. So far, you have highlighted two issues and the impact this has had. If these are the only two issues you would like to include in the complaint, please confirm the same. If there are more issues you would like us to consider, more things you feel went wrong, please specifically identify the same and the impact this has had. Once this has been done it will make the whole process more efficient moving forward. It is also extremely important to outline the exact scope of issues at this stage as it plays a big part in the latter part of the complaints process. I hope this helps. I look forward to hearing from you. Kind regards, Aqeel Yaqoob NN/YP Youth Parliament Fri 16/09/2022 13:45 Aqeel Yaqoob Dear Aqeel, I am really not clear what you mean. Please give me a list of examples that relate to my complaint. What is 'scope'? I am not trying to be unhelpful I just don't understand you? I will run it past someone else and see if they can understand you. This may take a bit of time. Thanks Mary Aqeel Yaqoob You Dear Mary, Many thanks for your email. Unfortunately, you have not provided us with the information we require from you in order to progress your complaint. We would like to make you aware that if you refuse to engage with us, we will not be able to proceed and will consider withdrawing your complaint. As such, please could you clarify the following: • What specific issues you are complaining about (two have been clarified so far) and the impact this had as a result. If we are unable to ascertain the scope of the issues, we will not be able to progress the complaint in an appropriate manner. I look forward to hearing from you. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman Thu 15/09/2022 15.21 Aqeel Yaqoob You Dear Mary, Many thanks for your email. Unfortunately, you have not provided us with the information we require from you in order to progress your complaint. We would like to make you aware that if you refuse to engage with us, we will not be able to proceed and will consider withdrawing your complaint. As such, please could you clarify the following: • What specific issues you are complaining about (two have been clarified so far) and the impact this had as a result. If we are unable to ascertain the scope of the issues, we will not be able to progress the complaint in an appropriate manner. I look forward to hearing from you. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman Fri 05/08/2022 14.45 NN/YP Youth Parliament Aqeel Yaqoob Dear Aqeel, He was not a danger to himself or others. Kind Regards Mary 05/08/2022 13:47 Aqeel Yaqoob You Dear Mary, In your previous email you state Edward was sedated unlawfully. Please can you advise what specifically makes you believe this was done unlawfully. I look forward to hearing from you. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman Aqeel Yaqoob 04/08/2022 13.15 You Hi Mary, Many thanks for your response. That is fine. We will keep communication via email but please note that this will obviously cause some delay. Regarding investigation, the timescales provided are a guide as to when you we would be moving onto different sections of the complaint process. However, depending on the factors of each individual complaint this may differ. You will not be getting a response this week regarding investigation as I am preparing further questions for you to answer to progress the complaint forward. I hope this helps. Kind regards, Aqeel Thu 28/07/2022 NN/YP Youth Parliament Aqeel Yaqoob Oh, perhaps it's tomorrow.. 20 days Thu 28/07/2022 15.49 NN/YP Youth Parliament Aqeel Yaqoob Dear Aqeel, Do you think I will get a response by 5pm on whether you will be investigating accordingly, within the 20 days set out as the rule, since you first contacted me? I look forward to knowing today. Thank you Mary Thu 28/07/2022 14.41 NN/YP Youth Parliament Aqeel Yaqoob Dear Aqeel, I would say the top level 5/6 but as I said in my last email you "ultimately decide though where a complaint sits within the scale and what level of payment may be appropriate once you have formed your provisional views on the case". Would you be investigating Aqeel or will that be another person? That is the news I expect today according to the process? Kind Regards Mary Thu 28/07/2022 14:28 ATTACHED FINACIAL REMENDY GUIDANCE Hi Mary, Many thanks for your reply. Unfortunately, we are not able to award compensation in this manner. As a complainant, you would need to advise me as to the amount you would be seeking to achieve. To help with this, please review the table attached. I look forward to hearing from you. Kind regards, A. Yaqoob Thu 28/07/2022 Dear Aqeel, Thank you for coming back to me today as I was anxious to find out your reply on the investigation and how long etc. I think that would be dependent on the outcome of the investigation as I note there are scales and if you as the investigator uses the compensation chart, then feel that the wrongdoing merits a strong indicator against such practice you will have to award what you think is fitting. Best Wishes Mary Thu 28/07/2022 14:12 Dear Mary, Further to the above matter. I note you have requested service improvements, an apology and/or acknowledgement and financial compensation as the desired outcomes. Specifically in relation to the financial compensation, how much did you have in mind? I look forward to hearing from you. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman Thu 28/07/2022 10:19 Dear Aqeel, In case you have forgotten today is the day for my reply as to your investigation. On my last email I answered what I would hope to achieve. I look forward to hearing back from you. Kind Regards Mary NN/YP Youth Parliament Aqeel Yaqoob Tue 19/07/2022 15:56 Dear Aqeel, I have tested negative for covid so to be clear, having read the steps, we are at step 2 from the 8th July, 20 days I understand. I would be happy for you to 'improve services' that caused Edward distress and damage his quality of life, 'have an apology' and 'financial compensation' if the damage was at a certain level, and that level would be recognised and reflected. Kind Regards Mary Sat 16/07/2022 13.08 Dear Aqeel, If you can provide service improvements to prevent similar mistakes happening in the future, an apology and/or acknowledgement from the organisation that something went wrong and/or financial compensation that is what you can do. I look forward to hearing from you. Kind Regards Mary Thu 14/07/22 14:09 Dear Mary, Many thanks for your email. Unfortunately, a specific outcome of a complaint is not something I cannot suggest to you. As previously mentioned previously, there are outcomes which we can achieve and outcomes we cannot achieve. Please see the link to help you with what you feel would be a satisfactory outcome you would like to achieve with us if we were to investigate the complaint. What we can and can't help with | Parliamentary and Health Service Ombudsman (PHSO) I look forward to hearing from you. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 14/07/2022 13.55 Dear Aqeel, The email I sent with the 'outcomes' is not an exhaustive list, more a suggestive one at the time as I was not too sure what you were asking of me. The outcome I expect is one fitting of a watchdog such as you and I leave outcomes in your hands, as not something I am overfamiliar with nor in anyway someone who can advise you. I merely 'suggested' some outcomes since you asked me. I would prefer emails. Kind Regards Mary 14/07/2022 14.01 Dear Mary, Further to the above matter. I want to make sure you understand the outcomes we are likely to achieve. As outlined in my previous email, we can achieve service improvements to prevent similar mistakes happening in the future, an apology and/or acknowledgement from the organisation that something went wrong and/or financial compensation. I am concerned we may not achieve the outcomes you want listed in your previous email as we simply do not have the powers to enforce the same. Please inform me if you confirm you do wish us to continue to consider your complaint and that you understand the outcomes we may achieve for you. Where we cannot achieve the outcome a complainant wants, we will not continue with an investigation. It would not be helpful or proportionate to investigate, if we cannot reach an agreement on the potential outcome of any investigation. Due to your illness, would you like me to contact you at a later stage? Please also confirm if you wish only to be contacted via email even after your illness passes. I look forward to hearing from you. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 E: aqeel.yaqoob@ombudsman.org.uk W: www.ombudsman.org.uk 12/07/2022 14:51 NN/YP Youth Parliament Aqeel Yaqoob Dear Aqeel, As you can imagine, the covid is not conducive to a chat at the moment and I much prefer things to have a formal edge as calls have a way blurring the issues, that have painstakingly been outlined, in the formal complaints. Can we address them? Therefore, is there anything else you can add to what you have read in the complaint? What is your take on it all as a caseworker for the PHSO and how will you handle the complaint and outcomes? With Kind Regards Mary Moss 12/07/2022 13:44 Dear Mary, Many thanks for your email. I do apologise for the time limit as I was unaware you were unwell. I think it would be helpful to discuss the Complaint over the phone. When would be the best day and time to call you? I look forward to hearing from you. Kind regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 E: aqeel.yaqoob@ombudsman.org.uk W: www.ombudsman.org.uk Sun 10/07/2022 11:50 NN/YP Youth Parliament Your Complaint with PHSO - Ref: C-2045983 Aqeel Yaqoob Dear Aqeel, Thank you for your email albeit a lot later than I thought considering that the process already took a long time and now you are the case worker, you seem to be asking for yet another hurdle, if the case is valid? Could I put it to you instead, since you are case worker, from what you have read, what is your view so far, of the service that Edward received judging by simply the complaint as it stands? I do not feel the need to re-iterate the complaint and as the case worker surely you have an opinion as a watchdog? I note that giving me until the 15th July seems rude too, I currently have covid and even if I didn't, that is no time at all. As for looking at compensation that for me is not the issue I would like a stop to this politics in Camden of locking up beautiful people who have substance misuse problems and not providing services other than a more than inadequate FOCUS team and a Hampstead drug centre, that does not deal with crack use even if it is minor use. I would also like the abuse of the 'mental health act' officers looked at in Camden. The lack of a decant policy in the wrongly named, 'homeless' hostels and stats possibly on how many people are in for more than a year and if by default then, have it questioned that it makes them long-term care homes and as such they should be regulated by an authority. I would like the vast amounts of finances used through housing benefit, questioned and debated rather than a social care budget. I would like to know why the residents, do not simply then have access to their own housing accounts and housing benefit claims and council tax claims as any normal person does and questions asked about the discrimination in this and the possible abuse by charities of holding onto residents to buffer their own finance. I would like the stats on how much money is given out to them, how many qualified staff are in place and whether the finances could be paid out in better ways to improve outcomes in terms of providing social housing with the money and/or long-term social care. I would like the issues of pharmaceutical mixing of drugs uses looked at and the misuse of doing that while people are locked up against their will, from small drug use. I would like a dosages charter to inform the general UK masses about what quantity can be called 'dangerous to yourself' and in which cases the same charter, used, on the middle classes, the upper classes, the professional classes and anyone who tests positive at A&E on a Saturday night, to have the same treatment, as the so-called dual diagnoses homeless people, so that we can be re-assured with the same brushstrokes as are given to our most poor, needy, homeless and socially vulnerable with many complex needs steaming from complex traumas, so an equal charter that can be measured for all. This should be in terms of human rights. I would like a duty lawyer for the client present at every section that takes place and not just two police and two psychiatrists. I would like that an independent medical service, that monitors the misuse of pharmaceutical drugs, on all psychiatric premises. I would like to know how the drugs were prescribed without prior access to Edwards medical notes and with no knowledge of the hole in his heart. I would like the independence of C&I tribunals looked at and the abuse of them. I would like the side effects of some of the heavy-duty drugs looked at in line with Imperial recent studies into some of them and their morbidity. If my brother had of been budgeted instead of given vast quantities of money every 10 days to boom and bust, he would have been better regulating any drug use and would have been less of a target for unscrupulous drug dealers who find that people in mental health are a chicken to a fox. Thank you MARY Fri 08/07/2022 14:11 (Edward’s Birthday is on 08/07/70, his first one today since he died) Aqeel Yaqoob You Dear Ms Moss, I am writing to introduce myself as the Caseworker who has recently been assigned to assess your complaint about the care your brother, Edward Moss, received from Highgate Mental Health Centre on 6 March 2021. In this email, I would like to confirm my initial understanding of your complaint and I would also like to outline what you can expect to happen next during our Primary Investigation process. Primary Investigation Process: We carry out an initial assessment of a complaint to decide whether or not we should propose to formally investigate it. We do this by considering a number of specific tests to decide whether your complaint is one we can look at by law. If we decide we can look at your complaint, the next step is to consider whether we can see something may have gone wrong with the service provided. If applicable, we also consider whether the organisation has already taken appropriate steps to put the complaint right. Having initially reviewed the details of your complaint, I would like to ask you some further questions to help with our primary investigation process. It is important to explain when we assess your complaint, we need to understand what you are hoping to achieve. This is because, if we went on to find something had gone wrong with the care or service you received, we need to make sure we have the powers to recommend actions to put this right. Typically, we can achieve a range of outcomes including: · Service improvements to prevent similar mistakes happening in the future. · An apology and/or acknowledgement from the organisation that something went wrong. · Financial compensation Having shared this information with you, please can you let me know what outcomes you would like to achieve by bringing this complaint to us. If you are seeking financial compensation, please can you tell us how much money you are seeking or refer to our severity of injustice scale so we can consider this for you. You can find our severity of injustice scale using the following link: Severity of injustice scale (ombudsman.org.uk) It would be helpful to talk to you directly about your complaint so that I can better understand how our service can help find a resolution that is suitable. Please let me know when a suitable time would be to contact you next week and a contact telephone number and I will call you directly to discuss your complaint. Please could you kindly respond to my email by Friday 15 July 2022. I look forward to hearing from you. Kind Regards, A. Yaqoob Aqeel Yaqoob Caseworker Parliamentary and Health Service Ombudsman T: 0300 061 4630 E: aqeel.yaqoob@ombudsman.org.uk W: www.ombudsman.org.uk Thu 14/04/2022 Attachment to the PHOS Both Sets of complaints to the CQC by the nearest relative Mary Moss. Reference number: ENQ1-10565655848 Thank you for contacting the Care Quality Commission. NN/YP Youth Parliament Thu 18/03/2021 15:39 Dear CQC, Edward Moss 8/7/70 he was put in there on 7th March 2021 for putting a TV he had found back onto the street; he is on a section 2 and I have applied as his next relative for his immediate release more than ten days ago. Going forward, I would be happy for you to contact the provider on my behalf as a matter of urgency. A resident died last year in the Highgate hospital where my brother is staying against his will. As I said the staff have indicated he is not aggressive himself or a danger to himself, but he is in danger from others and from staff stripping him and holding him down and injecting him. He has been crying on the phone about his treatment and wishes to leave. He is in Emerald ward. Kind Regards Mary Moss Following upon my complaint to you re Edward Moss 8/7/70 NN/YP Youth Parliament Wed 30/06/2021 13:30 Dear CQC, There have been several complaints, correspondence with you that I have made about the lack of care shown to my brother and an abuse of process as well as an abuse of his human rights. I don't want to feel that just because he has been taken off the section 3 the day before his tribunal that the abusive actions taken towards him, have gone away. I believe he needs to be compensated and apologised to and an investigation/inquiry as to his treatment and the post-traumatic stress caused to him and us should be held, with lessons learned as to care of people with mental health issues learned as the current services are manipulative, dangerous, and unhelpful entirely. I await a response to the general complaints seen below that I sent to that tribunal. I wish to add that neither I nor Edward was told the tribunal was cancelled so Edward was unlawfully held overnight, and I reported that to the police CAD 3026 9th June. I expected a full and final report from the ward manager addressing the issues as you asked them to and as such I have received nothing to date. Please could you remind and prompt a response addressing all the below issues, every one of them as there are far too many errors that could have killed Edward. For now, I will not involve lawyers, but I will if the issues are not addressed and investigated satisfactorily and to CQC's satisfaction, so I need that too, the I will. Kind Regards Mary Moss 
 
 Edward Moss
 83 Endell St, London WC2H 9DN 
 The date of the tribunal is now the 9th June 2021 so I have updated the last draft of my reasons to attend, although I have had an operation and have to see if I am able to, on the day. 
 If not please read below and I will ask one of my other siblings to observe and make representation on my behalf since they have had daily contact with our brother since his admission. 
 I will copy in the relevant parties as well as Edward's solicitors for the tribunal and a possible human rights breach, as well as his MP
 
 Next Relatives notes re reports recently written by a number of professionals on Edward Moss 8/7/21 held at Highgate;
 
 Please note this has been read to Edward who agrees with its content. 
 Dr Sucheta Tiwari (Edward does not know this person)
   You say in the report that Edward Moss was prescribed ‘anti-psychotic’ medication. As the next relative I don’t know what that medication is. I had asked for this information to safeguard my brother. I was given only information for one week. The rest is missing.   My brother is not an unkempt person. He was arrested at his hostel in the night when he was in bed. His clothes were kept from him for months. During this time, he was also being highly sedated.   Edward is not aggressive and threatening. Anyone who knows Edward can tell you this. He was responding to be illegally detained.   The fridge in the hostel was not working and started to smell. So, Edward put it outside his room.   He had complained that the bed frame in his room, which is the size of a cell and far smaller than his previous accommodation, was dangerous and broken. He took it down the stairs in parts so he could be more comfortable with the mattress on the floor.   Edward has a very bad back and a hernia.   The windows of the cell-like accommodation, which costs £1,800 a month, and which he has been in for nearly two years, do not open.   It is total fabrication, therefore, that Edward threw a broken TV, which he had found earlier in the day, on the street, out the window of his room, because that would be impossible.   The very premise of his incarceration was fabricated and overzealous.   The next relative was not informed he was even in A&E until a full 12 hours later by the hostel. The aggressive and threatening behaviour came from the hostel, the police, A&E and then Highgate mental hospital, and the doctor.   The fabrication continues and paints a false picture, in its entirety. It is not a true reflection of Edward Moss.   At the hospital managers’ meeting that took place, Edward said he would want to sue the NHS. At this meeting Edward also said, “no support required” and ‘this is a farse”.   Edward does not in his opinion have anything more than post-traumatic stress disorder and he wants independent assessments regarding the diagnoses of schizophrenia.   He had a traumatic upbringing and was further let down by social services, when they asked him to adopt three siblings. He had a breakdown.   He has been treating his own depression with drugs and alcohol all his life and has never had cognitive behavioural therapy (CBT) or rapid eye movement therapy, or any kind of acknowledgment as to the heroic role he played in looking after his siblings.   The part about him sleeping in toilets is the stuff of fantasy designed to paint a picture of someone entirely different.   ·       Olanzaphine - 20mg: large dose very quickly administered with no gradual introduction, so very experimental/dangerous and sedating. ·       Valproate - 800mg: this dose, although told it was higher at 1000mg. When you Google  this drug it says: ‘Valproate (VPA) primarily used to treat epilepsy and bipolar disorder and prevent migraine headaches. They are useful for the prevention of seizures in those with absence seizures, partial seizures, and generalized seizures’. It also says: its toxicity at that dose is the level of COMA and that is what Mr Moss said he had experienced. Common side effects: o   stomach pain, feeling or being sick (nausea or vomiting) o   diarrhoea o   dry or sore mouth, or swollen gums o   shakes (tremors) in a part of your body, or unusual eye movements o   feeling tired or sleepy o   headache o   weight gain o   thinning hair, or changes to the colour or texture of your hair   Coupled with the last time Camden attempted to drug Edward against his will and mine, the right to refuse medication was never given to Edward or me as next relative. Nor was there any informed consent. They took Edward’s autonomy and informed consent was never asked for. They already had him as a prisoner. Why abuse his body, without his consent, to add insult to injury?   Dr Sucheta Tiwari says in the report that there was a bike stolen. This was not the charge that were brought against Edward. A Russian dealer from Hammersmith asked him to drive a car for him, very much out of the blue, and Edward - as a vulnerable adult - felt compelled and coerced to do so.  Edward was charged with: 1.     Taking a motor vehicle Vauxhall Corsa without the owner’s consent on 12 November 2019. 2.     Using a motor vehicle Vauxhall Corsa on 12 November 2019 in Hammersmith without third party insurance. 3.     Driving a motor vehicle Vauxhall Corsa without a licence on 12 November 2019. 4.     Failing to stop a mechanically propelled vehicle when required by constable/traffic warden on 12 November 2019 in relation to the same Vauxhall Corsa.   Edward pleaded guilty to the third charge only. He told the court: ·       That he had driven the car to the Hammersmith mental health centre and parked it in the car park there. ·       He then proceeded to the door of the centre. ·       CCTV will have captured the moment when he was pounced on by a large number of police officers. His wrist was damaged when they sat on him and used excessive force, whiet handcuffing him. ·       They remained on him and eventually put him into a police van. ·       He then found himself in a set of mysterious circumstances. ·       Firstly, he was taken out of London and placed into private a psychiatric hospital. ·       When he came around, after being sedated for days, he contacted his next relative ·       He was then again bundled into a vehicle and taken to yet another private hospital and sedated. ·       He only then, upon enquiry from the next relative, placed in Highgate where he was further sedated against his will. ·       Very disturbingly, he was, at one point, driven into central London, and he said he had no idea why.   Gary Monk, senior solicitor, with Hodge Jones and Allen, can explain all the detail related to Edward’s extremely minor and ridiculous charges. Gary has said that he has ‘a lot of time for Edward’. This is not conspiratorial, but the constant locking up of Edward since, shows a targeting of him.   The deliberate way the facts in these hospital reports have been fabricated, as well as the absence of one person with whom the family and Edward can deal with, is also worrying.   The ways in which the next relative’s role has been undermined, and how the next relative has been treated by the officials, has been designed to thwart attempts by the next relative to free her brother and safeguard him.   The reports are slanderous. This vulnerable person is being bullied by a system, failing to safeguard him, or indeed provide any type of healing whatsoever. The staff have bullied Edward and he has also been assaulted.   There was no eviction in the last placement. Again, this is slander, and misrepresentation. It was a two year placement that overran and the funding ran out.   The fact that then he was made homeless was ironic – given the organisation helps the homeless. I went to see the director of the organisation, at a meeting to discuss Edward’s placement, and funding was a concern.   Edward has never spent even one night on the street, and this report again fabricates that as a fact, again to distort the picture. It is simply not true.   It is also not true that he sofa-surfed at his sister’s. It is not true that his sister’s neighbour ‘lives with her’. The neighbour lives in the building.   What is the point in ridiculous inaccuracies, even absolute lies?   In 2017, the report says he was given oral aripriprozol and that this was because he found olanzapine too sedating.   The report says that on 13/11/19 Edward was held under section three. He was not. This was a section two. Subsequently a section three.   The whole ‘who is the next relative game’ was played then. Complaints were made to the Care Quality Commission (CQC) at the time. Eventually the next relative did manage to discharge him.   The only reason we did not, as a family, sue then was that we had got Edward out. It had been so much work we were just happy he was alive. This followed two A&E visits, during his detention, where he was drugged up so badly (as he is now) that he contracted pneumonia. He could hardly breathe.   The report mentions the Cygnet Hospital in Colchester and this bizarre episode. It then says he was transferred to Dunkley ward but that’s not true either. This has been made up.   It says he was then transferred to Kingston ward. That again is bizarre. The wording makes no sense and does not relate the reality of the events. These were set in place by the Metropolitan police officers, who did not even get two doctors to authorise before putting these in motion. These keep placing Edward back in Highgate with Dr Neil Stewart.   Kingston ward is not a ‘ward’. The hospital was the Priory and it was in Roehampton. There has never been an explanation for this. These events have are now being confused, deliberately. It mentions Huntercombe Hospital. I am not sure how that all fits in?   It then falsifies its own narrative, on the assumption that no one will question it, and it won’t matter, and will be put on file, inaccurately.   That care was stopped is again not true.   Edward said he did not see police trying to flag him down him at lights on his way to the hospital. He was on his way to let the mental health team know what the drug dealer had asked him to do, and to explain that he had a feeling, he said repeatedly, that he was being set up, and wanted to give the car back.   What is so upsetting, for a polite and civil man such as Edward, is that anyone would suggest, never mind allege in writing as a fact, that he spat at someone, and that when he was restrained he tore someone’s trousers.   That is lies. He would have been charged with that and he was not. The staff now add to the narrative to say he is aggressive and that he took other belongings and took a swipe card.   Edward walked into an unlocked office where the safe was open, to take his money, and, with a door left wide open, walked out of the ward.  Why would that lapse in security happen? Again, it seems designed to create a false impression, I would suggest. I also find it incredible that he was able to walk out while he was on a section two. He then simply went home. He was taken back where they were able to apply a section three. Then, drug him more, for longer, into a coma.   Edward was not just ‘discharged’ on the 8/1/20. I, as the next relative, fought to release him and finally did. This time, when there is a concerted effort to now remove me as the next relative, so that they can do what they like to him. But you ask yourself, if he has been prescription-drug free until the age of 50 years-old, why now? Camden?   The report says he damaged a window in the lounge. There was a pole of the window that opens it. He was trying to get out. He was trying to understand the electrics and mechanism, because this is the response of a grown up, sensible man falsely locked up.   The reports adds he was successfully treated with Zuclopenthixol. What is the definition of successful, and how are these outcomes managed and measured?   What services did you then offer him or is drugs all you do?   Perhaps you ought to look at the most recent revision of the Police, Crime, Sentencing and Courts bill and suggest people who are called dual diagnosis as a special category?   You can justify, with lies, keeping Edward, but how does that help society, or Edward in the long run?   The Department for Work and Pensions (DWP) could sanction end users through the magistrate courts. It could provide a budget for vulnerable adults who are end users.   Drug dealers will not associate with a mentally ill adult who does not have money. The drug dealers approach them on their pay day. This is government sanctioned abuse because they give end users large amounts of cash which makes vulnerable adults attractive victims.     You are very much on the wrong track in your efforts to help Edward, at this late stage. He is 50 years-old.   As it was he was depot injected. This means he was pinned to the ground and forcefully injected. He took nothing after he left, so how can you call this a success?   The report mentions the period 1/7/20 to 15/7/20 when he was placed in St Pancras hospital again, in a pandemic.   This was awful because the period covers Edward’s 50th Birthday. We, as a family, brought him pink champagne and journeyed, in line with the then government guidance, from all parts of the country to see him.   This was an equally willy-nilly incarceration facilitated by St Mungo’s again, which seems to think that if someone behaves in a certain way, that instead of calling the next relative to discuss the issues, and find a resolution, it will simply call the police, invite them to turn up in the middle of the night in people’s bedrooms, and take their clients away from their accommodation. So, that needs rethinking.   The incarcerations have taken place throughout the pandemic. This has meant that all Edward’s relatives have been put in unsafe situations upon visiting. We all have plenty of evidence of non-mask wearing staff and patients. During this incarceration, not so much as a single jab of the vaccine has been offered to Edward.   My brother has had no top teeth now for about twenty years. He suffered with a hernia due to difficulty with eating and has terrible digestive problems.   The reason that he hardly eats is that this hurts his gums. He had a dentist and a doctor at Hammersmith but also lost all his primary health and dental care in the move Camden.   He was signed up to my own practice when he was made homeless. He was not sleeping rough or at mine, as you put it ‘sofa surfing’.  He was sharing the accommodation of his brother John-Paul at his hostel in Hampstead road. He had all his stuff there and they lived together while I went to see the housing officer at the pathways team, Elsbeth Malone.   She finally placed him. He did not reside in Camden, had five very large eight-wheeled suitcases and a TV/DVD/Video unit stored in my living room, until she got him housed.   But we did it and came up with the current placement as an emergency placement. After two years, you would think the pathways team could provide better than a single cell as a £1,800 a week placement, currently empty while he occupies a bed he doesn’t want to be in.   As for the word ‘defecated’ in a sink. Edward, as I said, has no teeth and has also been very unwell with his stomach. He shares his corridor with every homeless person who comes into the central London accommodation and that includes the two toilets and one shower.   They have a sink in the rooms, but unlike most people, especially important in a pandemic, they don’t have their own toilet.   Hence, when being caught short, with the bathroom not vacant, he had to use the sink. He then ran to ask everyone if they had bleach. We all got calls.   The main issue is that he has a terrible stomach problem. The primary concern is not the ‘accident’ that happened to him. Bless him. He has been effectively punished for this, which is a disgrace.   I ask you again, what services did you provide for him? I asked if he could he have better accommodation but this fell on deaf ears, with people throwing hands in the air.   They then say, he was given ‘risperidone’ and he very quickly recovered.   Did they also say how many times he ‘defecated’ in the ward due to his stomach condition and him being very ill. No. And what services did you take the opportunity to offer him when you had him.   Did you mention he liked that hospital and asked to go back in as a voluntary patient when he wanted to access services and some support? No.   What happened was I had to attend the ward round meetings, in a pandemic. Dr Gin, a very intelligent man, said Edward ‘was neither a danger to himself or others’ and I walked out with him.   The dates 3/8/2020 to the 12/8/2020 are just not true. There was no admission to either Sapphire or Amber wards as stated. Nor was he arrested by the police for breaking into a car.   You must be confused by his now very well reported drug taking and low level petty criminal behaviour, that was taking place for which he was regularly picked up by the Met police.   The incident did happen but I think you’ll find it was a police cell below the magistrates court where they put him in. Not only that, but again, this was in a pandemic and those cells were known by the lawyers to be full of Covid. Still, he couldn’t move for being picked up at that time.   What services did the hostels provide for the addicts? Nothing at all. I know because I took him to the services and they said they could not help. This is because he did not use many drugs and this was not heroin, it was cocaine in the form of crack.   As for the car, that was his friend Yanush’s Dad’s car. They had often sat in it to do drugs together. As for him stealing items from patients. Yes, I wouldn’t have anything valuable in my house near him as he’s a crack addict and thief these days, since his friend Amanda died he has got much worse. He never used to be like that but he is now.   So, it’s a drug problem and what services are you offering? Injecting him with your own drugs is a ridiculous way to treat him, even if you do fatten him up and slow him down, he will not be ruled by your incarnation. He will take crack as they all do. Many the dual diagnoses patients behave in this way, and then what, how does that end, well with death actually, sometimes.   I mentioned, to David Barry a lay person at the hospital managers’ meeting, that even I ‘behaved’ badly in a hospital managers’ meeting.  I have never been so condescended to by a controlling, interrupting, micro-managing manipulative chair, and how dare he accuse me of ‘misbehaving ’when all I said was: “err, well, err, well err,I would actually like Dr Stewart to answer me please and not be over chaired”.   This was to encourage the chair to stop interrupting any answer to my question to Dr Neil Stewart. He let everyone one else speak uninterrupted. So he was protecting him.   He was clearly on side. Making Edward wait for more months until the next opportunity to get out legally. Meanwhile what have you done for him? what services have you provided? None, again, none.   What about his health care? What about the fact he can’t breathe properly?   Second Report   By Victoria Irvine? This person says he took Ketamine. This is not true, a complete fabrication. He is a crack/cocaine user. He does not even mis-use alcohol.   It is claimed he is disengaging. From what is he disengaging? What services is he disengaging from?   She says he has a GP. This is completely wrong because he does not have one since he left a GP, which was a temporary stop gap, while his luggage was at mine.   No efforts have been made by the hostel or any social worker to assist Edward to join a GP practice or receive primary health and dental care.   Lithium is mentioned here. Again, he said he did not want it and refused to take it a few times. He was then bribed to use his small amounts, half an hour twice a day, now. This is a man being bribed to take a drug he doesn’t want. He was given his patient outcome and this has been ignored.   The 1990s are mentioned as a time when Edward took heroine and crack. Edward, in the 1990s, was not on crack; it had almost never been heard of. He was also not on heroin. During the 90s he was using alcohol and speed.   This person says he was a risk to himself as he was intrusive with others. I say he was in a place where he wanted to speak back to others who were engaging with him.   My brother Patrick said some conversations taking place around Edward and himself when he visited were shocking.   Edward cannot be judged to be intrusive when he is in an environment which is alien to his normal one.   Additionally, she says he was assaulted. That could be because he would not be bullied and people resorted to violence when they could not argue with a man who can talk very well. This actually means he was in ‘danger’.   Then comes another list of inaccuracies or fabrications.   Nov 2019: driving erratically, nearly ran someone over. This never happened. I have never heard of this. It is a dangerous fabrication.   He was asked by a Russian drug dealer, very out of the blue, to drive a car, who exploited a vulnerable adult.   When Edward saw the escalation of the setup, he took the car to the car park of the mental hospital in Hammersmith.   He was followed to the door of the mental health team where he had gone to seek advice and to report events to them of the hot water he found himself in, and tell them where the car was.   At court he pleaded guilty to driving without insurance. He holds his hands up to that. He had tried to do the right thing. This was a criminal matter. He paid the price in court and has already been punished for this. He learned his lesson.   The punishments have continued in the mental health system which seems to think it can use prescription drugs to stop the taking of illegal drugs. Where does this cycle end?   How is it that you can mention these offences in the context of mental health conditions? If you are suggesting this behaviour is due to being a mentally ill vulnerable adult, where are the support services?   It’s reported that he may have harassed someone. Again, this is not true. He was caught in toilet above a shopping mall when needing the loo, it was a ridiculous allegation.   With respect to an allegation of going equipped to steal, in court the solicitor questioning the police (who appeared to have been targeting Edward, see below) established that the police were at some distance, while driving, when they claimed to have seen Edward interfering with a bicycle. In fact, he had just dropped off a newspaper to his father and had been helped his father to fix a bike hence the equipment he had with him at the time.   On another occasion he got arrested for simply holding a travel card he found on the ground. Once he was arrested while speaking to police officer, and for picking up a piece of cosmetic jewellery with no value. When he gave it to her she had him in court for ‘theft by finding’.   So many of these very stressful charges were at the last minute dropped by the police. Since they could not ‘fit him up’ so to speak.   He had no leave when he was first admitted.   He queried, but questions were never answered, about how the section certificates were illegally obtained.   For example: ·       There were no signatures of two independent doctors. ·       There was no list of medications were to him either. ·       He was not given section 17 leave. (So twice daily is a lie) ·       He was deprived of vapes as a smoker.   Edward has never sofa surfed at my house. This is inaccurate. He and John Paul (prior to lockdown) would come to my house often to eat. This was mainly, but not always on Sunday for a roast, at bank holidays, as well as when family visited and for birthdays.   Both the boys have exemplary manners and are fond of seeing all the family and friends on special occasions. This has taken place for years.   In fact, I’m amused when I have party for an event at one of my shops, and invite my brothers, because they can be very entertaining and pleasant to be around, especially Edward because of his intelligence. Friends always remark on Edward’s interesting conversations.   On the sofa surfing lie again, it would be impossible, because I’m self employed and work from home so require all my space, a one bedroom flat in St Pancras. Edward pops in for lunch when it suits me.   Again, Edward did not get evicted from his high support placement - the two year funding ran out.   Edward has pathetically low levels of drug use because he does it all in one day and then waits for the next big payment again.   I, along with my whole family, think that this is due to a systematic problem, with vulnerable adults being given too much money to manage.   The flat Edward got from Hammersmith did not have electricity because the previous tenant had a large bill, and this problem was not taken care of by any support workers for a year.   Therefore, he was overrun with drug dealers who took over, famously called cookooing, There is more on this on Edwards old blog www.mentallynil.co.uk which was set up for people with similar issues. Edward is the chief executive of Mentally Nil not for profit organisation. This recognises what’s going on in order to address it. Nil refers to money.   The report does not get much better when it says that Edward had a son. He did not.   Edward adopted his three siblings after an assessment by Hammersmith. I would say that the process would not have allowed anyone, other than a very sensible young man, to do so. It was just unfortunate they then did not support him.   Unkempt is a serious lie and another smear.   Involuntary isolation is here admitted to.   Smashed the door using a bed frame needs explaining?   Edward says he has, for weeks, forced himself to stay awake at night because he cannot breathe, and is worried he might die in the night from the coma inducing meds. He may be correct in his survival techniques after 1000mg of sodium valproate.   Background   Edward, its reported, has been in Camden for three years. It says he is ‘well known’ to Camden. This is just not true and a pointless inaccurate observation, or lie.   It says he has a GP. This is yet another lie.   They mention a community consultant Dr Stella King and I can honestly say I have never ever heard of her, nor by Edward. She never sees him.   I think it is worrying how an organised picture full of disorganisation can be purported here.   Yes the people are in place but what services, activities, support, meetings, written communication are they offering?  This is a case of the emperor’s new clothes and can easily be unpicked by an effective lawyer.   I’m afraid to say that the threat of a next relative pointing out these errors has driven Camden to defensive-aggressive action from saying that the next relative is not the next relative to gain time, to having half a dozen communications, exhausting the next relative, as well as changing dates tribunals, and hospital managers’ meetings. This paints a kindergarten attitude towards victory for the service, and those who work for it, instead of putting care of the patient first.   The whole episode is nothing short of scandalous. I have, as chair of a children’s rights organisation, previously closed down a private hospital for irregularities. When it’s a public body, complaining is nothing short of irrelevant and this is more a case of Amnesty International, not the ineffectual, antiquated safeguards in place. These do nothing but allow the Mental Health Act office remain overly employed, fighting on behalf of psychiatrists to abuse patients as a given right.   It raises questions about whether Camden has incentives, with perhaps Nova or other pharmaceutical companies driving these collective abuses?   Someone called Dr Stella King goes on to say she has great knowledge of Edward Moss. She has none. And that Edward has a ‘history’ of disengaging with the (fabricated) services and a non-compliance with taking his medication.   She says that he has voices telling him he is dead. Well, yes sometimes he does; hardly surprising given the level of care.   It claims he ’smashed’ the front door of his hostel - well that is a new one. Ten points for creativity there.   That there is offending and harassing behaviour. That is just not Edward. Rarely, the exception is that if you treat Edward with no dignity or respect, he may respond similarly.   Edward has never been to rehab for his drug use or been offered it. He has never been offered counselling for past traumas.   Stella adds my neighbour downstairs into the equation as if she knows me or my neighbour, which is bizarre.   She reiterates the sofa surfing story which is not true.    She says he rough sleeps, again not true or why, would he escapes, go back to his bed?   She claims he has Focus referral. This is Roman, and as much as he is a nice guy, he never sees Edward or calls him up.   The most he got was some suggestion of a gardening project or higher support. Now it seems they are reneging on that as keeping him in a £1,800 a month placement is all the Camden mental health structure can offer, and drugging him.   It can’t even get the name of his benefits rights and that should be easy enough - sheer laziness underpins the reports.   She mentions courses, what courses?   He was the deputy manager at an Esso garage and adopted and took care of his siblings/ He has post traumatic syndrome and deserves support as an ordinary man who has taken to substance abuse in a climate of service failures, with predatory dealers taking up the slack.   Compliance is not consultation. To accuse someone of such grave terms you must provide comprehensive and substantiated details, not slurs.   The Margarete Centre did not, and said it cannot, help to me on the five occasions when Edward and I visited. However, if you take into considerations the fact that Edward engaged all those times, and give him credit for that, you would be more accurate.   I remember once he took up the meditation class and said he really enjoyed it. There was nothing else to keep him engaged. Certainly not drug use help, or a waiting list for rehab. I don’t even think they have any.   I agree that he does need higher mental health support, but not just to force an agenda as to what meds he has to take.   Under ‘risk’ she says he nearly ran someone over and I really think its slanderous and wonder where this came from?   This has to be corrected, and all these reports redacted, or a new report written to correct these errors, as its dangerously slanderous.   She says he is aggressive which has never been the case in his 50 years.   She says he is strung out without crack and that is true mentally, but he doesn’t behave as a typical strung out person.   She says he has a hoarding issue, but he is very well known to be extremely neat and tidy and dressed well. However, put any of us in a tine cell and perhaps we would appear to be hoarding. Give Edward safety and space and some dignity.   She says he had an accidental overdose but with what? The fact is that this was with prescription medications.   Without knowing me, or ever meeting me, she mentions the next relative in an upsetting and unnecessary way.   Having just spoken to Edward to investigate who this Dr Stella King might be, he thinks it may be a doctor he met for a few minutes at Richmond, that she was in a tribunal that then let him go.   He also still complains he cannot breathe on the lithium and only takes large breaths. He said that the nurse, even before she examines him, says:”Oh that’s much better”. So takes no observations or feedback whatsoever.   And what do you suggest we do about that?   He thinks they will let him go next week before the tribunal so that they can put him back in the cell that’s cost £6,000 in his absence. And that he will be set up to fail with no support or feedback, by asking him to take medication that does not agree with him and then this cycle begins again.   Roman’s report, the social worker   Edward was very specific at the last hospital managers’ meeting when Penny asked about activities - he said there was none on the ward.   He went on to say that he had specifically asked Roman and I know I did too, about the construction centre and counselling.   Penny also asked how much time it would take to get Edward into higher support. I must stress this this had been suggested already many weeks previously. There is still nothing.   How can a service saying they offer services, and punish people for non-compliance with services, which are not readily available or not available at all?   Danger to himself   Unlikely to take medication, yes that is being forced upon him and never has been measured to have any outcomes.   Also there has been criminal activity as there has never been informed consent by him or his next relative.   They say he has been ‘adequately treated for self-neglect’. What does that even mean?   They say again he is a risk to himself from others for aggressive and intrusive behaviour. This is just a copy-cat statement and holds no weight at all because you cannot assess someone in an alien environment, which seeks to ghettoize all sorts of people, and expect them to behave in a normal fashion, as they might in a non-ghettoised environment.   Danger to others   Intrusive and aggressive. Does this perhaps refer to being simply angry at the circumstances he finds himself in?   These ’symptoms’ have not yet showed significant improvement despite ’treatment’ - what does that mean?   They say its ’likely’ to escalate on discharge so that is a guess?   They say he has been ‘well known’ to be aggressive. That’s again another new comment, adding some more lies.   State of his mental health is described as a ‘drug addict’. This is correct and perhaps not even a schizophrenic? How many say they hear voices when it means they can claim more money for drugs? That’s too easy and is being abused.   To stop the addict you need drug services.   Meanwhile, ‘drug addict’ is not a serious mental health diagnoses.   Why is it ’unclear’ if this episode is due to drug use? That’s an admission that you don’t know. When even I know.   He then says Edward has ‘increased phychomotive activity levels’. This has been observed during the period of the pharmaceutical drugs. Since he has not taken street drugs at this time, this suggests that the anti-psychotics are having this affect.   He is not self-neglecting and aggressive and Roman who can claim to know him knows this. This is a notable betrayal because Roman says he really finds Edward to be a vulnerable adult who is gentle and interesting so why this suddenly?   The report describes visual hallucinations, exhibiting paranoid beliefs.   I suggest that if you look at what has happened to him recently, it’s understandable that Edward is experiencing paranoia, given he has been incarcerated and is very upset.   As for hallucinations, well that is the stuff of suggestion and what is a grey blob anyway? It’s very self-indulgent. He may even have cataracts?   I don’t think it’s very clear how to get a second opinion and as history shows these notes can be just made up.   Medical History   ·       2019 pneumonia December: it is not stated, due to the drugs given to him to create the infection, as couldn’t breathe. ·       It also is not stated that an ambulance was called into the hospital at midnight because he could not breathe and was ignored. ·       Back pain is not mentioned. And yet he is in constant agony with this. Hence why he may be taking street drugs to help with pain levels. ·       No teeth - again not mentioned. Also that he has not be supported to go to the community dentist. He can’t digest. ·       He can’t chew. This will naturally, if not treated, shorten his life. ·       No doctor is not mentioned. He always had a doctor in Hammersmith. He would (you can check) get his aripriprozol 15mg from this doctor. ·       He would also be reminded, when it ran out, to make an appointment to get more. ·       If so called paid staff cannot safeguard his physical health, how can the mental health aspects improve. ·       If Edward was more comfortable physically, his mental health could improve. ·       Hole in his heart, leading to seizure. Medications are extremely dangerous for him to take.   Meds on admission to hospital ·       Aripriprosol 15mg ·       Promethazine 25mg (not sure if this is true?)   Current Medications ·       Zuclopenthixol 30 mg ·       Zuclopenthixol decanoate - 300mg weekly ·       Sodium Valproate 1000mg (BD) ·       Clonazepam 1mg (BD) 2mg ON ·       Promethazine 25 (BD) mg -50mg ON   This is an insane amount of medication for someone who is not a danger to himself or others and could kill him.   1993: it suggests Edward tried to end his own life by electrocution. That is nearly 30 years ago and it also is inaccurate when it says that this was after his son died. He had no such son. This is another lie.   2005:  it simply adds in a suicide attempt with no details whatsoever. What is the point of all these lies.   Risk to others   ·       Emotional. Really? ·       Liability? ·       Agitation? The reports are seriously negligent. ·       Aggressive behaviour when unwell. ·       And again, but now with a ‘history’ salt and peppered in by this professional for added creativity, ‘of dangerous driving’ ·       Nearly ran someone over - absolute rubbish.   Risk from others   ·       Victim of exploitation from drug dealers. Yes that is true so he needs help but pharmaceutical drugs won’t make him more assertive or help him have any regard for money. This stems from Hammersmith giving him so much and then he got abused by a woman who wanted this money. ·       Counselling would sort that out. ·       He was slapped by another patient. He did call the police and nothing was done. ·       Family history is scant. This suggests trauma came only from that, and not the care system who allowed him to drink alcohol at aged 12 when he had been a church going alter-boy. ·       Perhaps historical reparation is in need re solicitors. ·       Again, the fabricated son/daughter/child dying story is incorrect. ·       It’s reported he had no footwear – this was that due to taking him from his room on 6 March 2021 without his shoes. ·       Did he not get slippers in the post immediately from family? I think you will find that is the case. However, family support has been greatly absent from these reports, generally. ·       And now we top off what is a damming inaccurate report with ‘sexually inappropriate’ comments to a female member of staff. That takes the biscuit. ·       They admitted at the last tribunal this was ‘overstated’ - the actual words of Dr Neil Stewart. ·       They then say he fell off a chair. This is because Edward was ‘over-sedated’. He said he could not walk and his eyes were closed. ·       Taken to room in hold by staff in that state is assault and cleverly put as a simpleaction, like let’s admit it now. rather than be accused of it by way of a complaint to the CQC which they know is happening. ·       How on earth do you ‘over-sedate’ in a hospital? ·       He is not an ‘insomniac’ he is scared he cannot breath and will die. He has repeatedly told us and the tribunals who patronise him. They cut him off when they ask him something and they don’t allow for him to answer. He has capacity. ·       17/4/21: Vile of blood has been underplayed and not explained here. Edward said he was knocked out for days and then found he was bleeding from his bottom in quantities equal to a vile of blood. He questioned this but was just given cream. ·       19/4/21: Infection - white blood cells. Again, this is said so casually. When precisely what Edward had been saying is that he could not breathe and this evidence backs his claims. Nothing again has been done about it.   So this is a first and very saddening to read. Never mind the fact that they did not tell him. Even he did not even know that they were giving him antibiotics to treat it. He has yet another ‘lower respiratory infection caused by admission to the hospital.   I apologies that these notes were written on the day of the hospital managers’ meeting, after I was given the reports only a few hours before the meeting. I had waited three weeks to have this meeting.   When I then asked to respond to these shocking inaccuracies and enquiries, I was told that I was ‘disrupting’ the meeting and was not allowed to speak.   I have made these notes contemporaneously, upon reading the reports. I do this as a sister who also has to work, in addition to safeguarding her brother from Camden. I have been doing so since 2019 when all this began. I don’t have that much time. Currently, this seems to be a a full time job which no one should be forced to. This takes up several months of time every year since. Please sort this whole mess out once and for all. On Fri, Jun 4, 2021 at 8:57 AM Mary Moss wrote: Dr Sucheta Tiwari You say in the report that he has prescribed “anti-phychotic’ medication, but as the next relative I don’t know what that medication is. I have asked for this to safeguard my brother but was given only one weeks worth of information and the rest is missing. My brother is not an unkempt person, he was arrested at his hostel in the night when he was in bed. His clothes were kept from him for months, whilst also being highly sedated. Edward is not aggressive and threatening as a person who knows him. He was responding to be illegally detained. The fridge was not working and started to smell so Edward put it outside his room. He had complained that the bed frame in his room, which is the size of a cell and ten times smaller than his last accommodation, was dangerous and broken. So he took it down the stairs in the bits so he could be more comfortable on the mattress on the floor. The window’s of the cell like accommodation that cost £1,800 a month that he has been in for nearly two years, do NOT OPEN. It is total fabrication therefore that Edward threw a broken TV he had found earlier in the day on the street, out the window of his room, as that would be impossible. The very premise of his incarceration was fabricated and over zealous. The next relative was not informed he was even in A&E until a full 12 hours later by the hostel. The aggressive and threatening behaviour came from the hostel, the police, A&E and then Highgate mental hospital and the doctor. The fabrication continues and paints a different picture to what is true of Mr Edward Moss in it’s entirety and Edward has said he would want to sue the NHS at the hospital managers meeting, that took place, where Edward said he ‘no support required’ and ‘this is a fas’. Edward does not in his opinion have anything more than post traumatic stress disorder and wants independent assessments regarding the diagnoses of schizophrenia. He had a dramatic and dramatic upbringing and was further let down by social services, when they asked him to adopt three siblings. He had a breakdown. He has been treating his own depression with drugs and alcohol all his life and has never had CBT or rapid eye movement therapy or any kind of acknowledgment as to the heroic role he played in looking after his siblings. The part about him sleeping in toilets is the stuff of fantasy designed to paint a picture of someone entirely different. Olanzaphine - 20mg - Large dose very quickly administered with no gradual introduction, so very experimental/dangerous and sedating. Valproate 800mg - This dose although told it was higher at 1000mg when you google this it says; Valproate (VPA) primarily used to treat epilepsy and bipolar disorder and prevent migraine headaches. They are useful for the prevention of seizures in those with absence seizures, partial seizures, and generalized seizures. It also says; its toxicity at that dose is the level of COMA and that is what Mr Moss said he had experienced. Common side effects * stomach pain, feeling or being sick (nausea or vomiting) * diarrhoea. * dry or sore mouth, or swollen gums. * shakes (tremors) in a part of your body, or unusual eye movements. * feeling tired or sleepy. * headache. * weight gain. * thinning hair, or changes to the colour or texture of your hair. Coupled with the last time Camden attempted to drug him up against his will and mine, the right to refuse medication was never given to him or me nor was any informed consent. They took Edwards autonomy and informed consent was never asked for. They already had him as a prisoner so why abuse his body without his consent to add insult to injury. Dr Sucheta Tiwari says in the report that there was a bike stolen but there was not the actual charges that were brought against Edward after a Russian dealer from Hammersmith asked him to drive a car for him, very much out of the blue and Edward as a vulnerable adult felt he had to, even though it as he suspected it would, got him into trouble were; Charge and Prosecution Case You have been charged with: 1.Taking a motor vehicle Vauxhall Corsa without the owner’s consent on 12 November 2019 2.Using a motor vehicle Vauxhall Corsa on 12 November 2019 in Hammersmith without third party insurance; 3.Driving a motor vehicle Vauxhall Corsa without a licence on 12 November 2019 4.Failing to stop a mechanically propelled vehicle when required by constable/traffic warden on 12 November 2019 in relation to the same Vauxhall Corsa. Edward pleaded guilty to the 3rd charge only and he told the court that he had driven the car to the Hammersmith mental health centre and parked it in the car park there. He then proceeded to the door of the centre and CCTV will have captured the moment when he was then pounced on by a large number of police officers and his wrist was damaged when they sat on him and used excessive force, whilst handcuffing him. They remained on him and eventually put him into a police van. He then found himself in a set of mysterious circumstances. Firstly he was taken out of London and placed into private a phychaitric hospital. When he came around after being sedated for days, he contacted his next relative and was then again bundled into a vehicle and taken to yet another private hospital and sedated. He only then upon enquiry from the next relative was placed in Highgate where he was further sedated against his will. Very disturbingly he was at one point driven into central London and he said he had no idea why except that the day before there was a terror attack. Gary Monk of Hodge Jones and Allen can explain all the rest of his extremely minor and ridiculous charges as he has a lot of time for Edward. This is not conspiratorial but the constant locking up of Edward since, shows a targeting of him. The extremely deliberate way the facts in these reports have been fabricated, the lack of one person whom the family and Edward should deal with is also worrying, and the way the next relatives role has been played with and then how she was treated by all the official bodies was designed to thwart any attempt by her to free her brother and safeguard him. The reports are slanderous. This vulnerable person is being bullied by a system ,with a failure to safeguard him or indeed provide any type of healing whatsoever. The staff have bullied him and he has also been assaulted. There was no eviction in the last placement, again slander, and misrepresentation, it was a two year placement that overran and the funding ran out. The fact that then he was homeless was ironic of an organisation helping the homeless. I went to see the director in a meeting at the pub to discuss his placement and funding was a concern. Edward never spent even one night on the street and this report again fabricates that as a fact, again to distort the picture. It is simply not true. It is also not true that he sofa surfed at his sister. It is not true that his sisters neighbour ‘lives with her’ when she lives in the building, what is the point in ridiculous inaccuracies, even absolute lies? In 2017 the report says he was given oral aripriprozol and that was because he found olanzapine too sedating. The report says that 13/11/19 Edward was section 3’ed but he was not, that was a section two and then a section 3. The whole who is the next relative game was played then and complaints were made to the CQC on that at the time. Eventually the ‘next relative’ did manage to discharge him and the only reason we did not as a family sue then was that we got him out and then it was so much work and we were just happy he was alive after two A&E visits where he was drugged up so badly (as is now and he got pneumonia again) that he contracted pneumonia and could hardly breathe. The report mentions the Cygnet Hospital in Colchester, that bizarre episode and then says he was transferred to Dunkley ward but that’s not true either. These are basics being made up. It says he was then transferred to Kingston ward, tat again is bizarre like a play in the wording so it makes no sense as to the reality of events set in place by the Metropolitan police, who did not even get two doctors before executing the events that keep placing him back to Highgate and Dr Neil Stewart. Kingston ward is not a ‘ward’ The hospital was the priory and it was in Roehampton and there has never been an explanation of it and now it’s being confused deliberately. It mentions Huntercombe hospital, I am not sure how that all fits in? It then fakes it’s own narrative as if no one will question it so it won’t matter and will be put on file inaccurately. The care was stopped, again not true, Edward said he did not see any police trying to ‘stop’ him at the lights before he drove into the hospital to let the mental health team know what the drug dealer had asked him to do and he had a feeling he said repeatedly he was being set up and wanted to give the car back. What is so upsetting as a civil man Edward is that anyone would suggest never mind allege in writing as a fact that, he spat at someone and when he was restrained he ‘ripped’ someones trousers. Well that is lies as he would of been charged with that and he just was not. The staff now add to the narrative and say he is aggressive and that he took other belonging and took a swipe card. Edward walked into an unlocked office where the safe was open so he took the money and with a door also left wide open walked out of the ward. So why would that lapse in security happen? Again setting him up I suggest. I also find it incredible that he was able to walk out recently but he was on a section 2 and then when he simply went home, the took him back but were able to do a section 3 then and drug him more for longer and they did, into a coma. Edward was not just ‘discharged’ on the 8/1/20 I as the next relative fought to realise him and finally did, unlike this time, when there is a concerted effort to now remove me as the next relative, so that they can do what they like to him.But you ask yourself if he has been lab drug free and he is 50 years old, why now? Camden? The report says he damaged a windowing the lounge, yes it was the pole of the window that opens it and he was trying to get out, so had a go at the electric/mecanics as that is how much this grown up sensible man does not want tone locked up. The reports adds he was SUCCESSFULLY treated with Zuclopenthixol, so what is the definition of successful and how are these outcomes managed and measured? What services did you then offer him or is drugs all you do? Perhaps you ought to look at the crime and sentencing bill and have people who are called dual diagnosis as a special category as neither there offences are too big, being they are an end user to be jailed nor are they medically a danger to themselves or others to be micromanaged by a unconsenting psychiatric hospital because that is torcher to most. And you can justify with lies keeping him but how does that help society or him in the long run? The DWP if they arena benefits for example could sanction them line with the magistrates courts, that would stop them. The DWP also could budget for them as no drug dealers worth their salt will hand around a mentally ill adult for days in a route get £30 or less. No, the drug dealers get them on their pay day and that is Government sanctioned abuse but giving them large amounts of cash to be worth being abused for. You are very mucho the wrong track helping Edward at all at 50 yrs old. As it was he was depo’ed pinned to the ground and forcefully injected. He took nothing after he left so you call it a success? The report mentions 1/7/20 - 15/7/20 that he was placed in St Pancras again in not only a pandemic and just to say that was awful as it was his 50th Birthday and we as a family brought him pink champagne and journeyed from all part of the country to see him. It was an equally willy nilly incarceration by St Mungo’s again who seem to think if someone behaves in a certain by they just call the police or have them turn up to people’s bedrooms in their accommodation, so that needs rethinking. The incarcerations seem to have been throughout the pandemic and have meant that relatives have all been put in unsafe situations upon visiting and we have all plenty evidence of non-mask wearing staff and patients and in this particular incarceration not so much alone single jab of the vaccine has been offered to him. My brother has had no top teeth now for about twenty years. He suffered with a hernia due to it and has terrible digestive problems. That is the reason he hardly eats as it hurts his gums. He had a dentist and a doctor at Hammersmith but also lost all those things in the move Camden. He was signed up to my own practice when he was made homeless (not sleeping rough or at mine as you put it ‘sofa surfing’ no he slept in accommodation his brother provided,John-Paul as his hostel in Hampstead road. He had all his stuff there and they lived together whilst I went to seethe housing officer at the pathways team, Elsbeth Malone regularly with Edward, until she finally placed him and it was a rigmarole in terms of that he did not reside in Camden, as well as he had 5 very large 8 wheeled suitcases and a TV/DVD/Video unit stored in my living room until she did get him housed but we did it and came up with the current placement as an emergency placement. After two years you would think the pathways team could provide better than a single cell as a £1,800 a week placement, currently lying empty whilst he occupies a bed he doesn’t want to be in. As for the word ‘defecated’ in a sink. Well Edward as I said has no teeth and he had also been very unwell in his stomach. He shares his corridor with every homeless person who comes into the central London accommodation and that includes the two toilets and one shower. They have a sink in the rooms but unlike most people especially in a pandemic they don’t have their own toilet. So hence when being caught short and with the bathroom full he had to use the sink and then he ran all over asking anyone did they have bleach and we all got calls and the mains thing was that he had that terrible stomach problem and not what ‘accident’ happened to him, bless him and effectively he was then punished for it, which is a disgrace and I ask you again what services did you provide for him. I asked could he have better accommodation but that fell on deaf ears with people throwing hands in the air like dead beat unless systems. They then say, he was given ‘risperidone’ and he very quickly recovered. Did they also say how many times he ‘deficated’ in the ward due to his extreme stomach condition and him being very ill. No, and what services did you take the opportunity to offer him when you had him. And did you mention he liked that hospital and asked to go back in voluntary after as he wanted some services and some support? No, what happened was I had to attend in a pandemic the ward round meetings. Dr Gin a very intelligent man said ‘he was neither a danger to himself or others’ and I walked out with him. 3/8/2020 to the 12/8/2020 is just not true there was no admission to either Sapphire or Amber wards as stated. Nor was he arrested by the police for breaking into a car. You must be confused by his now very highlighted drug taking low level criminal behaviour that was taking place and the fact he was being regularly picked up by the Met police. The incident did happen but I think you’ll find it was a police cell below the magistrates they put him in. Not only that but   again that was in a pandemic and those cells were known by the lawyers to be full of covid. Still he couldn’t move for being picked up at that time. What services did the hostels provide for the addicts? Nothing at all. I know because I took him to the services and they said they could not help, because he did not use that much drugs and it was not heroine it was cocaine in the form of crack which is put in a pipe and smoked, giving him a very short-lived high like nothing else. As for the car that was his friend Yanush’s Dad’s car and they had often satin it to do drugs together. As for him stealing items from patients, yes I wouldn’t have anything valuable in my house near him as he’s a crack addict and thief these days and since his friend Amanda died that got much worse. He never used to be like that but he is now. So it’s a drug problem and what services are you offering? Injecting him with your own drugs is a ridiculous way to treat him, even if you do fatten him up and slow him down, he will not be ruled by your incarnation he will immediately take crack as they all do. All the dual diagnoses patients and then what, how does that interact, well death actually sometimes. I wasted by David Barry a lay person at the hospital managers meeting that even I ‘behaved’ badly in a hospital managers meeting.I have never been so condescended to in alley life by a controlling, interrupting, micro-managing manipulative chair, how dare he accuse me of ‘misbehaving ’when all I said was, quote, ‘err, well, err, well err, well err, well errrrr, I would actually like Dr Stewart to answer me please and not be over chaired’ and that was just to stop him interrupting any answer to my question to Dr Neil Stewart, he let everyone one else speak in interrupted, so he was protecting him, as a lay person how ridiculous. He was clearly on side. Making Edward wait for more months until the next opportunity to get out legally. Meanwhile what have you done for him, what services have you provided, none, again, none. What about his health care? What about the fact he can’t breathe properly? Second Report By Victoria Irvine ? This person say’s he took Ketamin - No not true a complete fabrication he is a a crack/cocaine users, not even alcohol. He is disengaging, with what is he? What services is he disengaging with? She says he has a GP well that is completely wrong as he does not have one since he lefty GP which was temporary, whilst his luggage was at mine. He efforts have been made by the hostel or any social worker to assist his to get a GP. Lithium is mentioned here and again he said he did not want it and refused to take it a few times and then was bribed using his small amounts half an hour twice a day now, leave so this is a man being bribed to take a drug he doesn’t want. He has given his patient outcome and this has been ignored. The 1990’s are mentioned asEdward taking Heroine and Crack and I strictly says it is the truth that Edward was then in the 1990’s not on crack, as that’d nearly never been heard of, nor heroine yet, he was in the 90’s on alcohol and speed. This person says he was a risk to himself as he was intrusive with others and I say he was in a place where he wanted to have speak back to others who were engaging with him. My brother Patrick said some conversations were shocking. So that I’m afraid is the variable, he cannot be judged to be intrusive when he is in an alien environment to his normal one. Adding to that she says he was assaulted. That will be because he would not be bullied and so they resorted to violence as they could not argue with a man who can talk the talk better than they can. This actually means he was in ‘danger’. Then comes another list of inaccuracies or fabrications; Nov 2019 Driving erratically nearly ran someone over - Never ever haveI heard of this dangerous fabrication. He was asked by a Russian drug dealer very out of the blue to drive a car. As a vulnerable adult and given the fact that he was holding Edward’s crack at the time and so the addict in Edward agreed to do as he was asked do. When he got what he wanted ie his drugs he then seeing the escalation of the set up, dropped the care in the mental health car park. He was followed to the door of the mental health team where he went to to seek advice and to report events to them of the hot water he found himself in and today where the car was. He at court pleaded guilty to driving without insurance. He holds his hands up to that. The events that took place starting from the fact several of them stopped his attempt to do the right thing and see his social worker to get help as he was scared, beggars belief. This was a criminal matter, he paid the price in court and has already been punished by the law. Accountalbilty was never sought for what then seems to be a serious mental health intervention. The punishments in mental health have been seen since as if they are a cure or as if the lab drugs will stop the illegal drugs, so where does this cycle end or are you all saying that you are happy to punishably law and then punish by way of double jeopardy it’s ridiculous he paid the price and he learned his lesson.How come you even get to mention these misdemenors as mental health conditions and if you purport they are then what is that condition called,I suggest a mentally ill vulnerable adult within support services. It says in May he harassed someone, again not true he was caught in toilet above a shopping mall when needing the loo, it was a ridiculous charge. Going equipped to steal was also the same police officers who had targeted Edward and in court the solicitor got to question the police as to the distance whilst they were driving that they claimed to have seen Edward interfering with a bicycle. He had just dropped off a newspaper to his father and had also helped his father fixing a bike hence equipped. Once he got arrested for handing a travel card he found. Once he got arrested for speaking to police woman and whilst he talked to her about the travel card he saw a piece of cosmetic jewellery on the ground and picked it up and gave it to her and she had him in court for ‘theft by finding’. So many of these very stressful charges were at theist minute dropped by the police and since they could not ‘fit him up’ so to speak this is what they started todo to him with much more ease and has the same time consuming effect/stress. He had no leave when he was first admitted and he questioned but it was never answered as to how the section certificates were illegally obtained. For example no signatures of two independent doctors. No list of meds were given to him either and he was deprived not only section 17 leave but any form of vapes as a smoker. So twice daily is a lie. Edward has never sofa surfed at my house, this is very inaccurate. He and John Paul come to my house often to eat, and that is mainly but not always on Sunday for a roast and on every single holiday as well as when family visit. Both the boys have exemplary manners and are fond of seeing all the family and friends special occasions. This has taken place for years. And in fact I always think it’s funny when I have party for an event at one of my shops and invite them as they can be very entertaining and pleasant to be around, especially Edward with his intelligence friends always remark on Edwards conversations. Also just on the sofa surfing lie again it would be impossible as I’m self employed and work from home so require all my space, one bedroom flat in St Pancras. Edward pops in for lunch when it suits me. Again Edward did not get evicted from his high support placement the two year funding ran out. Edward has pathetically low levels drug use as he does it all in one day and then waits for the next big payment and again I and my whole family think that is a systematic problem with vulnerable adults being given too much to manage. The flat Edward got fromHammersmith never had any electricity’s the previous owner had a large bill and this was not taken care of by any support workers for a year. Therefore he was overrun with drug dealers who took over, famously called coo-cooing as seen onEdwards old blog www.mentallynil.co.uk which was set up for people with similar issues. Edward is the CEO of Mentally Nil and that is a recognition of what’s going on in order to address it. Nil refers to money. The report does not get much better than to actually as a fact say that Edward ever had a son. He did not. Edward adopted his three siblings after an assessment by Hammersmith and I would rarely say that process would have allowed anyone other than a very sensible young man to do do so. It was just unfortunate they then did not support him. Unkempt is a seriously lie and another smear. Involuntary isolation is here admitted to. Smashed the door using a bed frame needs explaining? Edward says he has been for weeks forced to stay awake at night since he cannot breathe and is worried he might die in the night from the coma inducing meds. He may be correct in his survival techniques after 1000mg of sodium valproate. Background. Edward it states has been in Camden for 3 years. It says he is ‘well known’ to Camden but that also apart from to a small selection of people is just not true and a pointless inaccurate observation or a factual lie. It then says he has a GP, yet another lie. They mention a community consultant Dr Stella King and I can honestly say I have never ever heard of her and nor him. So she never see’s him. I think it is worrying how an organised picture full of disorganisation can be perported here. Yes the peopler perhaps in place but what services, activities, support, meetings, written communication are they offering? This is a case of the emperors new clothes and can easily be undone by a good effective lawyer. But I’m afraid to say that even the meat threat of a’nest relative’ pointing out these errors has driven Camden to defensive aggressive action to not only saying that the next relative is not the next relative to gain time, to having half a dozen communication exhausting the next relative and to the changing dates tribunals and hospital managers meetings paints a kindergarten attitude of victory for the service and all who work for her, instead of care. The whole episode is nothing short of scandalous. I have in my activist disclosed down a private hospital for similar irregularity but when it’s a public body even complaining is nothing short irrelevant hard work just to give someone back their basic human rights and is more a case for Amnesty International, not the unless antiquated safeguards inlace that do nothing but allow the mental health act office who are overly employed, a job fighting for psychiatrists to abuse patients as a given right. It questions whether Camden has parasitical incentives with perhaps Nova or others driving these collective abuses? Someone called Dr StellaKing goes on to says if she has great knowledge of EdwardMoss for which she has none, that he has a ‘history’ of disengaging with the (fabricated) services and a non-compliance with taking his medication. She says that he has voices telling him he is dead, well, yes sometimes he does, hardly surprising givens level of care. That he ’smashed’ the front door of his hostel, well that is a new one, 10 points for creativity there. That is offending and harassing, well that is just not him unless you treat him with no dignity thence will respond back. Edward has never been to rehab for his drug use or offered it. He has never been offered counselling for past traumas. Stella adds my neighbour downstairs into the equation as if she knows me or my neighbour, which is bizarre. She re-iterates the sofa surfing story which is not true and sounding like the police who simply put notebooks together and say the same things that there iOS many of them adding the core but then there own piece of fiction to sound a bit different, it’s worse than social workers. I get the feeling this is a regular approach by public body and could be torn apart if challenged and is systematic abuse that is unchecked and unregulated and could lead to deaths of the vulnerable and probably has. She says he rough sleeps, again not true or why would he always when he escapes go back to his bed? She claims he has Focus referral but that is just Roman and as much as he is a nice guy never see’s or calls him up. The most he got was some suggestion of a gardening project or higher support and now it seems they are reneging on that as keeping him in a £1,800 a month placement is all the Camden mental health structure can offer, drugging him. They can’t even get the name of his benefits rights and that should be easy enough but sheer laziness makes reports. She mentions courses, what courses? He was the deputy manager at an Esso garage and adopted his siblings and has PTSD and deserves support as an ordinary man who has taken to substance abuse in a climate of non-services with predatory dealers taking the slack. Compliance is not consultation. To accuse someone of such grave terms you must given more details not slurs. The crown in the crown Margaret centre did not and cannot help and have said so with me there five times when we visited. However you take the fact that he engaged all those times and give him credit for that you’d be more accurate. I remember once he took up the meditation class and said he really enjoyed it. There was nothing else keep him engaged. Certainly not drug use help or a waiting list for rehab I don’t even think they have any. I agree that he does need higher mental health support but not just to force an agenda as to what meds he has to take. Under risk she says he nearly ran someone over andI really think its slanderous and wonder where this came from? This has to be corrected and all these reports of it redacted or a new report written as its dangerously slanderous. She says he is aggressive which has never over 50 years been the case except on. occasions you take him. She says he is strung out without crack and that is true mentally but he doesn’t behave as a classic strung out person. She says he has a hoarding issue, but he is very well known to be extremely neat and tidy and dressed well, however put you and your stuffing cell and yeah you’ll be seem as a hoarder as well.So give him safety and space and some dignity. She says he had an accidental overdose but with what? You know what that was with, lab drugs and that’s a fact. She without knowing me or ever meeting me mentions the next relative in an upsetting and unnecessary way. Having just spoken to Edward to investigate who this Dr Stella King might be he thinks it may be a Doctor hemet for a few minutes at Richmond and that she was then in a tribunal that then let him go. He also still complains he cannot breathe on the lithium and only takes large breathes and said that the nurse even before she examines him says ‘oh that’s much better’ so takes no feedback whatsoever. And what do you suggest we do about that? He also said and I quote, ‘you’re waiting from to break the law, so you can quote a law’, and how he thinks they will let him go next week before the tribunal so that they can put him back in the cell that’s had £6,000 in his absence, and set up to fail with no support or feedback, by asking him to take medication, that does not agree with him and then this cycle begins again. Roman’s report the social worker Edward was very specific at the last hospital managers meeting when Penny asked about activities and he said there was none on the ward. He went on to say that he had specifically asked Roman and I know I did too, about the construction centre and counselling. Penny also asked how much time it would take to get Edward into higher support even though must stress this had already been weeks before suggested, he said a few weeks but still there is nothing. How can a service saying they offer services, punish people for non compliance of services which are not readily available or not available at all. Danger to himself Unlikely to take medication, yes that is being forced upon him and never has been measured to have any outcomes. Also there has been criminal activity as there has never been informed consent by him or his next relative. They say he has been ‘adequately treated for self-neglect’ what does that even mean? They say again is a risk to himself from others for aggressive and intrusive behaviour this is just a copy cat statement and holds no weight at all as you cannot assess someone in an alien environment which seeks to ghettoize all sorts of people and expect them to behave in a normal fashion as they would in a non-ghettoised environment and that is what the arguments have been for care in the community for years. The hostels are ghetto’s and only operating on extortionate amounts of housing benefits and large service charges from the inmates, in a circle of years of abuse. Danger to others Intrusive and aggressive (not just simply angry then?) These ’symptoms’ have not yet showed significant improvement despite ’treatment’ so what does that mean? They say its ’likely’ to escalate on discharge so that is a guess? They say he has been ‘well known’ to be psychically aggressive, that’s again another new one adding some more lies. State of his mental health is described as a ‘drug addict’ correct and perhaps not even a schizophrenic? I mean how many there saying they hear voices when it means more money for drugs, that’s too easy and is being abused. I’m not suggesting that the two don’t in a way naturally go together but then to stop the addict you need drug services. Meanwhile ‘drug addict’ is not a serious mental health diagnoses. Why is it ’unclear’ if this episode is due to drug use? That’s an admission that you don’t know when even I know? He then says Edward has ‘increased phychomotive activity levels’ but that can be seen from lab drugs and since he would not of been able to take street drugs at that time suggests that the ‘anti-pychoctic’s are having that affect. He is not self neglecting and aggressive and Roman who can claim to know him knows this so that is real notebook betrayal as Roman says he really finds Edward a vulnerable adult who is gentle and interesting so why this suddenly? There is certainly an agenda when all now are uniformly saying the same story that is a fabrication. Recently described visual hallucinations, exhibiting paranoid beliefs. I suggest if you look at what has happened to him he could not be accurately lately anyway be accessed of paranoia, when he has been incarcerated unlawfully by the Met police since they could not adequately set him up to go to prison and any ‘paranoia’ beliefs is because he’s upset. As for hallucinations well that is the stuff of suggestion and what is a grey blob anyway? It’s very self-indulgent. He may even have cataracts? I don’t think it’s very clear how to get a second opinion and as history shows stuff can be just made up. Medical History 2019 pneumonia Dec but not stated due to the drugs given to him to create the infection as couldn’t breathe. It also is not stated that an ambulance was called into the hospital at midnight as he said he couldn’t breathe and was ignored. Back pain not mentioned and yet he is in constant agony with that hence why he may be taking street drugs too and it does help with pain levels. No teeth again not mentioned and also that he has not be supported to go to the community dentist. He can’t digest. He can’t chew. This will naturally if not treated shorten his life. No doctor not mentioned. He always had a doctor in Hammersmith and would and you can check get his aripriprozol 15mg from him. He would also be reminded when it ran out to make an appointment to get more so if so called paid staff cannot safeguard his psycial health how can the mental health side improve just by being more comfortable. Hole in his heart making seizure medications extremely dangerous for him to take. Meds on admission to hospital Aripriprosol 15mg Promethazine 25mg (not sure if this is true?) Current Medications Zuclopenthixol 30 mg Zuclopenthixol decanoate - 300mg weekly Sodium Valproate 1000mg (BD) Clonazepam 1mg (BD) 2mg ON Promethazine 25 (BD) mg -50mg ON This is an insane amount of medication for someone who is not a danger to himself or others and could kill him 1993 it suggests Edward tried to end his own life by electrcution so that is nearly 30 years ago and it also lies and says that was after his son died yet he had no such son so another lie. 2005 it simply adds in a sucide attempt with no details what so ever I mean what is the point of all these lies. Risk to others Emotional. Really? Liability? Agitation? The reports are seriously negligent. Aggressive behaviour when unwell. And again but now with a ‘history’ salt and peppered in by this professional for added creativity, ‘of dangerous driving’ Nearly ran someone over absolute rubbish. Risk from others Victim of explotation from drug dealers, yes that is true so he needs help but lab drugs won’t make him more assertive or help him have any regard for money as he does not have any and that stems from Hammersmith giving him so much and then he got abused by a woman as a result of the money. So you know a bit of counselling would sort that out. He was slapped by another patient. He did call the police and nothing was done. Family history is scant, assuming tramatisation came only from that and not the care system who allowed him to drink alcohol at aged 12 when he had been a church going alter boy. Perhaps historical reparation is in need re solicitors. Again the fabricated son/daughter/child/rubbish dying story. No footwear was that due to taking him  from his room on the 6th March 2021? Did he not get slippers in the post immediately from family? I think you will find that is the case. However family support has been greatly missed out. And now we top off what is a damming inaccurate report with ‘sexually inappropriate’ comments to a female member of staff. That takes the biscuit. They admitted at the last tribunal he was ‘overstated’ the actual words of the Dr Neil Stewart. They then say he fell off a chair, yes he was ‘oversedated’. He even said he could not walk and his eyes were closed. Taken to room in hold by staff in that state is assault and cleverly put as a simply action, like let’s admit it now.rather than be accused of it by way of a complaint to the CQC which they know is happening. How on earth do you ‘over-sedate’ in a hospital? He is not an ‘insomniac’ he is scared he cannot breath and will die, he has repeatedly told us and the tribunals who patronise him and cut him off when they ask him something and they don’t allow for him to answer. He has capacity. 17/4/21 - Vile of blood has been underplayed and not explained here. Edward said he was knocked out for days and then found he was bleeding from his bottom to the level size of a vile of blood, he questioned this but was just given cream. 19/4/21 Infection white blood cells again said so casually when that is precisely what Edward had been saying that he could not breathe and this evidence backs his claims. Nothing again has been done about it. So this is a first and very saddening to read never mind the fact that they did not tell him even and he did not even know that they were giving him antibiotics to treat it, he has yet another ‘lower respiratory infection’s a hospital that caused it. I apologies that these notes were written on the day of the hospital managers meeting when I was given the reports only a few hours before the meeting to which I had waited 3 weeks to have and when I then asked to respond to these shocking inaccuracies and enquiries I was told that I was ‘disrupting’ the meeting and was disallowed to speak. I am not going to correct the notes as I made them contemporaneously upon reading the reports and I don’t as just a sister who has to work as well as safeguarding her brother from Camden since 2019 when all this began have that much time, as this seems to be a bit of a full time job of which no human being without time payments should be forced to do on now what seems to be a few months of my time every year since. Please sort this whole mess out once and for all. Next Relatives notes re reports recently written by a number of professionals on Edward Moss 8/7/21 held at Highgate;
 
 Please note this has been read to Edward who agrees with its content. 
 Dr Sucheta Tiwari (Edward does not know this person)
   You say in the report that Edward Moss was prescribed ‘anti-psychotic’ medication. As the next relative I don’t know what that medication is. I had asked for this information to safeguard my brother. I was given only information for one week. The rest is missing.   My brother is not an unkempt person. He was arrested at his hostel in the night when he was in bed. His clothes were kept from him for months. During this time, he was also being highly sedated.   Edward is not aggressive and threatening. Anyone who knows Edward can tell you this. He was responding to be illegally detained.   The fridge in the hostel was not working and started to smell. So, Edward put it outside his room.   He had complained that the bed frame in his room, which is the size of a cell and far smaller than his previous accommodation, was dangerous and broken. He took it down the stairs in parts so he could be more comfortable with the mattress on the floor.   Edward has a very bad back and a hernia.   The windows of the cell-like accommodation, which costs £1,800 a month, and which he has been in for nearly two years, do not open.   It is total fabrication, therefore, that Edward threw a broken TV, which he had found earlier in the day, on the street, out the window of his room, because that would be impossible.   The very premise of his incarceration was fabricated and overzealous.   The next relative was not informed he was even in A&E until a full 12 hours later by the hostel. The aggressive and threatening behaviour came from the hostel, the police, A&E and then Highgate mental hospital, and the doctor.   The fabrication continues and paints a false picture, in its entirety. It is not a true reflection of Edward Moss.   At the hospital managers’ meeting that took place, Edward said he would want to sue the NHS. At this meeting Edward also said, “no support required” and ‘this is a farse”.   Edward does not in his opinion have anything more than post-traumatic stress disorder and he wants independent assessments regarding the diagnoses of schizophrenia.   He had a traumatic upbringing and was further let down by social services, when they asked him to adopt three siblings. He had a breakdown.   He has been treating his own depression with drugs and alcohol all his life and has never had cognitive behavioural therapy (CBT) or rapid eye movement therapy, or any kind of acknowledgment as to the heroic role he played in looking after his siblings.   The part about him sleeping in toilets is the stuff of fantasy designed to paint a picture of someone entirely different.   ·       Olanzaphine - 20mg: large dose very quickly administered with no gradual introduction, so very experimental/dangerous and sedating. ·       Valproate - 800mg: this dose, although told it was higher at 1000mg. When you Google  this drug it says: ‘Valproate (VPA) primarily used to treat epilepsy and bipolar disorder and prevent migraine headaches. They are useful for the prevention of seizures in those with absence seizures, partial seizures, and generalized seizures’. It also says: its toxicity at that dose is the level of COMA and that is what Mr Moss said he had experienced. Common side effects: o   stomach pain, feeling or being sick (nausea or vomiting) o   diarrhoea o   dry or sore mouth, or swollen gums o   shakes (tremors) in a part of your body, or unusual eye movements o   feeling tired or sleepy o   headache o   weight gain o   thinning hair, or changes to the colour or texture of your hair   Coupled with the last time Camden attempted to drug Edward against his will and mine, the right to refuse medication was never given to Edward or me as next relative. Nor was there any informed consent. They took Edward’s autonomy and informed consent was never asked for. They already had him as a prisoner. Why abuse his body, without his consent, to add insult to injury?   Dr Sucheta Tiwari says in the report that there was a bike stolen. This was not the charge that were brought against Edward. A Russian dealer from Hammersmith asked him to drive a car for him, very much out of the blue, and Edward - as a vulnerable adult - felt compelled and coerced to do so.  Edward was charged with: 1.     Taking a motor vehicle Vauxhall Corsa without the owner’s consent on 12 November 2019. 2.     Using a motor vehicle Vauxhall Corsa on 12 November 2019 in Hammersmith without third party insurance. 3.     Driving a motor vehicle Vauxhall Corsa without a licence on 12 November 2019. 4.     Failing to stop a mechanically propelled vehicle when required by constable/traffic warden on 12 November 2019 in relation to the same Vauxhall Corsa.   Edward pleaded guilty to the third charge only. He told the court: ·       That he had driven the car to the Hammersmith mental health centre and parked it in the car park there. ·       He then proceeded to the door of the centre. ·       CCTV will have captured the moment when he was pounced on by a large number of police officers. His wrist was damaged when they sat on him and used excessive force, whiet handcuffing him. ·       They remained on him and eventually put him into a police van. ·       He then found himself in a set of mysterious circumstances. ·       Firstly, he was taken out of London and placed into private a psychiatric hospital. ·       When he came around, after being sedated for days, he contacted his next relative ·       He was then again bundled into a vehicle and taken to yet another private hospital and sedated. ·       He only then, upon enquiry from the next relative, placed in Highgate where he was further sedated against his will. ·       Very disturbingly, he was, at one point, driven into central London, and he said he had no idea why.   Gary Monk, senior solicitor, with Hodge Jones and Allen, can explain all the detail related to Edward’s extremely minor and ridiculous charges. Gary has said that he has ‘a lot of time for Edward’. This is not conspiratorial, but the constant locking up of Edward since, shows a targeting of him.   The deliberate way the facts in these hospital reports have been fabricated, as well as the absence of one person with whom the family and Edward can deal with, is also worrying.   The ways in which the next relative’s role has been undermined, and how the next relative has been treated by the officials, has been designed to thwart attempts by the next relative to free her brother and safeguard him.   The reports are slanderous. This vulnerable person is being bullied by a system, failing to safeguard him, or indeed provide any type of healing whatsoever. The staff have bullied Edward and he has also been assaulted.   There was no eviction in the last placement. Again, this is slander, and misrepresentation. It was a two year placement that overran and the funding ran out.   The fact that then he was made homeless was ironic – given the organisation helps the homeless. I went to see the director of the organisation, at a meeting to discuss Edward’s placement, and funding was a concern.   Edward has never spent even one night on the street, and this report again fabricates that as a fact, again to distort the picture. It is simply not true.   It is also not true that he sofa-surfed at his sister’s. It is not true that his sister’s neighbour ‘lives with her’. The neighbour lives in the building.   What is the point in ridiculous inaccuracies, even absolute lies?   In 2017, the report says he was given oral aripriprozol and that this was because he found olanzapine too sedating.   The report says that on 13/11/19 Edward was held under section three. He was not. This was a section two. Subsequently a section three.   The whole ‘who is the next relative game’ was played then. Complaints were made to the Care Quality Commission (CQC) at the time. Eventually the next relative did manage to discharge him.   The only reason we did not, as a family, sue then was that we had got Edward out. It had been so much work we were just happy he was alive. This followed two A&E visits, during his detention, where he was drugged up so badly (as he is now) that he contracted pneumonia. He could hardly breathe.   The report mentions the Cygnet Hospital in Colchester and this bizarre episode. It then says he was transferred to Dunkley ward but that’s not true either. This has been made up.   It says he was then transferred to Kingston ward. That again is bizarre. The wording makes no sense and does not relate the reality of the events. These were set in place by the Metropolitan police officers, who did not even get two doctors to authorise before putting these in motion. These keep placing Edward back in Highgate with Dr Neil Stewart.   Kingston ward is not a ‘ward’. The hospital was the Priory and it was in Roehampton. There has never been an explanation for this. These events have are now being confused, deliberately. It mentions Huntercombe Hospital. I am not sure how that all fits in?   It then falsifies its own narrative, on the assumption that no one will question it, and it won’t matter, and will be put on file, inaccurately.   That care was stopped is again not true.   Edward said he did not see police trying to flag him down him at lights on his way to the hospital. He was on his way to let the mental health team know what the drug dealer had asked him to do, and to explain that he had a feeling, he said repeatedly, that he was being set up, and wanted to give the car back.   What is so upsetting, for a polite and civil man such as Edward, is that anyone would suggest, never mind allege in writing as a fact, that he spat at someone, and that when he was restrained he tore someone’s trousers.   That is lies. He would have been charged with that and he was not. The staff now add to the narrative to say he is aggressive and that he took other belongings and took a swipe card.   Edward walked into an unlocked office where the safe was open, to take his money, and, with a door left wide open, walked out of the ward.  Why would that lapse in security happen? Again, it seems designed to create a false impression, I would suggest. I also find it incredible that he was able to walk out while he was on a section two. He then simply went home. He was taken back where they were able to apply a section three. Then, drug him more, for longer, into a coma.   Edward was not just ‘discharged’ on the 8/1/20. I, as the next relative, fought to release him and finally did. This time, when there is a concerted effort to now remove me as the next relative, so that they can do what they like to him. But you ask yourself, if he has been prescription-drug free until the age of 50 years-old, why now? Camden?   The report says he damaged a window in the lounge. There was a pole of the window that opens it. He was trying to get out. He was trying to understand the electrics and mechanism, because this is the response of a grown up, sensible man falsely locked up.   The reports adds he was successfully treated with Zuclopenthixol. What is the definition of successful, and how are these outcomes managed and measured?   What services did you then offer him or is drugs all you do?   Perhaps you ought to look at the most recent revision of the Police, Crime, Sentencing and Courts bill and suggest people who are called dual diagnosis as a special category?   You can justify, with lies, keeping Edward, but how does that help society, or Edward in the long run?   The Department for Work and Pensions (DWP) could sanction end users through the magistrate courts. It could provide a budget for vulnerable adults who are end users.   Drug dealers will not associate with a mentally ill adult who does not have money. The drug dealers approach them on their pay day. This is government sanctioned abuse because they give end users large amounts of cash which makes vulnerable adults attractive victims.     You are very much on the wrong track in your efforts to help Edward, at this late stage. He is 50 years-old.   As it was he was depot injected. This means he was pinned to the ground and forcefully injected. He took nothing after he left, so how can you call this a success?   The report mentions the period 1/7/20 to 15/7/20 when he was placed in St Pancras hospital again, in a pandemic.   This was awful because the period covers Edward’s 50th Birthday. We, as a family, brought him pink champagne and journeyed, in line with the then government guidance, from all parts of the country to see him.   This was an equally willy-nilly incarceration facilitated by St Mungo’s again, which seems to think that if someone behaves in a certain way, that instead of calling the next relative to discuss the issues, and find a resolution, it will simply call the police, invite them to turn up in the middle of the night in people’s bedrooms, and take their clients away from their accommodation. So, that needs rethinking.   The incarcerations have taken place throughout the pandemic. This has meant that all Edward’s relatives have been put in unsafe situations upon visiting. We all have plenty of evidence of non-mask wearing staff and patients. During this incarceration, not so much as a single jab of the vaccine has been offered to Edward.   My brother has had no top teeth now for about twenty years. He suffered with a hernia due to difficulty with eating and has terrible digestive problems.   The reason that he hardly eats is that this hurts his gums. He had a dentist and a doctor at Hammersmith but also lost all his primary health and dental care in the move Camden.   He was signed up to my own practice when he was made homeless. He was not sleeping rough or at mine, as you put it ‘sofa surfing’.  He was sharing the accommodation of his brother John-Paul at his hostel in Hampstead road. He had all his stuff there and they lived together while I went to see the housing officer at the pathways team, Elsbeth Malone.   She finally placed him. He did not reside in Camden, had five very large eight-wheeled suitcases and a TV/DVD/Video unit stored in my living room, until she got him housed.   But we did it and came up with the current placement as an emergency placement. After two years, you would think the pathways team could provide better than a single cell as a £1,800 a week placement, currently empty while he occupies a bed he doesn’t want to be in.   As for the word ‘defecated’ in a sink. Edward, as I said, has no teeth and has also been very unwell with his stomach. He shares his corridor with every homeless person who comes into the central London accommodation and that includes the two toilets and one shower.   They have a sink in the rooms, but unlike most people, especially important in a pandemic, they don’t have their own toilet.   Hence, when being caught short, with the bathroom not vacant, he had to use the sink. He then ran to ask everyone if they had bleach. We all got calls.   The main issue is that he has a terrible stomach problem. The primary concern is not the ‘accident’ that happened to him. Bless him. He has been effectively punished for this, which is a disgrace.   I ask you again, what services did you provide for him? I asked if he could he have better accommodation but this fell on deaf ears, with people throwing hands in the air.   They then say, he was given ‘risperidone’ and he very quickly recovered.   Did they also say how many times he ‘defecated’ in the ward due to his stomach condition and him being very ill. No. And what services did you take the opportunity to offer him when you had him.   Did you mention he liked that hospital and asked to go back in as a voluntary patient when he wanted to access services and some support? No.   What happened was I had to attend the ward round meetings, in a pandemic. Dr Gin, a very intelligent man, said Edward ‘was neither a danger to himself or others’ and I walked out with him.   The dates 3/8/2020 to the 12/8/2020 are just not true. There was no admission to either Sapphire or Amber wards as stated. Nor was he arrested by the police for breaking into a car.   You must be confused by his now very well reported drug taking and low level petty criminal behaviour, that was taking place for which he was regularly picked up by the Met police.   The incident did happen but I think you’ll find it was a police cell below the magistrates court where they put him in. Not only that, but again, this was in a pandemic and those cells were known by the lawyers to be full of Covid. Still, he couldn’t move for being picked up at that time.   What services did the hostels provide for the addicts? Nothing at all. I know because I took him to the services and they said they could not help. This is because he did not use many drugs and this was not heroin, it was cocaine in the form of crack.   As for the car, that was his friend Yanush’s Dad’s car. They had often sat in it to do drugs together. As for him stealing items from patients. Yes, I wouldn’t have anything valuable in my house near him as he’s a crack addict and thief these days, since his friend Amanda died he has got much worse. He never used to be like that but he is now.   So, it’s a drug problem and what services are you offering? Injecting him with your own drugs is a ridiculous way to treat him, even if you do fatten him up and slow him down, he will not be ruled by your incarnation. He will take crack as they all do. Many the dual diagnoses patients behave in this way, and then what, how does that end, well with death actually, sometimes.   I mentioned, to David Barry a lay person at the hospital managers’ meeting, that even I ‘behaved’ badly in a hospital managers’ meeting.  I have never been so condescended to by a controlling, interrupting, micro-managing manipulative chair, and how dare he accuse me of ‘misbehaving ’when all I said was: “err, well, err, well err,I would actually like Dr Stewart to answer me please and not be over chaired”.   This was to encourage the chair to stop interrupting any answer to my question to Dr Neil Stewart. He let everyone one else speak uninterrupted. So he was protecting him.   He was clearly on side. Making Edward wait for more months until the next opportunity to get out legally. Meanwhile what have you done for him? what services have you provided? None, again, none.   What about his health care? What about the fact he can’t breathe properly?   Second Report   By Victoria Irvine? This person says he took Ketamine. This is not true, a complete fabrication. He is a crack/cocaine user. He does not even mis-use alcohol.   It is claimed he is disengaging. From what is he disengaging? What services is he disengaging from?   She says he has a GP. This is completely wrong because he does not have one since he left a GP, which was a temporary stop gap, while his luggage was at mine.   No efforts have been made by the hostel or any social worker to assist Edward to join a GP practice or receive primary health and dental care.   Lithium is mentioned here. Again, he said he did not want it and refused to take it a few times. He was then bribed to use his small amounts, half an hour twice a day, now. This is a man being bribed to take a drug he doesn’t want. He was given his patient outcome and this has been ignored.   The 1990s are mentioned as a time when Edward took heroine and crack. Edward, in the 1990s, was not on crack; it had almost never been heard of. He was also not on heroin. During the 90s he was using alcohol and speed.   This person says he was a risk to himself as he was intrusive with others. I say he was in a place where he wanted to speak back to others who were engaging with him.   My brother Patrick said some conversations taking place around Edward and himself when he visited were shocking.   Edward cannot be judged to be intrusive when he is in an environment which is alien to his normal one.   Additionally, she says he was assaulted. That could be because he would not be bullied and people resorted to violence when they could not argue with a man who can talk very well. This actually means he was in ‘danger’.   Then comes another list of inaccuracies or fabrications.   Nov 2019: driving erratically, nearly ran someone over. This never happened. I have never heard of this. It is a dangerous fabrication.   He was asked by a Russian drug dealer, very out of the blue, to drive a car, who exploited a vulnerable adult.   When Edward saw the escalation of the setup, he took the car to the car park of the mental hospital in Hammersmith.   He was followed to the door of the mental health team where he had gone to seek advice and to report events to them of the hot water he found himself in, and tell them where the car was.   At court he pleaded guilty to driving without insurance. He holds his hands up to that. He had tried to do the right thing. This was a criminal matter. He paid the price in court and has already been punished for this. He learned his lesson.   The punishments have continued in the mental health system which seems to think it can use prescription drugs to stop the taking of illegal drugs. Where does this cycle end?   How is it that you can mention these offences in the context of mental health conditions? If you are suggesting this behaviour is due to being a mentally ill vulnerable adult, where are the support services?   It’s reported that he may have harassed someone. Again, this is not true. He was caught in toilet above a shopping mall when needing the loo, it was a ridiculous allegation.   With respect to an allegation of going equipped to steal, in court the solicitor questioning the police (who appeared to have been targeting Edward, see below) established that the police were at some distance, while driving, when they claimed to have seen Edward interfering with a bicycle. In fact, he had just dropped off a newspaper to his father and had been helped his father to fix a bike hence the equipment he had with him at the time.   On another occasion he got arrested for simply holding a travel card he found on the ground. Once he was arrested while speaking to police officer, and for picking up a piece of cosmetic jewellery with no value. When he gave it to her she had him in court for ‘theft by finding’.   So many of these very stressful charges were at the last minute dropped by the police. Since they could not ‘fit him up’ so to speak.   He had no leave when he was first admitted.   He queried, but questions were never answered, about how the section certificates were illegally obtained.   For example: ·       There were no signatures of two independent doctors. ·       There was no list of medications were to him either. ·       He was not given section 17 leave. (So twice daily is a lie) ·       He was deprived of vapes as a smoker.   Edward has never sofa surfed at my house. This is inaccurate. He and John Paul (prior to lockdown) would come to my house often to eat. This was mainly, but not always on Sunday for a roast, at bank holidays, as well as when family visited and for birthdays.   Both the boys have exemplary manners and are fond of seeing all the family and friends on special occasions. This has taken place for years.   In fact, I’m amused when I have party for an event at one of my shops, and invite my brothers, because they can be very entertaining and pleasant to be around, especially Edward because of his intelligence. Friends always remark on Edward’s interesting conversations.   On the sofa surfing lie again, it would be impossible, because I’m self employed and work from home so require all my space, a one bedroom flat in St Pancras. Edward pops in for lunch when it suits me.   Again, Edward did not get evicted from his high support placement - the two year funding ran out.   Edward has pathetically low levels of drug use because he does it all in one day and then waits for the next big payment again.   I, along with my whole family, think that this is due to a systematic problem, with vulnerable adults being given too much money to manage.   The flat Edward got from Hammersmith did not have electricity because the previous tenant had a large bill, and this problem was not taken care of by any support workers for a year.   Therefore, he was overrun with drug dealers who took over, famously called cookooing, There is more on this on Edwards old blog www.mentallynil.co.uk which was set up for people with similar issues. Edward is the chief executive of Mentally Nil not for profit organisation. This recognises what’s going on in order to address it. Nil refers to money.   The report does not get much better when it says that Edward had a son. He did not.   Edward adopted his three siblings after an assessment by Hammersmith. I would say that the process would not have allowed anyone, other than a very sensible young man, to do so. It was just unfortunate they then did not support him.   Unkempt is a serious lie and another smear.   Involuntary isolation is here admitted to.   Smashed the door using a bed frame needs explaining?   Edward says he has, for weeks, forced himself to stay awake at night because he cannot breathe, and is worried he might die in the night from the coma inducing meds. He may be correct in his survival techniques after 1000mg of sodium valproate.   Background   Edward, its reported, has been in Camden for three years. It says he is ‘well known’ to Camden. This is just not true and a pointless inaccurate observation, or lie.   It says he has a GP. This is yet another lie.   They mention a community consultant Dr Stella King and I can honestly say I have never ever heard of her, nor by Edward. She never sees him.   I think it is worrying how an organised picture full of disorganisation can be purported here.   Yes the people are in place but what services, activities, support, meetings, written communication are they offering?  This is a case of the emperor’s new clothes and can easily be unpicked by an effective lawyer.   I’m afraid to say that the threat of a next relative pointing out these errors has driven Camden to defensive-aggressive action from saying that the next relative is not the next relative to gain time, to having half a dozen communications, exhausting the next relative, as well as changing dates tribunals, and hospital managers’ meetings. This paints a kindergarten attitude towards victory for the service, and those who work for it, instead of putting care of the patient first.   The whole episode is nothing short of scandalous. I have, as chair of a children’s rights organisation, previously closed down a private hospital for irregularities. When it’s a public body, complaining is nothing short of irrelevant and this is more a case of Amnesty International, not the ineffectual, antiquated safeguards in place. These do nothing but allow the Mental Health Act office remain overly employed, fighting on behalf of psychiatrists to abuse patients as a given right.   It raises questions about whether Camden has incentives, with perhaps Nova or other pharmaceutical companies driving these collective abuses?   Someone called Dr Stella King goes on to say she has great knowledge of Edward Moss. She has none. And that Edward has a ‘history’ of disengaging with the (fabricated) services and a non-compliance with taking his medication.   She says that he has voices telling him he is dead. Well, yes sometimes he does; hardly surprising given the level of care.   It claims he ’smashed’ the front door of his hostel - well that is a new one. Ten points for creativity there.   That there is offending and harassing behaviour. That is just not Edward. Rarely, the exception is that if you treat Edward with no dignity or respect, he may respond similarly.   Edward has never been to rehab for his drug use or been offered it. He has never been offered counselling for past traumas.   Stella adds my neighbour downstairs into the equation as if she knows me or my neighbour, which is bizarre.   She reiterates the sofa surfing story which is not true.    She says he rough sleeps, again not true or why, would he escapes, go back to his bed?   She claims he has Focus referral. This is Roman, and as much as he is a nice guy, he never sees Edward or calls him up.   The most he got was some suggestion of a gardening project or higher support. Now it seems they are reneging on that as keeping him in a £1,800 a month placement is all the Camden mental health structure can offer, and drugging him.   It can’t even get the name of his benefits rights and that should be easy enough - sheer laziness underpins the reports.   She mentions courses, what courses?   He was the deputy manager at an Esso garage and adopted and took care of his siblings/ He has post traumatic syndrome and deserves support as an ordinary man who has taken to substance abuse in a climate of service failures, with predatory dealers taking up the slack.   Compliance is not consultation. To accuse someone of such grave terms you must provide comprehensive and substantiated details, not slurs.   The Margarete Centre did not, and said it cannot, help to me on the five occasions when Edward and I visited. However, if you take into considerations the fact that Edward engaged all those times, and give him credit for that, you would be more accurate.   I remember once he took up the meditation class and said he really enjoyed it. There was nothing else to keep him engaged. Certainly not drug use help, or a waiting list for rehab. I don’t even think they have any.   I agree that he does need higher mental health support, but not just to force an agenda as to what meds he has to take.   Under ‘risk’ she says he nearly ran someone over and I really think its slanderous and wonder where this came from?   This has to be corrected, and all these reports redacted, or a new report written to correct these errors, as its dangerously slanderous.   She says he is aggressive which has never been the case in his 50 years.   She says he is strung out without crack and that is true mentally, but he doesn’t behave as a typical strung out person.   She says he has a hoarding issue, but he is very well known to be extremely neat and tidy and dressed well. However, put any of us in a tine cell and perhaps we would appear to be hoarding. Give Edward safety and space and some dignity.   She says he had an accidental overdose but with what? The fact is that this was with prescription medications.   Without knowing me, or ever meeting me, she mentions the next relative in an upsetting and unnecessary way.   Having just spoken to Edward to investigate who this Dr Stella King might be, he thinks it may be a doctor he met for a few minutes at Richmond, that she was in a tribunal that then let him go.   He also still complains he cannot breathe on the lithium and only takes large breaths. He said that the nurse, even before she examines him, says:”Oh that’s much better”. So takes no observations or feedback whatsoever.   And what do you suggest we do about that?   He thinks they will let him go next week before the tribunal so that they can put him back in the cell that’s cost £6,000 in his absence. And that he will be set up to fail with no support or feedback, by asking him to take medication that does not agree with him and then this cycle begins again.   Roman’s report, the social worker   Edward was very specific at the last hospital managers’ meeting when Penny asked about activities - he said there was none on the ward.   He went on to say that he had specifically asked Roman and I know I did too, about the construction centre and counselling.   Penny also asked how much time it would take to get Edward into higher support. I must stress this this had been suggested already many weeks previously. There is still nothing.   How can a service saying they offer services, and punish people for non-compliance with services, which are not readily available or not available at all?   Danger to himself   Unlikely to take medication, yes that is being forced upon him and never has been measured to have any outcomes.   Also there has been criminal activity as there has never been informed consent by him or his next relative.   They say he has been ‘adequately treated for self-neglect’. What does that even mean?   They say again he is a risk to himself from others for aggressive and intrusive behaviour. This is just a copy-cat statement and holds no weight at all because you cannot assess someone in an alien environment, which seeks to ghettoize all sorts of people, and expect them to behave in a normal fashion, as they might in a non-ghettoised environment.   Danger to others   Intrusive and aggressive. Does this perhaps refer to being simply angry at the circumstances he finds himself in?   These ’symptoms’ have not yet showed significant improvement despite ’treatment’ - what does that mean?   They say its ’likely’ to escalate on discharge so that is a guess?   They say he has been ‘well known’ to be aggressive. That’s again another new comment, adding some more lies.   State of his mental health is described as a ‘drug addict’. This is correct and perhaps not even a schizophrenic? How many say they hear voices when it means they can claim more money for drugs? That’s too easy and is being abused.   To stop the addict you need drug services.   Meanwhile, ‘drug addict’ is not a serious mental health diagnoses.   Why is it ’unclear’ if this episode is due to drug use? That’s an admission that you don’t know. When even I know.   He then says Edward has ‘increased phychomotive activity levels’. This has been observed during the period of the pharmaceutical drugs. Since he has not taken street drugs at this time, this suggests that the anti-psychotics are having this affect.   He is not self-neglecting and aggressive and Roman who can claim to know him knows this. This is a notable betrayal because Roman says he really finds Edward to be a vulnerable adult who is gentle and interesting so why this suddenly?   The report describes visual hallucinations, exhibiting paranoid beliefs.   I suggest that if you look at what has happened to him recently, it’s understandable that Edward is experiencing paranoia, given he has been incarcerated and is very upset.   As for hallucinations, well that is the stuff of suggestion and what is a grey blob anyway? It’s very self-indulgent. He may even have cataracts?   I don’t think it’s very clear how to get a second opinion and as history shows these notes can be just made up.   Medical History   ·       2019 pneumonia December: it is not stated, due to the drugs given to him to create the infection, as couldn’t breathe. ·       It also is not stated that an ambulance was called into the hospital at midnight because he could not breathe and was ignored. ·       Back pain is not mentioned. And yet he is in constant agony with this. Hence why he may be taking street drugs to help with pain levels. ·       No teeth - again not mentioned. Also that he has not be supported to go to the community dentist. He can’t digest. ·       He can’t chew. This will naturally, if not treated, shorten his life. ·       No doctor is not mentioned. He always had a doctor in Hammersmith. He would (you can check) get his aripriprozol 15mg from this doctor. ·       He would also be reminded, when it ran out, to make an appointment to get more. ·       If so called paid staff cannot safeguard his physical health, how can the mental health aspects improve. ·       If Edward was more comfortable physically, his mental health could improve. ·       Hole in his heart, leading to seizure. Medications are extremely dangerous for him to take.   Meds on admission to hospital ·       Aripriprosol 15mg ·       Promethazine 25mg (not sure if this is true?)   Current Medications ·       Zuclopenthixol 30 mg ·       Zuclopenthixol decanoate - 300mg weekly ·       Sodium Valproate 1000mg (BD) ·       Clonazepam 1mg (BD) 2mg ON ·       Promethazine 25 (BD) mg -50mg ON   This is an insane amount of medication for someone who is not a danger to himself or others and could kill him.   1993: it suggests Edward tried to end his own life by electrocution. That is nearly 30 years ago and it also is inaccurate when it says that this was after his son died. He had no such son. This is another lie.   2005:  it simply adds in a suicide attempt with no details whatsoever. What is the point of all these lies.   Risk to others   ·       Emotional. Really? ·       Liability? ·       Agitation? The reports are seriously negligent. ·       Aggressive behaviour when unwell. ·       And again, but now with a ‘history’ salt and peppered in by this professional for added creativity, ‘of dangerous driving’ ·       Nearly ran someone over - absolute rubbish.   Risk from others   ·       Victim of exploitation from drug dealers. Yes that is true so he needs help but pharmaceutical drugs won’t make him more assertive or help him have any regard for money. This stems from Hammersmith giving him so much and then he got abused by a woman who wanted this money. ·       Counselling would sort that out. ·       He was slapped by another patient. He did call the police and nothing was done. ·       Family history is scant. This suggests trauma came only from that, and not the care system who allowed him to drink alcohol at aged 12 when he had been a church going alter-boy. ·       Perhaps historical reparation is in need re solicitors. ·       Again, the fabricated son/daughter/child dying story is incorrect. ·       It’s reported he had no footwear – this was that due to taking him from his room on 6 March 2021 without his shoes. ·       Did he not get slippers in the post immediately from family? I think you will find that is the case. However, family support has been greatly absent from these reports, generally. ·       And now we top off what is a damming inaccurate report with ‘sexually inappropriate’ comments to a female member of staff. That takes the biscuit. ·       They admitted at the last tribunal this was ‘overstated’ - the actual words of Dr Neil Stewart. ·       They then say he fell off a chair. This is because Edward was ‘over-sedated’. He said he could not walk and his eyes were closed. ·       Taken to room in hold by staff in that state is assault and cleverly put as a simpleaction, like let’s admit it now. rather than be accused of it by way of a complaint to the CQC which they know is happening. ·       How on earth do you ‘over-sedate’ in a hospital? ·       He is not an ‘insomniac’ he is scared he cannot breath and will die. He has repeatedly told us and the tribunals who patronise him. They cut him off when they ask him something and they don’t allow for him to answer. He has capacity. ·       17/4/21: Vile of blood has been underplayed and not explained here. Edward said he was knocked out for days and then found he was bleeding from his bottom in quantities equal to a vile of blood. He questioned this but was just given cream. ·       19/4/21: Infection - white blood cells. Again, this is said so casually. When precisely what Edward had been saying is that he could not breathe and this evidence backs his claims. Nothing again has been done about it.   So this is a first and very saddening to read. Never mind the fact that they did not tell him. Even he did not even know that they were giving him antibiotics to treat it. He has yet another ‘lower respiratory infection caused by admission to the hospital.   I apologies that these notes were written on the day of the hospital managers’ meeting, after I was given the reports only a few hours before the meeting. I had waited three weeks to have this meeting.   When I then asked to respond to these shocking inaccuracies and enquiries, I was told that I was ‘disrupting’ the meeting and was not allowed to speak.   I have made these notes contemporaneously, upon reading the reports. I do this as a sister who also has to work, in addition to safeguarding her brother from Camden. I have been doing so since 2019 when all this began. I don’t have that much time. Currently, this seems to be a a full time job which no one should be forced to. This takes up several months of time every year since. Please sort this whole mess out once and for all. On Fri, Jun 4, 2021 at 8:57 AM Mary Moss wrote: Dr Sucheta Tiwari You say in the report that he has prescribed “anti-phychotic’ medication, but as the next relative I don’t know what that medication is. I have asked for this to safeguard my brother but was given only one weeks worth of information and the rest is missing. My brother is not an unkempt person, he was arrested at his hostel in the night when he was in bed. His clothes were kept from him for months, whilst also being highly sedated. Edward is not aggressive and threatening as a person who knows him. He was responding to be illegally detained. The fridge was not working and started to smell so Edward put it outside his room. He had complained that the bed frame in his room, which is the size of a cell and ten times smaller than his last accommodation, was dangerous and broken. So he took it down the stairs in the bits so he could be more comfortable on the mattress on the floor. The window’s of the cell like accommodation that cost £1,800 a month that he has been in for nearly two years, do NOT OPEN. It is total fabrication therefore that Edward threw a broken TV he had found earlier in the day on the street, out the window of his room, as that would be impossible. The very premise of his incarceration was fabricated and over zealous. The next relative was not informed he was even in A&E until a full 12 hours later by the hostel. The aggressive and threatening behaviour came from the hostel, the police, A&E and then Highgate mental hospital and the doctor. The fabrication continues and paints a different picture to what is true of Mr Edward Moss in it’s entirety and Edward has said he would want to sue the NHS at the hospital managers meeting, that took place, where Edward said he ‘no support required’ and ‘this is a fas’. Edward does not in his opinion have anything more than post traumatic stress disorder and wants independent assessments regarding the diagnoses of schizophrenia. He had a dramatic and dramatic upbringing and was further let down by social services, when they asked him to adopt three siblings. He had a breakdown. He has been treating his own depression with drugs and alcohol all his life and has never had CBT or rapid eye movement therapy or any kind of acknowledgment as to the heroic role he played in looking after his siblings. The part about him sleeping in toilets is the stuff of fantasy designed to paint a picture of someone entirely different. Olanzaphine - 20mg - Large dose very quickly administered with no gradual introduction, so very experimental/dangerous and sedating. Valproate 800mg - This dose although told it was higher at 1000mg when you google this it says; Valproate (VPA) primarily used to treat epilepsy and bipolar disorder and prevent migraine headaches. They are useful for the prevention of seizures in those with absence seizures, partial seizures, and generalized seizures. It also says; its toxicity at that dose is the level of COMA and that is what Mr Moss said he had experienced. Common side effects * stomach pain, feeling or being sick (nausea or vomiting) * diarrhoea. * dry or sore mouth, or swollen gums. * shakes (tremors) in a part of your body, or unusual eye movements. * feeling tired or sleepy. * headache. * weight gain. * thinning hair, or changes to the colour or texture of your hair. Coupled with the last time Camden attempted to drug him up against his will and mine, the right to refuse medication was never given to him or me nor was any informed consent. They took Edwards autonomy and informed consent was never asked for. They already had him as a prisoner so why abuse his body without his consent to add insult to injury. Dr Sucheta Tiwari says in the report that there was a bike stolen but there was not the actual charges that were brought against Edward after a Russian dealer from Hammersmith asked him to drive a car for him, very much out of the blue and Edward as a vulnerable adult felt he had to, even though it as he suspected it would, got him into trouble were; Charge and Prosecution Case You have been charged with: 1.Taking a motor vehicle Vauxhall Corsa without the owner’s consent on 12 November 2019 2.Using a motor vehicle Vauxhall Corsa on 12 November 2019 in Hammersmith without third party insurance; 3.Driving a motor vehicle Vauxhall Corsa without a licence on 12 November 2019 4.Failing to stop a mechanically propelled vehicle when required by constable/traffic warden on 12 November 2019 in relation to the same Vauxhall Corsa. Edward pleaded guilty to the 3rd charge only and he told the court that he had driven the car to the Hammersmith mental health centre and parked it in the car park there. He then proceeded to the door of the centre and CCTV will have captured the moment when he was then pounced on by a large number of police officers and his wrist was damaged when they sat on him and used excessive force, whilst handcuffing him. They remained on him and eventually put him into a police van. He then found himself in a set of mysterious circumstances. Firstly he was taken out of London and placed into private a phychaitric hospital. When he came around after being sedated for days, he contacted his next relative and was then again bundled into a vehicle and taken to yet another private hospital and sedated. He only then upon enquiry from the next relative was placed in Highgate where he was further sedated against his will. Very disturbingly he was at one point driven into central London and he said he had no idea why except that the day before there was a terror attack. Gary Monk of Hodge Jones and Allen can explain all the rest of his extremely minor and ridiculous charges as he has a lot of time for Edward. This is not conspiratorial but the constant locking up of Edward since, shows a targeting of him. The extremely deliberate way the facts in these reports have been fabricated, the lack of one person whom the family and Edward should deal with is also worrying, and the way the next relatives role has been played with and then how she was treated by all the official bodies was designed to thwart any attempt by her to free her brother and safeguard him. The reports are slanderous. This vulnerable person is being bullied by a system ,with a failure to safeguard him or indeed provide any type of healing whatsoever. The staff have bullied him and he has also been assaulted. There was no eviction in the last placement, again slander, and misrepresentation, it was a two year placement that overran and the funding ran out. The fact that then he was homeless was ironic of an organisation helping the homeless. I went to see the director in a meeting at the pub to discuss his placement and funding was a concern. Edward never spent even one night on the street and this report again fabricates that as a fact, again to distort the picture. It is simply not true. It is also not true that he sofa surfed at his sister. It is not true that his sisters neighbour ‘lives with her’ when she lives in the building, what is the point in ridiculous inaccuracies, even absolute lies? In 2017 the report says he was given oral aripriprozol and that was because he found olanzapine too sedating. The report says that 13/11/19 Edward was section 3’ed but he was not, that was a section two and then a section 3. The whole who is the next relative game was played then and complaints were made to the CQC on that at the time. Eventually the ‘next relative’ did manage to discharge him and the only reason we did not as a family sue then was that we got him out and then it was so much work and we were just happy he was alive after two A&E visits where he was drugged up so badly (as is now and he got pneumonia again) that he contracted pneumonia and could hardly breathe. The report mentions the Cygnet Hospital in Colchester, that bizarre episode and then says he was transferred to Dunkley ward but that’s not true either. These are basics being made up. It says he was then transferred to Kingston ward, tat again is bizarre like a play in the wording so it makes no sense as to the reality of events set in place by the Metropolitan police, who did not even get two doctors before executing the events that keep placing him back to Highgate and Dr Neil Stewart. Kingston ward is not a ‘ward’ The hospital was the priory and it was in Roehampton and there has never been an explanation of it and now it’s being confused deliberately. It mentions Huntercombe hospital, I am not sure how that all fits in? It then fakes it’s own narrative as if no one will question it so it won’t matter and will be put on file inaccurately. The care was stopped, again not true, Edward said he did not see any police trying to ‘stop’ him at the lights before he drove into the hospital to let the mental health team know what the drug dealer had asked him to do and he had a feeling he said repeatedly he was being set up and wanted to give the car back. What is so upsetting as a civil man Edward is that anyone would suggest never mind allege in writing as a fact that, he spat at someone and when he was restrained he ‘ripped’ someones trousers. Well that is lies as he would of been charged with that and he just was not. The staff now add to the narrative and say he is aggressive and that he took other belonging and took a swipe card. Edward walked into an unlocked office where the safe was open so he took the money and with a door also left wide open walked out of the ward. So why would that lapse in security happen? Again setting him up I suggest. I also find it incredible that he was able to walk out recently but he was on a section 2 and then when he simply went home, the took him back but were able to do a section 3 then and drug him more for longer and they did, into a coma. Edward was not just ‘discharged’ on the 8/1/20 I as the next relative fought to realise him and finally did, unlike this time, when there is a concerted effort to now remove me as the next relative, so that they can do what they like to him.But you ask yourself if he has been lab drug free and he is 50 years old, why now? Camden? The report says he damaged a windowing the lounge, yes it was the pole of the window that opens it and he was trying to get out, so had a go at the electric/mecanics as that is how much this grown up sensible man does not want tone locked up. The reports adds he was SUCCESSFULLY treated with Zuclopenthixol, so what is the definition of successful and how are these outcomes managed and measured? What services did you then offer him or is drugs all you do? Perhaps you ought to look at the crime and sentencing bill and have people who are called dual diagnosis as a special category as neither there offences are too big, being they are an end user to be jailed nor are they medically a danger to themselves or others to be micromanaged by a unconsenting psychiatric hospital because that is torcher to most. And you can justify with lies keeping him but how does that help society or him in the long run? The DWP if they arena benefits for example could sanction them line with the magistrates courts, that would stop them. The DWP also could budget for them as no drug dealers worth their salt will hand around a mentally ill adult for days in a route get £30 or less. No, the drug dealers get them on their pay day and that is Government sanctioned abuse but giving them large amounts of cash to be worth being abused for. You are very mucho the wrong track helping Edward at all at 50 yrs old. As it was he was depo’ed pinned to the ground and forcefully injected. He took nothing after he left so you call it a success? The report mentions 1/7/20 - 15/7/20 that he was placed in St Pancras again in not only a pandemic and just to say that was awful as it was his 50th Birthday and we as a family brought him pink champagne and journeyed from all part of the country to see him. It was an equally willy nilly incarceration by St Mungo’s again who seem to think if someone behaves in a certain by they just call the police or have them turn up to people’s bedrooms in their accommodation, so that needs rethinking. The incarcerations seem to have been throughout the pandemic and have meant that relatives have all been put in unsafe situations upon visiting and we have all plenty evidence of non-mask wearing staff and patients and in this particular incarceration not so much alone single jab of the vaccine has been offered to him. My brother has had no top teeth now for about twenty years. He suffered with a hernia due to it and has terrible digestive problems. That is the reason he hardly eats as it hurts his gums. He had a dentist and a doctor at Hammersmith but also lost all those things in the move Camden. He was signed up to my own practice when he was made homeless (not sleeping rough or at mine as you put it ‘sofa surfing’ no he slept in accommodation his brother provided,John-Paul as his hostel in Hampstead road. He had all his stuff there and they lived together whilst I went to seethe housing officer at the pathways team, Elsbeth Malone regularly with Edward, until she finally placed him and it was a rigmarole in terms of that he did not reside in Camden, as well as he had 5 very large 8 wheeled suitcases and a TV/DVD/Video unit stored in my living room until she did get him housed but we did it and came up with the current placement as an emergency placement. After two years you would think the pathways team could provide better than a single cell as a £1,800 a week placement, currently lying empty whilst he occupies a bed he doesn’t want to be in. As for the word ‘defecated’ in a sink. Well Edward as I said has no teeth and he had also been very unwell in his stomach. He shares his corridor with every homeless person who comes into the central London accommodation and that includes the two toilets and one shower. They have a sink in the rooms but unlike most people especially in a pandemic they don’t have their own toilet. So hence when being caught short and with the bathroom full he had to use the sink and then he ran all over asking anyone did they have bleach and we all got calls and the mains thing was that he had that terrible stomach problem and not what ‘accident’ happened to him, bless him and effectively he was then punished for it, which is a disgrace and I ask you again what services did you provide for him. I asked could he have better accommodation but that fell on deaf ears with people throwing hands in the air like dead beat unless systems. They then say, he was given ‘risperidone’ and he very quickly recovered. Did they also say how many times he ‘deficated’ in the ward due to his extreme stomach condition and him being very ill. No, and what services did you take the opportunity to offer him when you had him. And did you mention he liked that hospital and asked to go back in voluntary after as he wanted some services and some support? No, what happened was I had to attend in a pandemic the ward round meetings. Dr Gin a very intelligent man said ‘he was neither a danger to himself or others’ and I walked out with him. 3/8/2020 to the 12/8/2020 is just not true there was no admission to either Sapphire or Amber wards as stated. Nor was he arrested by the police for breaking into a car. You must be confused by his now very highlighted drug taking low level criminal behaviour that was taking place and the fact he was being regularly picked up by the Met police. The incident did happen but I think you’ll find it was a police cell below the magistrates they put him in. Not only that but   again that was in a pandemic and those cells were known by the lawyers to be full of covid. Still he couldn’t move for being picked up at that time. What services did the hostels provide for the addicts? Nothing at all. I know because I took him to the services and they said they could not help, because he did not use that much drugs and it was not heroine it was cocaine in the form of crack which is put in a pipe and smoked, giving him a very short-lived high like nothing else. As for the car that was his friend Yanush’s Dad’s car and they had often satin it to do drugs together. As for him stealing items from patients, yes I wouldn’t have anything valuable in my house near him as he’s a crack addict and thief these days and since his friend Amanda died that got much worse. He never used to be like that but he is now. So it’s a drug problem and what services are you offering? Injecting him with your own drugs is a ridiculous way to treat him, even if you do fatten him up and slow him down, he will not be ruled by your incarnation he will immediately take crack as they all do. All the dual diagnoses patients and then what, how does that interact, well death actually sometimes. I wasted by David Barry a lay person at the hospital managers meeting that even I ‘behaved’ badly in a hospital managers meeting.I have never been so condescended to in alley life by a controlling, interrupting, micro-managing manipulative chair, how dare he accuse me of ‘misbehaving ’when all I said was, quote, ‘err, well, err, well err, well err, well errrrr, I would actually like Dr Stewart to answer me please and not be over chaired’ and that was just to stop him interrupting any answer to my question to Dr Neil Stewart, he let everyone one else speak in interrupted, so he was protecting him, as a lay person how ridiculous. He was clearly on side. Making Edward wait for more months until the next opportunity to get out legally. Meanwhile what have you done for him, what services have you provided, none, again, none. What about his health care? What about the fact he can’t breathe properly? Second Report By Victoria Irvine ? This person say’s he took Ketamin - No not true a complete fabrication he is a a crack/cocaine users, not even alcohol. He is disengaging, with what is he? What services is he disengaging with? She says he has a GP well that is completely wrong as he does not have one since he lefty GP which was temporary, whilst his luggage was at mine. He efforts have been made by the hostel or any social worker to assist his to get a GP. Lithium is mentioned here and again he said he did not want it and refused to take it a few times and then was bribed using his small amounts half an hour twice a day now, leave so this is a man being bribed to take a drug he doesn’t want. He has given his patient outcome and this has been ignored. The 1990’s are mentioned asEdward taking Heroine and Crack and I strictly says it is the truth that Edward was then in the 1990’s not on crack, as that’d nearly never been heard of, nor heroine yet, he was in the 90’s on alcohol and speed. This person says he was a risk to himself as he was intrusive with others and I say he was in a place where he wanted to have speak back to others who were engaging with him. My brother Patrick said some conversations were shocking. So that I’m afraid is the variable, he cannot be judged to be intrusive when he is in an alien environment to his normal one. Adding to that she says he was assaulted. That will be because he would not be bullied and so they resorted to violence as they could not argue with a man who can talk the talk better than they can. This actually means he was in ‘danger’. Then comes another list of inaccuracies or fabrications; Nov 2019 Driving erratically nearly ran someone over - Never ever haveI heard of this dangerous fabrication. He was asked by a Russian drug dealer very out of the blue to drive a car. As a vulnerable adult and given the fact that he was holding Edward’s crack at the time and so the addict in Edward agreed to do as he was asked do. When he got what he wanted ie his drugs he then seeing the escalation of the set up, dropped the care in the mental health car park. He was followed to the door of the mental health team where he went to to seek advice and to report events to them of the hot water he found himself in and today where the car was. He at court pleaded guilty to driving without insurance. He holds his hands up to that. The events that took place starting from the fact several of them stopped his attempt to do the right thing and see his social worker to get help as he was scared, beggars belief. This was a criminal matter, he paid the price in court and has already been punished by the law. Accountalbilty was never sought for what then seems to be a serious mental health intervention. The punishments in mental health have been seen since as if they are a cure or as if the lab drugs will stop the illegal drugs, so where does this cycle end or are you all saying that you are happy to punishably law and then punish by way of double jeopardy it’s ridiculous he paid the price and he learned his lesson.How come you even get to mention these misdemenors as mental health conditions and if you purport they are then what is that condition called,I suggest a mentally ill vulnerable adult within support services. It says in May he harassed someone, again not true he was caught in toilet above a shopping mall when needing the loo, it was a ridiculous charge. Going equipped to steal was also the same police officers who had targeted Edward and in court the solicitor got to question the police as to the distance whilst they were driving that they claimed to have seen Edward interfering with a bicycle. He had just dropped off a newspaper to his father and had also helped his father fixing a bike hence equipped. Once he got arrested for handing a travel card he found. Once he got arrested for speaking to police woman and whilst he talked to her about the travel card he saw a piece of cosmetic jewellery on the ground and picked it up and gave it to her and she had him in court for ‘theft by finding’. So many of these very stressful charges were at theist minute dropped by the police and since they could not ‘fit him up’ so to speak this is what they started todo to him with much more ease and has the same time consuming effect/stress. He had no leave when he was first admitted and he questioned but it was never answered as to how the section certificates were illegally obtained. For example no signatures of two independent doctors. No list of meds were given to him either and he was deprived not only section 17 leave but any form of vapes as a smoker. So twice daily is a lie. Edward has never sofa surfed at my house, this is very inaccurate. He and John Paul come to my house often to eat, and that is mainly but not always on Sunday for a roast and on every single holiday as well as when family visit. Both the boys have exemplary manners and are fond of seeing all the family and friends special occasions. This has taken place for years. And in fact I always think it’s funny when I have party for an event at one of my shops and invite them as they can be very entertaining and pleasant to be around, especially Edward with his intelligence friends always remark on Edwards conversations. Also just on the sofa surfing lie again it would be impossible as I’m self employed and work from home so require all my space, one bedroom flat in St Pancras. Edward pops in for lunch when it suits me. Again Edward did not get evicted from his high support placement the two year funding ran out. Edward has pathetically low levels drug use as he does it all in one day and then waits for the next big payment and again I and my whole family think that is a systematic problem with vulnerable adults being given too much to manage. The flat Edward got fromHammersmith never had any electricity’s the previous owner had a large bill and this was not taken care of by any support workers for a year. Therefore he was overrun with drug dealers who took over, famously called coo-cooing as seen onEdwards old blog www.mentallynil.co.uk which was set up for people with similar issues. Edward is the CEO of Mentally Nil and that is a recognition of what’s going on in order to address it. Nil refers to money. The report does not get much better than to actually as a fact say that Edward ever had a son. He did not. Edward adopted his three siblings after an assessment by Hammersmith and I would rarely say that process would have allowed anyone other than a very sensible young man to do do so. It was just unfortunate they then did not support him. Unkempt is a seriously lie and another smear. Involuntary isolation is here admitted to. Smashed the door using a bed frame needs explaining? Edward says he has been for weeks forced to stay awake at night since he cannot breathe and is worried he might die in the night from the coma inducing meds. He may be correct in his survival techniques after 1000mg of sodium valproate. Background. Edward it states has been in Camden for 3 years. It says he is ‘well known’ to Camden but that also apart from to a small selection of people is just not true and a pointless inaccurate observation or a factual lie. It then says he has a GP, yet another lie. They mention a community consultant Dr Stella King and I can honestly say I have never ever heard of her and nor him. So she never see’s him. I think it is worrying how an organised picture full of disorganisation can be perported here. Yes the peopler perhaps in place but what services, activities, support, meetings, written communication are they offering? This is a case of the emperors new clothes and can easily be undone by a good effective lawyer. But I’m afraid to say that even the meat threat of a’nest relative’ pointing out these errors has driven Camden to defensive aggressive action to not only saying that the next relative is not the next relative to gain time, to having half a dozen communication exhausting the next relative and to the changing dates tribunals and hospital managers meetings paints a kindergarten attitude of victory for the service and all who work for her, instead of care. The whole episode is nothing short of scandalous. I have in my activist disclosed down a private hospital for similar irregularity but when it’s a public body even complaining is nothing short irrelevant hard work just to give someone back their basic human rights and is more a case for Amnesty International, not the unless antiquated safeguards inlace that do nothing but allow the mental health act office who are overly employed, a job fighting for psychiatrists to abuse patients as a given right. It questions whether Camden has parasitical incentives with perhaps Nova or others driving these collective abuses? Someone called Dr StellaKing goes on to says if she has great knowledge of EdwardMoss for which she has none, that he has a ‘history’ of disengaging with the (fabricated) services and a non-compliance with taking his medication. She says that he has voices telling him he is dead, well, yes sometimes he does, hardly surprising givens level of care. That he ’smashed’ the front door of his hostel, well that is a new one, 10 points for creativity there. That is offending and harassing, well that is just not him unless you treat him with no dignity thence will respond back. Edward has never been to rehab for his drug use or offered it. He has never been offered counselling for past traumas. Stella adds my neighbour downstairs into the equation as if she knows me or my neighbour, which is bizarre. She re-iterates the sofa surfing story which is not true and sounding like the police who simply put notebooks together and say the same things that there iOS many of them adding the core but then there own piece of fiction to sound a bit different, it’s worse than social workers. I get the feeling this is a regular approach by public body and could be torn apart if challenged and is systematic abuse that is unchecked and unregulated and could lead to deaths of the vulnerable and probably has. She says he rough sleeps, again not true or why would he always when he escapes go back to his bed? She claims he has Focus referral but that is just Roman and as much as he is a nice guy never see’s or calls him up. The most he got was some suggestion of a gardening project or higher support and now it seems they are reneging on that as keeping him in a £1,800 a month placement is all the Camden mental health structure can offer, drugging him. They can’t even get the name of his benefits rights and that should be easy enough but sheer laziness makes reports. She mentions courses, what courses? He was the deputy manager at an Esso garage and adopted his siblings and has PTSD and deserves support as an ordinary man who has taken to substance abuse in a climate of non-services with predatory dealers taking the slack. Compliance is not consultation. To accuse someone of such grave terms you must given more details not slurs. The crown in the crown Margaret centre did not and cannot help and have said so with me there five times when we visited. However you take the fact that he engaged all those times and give him credit for that you’d be more accurate. I remember once he took up the meditation class and said he really enjoyed it. There was nothing else keep him engaged. Certainly not drug use help or a waiting list for rehab I don’t even think they have any. I agree that he does need higher mental health support but not just to force an agenda as to what meds he has to take. Under risk she says he nearly ran someone over andI really think its slanderous and wonder where this came from? This has to be corrected and all these reports of it redacted or a new report written as its dangerously slanderous. She says he is aggressive which has never over 50 years been the case except on. occasions you take him. She says he is strung out without crack and that is true mentally but he doesn’t behave as a classic strung out person. She says he has a hoarding issue, but he is very well known to be extremely neat and tidy and dressed well, however put you and your stuffing cell and yeah you’ll be seem as a hoarder as well.So give him safety and space and some dignity. She says he had an accidental overdose but with what? You know what that was with, lab drugs and that’s a fact. She without knowing me or ever meeting me mentions the next relative in an upsetting and unnecessary way. Having just spoken to Edward to investigate who this Dr Stella King might be he thinks it may be a Doctor hemet for a few minutes at Richmond and that she was then in a tribunal that then let him go. He also still complains he cannot breathe on the lithium and only takes large breathes and said that the nurse even before she examines him says ‘oh that’s much better’ so takes no feedback whatsoever. And what do you suggest we do about that? He also said and I quote, ‘you’re waiting from to break the law, so you can quote a law’, and how he thinks they will let him go next week before the tribunal so that they can put him back in the cell that’s had £6,000 in his absence, and set up to fail with no support or feedback, by asking him to take medication, that does not agree with him and then this cycle begins again. Roman’s report the social worker Edward was very specific at the last hospital managers meeting when Penny asked about activities and he said there was none on the ward. He went on to say that he had specifically asked Roman and I know I did too, about the construction centre and counselling. Penny also asked how much time it would take to get Edward into higher support even though must stress this had already been weeks before suggested, he said a few weeks but still there is nothing. How can a service saying they offer services, punish people for non compliance of services which are not readily available or not available at all. Danger to himself Unlikely to take medication, yes that is being forced upon him and never has been measured to have any outcomes. Also there has been criminal activity as there has never been informed consent by him or his next relative. They say he has been ‘adequately treated for self-neglect’ what does that even mean? They say again is a risk to himself from others for aggressive and intrusive behaviour this is just a copy cat statement and holds no weight at all as you cannot assess someone in an alien environment which seeks to ghettoize all sorts of people and expect them to behave in a normal fashion as they would in a non-ghettoised environment and that is what the arguments have been for care in the community for years. The hostels are ghetto’s and only operating on extortionate amounts of housing benefits and large service charges from the inmates, in a circle of years of abuse. Danger to others Intrusive and aggressive (not just simply angry then?) These ’symptoms’ have not yet showed significant improvement despite ’treatment’ so what does that mean? They say its ’likely’ to escalate on discharge so that is a guess? They say he has been ‘well known’ to be psychically aggressive, that’s again another new one adding some more lies. State of his mental health is described as a ‘drug addict’ correct and perhaps not even a schizophrenic? I mean how many there saying they hear voices when it means more money for drugs, that’s too easy and is being abused. I’m not suggesting that the two don’t in a way naturally go together but then to stop the addict you need drug services. Meanwhile ‘drug addict’ is not a serious mental health diagnoses. Why is it ’unclear’ if this episode is due to drug use? That’s an admission that you don’t know when even I know? He then says Edward has ‘increased phychomotive activity levels’ but that can be seen from lab drugs and since he would not of been able to take street drugs at that time suggests that the ‘anti-pychoctic’s are having that affect. He is not self neglecting and aggressive and Roman who can claim to know him knows this so that is real notebook betrayal as Roman says he really finds Edward a vulnerable adult who is gentle and interesting so why this suddenly? There is certainly an agenda when all now are uniformly saying the same story that is a fabrication. Recently described visual hallucinations, exhibiting paranoid beliefs. I suggest if you look at what has happened to him he could not be accurately lately anyway be accessed of paranoia, when he has been incarcerated unlawfully by the Met police since they could not adequately set him up to go to prison and any ‘paranoia’ beliefs is because he’s upset. As for hallucinations well that is the stuff of suggestion and what is a grey blob anyway? It’s very self-indulgent. He may even have cataracts? I don’t think it’s very clear how to get a second opinion and as history shows stuff can be just made up. Medical History 2019 pneumonia Dec but not stated due to the drugs given to him to create the infection as couldn’t breathe. It also is not stated that an ambulance was called into the hospital at midnight as he said he couldn’t breathe and was ignored. Back pain not mentioned and yet he is in constant agony with that hence why he may be taking street drugs too and it does help with pain levels. No teeth again not mentioned and also that he has not be supported to go to the community dentist. He can’t digest. He can’t chew. This will naturally if not treated shorten his life. No doctor not mentioned. He always had a doctor in Hammersmith and would and you can check get his aripriprozol 15mg from him. He would also be reminded when it ran out to make an appointment to get more so if so called paid staff cannot safeguard his psycial health how can the mental health side improve just by being more comfortable. Hole in his heart making seizure medications extremely dangerous for him to take. Meds on admission to hospital Aripriprosol 15mg Promethazine 25mg (not sure if this is true?) Current Medications Zuclopenthixol 30 mg Zuclopenthixol decanoate - 300mg weekly Sodium Valproate 1000mg (BD) Clonazepam 1mg (BD) 2mg ON Promethazine 25 (BD) mg -50mg ON This is an insane amount of medication for someone who is not a danger to himself or others and could kill him 1993 it suggests Edward tried to end his own life by electrcution so that is nearly 30 years ago and it also lies and says that was after his son died yet he had no such son so another lie. 2005 it simply adds in a sucide attempt with no details what so ever I mean what is the point of all these lies. Risk to others Emotional. Really? Liability? Agitation? The reports are seriously negligent. Aggressive behaviour when unwell. And again but now with a ‘history’ salt and peppered in by this professional for added creativity, ‘of dangerous driving’ Nearly ran someone over absolute rubbish. Risk from others Victim of explotation from drug dealers, yes that is true so he needs help but lab drugs won’t make him more assertive or help him have any regard for money as he does not have any and that stems from Hammersmith giving him so much and then he got abused by a woman as a result of the money. So you know a bit of counselling would sort that out. He was slapped by another patient. He did call the police and nothing was done. Family history is scant, assuming tramatisation came only from that and not the care system who allowed him to drink alcohol at aged 12 when he had been a church going alter boy. Perhaps historical reparation is in need re solicitors. Again the fabricated son/daughter/child/rubbish dying story. No footwear was that due to taking him  from his room on the 6th March 2021? Did he not get slippers in the post immediately from family? I think you will find that is the case. However family support has been greatly missed out. And now we top off what is a damming inaccurate report with ‘sexually inappropriate’ comments to a female member of staff. That takes the biscuit. They admitted at the last tribunal he was ‘overstated’ the actual words of the Dr Neil Stewart. They then say he fell off a chair, yes he was ‘oversedated’. He even said he could not walk and his eyes were closed. Taken to room in hold by staff in that state is assault and cleverly put as a simply action, like let’s admit it now.rather than be accused of it by way of a complaint to the CQC which they know is happening. How on earth do you ‘over-sedate’ in a hospital? He is not an ‘insomniac’ he is scared he cannot breath and will die, he has repeatedly told us and the tribunals who patronise him and cut him off when they ask him something and they don’t allow for him to answer. He has capacity. 17/4/21 - Vile of blood has been underplayed and not explained here. Edward said he was knocked out for days and then found he was bleeding from his bottom to the level size of a vile of blood, he questioned this but was just given cream. 19/4/21 Infection white blood cells again said so casually when that is precisely what Edward had been saying that he could not breathe and this evidence backs his claims. Nothing again has been done about it. So this is a first and very saddening to read never mind the fact that they did not tell him even and he did not even know that they were giving him antibiotics to treat it, he has yet another ‘lower respiratory infection’s a hospital that caused it. I apologies that these notes were written on the day of the hospital managers meeting when I was given the reports only a few hours before the meeting to which I had waited 3 weeks to have and when I then asked to respond to these shocking inaccuracies and enquiries I was told that I was ‘disrupting’ the meeting and was disallowed to speak. I am not going to correct the notes as I made them contemporaneously upon reading the reports and I don’t as just a sister who has to work as well as safeguarding her brother from Camden since 2019 when all this began have that much time, as this seems to be a bit of a full time job of which no human being without time payments should be forced to do on now what seems to be a few months of my time every year since. Please sort this whole mess out once and for all. Tue 19/10/2021 11:49 NN/YP Youth Parliament Tanveer Hussain Dear Tanveer, Thank you for the email, that is reassuring. Have a pleasant afternoon. Mary Moss Next of Kin & Nearest Relative. Fri 15/10/2021 12:19 Tanveer Hussain You Good Afternoon Mary, Thank you for sending in the additional information. I now have everything I need and will pass this case to allocated to a caseworker. Thanks Tan Tanveer Hussain Intake Caseworker Parliamentary and Health Service Ombudsman T: 0345 015 4033 E: phso.enquiries@ombudsman.org.uk W: www.ombudsman.org.uk Fri 08/10/2021 Tamale, Anne Our ref:CO/21/Q2/06 Final response re: ‘Basic Inaccuracies in Final Response’ highlighted by complainant. 1. I called Heston Hasset. It was my understanding that Heston Hassett had called Ms Moss. I won’t be able to confirm this until Heston’s return from leave on 20/09. I am not sure it changes much to our response to be honest but maybe we could rephrase it as follows: Mr Hassett also spoke to you on the day of the hearing. 2. I was not advised about the information Governance and they have not contacted me. However, I contacted them this morning 8th Sept 2021 to find out the procedure. Please find attached an email sent to you by the Trust’s Information Governance department on 12th August 2021, with the relevant information attached, informing you of the procedure. 3. I was not given the opportunity to discuss inaccuracies in the reports, sent to me with inadequate notice, I was told by the chair that the meeting was not the place.Ms Merlande highlighted that their service has evidence that reports were emailed to Ms Moss on 29/04/21 i.e. with adequate notice. When Ms Moss notified the Trust that she had not received the reports, Mr Hassett spoke to her and asked her whether she wished the AHM review to be postponed to give her more time to prepare. She declined the offer and the review therefore went ahead as planned. Ms Moss was in attendance at the review and was given the opportunity to express her views and opinions on the statutory criteria. It is correct that she was not given the opportunity to discuss all inaccuracies in the reports as the AHM review is not the forum for this: AHMs only gather evidence which is relevant to the criteria they must consider under the MHA. Any inaccuracy which is not relevant to the discussion of the statutory criteria must be raised with Information Governance department, in line with the Trust policy. 4. ‘It is highly unusual for AHMs to make such a decision and it was not made lightly’ is not an answer to my question, leaving the matter of ‘disruption’ unaddressed.This matter is addressed extensively in the AHMs’ decision record dated 10/05/21, which has already been sent to Ms Moss. Please advise as to whether it needs to be sent again. In essence the records state that After behaving in a way sufficiently disruptive to prevent the hearing from proceeding and failing to respond to caution, and indeed being called to order with great difficulty, [Ms Moss] had to be informed she could continue to attend the hearing only if she remained as an observer. This action was taken with regret but the hearing could not otherwise have continued. 5. The Tribunal was going ahead and was informed the section had ‘suddenly’ been lifted, it doesn’t address why I or Edward were not ‘informed’ at equally short notice. As advised previously, the Tribunals Service is responsible for notifying parties of cancellations and when they make any cancellations, they would normally inform the patient’s legal representative. We are therefore unable to comment on whether or not the tribunals service informed the legal representative in this instance and if they did, whether the legal representative informed Edward. If this did not take place then you will need to contact the Tribunals Service in order for them to address this issue. Contact details for the Mental Health Tribunal can be found on this link https://www.gov.uk/government/organisations/hm-courts-and-tribunals-service/about/complaints-procedure 6. Name the ‘legal authority’ once you had lifted the section at short notice? So called paperwork’ does not require detention, we took legal advice on this at the time.Again, Ms Merlande could not locate evidence that Mr Moss was ever unlawfully detained. Our records show that he left the ward on 09/06/2021 following the rescinding of his section on 08/06/2021. 7. Since Edward does not have a pre-existing regime, “his pre-existing regular treatment regime” does not make sense. What were the ’steps’ to consult you mention? When using the phrase ‘pre-existing regular treatment’ Ms Garrett (Coral ward manager) was referring to the established medication Edward was prescribed prior to his relapse and admission in March 2021. Edward’s pre-existing regular treatment was 15mg Aripiprazole as this is the medication he was discharged on from his previous admission on the 12th August 2020 and had been advised to continue taking. While on Coral ward the consultant continued to prescribe this medication for some time as Edward was familiar with it. The steps taking to ensure Edward was aware of his treatment and this was discussed with him were as follows. Edward was invited to his weekly ward round meeting with the consultant and medical team. Ms Garrett has verified through the notes and can confirm that this did occur. Additionally, Edward had the opportunity to discuss any concerns / issues daily with his allocated nurse. Ms Garrett reviewed the patient records and can identify that Edward was offered daily one to one’s with an allocated staff member on the ward. 8. Patients in a hospital setting are more vulnerable than any other group, yet you admit here he was not offered the vaccine for the three full months he was detained. The ward manager revisited this issue and reviewed Mr Moss’s records and confirms that he did not receive a covid vaccination while an inpatient on Coral or Jade ward. He also did not have covid vaccination while in the community, post discharge from the ward. The Jade ward manager also highlighted that she recalls that Mr Moss was asked if he would like to receive a covid vaccination when he was first transferred to Jade ward from Coral ward (PICU), but he declined the offer at the time. Unfortunately, this was not documented in his records. The ward manager also confirmed that the Vaccination Hub in the Trust was set up on 4th February 2021 and patients at Highgate Mental Health Centre were receiving covid vaccinations since then. We would therefore want to apologise for the information provided in the initial response which highlighted that vaccination at Highgate Mental Health Centre wards did not start until 18th June, as this information was inaccurate. We would like to apologise for this misinformation, which was provided by a Jade ward staff member, as the ward manager was not available during this period. 9. My complaint was that the MHA was abused this does not explain the extraneous lengths the trust went to in accepting, which it did finally, I was already the NR! Ms Merlande highlights that our records show that Ms Moss became the nearest relative (NR) on 08/04/2021 when Mr Moss Senior delegated his NR powers to her and she accepted this delegation. The Trust was notified of this delegation on the same day. The trust received Ms Moss’ discharge notification on 09/04/2021. It was accepted by the Trust as being made by the then NR.Previous discharge requests made by Ms Moss had been declined as she was not the NR, within the meaning of the Mental Health Act, at the times the previous requests were received. We do appreciate that the statutory process may seem cumbersome. It however derives from the statute and is something we have no control over. As advised previously, the statute is currently being reviewed. No evidence can be found of any departure from the statutory process Tue 05/10/2021 16:02 NN/YP Youth Parliament Tamale, Anne Dear Anne Tamale, Well, because you offered me to feed back all I was doing was addressing the very basic inaccuracies, a bit like speeling mistakes. I hope she can respond quickly and not offer me a chance to feedback as this causes minor delays. Can she mark her response Final Response. Mary Moss Tamale, Anne You Good morning Ms Moss, Thank you for your email below. When you sent the ‘Basic Inaccuracies in Final Response’, I informed you that I had forwarded the issues to the investigator to address and you informed me that; Thank you for this email but as I said the 'final response' has been given to me and therefore without wasting more time in this urgent matter the Parliamentary Ombudsman has been already forwarded the response. Therefore, she can deal with them. When you highlighted this, we therefore did not proceed and were waiting to hear directly from the Ombudsman about this matter as you advised. The investigator is now addressing the issues you highlighted and we shall send you the response as soon as possible. With best regard NN/YP Youth Parliament Tamale, Anne Dear Anne Tamale, When will you be able to get back to me on those points as it would be helpful to have a time deadline? I sent them on the 8th Sept so I would expect that back within 28 days. Mary Moss Tamale, Anne You Good morning Ms Moss Thank you for your email below. I will now ask the investigator, Ms Merlande to address the issues you raised in the ‘Basic Inaccuracies in Final Response’ and send you the response as soon as it is completed. With best regards NN/YP Youth Parliament Tanveer Hussain Here it is again Regards Mary NN/YP Youth Parliament Tanveer Hussain Sent today  You forwarded this message on Thu 30/09/2021 15:16 You forwarded this message on Thu 30/09/2021 15:16 NN/YP Youth Parliament Tamale, Anne Dear Anne Tamale, When will you be able to get back to me on those points as it would be helpful to have a time deadline. The Parliamentary Ombudsman cannot start without this and can I confirm with you then that this is indeed the 'final response' and you have completed your investigation? I am keen to have this looked at them properly. Mary Moss NN/YP Youth Parliament Phso Enquiries Dear Tamale, This clearly says 'final response' or 'co06 response final' and only offers 'clarification'. Please continue to investigate. Regards Mary Moss NN/YP Youth Parliament Tamale, Anne Dear Anne, Thank you for this email but as I said the 'final response' has been given to me and therefore without wasting more time in this urgent matter the Parliamentary Ombudsman has been already forwarded the response. Therefore, she can deal with them. Regards Mary Moss Tamale, Anne You Good morning Ms Moss Thank you for your email below. It has been sent to Ms Merlande who investigated your complaint, to respond to the issues you have raised in the ‘Basic Inaccuracies in Final Response.’ After they respond to these issues, if you are still dissatisfied then you can contact the Parliamentary and Health Service Ombudsman, their contact details are highlighted in the response letter. With best regards NN/YP Youth Parliament Phso Enquiries Dear PHSO, Please find forwarded my second complaint CQC ref 10565655848 that was responded to last week 31/08/21. Since both are regarding the same person, you may wish to deal with this as a whole with one CQC number for ease of reference. Please let me know if that is acceptable and we can address it all in one complaint, with a new reference? Kind Regards Mary Moss  You forwarded this message on Wed 08/09/2021 09:32 You forwarded this message on Wed 08/09/2021 09:32 NN/YP Youth Parliament Tamale, Anne Dear Anne, Thank you for email. Normally a 'final response' is final, yet you have offered me the complaints@candi.nhs.uk also, which would waste time and be circular, never addressing the issues and leaving Edward vulnerable to this kind of attack, to be repeated in full. Since this is a 'final response' I can only offer you a limited idea of what you would expect from me, as feedback. Please see attached. I will now pursue the correct avenues to address the complaints in full. Regards Mary Moss NN/YP Youth Parliament Tamale, Anne Dear Trust, Thank you for the 'final response' last week on my second complaint. Regards Mary Moss  You forwarded this message on Mon 20/09/2021 15:17 You forwarded this message on Mon 20/09/2021 15:17 Tamale, Anne You mhacomplaints@cqc.org.uk Good morning Ms Moss Our ref: CO/21/Q2/06 CQC ref: CQC ref 10565655848 Please find attached Camden & Islington NHS Foundation Trust’s response to your complaint. If you require any clarification regarding this response, please do contact the investigator, Ms Merlande . Her contact details are highlighted in the response. We would also appreciate your honest feedback on how you feel we have handled your complaint. As mentioned in our response letter, we would be grateful if you please use this link to access our complaints survey - Complaints Survey. Yours sincerely Anne Tamale Complaints and Incidents Officer Advice and Complaints Service Email: complaints@candi.nhs.uk Web: www.candi.nhs.uk Camden and Islington NHS Foundation Trust 1st Floor, East Wing, St Pancras Hospital 4 St Pancras Way, London NW1 0PE From: Tamale, Anne 
Sent: 23 July 2021 13:56
To: naypic@hotmail.com
Cc: mhacomplaints@cqc.org.uk
Subject: Re: CO06: Formal acknowledgement and consent form; CQC ref 10565655848 Good afternoon Ms Moss Our ref: CO/21/Q2/06 CQC ref: CQC ref 10565655848 Thank you for the further concerns you raised in your email which you sent to Care Quality Commission on 30th June 2021 which they then forwarded to our Trust on 13th July 2021. Your complaint raised several concerns mainly relating to the Associate Hospital Managers hearing of your brother, Edward Moss held on 10th May 2021. You were unhappy with the content highlighted in the three reports that were submitted at hearing which you said were full of inaccuracies and fabrications. In regard to these concerns relating to the factual information contained in the reports being inaccurate, you will need to liaise directly with the Trust’s Information Governance department, as there is the right under rectification (article 16) in General Data Protection Regulation to pursue such issues. Their contact details are Information.Request@candi.nhs.uk and they will be able to fully update you on this matter. The other concerns you raised included you highlighting that your brother had been held illegally, had not been offered Covid vaccination and you were not provided with the details of his medication as you had requested. We are sorry you have had cause to complain and we will now investigate this matter as a formal complaint. This investigation will be led by the Mental Health Law Manager, Ms Dominique Merlande who will be addressing the concerns you raised. When the investigation is completed, we shall provide you with a written response. In order for the trust to provide a full response to the concerns raised, we would also require written confirmation from your brother that he consents for you to be being given access to confidential information relating to their care. We would therefore be grateful if you could ask him to sign the consent form attached. If he is willing to sign the form, please could you return it to us. We will then be able to provide you with a full written response to the complaint. Please be assured that regardless of whether or not consent is received, a full investigation will be carried out and we will be provided with a report. Any action that is needed in light of the investigation will be taken. We will try to respond to the complaint within 25 working days. In certain circumstances, for example staff absences, it may take slightly longer to conduct the investigation, but we will keep you informed of our progress. When the investigation is completed, we shall provide you with a written response. If you would like to contact us, please email us via complaints@candi.nhs.uk. If you require support to pursue your complaint, you can also contact the NHS Complaints Advocacy Service POhWER. Their helpline number is 0300 456 2370 or you can contact them via email at pohwer@pohwer.net. Thank you for bringing this matter to our attention. Yours sincerely Anne Tamale Complaints and Incident Officer Advice and Complaints Service Email: complaints@candi.nhs.uk Please note that the Trust collects data on the personal characteristics which are protected under equality legislation for any service user whose care we receive a complaint about. These include for example, age, gender and ethnicity. This is so we can ensure that all our diverse communities are able to access our complaints procedures. We use the data to identify relevant themes and trends in what people complain to us about and no individual will be identified in any of our reporting. Thu 09/09/2021 14:31 - (PLEASE NOTE THAT By NOW EDWARD WAS DEAD and everyone had known by 11am yet staff nor police told us. I called twice at 6pm to see where he was and he was still in his room dead and then when we knew they then hid his body, not telling us where he was, for 4 days, with the Camden Coroner telling us he was in Poplar, not Camden Mortuary, where he was. They also told me he had already had an autopsy on Monday 12th at 7am when. I went to the morgue early to find him. On arrival entered the morgue as they thought I was a builder as they had them in. I had then asked a member of the mortuary staff team at 6am and his name was on a clipboard list so he said yes he was there. I made them make a video on my phone for me to ID him as we couldn’t be sure he was not locked up again as I couldn’t prove he was dead as yet. So this was the video the coroners officer made, out of compassion and humanity for me there and then, not knowing the truth https://www.youtube.com/watch?v=ljzrYGJt5Go and this is now my evidence because as you can see he was murdered. He was bloodied and swollen. His eye was above his eyebrow, he had a defence wound on his fist and his face was black.) Tanveer Hussain Your complaint to the Parliamentary and Health Service Ombudsman - Case reference C-2045983 You Good Afternoon Ms Moss, Thank you for providing the additional information. I have reviewed the additional information, however the response they provided isn’t a final response as they have suggested a meeting if you remain unhappy. Unfortunately you will need to go back to the trust and make them aware if you would like a meeting. If you don’t want a meeting, please could you write to them and make them aware and raise any outstanding concerns so they can be addressed. Thanks Tan Tanveer Hussain Intake Caseworker Parliamentary and Health Service Ombudsman T: 0345 015 4033 E: phso.enquiries@ombudsman.org.uk W: www.ombudsman.org.uk Attached: The Complaints form.. on 1: About you Please fill in your details, even if you are complaining on behalf of someone else. Have you ever contacted us before? Yes/No NO Title (Mr, Mrs, Miss, Ms, Dr, Other): Ms First name: Mary Surname: Moss House number or name: 32 Tonbridge House Street name: Tonbridge Street Town or city: London Country: UK Postcode: WC1H 9PB Daytime telephone number: 07916325037 Alternative contact number (optional): Email: naypic@hotmail.com How would you like to be contacted? (optional) Phone Mobile X Email Post Is there anything we can do to make it easier for you to access our service? (For example, you may wish to receive information from us in large print.) No Are you complaining on behalf of someone else? If yes, please fill in the section below. If no, please go to section 2. What is your relationship to them? I am their spouse or partner I am their parent or guardian I am their child I am their carer I am their nearest relative Other ….. Why can't they make the complaint themselves? The person is a child They aren’t well enough to do it They haven’t the ability to do it themselves My partner would prefer me to do it The person has died They asked me to do it Other ….. If you are complaining for someone who cannot complain for themselves, we must consider if you are the right person to act on their behalf. We would normally need their consent for this. Please see section 3. About the person you are making the complaint for Title Mr, Mrs, Miss, Ms, Other: Mr First name: Edward Surname: Moss House number or name: 83 Street name: Endell Street Town or city: London Postcode: WC2H 9DN Daytime telephone number: N/A Alternative contact number (optional): N/A Section 2: About your complaint Legal action Generally, we cannot investigate a complaint if it is or was reasonable for you to take legal action to get an answer to it. This could include going to court or to a tribunal. We will look at whether legal action would be able to fully answer your complaint or give you what you want. If you have already been to court or are thinking about taking legal action, please tell us about it here as it may affect whether we can investigate your complaint. Please phone us on 0345 015 4033 if you have any questions about this. Are you taking, or planning to take, legal action about your complaint? Yes X No If yes, please give us details of any legal action you have taken or are planning. N/A When did the problem you want to complaint about happen? (The law says that you should complain to us within a year of becoming aware of the problem. Sometimes, depending on the circumstances, we will extend this time limit. Please phone us on 0345 015 4033 if you have any questions about this.) Date: 06 Month: 03 Year: 2021 If you can't remember the exact date, you can give us an estimate. When did you become aware of the problem? Date: 07 Month: 03 Year: 2021 When did you complain to the organisation? Date: 10 Month: 03 Year: 2021 If you haven’t been able to complain to us within a year of becoming aware of the problem, please tell us why you did not complain sooner. N/A Who are you complaining about? What is the name and address of the organisation you are complaining about? Highgate Mental Health Centre, Dartmouth Park Hill, Highgate, London N19 5NX Are you complaining about a particular person (for example a doctor or a nurse)? Please give their name (optional). The Mental Health Act Office and the clinicians, in particular Dr Neil Stewart et al. The details of your complaint Briefly tell us what your complaint is about. Tell us what happened, when and who was involved. The complaint is too long but in general my brothers human rights were breached. Did the organisation miss any of the issues you raised in your complaint? You may not be satisfied with their answers to your complaint but we need to know if their response missed anything you raised in your complaint to them. X Yes No If yes, please tell us what points you raised in your complaint that their response failed to answer. Depending on what points have not been answered, we may tell you to go back to the organisation and raise them again. Most of the points were missed out and a somewhat generic response was given. Please tell us how you, or the person you represent, have been affected by what has happened: The person, my brother became a shadow of his happy self and lived in fear. His family also lived in fear regarding his treatment and this made us all very ill with stress conditions. If we are able to take on your complaint, what are you hoping we can achieve? We may recommend that organisations explain and apologise, change their procedure and, if appropriate, pay some compensation. Please use this space to explain what you want to happen as a result of your complaint. Note: if we do not think that we can achieve what you want, we will let you know. I want procedures to be correctly followed, an explanation as to what services are being provided meanwhile to my brother and an apology and compensation awarded to him. Please attach a copy of the final decision letter from the organisation. on 3: Authorisation Please look at my complaint. I agree that you can get all the relevant papers, including medical records, so that you can investigate this complaint under the Health Service Commissioners Act 1993. Your signature: Date: 19/08/2021 If you are complaining for someone else, they must sign below if they can. I agree that Mary Moss can complain for me and that you can obtain the information you need to investigate my complaint under the Health Commissioners Act 1993. I understand that this may mean that my representative will be able to see personal information you obtain for the investigation. The patient’s or service user’s signature, if you are representing them: Date: 19/08.2021 Please email your form and the organisation’s final decision letter to: phso.enquiries@ombudsman.org.uk Or post it to: Parliamentary and Health Service Ombudsman Citygate 47 – 51 Mosley Street Manchester M2 3HQ Thu 19/08/2021 13:22 phso.enquiries@ombudsman.org.uk Dear Parliamentary Ombudsman, I made the following complaint attached, followed by another complaint copied in together for ease of reference, attached and they were both dealt with together, by the CQC through the hospital, that today, provided me a final response. The ward manager summarised my complaint into just 4 sections, and provided a scant and generic response, offering no in-depth details, as to events or errors, when I had clearly gone to some trouble to give the complaints, in fine detail. I attach my complaints together, and the final response as well as a photograph of the consent form Edward signed last week so that Camden was able to give me detailed information on his care and medications, and for them to provide the final response which they did today. I have seen and spoken to Edward today, to explain the next process going forward so that he stops living in fear of this happening again and for him to get the justice he deserves. Please investigate. Kind Regards Mary Moss Nearest relative of Edward Moss Our ref:AC/21/Q1/14Our ref: ENQ1-10565655848Private and Confidential Ms Mary Moss Email: naypic@hotmail.com 11th August 2021 Dear Ms Moss Thank you for your complaint which you made when you contacted the Care Quality Commissionon 17th March 2021; they forwarded your concerns to our Trust on 21st April 2021. Your complaint raised concerns relating to three aspects of your brother Edward Moss’s careand treatment. These included the way in which he was admitted to hospital, the Mental Health Act(MHA)Office acting. unlawfully and being over medicated whilst he was on Coral ward. I am sorry that you were unhappy about this and I would like to thank you for letting us know about it. We value complaints we receive about the services we provide and are committed to using this feedback to generate reflection and improvement. The investigation into your complaint was carried out by Ms Alice Garrett, the Coral ward manager. She investigated by reviewing clinical notes, reviewing incident reports and interviewing staff members. She also had a telephone conversation with you on 29th April 2021, where you discussed in depth the concerns you had raised in relation to your brother’s care and treatment. Your complaint raised the following concerns: 1.The way in which he was admitted to inpatient care by the police. 2.That Edward’s detention under the Mental Health Act was illegal 3.Mental Health Act office have acted unlawfully and caused severe delays to nearest relative’s rights to appeal. 4.Edward was over medicated during his admission and should not have been forced to have medication. Executive office 4th Floor, East WingSt Pancras Hospital4 St Pancras WayLondonNW1 0PETel: 020 3317 7016www.candi.nhs.uk 1. The way in which he was admitted to inpatient care by the police. In your telephone meeting with Ms Garrett you stated that Edward’s detention under the Mental Health Act (MHA) was illegal as he posed no risk to himself or others. You further explained that he had been arrested by police on 6th March 2021 while he was at home at 4am, due to placing his TV outside his door because it was not working. You highlighted that as his ‘Nearest Relative’ you were not informed of his detention under the MHA until 16:00 hours on 7th March 2021 and for those reasons you believed the detention to be illegal. Ms Garrett reviewed Edward’s records and noted that he did not have any contact with the police prior to him being assessed and subsequently detained under the MHA. He was transferred to the Emergency department via ambulance after staff at St Mungo’s were advised by the ‘Crisis Single Point of Access’ service to call 999 owing to concerns of a relapse of Schizophrenia. Therefore, in relation to this concern Ms Garrett confirmed that Edward was not in fact arrested by the police and had agreed to be transferred to the Emergency department. This concern was not upheld. 2. That Edward’s detention under the Mental Health Act was illegal While Edward was at the Emergency department, he was assessed by the ‘Psychiatric Liaison Team ’who noted that he had symptoms of a deterioration in his mental health, namely pressure of speech, thought disorder and was labile in mood. As a result, he was recommended for a psychiatric admission in order to stabilise his mental state and minimise his risk. Due to Edward’s perceived lack of insight, a first recommendation for admission to hospital under Section 2 of the Mental Health Act (1983) was made. In line with MHA law, he was then assessed by an independent doctor(Section 12 approved)and an Approved Mental Health Professional (AMHP). Ordinarily, this aspect of any MHA assessment must identify that the individual is deemed to be ‘experiencing a mental disorder of a nature or degree which warrants detention in hospital for assessment or assessment followed by treatment for up to 28 days in the interests of their health, or their safety, or with a view to protecting others’. Part of this assessment includes a discussion with the Nearest Relative who had been identified at the time of the assessment as Mr Patrick Moss, which was completed on 6th March 2021. At this stage you had not been identified as the Nearest Relative and as a result you were not contacted. The assessment identified that Edward was experiencing a relapse in his mental state and was identified to be a risk to himself and others. Within the section papers it is documented that Edward was assessed to lack the mental capacity to make an informed decision around his admission to hospital, therefore for these reasons he was detained under section 2 of the Mental Health Act. The section papers have been scrutinised by the Mental Health Act Office and they have found that there was nothing unlawful with regards to his detention under the Mental Health Act. Ms Garrett’s investigation also confirms that the legal process to detain and admit a patient under the Mental Health Act was correctly followed. This concern was not upheld. 3.Mental Health Act office have acted unlawfully and caused severe delays to nearest relative’s rights to appeal. During your telephone meeting with Ms Garrett on 29th April 2021 you stated that you had been nominated as theNearest Relative for Edward during his previous admission and had already submitted the relevant documents that confirmed you as the Nearest Relative and not Mr Patrick Moss. You highlighted that you were therefore upset and shocked when you were asked to again complete documentation for Edward’s current admission to reinstate yourself as the nearest relative. In the meeting you also expressed concern that the Mental Health Act office made you apply unnecessarily multiple times as the nearest relative and they did this knowing that it would lead to severe delays in you being able to execute your rights as a nearest relative. You also informed Ms Garrett that these delays were conducted in an attempt by the hospital to continue medicating Edward as the hospital has ties with pharmaceutical companies so they would benefit. We want to offer you reassurance that Camden and Islington NHS Foundation Trust does not receive any benefit from pharmaceutical companies. Ms Garrett liaised further with Mr Heston Hassett, Deputy Mental Health Law Manager, to provide the further expert input below, in relation to this issue. The role and the method to identify the Nearest Relative (NR) is set out in Section 26 of the Mental Health Act 1983 (MHA). The responsibility for identifying the NR sits initially with the Approved Mental Health Practitioner (AMHP) as the NR must be identified at the time the application for detention is being made. Where disputes arise the MHA office must liaise with relevant bodies in order to resolve these disputes. In this case an application for detention under Section 2 was made on 6th March 2021. The AMHP identified Edward’s brother (Patrick Moss) as being his NR. You contacted the Highgate MHA office on 9th March requesting discharge. This request was not considered as you were not the NR within the meaning of the MHA. The Trust was aware that you had previously been the NR for Edward however information from the AMHP on 17th March indicated that circumstances had changed since the pandemic and that you were no longer providing the regular ‘substantial care’ required in order to be considered to be the NR. The MHA office contacted the AMHP and care coordinator who confirmed that Edward’s brother was his NR within the meaning of the MHA, as he was the eldest. This was disputed by you as there was an elder sister. The AMHP service liaised directly with you further to determine Edward’s family circumstances. It was established by the Trust on 23rd March that Edward’s father was alive (information available to the trust until then was that he was deceased) and therefore that he was the NR. Edward’s father was then notified that, as the NR, he could delegate his NR powers to another person. Whilst a number of delegation letters were received from Edward’s brother and older sister between 26th March and 7th April, none of them were from his father. On 8th April, the Trust received the delegation letter signed by Edward’s father on 7th April, delegating NR powers to you. Therefore,the MHA office acted correctly and escalated the matter to the AMHP service when the dispute arose. The AMHP on receiving the new information on 23rd March, updated their records and informed Edward’s father of his right to delegate. The father did not delegate his authority to you until 7th April. The NR can apply for discharge of their family member, but this can be ‘barred’ (prevented) by the patient’s consultant who is also known as the ‘ResponsibleClinician’(RC). However, this must be done within 72hours of receiving the NR application. If an application from NR is barred, then the MHA office must co-ordinate that a review is held by the Associate Hospital Managers (AHM) within seven to fourteen days of the RC barring the NR application. In this case as the NR, you applied for discharge of Edward on 9th April, which was barred by the RC on the same day. The MHA office referred the case to the AHM coordinators on 9th April. At this point it became the duty of the AHM coordinator to set a hearing so that the decision of the RC to bar could be reviewed. The AHM Co-ordinator involved in this case confirmed that once the referral was received by them, it was treated as a standard referral and not a NR barring referral in error. This error led to the hearing being scheduled for 10th May 2021, one month later, instead of the required seven to fourteen days. We would therefore like to apologise for this error and Mr Hassett has confirmed that he has utilised this incident to provide learning and reflection with the relevant staff. Ms Garrett has considered the information provided by Mr Hassett in relation to Edward’s case and does not uphold this point as the process in relation to NR allocation was followed and once a valid NR application for discharge was received by the Trust, it was dealt with within the 72 hours as legally required. She does acknowledge that there was a delay, with regards to the internal processes, in the arranging of the barring meeting for which we apologise. This concern has been partially upheld. 4. Edward was over medicated during his admission and should not have been forced to have medication. In your telephone meeting with Ms Garrett on 29th April, you expressed concerns that Edward was being forced to take medication that he did not require, that he was over medicated and sounded over sedated when speaking on the telephone. You informed Ms Garrett that Edward had cardiac issues that will have increased while on these medications. You also disclosed that you felt that Dr Stewart had an affiliation with pharmaceutical companies and received financial gain. On reviewing Edward’s clinical records Ms Garrett found that when Edward was admitted to Emerald Ward on 7th March 2021, he was assessed by Dr Trifonov and Dr Manning. They noted that Edward was presenting with increased rate of speech, incoherent content and appeared to be responding to unseen stimuli, likely auditory hallucinations. Therefore, with collateral information available and his presentation at the time, Dr Trifonov and Dr Manning concluded that Edward was relapsing in his Schizophrenia diagnosis and needed to restart treatment immediately to stabilize his mental state. During the telephone discussion you also raised concerns that your brother was forced to take medications. Ms Garrett therefore consulted with Dr Tiwari, Coral ward specialty doctor, in relation to Edward’s prescribed medications whilst a patient on both Coral and Emerald Wards. Dr Tiwari stated that Edward was assessed as lacking capacity to consent to treatment at the time due to being assessed as unable to understand, retain and weigh up information related to medication. As the decision could not be delayed a treatment plan was formulated in Edward’s best interest. Dr Tiwari stated that Edward accepted oral medication that was given to him and a depot was started due to previous issues with noncompliance while in the community which has led to many relapses and admissions to hospital in the past. Ms Garrett reviewed Edward’s medication chart and patient records and found evidence that he was administered medications against his wishes. This was following return from a period of being absent (AWOL)from the ward. On returning to the ward, he was displaying high levels of aggression towards staff and property. He was placing himself and others at a high level of risk and therefore it was assessed that it was in his best interests to administer an injection to help settle him, as he was consistently refusing oral medication. The Trust understands that this is a traumatic experience for our patients and it will only ever be carried out as the last resort. Ms Garrett reviewed the incident report and identified that all steps were taken to ensure Edward’s safety was maintained through out the process. Following the administration of the medication, ward staff held a debrief with Edward. This was done in order to identify any additional needs that he may have had and identify any learning. Within the incident report it is documented that nursing staff completed hourly physical health monitoring and a staff member was always with Edward to provide enhanced care and offer him support and reassurance. In relation to your concern that Edward was over medicated, Ms Garrett had a meeting with Dr Tiwari, Coral ward specialty doctor, to discuss this concern. Dr Tiwari highlighted that during the early phase of Edward’s admission he presented as very aroused and agitated in his mental state, putting him at risk and this required regular sedation to reduce this risk. Dr Tiwari stated that over time and as his mental state improved the medication was reduced accordingly. He acknowledged that this combination of medication can cause sedation, however Edward was closely monitored throughout his admission on Coral ward for over sedation, including regular physical health checks and checking levels of his mood stabilizing medication were checked frequently to ensure all medication was at a safe level. Ms Garrett completed a review of medication administration and identified that nursing staff omitted some doses of sedative medication to avoid Mr Moss being over sedated. However, we do acknowledge at times our patients can appear over sedated. As standard practice we review patient treatment plans on a daily basis within the team meetings. We apologise for any distress caused to you when speaking to your brother on the telephone and were concerned about levels of sedation. Ms Garrett also discussed with Dr Tiwari your concerns raised in regard to Edward’s physical health risks. Dr Tiwari confirmed that the medical team were fully aware of Edward’s physical health history and always took this into consideration. Ms Garrett found that all physical health checks were completed in line with Trust Policy. Therefore, as a result of these updates, Ms Garrett did not uphold this concern; she was assured that Edward was consulted throughout his admission in relation to his treatment. We understand how distressing admissions to hospital can be when someone is in a mental health crisis and we do all we can to ensure we always provide a safe and therapeutic space that supports recovery. In regard to the concern you raised with Ms Garrett that Dr Stewart had ties to pharmaceutical companies, we would again like to reassure you that neither Dr Stewart nor Camden and Islington NHS Foundation Trust have any affiliation with Pharmaceutical Companies. This concern is not upheld. As a result of this investigation the following action has been taken to prevent recurrence of the issues that you have raised: 1. The Co-ordinator for the Associate Hospital Managers who made an administrative error in processing a standard referral instead a Nearest Relative referral is aware of this mistake. This oversight has been raised with them directly and has provided an opportunity for learning and reflection for them. We hope that this response adequately addresses the concerns that you have raised, and we do apologise for any misunderstanding or distress caused to you. If you would like to meet to discuss this response, please contact Alice Garrett on 0207 561 4016, who would be pleased to provide any further clarification. If you still remain dissatisfied, you may also request a meeting with the staff involved to discuss your complaint. For further information please telephone the Foundation Trust’s Advice and Complaints Service on 020 3317 7102 or email them at complaints@candi.nhs.uk. Their address is:Advice and Complaints ServiceCamden and Islington NHS Foundation Trust St Pancras Hospital 4 St Pancras Way London NW1 0PE We would like to do everything we can to resolve your concerns, but if you’re not happy with our final response to your complaint, and would like to take the matter further; you can contact the Parliamentary and Health Service Ombudsman. The Ombudsman makes final decisions on complaints that have not been resolved by the NHS, government departments and some other public organisations. The service is free for everyone. To take a complaint to the Ombudsman, go to www.ombudsman.org.uk/making-complaintor call 0345 015 4033. It is important that you make your complaint to the Ombudsman as soon as you receive our final response as there are time limits for the Ombudsman to look into complaints. We would really like your feedback about how you feel we have handled your complaint which will help us to improve the service we provide. We would be grateful if you could complete our short survey either by completing and returning the enclosed form or by clicking on the link provided, if we are responding to you by email. If you require support to pursue your complaint, you can contact the NHS Complaints Advocacy Service POhWER. Their helpline number is 0300 456 2370 or you can contact them via email at pohwer@pohwer.net. Yours sincerely Darren Summers Deputy Chief Executive Your complaint to the Parliamentary and Health Service Ombudsman - Case reference C-2045983 Tue 31/08/2021 13:33 Tanveer Hussain You Dear Ms Moss Your complaint about Camden and Islington NHS Trust Thank you for sending us your complaint, but we need more information from you. We cannot consider your complaint any further until we get that information. I would have liked to have been able to discuss this with you. However, your preferred method of contact was email. Information we need To make sure your complaint is one that we can look at, we need you send us a copies of all the responses from organisation. You can do this via e-mail to phso.enquiries@ombudsman.org.uk. Please quote the reference number on the top of this letter when you contact us. We recognise that everyone has different needs and circumstances and these are likely to influence the way you access our service. If you need this letter in a different format and/or a reasonable adjustment in how we provide our service going forward please contact us to discuss your accessibility needs. You can phone our helpline on 0345 015 4033 or use our Sign Video service. Next steps As soon as we get the information we need from you, we will let you know if your complaint is one that we can look at, and what will happen next. We look forward to hearing from you. Please note there are some important details about how we use your information at the bottom of this letter. Yours sincerely Tanveer Hussain Intake Caseworker Important details about how we use your information You can read more about how we use your information in our privacy notice. The notice explains how we use and look after information about you, or that could identify you, and how long we keep it. It also explains your rights and how to request your information. You can find the privacy notice online at www.ombudsman.org.uk/information-you-give-us. If you would like a copy in a printed or other format, please contact informationrights@ombudsman.org.uk or call the number at the top of this letter. 11/05/2021 16:29 NEXT RELATIVE REQUEST NN/YP Youth Parliament mhtcorrespondence@justice.gov.uk Dear Tribunal, Following a hospital managers meeting yesterday to bar me from discharging my brother and where reports were given on Edward Moss on the day, I would like you to have my brief corrections below as much of what has been written is libialous, inaccurate and paints a false picture of my brother. Notes from the HMM yesterday in response to inaccuracies. In brief Edward never nearly ran someone over that is a lie. Edward never had a son that passed away that is a lie. Edward has never assaulted anyone that is a lie. Edward has never sexually harassed anyone that is a lie. Edward never threw a TV outside a window that is a lie. Edward has never taken Ketamine that is a lie. Edward was not made homeless due to disengagement in West London, it was a two-year placement and it ran out. Edward's West London flat, did become overrun with Somalian drug dealers, as it had no electricity when Hammersmith gave it to him, and he could not get them to put it on, for a whole year as the previous tenant had run up a large electricity bill. He was therefore set up to fail and never given that opportunity again, and he was devastated and still believes he should have a flat, like any other person who is a vulnerable adult with support needs. Edward did not take crack and heroine in the 1990's he was on speed alone. The list of court cases is wholly inaccurate, Edward had speeding offences in the late 1980's and early 1990's as he had 9 cars. Edward did a paper round at 14. Edward was the deputy manager of the Esso garage at 17. Edward was approved to adopt his 3 younger siblings at 19. Edward fell ill at 21 as he had taken too much responsibility on with the training and approval process for his siblings to be placed with him, putting him in stress, cooking and cleaning, entertaining, taking the kids to school, on his young shoulders as he was looking after his 9-year-old brother John-Paul, his 10-year-old brother Patrick and his 12-year-old sister Dorothy. They paid him £7,000 per month and left him to it with no support whatsoever as the social worker was from Hammersmith and they had placed us all in Bexhill on Sea. An older woman, who he turned to for support, as she had children too, then took the advantage of him and took his money, ordered drugs namely cocaine. He had a breakdown as she was using him and claimed to have terminated his 'son' although she had only found out she was a month pregnant. She guilt tripped him and terrorised him with her gang friends. Edward has never had CBT or any form of therapy despite being severely beaten up daily as a child himself. Edward is a gentle soul and does not believe in violence. Edward does not sofa surf at Mary's ever as she is self-employed and works from home so that is fabricated too. Due to drug use a policeman PC Blossum became obsessed with Edward a small-time end drug user, and his mates. They once arrested him for picking something up from the floor, he was arrested for picking up a bike that was disgaurded on the floor, he was arrested for using a private toilet in a building as he had a stomach problem, he was again arrested for picking up a box of flowers, he was arrested for finding a travel pass and handing it to a tube station, the allegations were all so stupid that we went to over 5 court cases and every one of them he got nothing much at all, so this was just to build a reputation and chip away at him his solicitor thinks and will give a statement of it. His solicitor also warned me to stop defending him at the courts as he says they all know who I am. If you google my name you'll know too although I do suffer the same amount of harrassment as Edward from the Met police. He and I have been subject to a few IOPC complaints on the matter and now it would seem they are harrassing Edward forensically in the hostel and with Highgate sedating meds. He was so determined to get Edward into trouble he made spurious arrests of Edward amounting to harassment and that is why you will see that despite no court appearances or arrests during Edwards 20's, 30's and 40's a thirty-year clean criminal record apart from driving offences in the late 1980's, this attempt resulted in five or six cases in a row and one of them had him placed in hospital in 2020 in Colchester, which was the start of this now cycle of abuse he has been facing with Highgate ever since and why we are determined for him to become a free person again as he is being picked on and made to feel gaslighted with allegations that are designed to stick and are absolutely false. Edward has no GP in Camden since placement at the hostel. Edward has no dentist. Edward has a hernia and cannot become fat with lab drugs. Edward has a hole in his heart from birth. Edward contracted pneumonia at Coral Ward after being over sedated and complaining he could not breathe. He was taken twice to A&E and under this admission to Coral ward he has again been over sedated and has developed a respiratory infection again and has been complaining he not only cannot breathe again but his eyes are constantly closed. He says he does not sleep as he fears for his life at night so he sits up in a chair so that he keeps an eye on his own breathing. Edward has been given Sodium Valporate 1000mg enough to put a person each night into a coma. I fear he is very tired and needs to stop this medication as he did not give informed consent. Danger to himself or others Edward is not intrusive and aggressive he is reclusive except with family and friends where he is very entertaining and fun to be around. His conversations are always interesting and he converses very well with some of the most intelligent people. 'Treatment' from lab drugs isn't designed to alter personalities. He is not "well known" to be physically aggressive and that can be evidenced by his solicitor Gary Monk of Hodge Jones and Allen who believes he is picked on and has a lot of time for Ed. Edward is not unkempt he was dragged to A&E in the middle of the night and they kept him in a hospital without any recourse to get his own clothes for over a month. Edward could not have thrown a TV out a window as the windows don't open. He placed a TV outside the door of the hostel on the 6th March 2021 and may have been frustrated it did not work. We have since got him a smart TV for his room. The bedframe he had complained the whole bedframe was broken and so he carried the bed, in bits down the stairwell. He put his Fridge outside his room that same night as it was not working and so smelled. It was one of those nights when he had taken drugs the day before and was coming down off a high as well as his friends death anniversary, passed only 4 years, and he had loved her. Edward has only ever been on Aripiprazole 15mg and taht is what suits him. He has been drugged, incarcerated, abused, pinned down, verbally assaulted, physically assaulted and needs to be free. He is not a danger to himself he is a very low-level drug user. Try speaking to him, you will find him a beautiful charming soul. Unless like last time he was drugged before the tribunal hearing. Kind Regards Mary Moss  You forwarded this message on Tue 11/05/2021 16:29 You forwarded this message on Tue 11/05/2021 16:29 NN/YP Youth Parliament mhtcorrespondence@justice.gov.uk Dear Courts, Ref MP/2021/09764 Re: Mr Edward Moss (Highgate Mental Health Centre - London) Section 3 13th May 14.15 Video Hearing - HMCT 134 I wish to attend the above hearing Mary Moss 07916 325037 naypic@hotmail.com MARY MOSS Reasons; I want my brother formally discharged as he has been unjustly sectioned and is petrified. These are a list of events and I wish to express my dissatisfaction on an administrative level. On a more positive note, having spoken with the hostel they have kindly accepted a new smart TV to prevent Edward's boredom and frustration at having his TV taken from him that led to his admission. The hostel should be asked to join this. I have also spoken to Roam one of the social workers who agrees Edward needs a better bed as he has terrible backache so a newer room would be better than the cell, he occupies for 18 months. He needs dentures so he can chew his food. He also needs real help and support around drug taking and mental health activities such as the King's Cross construction centre where he wishes to learn a trade and he could be in the hostel tile house nearby which offers him his own room and shower. Alice the ward manager of Coral has said when he is stepped down he will go to St Pancras Laffan unit under Dr Gin and that is preferable to Edward. Dec 27th 2020 11am/27/12/20 - Mary emails TC Edward’s key worker re support in Newry for people who are affected by drugs - Plan March 5th 2021 2am/5th March 2021 -Edward Moss gets his benefits of £300 and spends it on 10 bits of crack and some dark - High March 6th 2021 Midnight/6th March 2021 - Edward is upset as it is the 4th year death anniversary of his very good friend/lover- Upset 4am/6th March 2021 -Two police officers attended hostel as Edward put a broken TV outside hostel door - Ed to A&E 4pm/6th March 2021 -Mary next relative informed by hostel that Edward had been in A&E since 4am- Mary calls Pat 4pm/6th March 2021 -Mary requests Patrick Moss brother to attend A&E to check if Ed is a danger to himself/others- 5pm/6th March 2021 -Meanwhile two doctors Section 2 Edward, just before Patrick arrives to check Edward’s status- 6pm/6th March 2021 -Patrick puts Edward on the phone to Mary at A&E- Normal state but scared after 12 hours in A&E 6.30pm/6th March 2021 -Transport arrives four security men escourt Edward into a van to Highgate - Pat follows van 7pm/6th March 2021 - Edward placed on Emerald ward - Pat get’s him a McDonalds, vapes and £180 for petty cash March 7th 2021 6am/7th March 2021 - Mary emails Edwards solicitor Fernanda, to inform her what has happened - Ed will have legal help 8am/7th March 2021 - Fernanda emails, says ‘sorry to hear that this has happened again’ - Tribunal organised in 5 days 9am/7th March 2021 - Mary writes to the Highgate Mental Health Act and to formally discharge Edward from section 2 A PROTRACTED EXCHANGE BETWEEN MARY MOSS AND MHA RE HER NEXT RELATIVE STATUS - DELAYS DISCHARGE MANAGERS/CLINICIANS AT THE HIGHGATE MENTAL HEALTH HOSPITAL/OFFICE REQUEST TRIBUNAL CANCELLED - March 15th 2021 2.15pm/15th March 2021 -HM Tribunal Service, Leicester, convene- Attended by Edward and his solicitor, Samson an emerald ward staff, the psychiatrist from the ward, the outreach social work side of mental health, two other independent clinicians and Mary Moss as next relative. Notes from that meeting but transcript although has not been made available should evidence what was said; Fernanda Edwards solicitor asks for strict proof that Edward is a danger to himself or others. Social work falsely claim to have visits/calls once a week with Edward and have support in place for his drug usage, Mary claims that this is total fabrication. Sampson is asked is Edward a danger to himself and says no. Asked if he is a danger to others Sampson says no. Sampson claims that by Edward being very ‘verbal’ (and some might say he has verbose/intelligence as part of his personality) and that being in hospital is placing him in danger from ‘others’ in the ward, this is a very alarming claim. The psychiatrist claims to have no history of the patient and no medical records, mentally or physically. Edward is asked a question by the judge and he has clearly been drugged so he is then asked to leave. He later says the connection was interrupting and he could not hear the Judge. Mary knows her brother very well and claims he has been sedated before the hearing. (Note; next hearing NO SEDATION REQUESTED). Verdict Edward not formally discharge from the section 2. March 16th 2021 Mary writes an email to the psychiatrist Dr Berg that attended the Tribunal yesterday; Copy of Email I was surprised when you said in the meeting that I was not the nearest relative however I was relieved when the Camden Mental health team confirmed at the end of the meeting for you, that I am. Following a telephone call to my mobile last Wednesday by your discharge people, when I was expecting a High Court Judge to call me at 12.15pm, I politely asked that your staff to call me back as my call was due at the very time they called. I did not get the call back as I would have been happy to speak with you all before now. There was a number of issues raised at the meeting not least that Edward is in danger in the ward. This was stated five times by Samuel. Edward by nature is a talkative, verbose individual with a high IQ like his Mum who was a member of Mensa and he himself was well educated at the London Oratory. Being verbal as Samuel put it, should not put Edward in danger of attack by the other patients. Also being angry is a natural emotion he is entitled to. He should not be cohered to be a different individual or drugged to be one. I have asked for Edward's discharge and I hope that you understand my grave concerns at this time for my brother's safety at hospital. You said that Edward was on 'perilipin' and 'endixaprine' please forgive the spelling and correct me if I am wrong but the latter is known to have a recurrent stupor effect? Could you let me know by reply what these medications are, the correct spelling, the dosages and the side effects. I did suggest he was not himself on the call, so I personally won't have a conversation with someone drugged up as he was. He normally does take aripiprazole but only on a 5mg bases and that is his right as a 50-year-old man to choose not to become addicted to pharmaceuticals, he has a moral view on it that, he is entitled to. You mentioned his relapse in schizophrenia, however I did not see a difference in him, when Patrick was asked by me to attend A&E, 12 hours after the event of him being taken there by two policemen, for putting a TV outside in the street, he had found in the street earlier in the day. I spoke with him on Patrick's phone and he relayed events normally. He was quiet down regarding events but after 12 hours being in a cell in A&E without me, his nearest relative being informed, I'm not surprised he was down. He was still very much compos mentis. I should have been told at 4am and they hostel should have called me and not the police. This was not an act of violence or self-harm. You were asked was his presentation due to the fact he had been wrongly brought into the hospital, I suggest, since you have no knowledge of him, that it was and will continue to be. Despite holding him to a floor stripping him naked and sedating him. I would also suggest that the Camden mental health team alongside St Mungo's have done nothing for him, in terms of any meaningful engagement around his drug use. They have him in a holding cell, he shares with mice and they charge Housing Benefit of £1,800 PM. Roman his worker has not visited and does not call. The Margaret centre I have had several attempts for them to help Edward with his drug problem and their exact words are, we cannot help him because we don't have a substitute for crack only heroin. I was flabbergasted at how difficult it was for him to have any meaningful help or help at all. I went with him five times last year to get help at the centre, where he tried to engage, the problem you will find is them and not him. You say Edward has a poor insight to his situation and that he is self-neglecting, well if you were pulled from your bed in the middle of the night and had no access to your belonging and have been sedated by force and put into a non-consensual involuntary isolation, perhaps you would feel like him. Your place is not a holiday camp and drugging him is not meaningful nor is your tin-pot psychology about him. If he is not a danger to himself or others, please release him. That is the only reason you can keep him, your opinions mean nothing, your power is the only thing that has any meaning right now and that you are using wrongly, without care or knowledge of his history. You didn't seem to know much at all about this human being, my brother. Meanwhile you now have my email for meaningful and accurate engagement. Following the meeting today, I have been told that, yesterday Edward found himself naked on his bed after being sedated, what do you have to say about that? I will be making my views known publicly and legally and any which way I can stop you abusing my brother. You will not hear the end of this, this time unlike the last time when we left it. Kind Regards Mary Moss 16th March 2021 - Mary writes to Health Watch Camden to complain and get support for Edward and his detention. Dear Health Watch, I have just been in the most alarming mental health tribunal where I was told by Dr Bird at Highgate mental health ward Emerald ward, that I was not the next relative of Edward Moss 8/7/70 my brother. Edward has been detained not due to him being a danger to himself or others, however 5 times during the tribunal we were informed bu Nurse Samuael that Edward was in danger from others in the hospital who wanted to attack him as he is very verbal, when that is his normal behaviour. The judge in this knowledge ruled that he was not to be discharged and his solicitor who attended had said she would need strict proof he was being held lawfully and she is appealing. Please attend to him. They are drugging him up out of his mind and he said he awoke last night completely naked and had been sedated. I have applied for his discharge and have been illegally ignored. Many Thanks Mary Moss 17th March - Mary Moss writes a complaint to the CQC regarding Edward being drugged, assaulted, restrained, detained. Dear CQC, Edward Moss 8/7/70 he was put in there on 7th March 2021 for putting a TV he had found back onto the street; he is on a section 2 and I have applied as his next relative for his immediate release more than ten days ago. Going forward, I would be happy for you to contact the provider on my behalf as a matter of urgency. A resident died last year in the Highgate hospital where my brother is staying against his will. As I said the staff have indicated he is not aggressive himself or a danger to himself, but he is in danger from others and from staff stripping him and holding him down and injecting him. He has been crying on the phone about his treatment and wishes to leave. He is in Emerald ward. Kind Regards Mary Moss 18th March 2021 CQC respond and ask can they contact the hospital MHA directly to raise the concerns, they gave a reference number. FROM 18/3/21 TO 7/4/21 NEARLY 3 WEEKS WAS SPENT AGAIN IGNORING ME OR TRYING TO ATTEMPT TO SAY I WAS NOT THE NEAREST RELATIVE WITHIN THE MEANING OF THE ACT- THEY WENT SO FAR AS TO CONTACT EDWARDS FATHER WHO HAS HAD NO PARENTAL CUSTODY OF EDWARD SINCE HE WAS 12 AND THEY GAVE HIS FATHER NEXT RELATIVE STATUS, WHO THEN WAS CALLED UP BY THE SOCIAL WORKERS TO DELEGATE TO A YOUNGER BROTHER OF TEN YEARS. THE WHOLE MESS WAS SORTED OUT WHEN THE FATHER OF EDWARD TOOK THE PAPERS TO BE SIGNED AND GAVE NEXT RELATIVE STAUS TO ‘THE NEXT RELATIVE’ WHO IS THE NEXT RELATIVE, NAMELY ME, MARY MOSS. SEVERAL ORDERS FOR DISCHARGE ARE SIMPLY IGNORED WITH THE EXCUSE I AM NOT NEAREST RELATIVE. 23rd March 2021 - Geraldine Whiley is the oldest ‘next relative’ of Edward Moss within the meaning of the Mental Health Act and is the sister of Edward Moss who was placed in local authority care at 12 years old, when Mr Moss was charged with grievous bodily harm of all children, so notwithstanding the fact that Edward’s father does not count under the act. 23rd March 2021 - Since Mary Moss was challenged as to her ‘next relative’ staus and since this had been somewhat a familiar game, played by the MHA office on behalf of the clinicians last time in 2019 - Jan 2020, which was also subject of a CQC complaint, the family was familiar with this game to delay and therefore drug their brother. Geraldine Whiley therefore signed the delegation of next relative form immediately to Mary Moss to prevent delay. This signed delagation is already on Highgate Mental Health’s MHA office records from Edwards last admission to Coral ward under Dr Neil Stewart in late 2019, which was Edward’s first admission under section for over 20 yrs in his new borough Camden. 25th March 2021 - Mary Moss formerly requests discharge from the section 2 by 27th April 21 5pm with now all the correct procedures in place notwithstanding they were already in place and she has been next relative since 2019. 27th March 2021 - Edward Moss escapes detention because of a security breach by kicking two parts of a door and walking out. 29th March 2021 - Edward is exhausted and returns to his hostel and is further detained but now in Coral ward which was subject to an unresolved and discontinued, formal complaint to the CQC in Jan 2020 and Edward has had post traumatic regarding Dr Neil Stewart and speaks about a fear of being in his care as he was drugged so much he couldn’t breathe and was taken twice to A&E with breathing difficulties and had to be given oxygen. He was close to death under Dr Stewart’s and medically experimented on by way of no informed consent or either himself or his next relative allowed by the offices of the MHA and their same way of doing that with the ‘next relative’ not being allowed to safeguard her brother. 30th March 2021 - Mr Moss senior has been telephoned and written to by the social work side of the mental health team at Camden and Islington who have had relatively little if any previous involvement with Edward Moss outside of this incident. They have suggested he is the next relative and that they are sending him paperwork to give the next relative status to Mr Patrick Moss junior, who is ten years younger than Edward and so this is also not the way it works under the Act. Mr Moss also had been contacted by Mary Moss who also sent him paperwork to give next relative status within the meaning of the act and in accordance with the age range being oldest to youngest to Geraldine Whiley. 30th March 2021 - Since Elena Moss has spoken to Mr Moss senior rather than him filling out the paperwork to Geraldine and then to Mary it seems best to just send it straight forward to Mary Moss and he does that and sends to Mary. 30 March 2021 - Not realising that the social worker is trying to get Mr Moss senior to give next relative status to Patrick Moss junior but assuming that the stamped addressed envelope Mary Moss has send Mr Moss senior to be send back to the hospital directly, has been executed, Geraldine Whiley then assumes position as next relative in the correct order. 30 March 2021 - Geraldine Whiley signs over next relative to Mary Moss, Edward’s next relative, who within the meaning of the act attended all his meeting throughout a pandemic and all his court cases and ensured he was on time. As well as attended drug centre help for him with him 5 times during the pandemic but was offered nothing at all from the services. 1st April 2021 - Mary Moss applies for Edward to be discharged from the section 2 by 3rd April 2021 9pm within the 28 days of the section 2. Notwithstanding Edwards disappearance and therefore the 28 days should start again but it is believed that around the time of Edward coming back to the hostel thereafter upon admission to Coral he may have been put on a section 3 but this is certainly information that has been kept from the next relative and list of medications. All the confusion led to no one knowing over the next few days who was the next relative as the left hand didn’t know what the right hand was doing. Mary is told she again is not next relative, and that Patrick Moss junior is. This despite no paperwork being recieved as nothing had been sent back as there was conflicting paper work sent to Mr Moss, Edward’s Dad. After Mr Moss then having an understanding of what is going on with the social worker and the mental health act, Mr Moss senior simply sign’s delation over to Mary Moss directly using the paperwork the social worker sent to him and the envelope sent by Mary to Mary’s house. Ms Mary Moss then hand delivers the delegation to Gracie one of the social workers at St Pancras. 7th April 2021 - Mary writes to the MHA office to Dominique Merlande whom she had dealings with over the 2020 ‘next relative’ game that seems to be what the MHA thrive on whilst delaying Edwards rights and allowing time to drug and confuse him. Dear Dominique, As the established next relative of Edward Moss for 3 years I applied for his discharge on the 7th March 2021 having spoken to him and found him to be no danger to himself or others. I was told I was suddenly after three years of caring for him, including attending ward round meetings in a pandemic with Dr Gin and attending court cases with him. These are the facts and as such I still see myself as the next relative. Gracie has committed gross misconduct in that she did not accurately do her job and committed harm to the patient who did not wish to be held against his will or mine. I have on numerous occasions asked you now to discharge my brother but instead you have gone around members of my family creating chaos as a purposeful distraction and I saw this last time three years ago where in a meeting with you, and me, he was discharged. Since you still have not got your paper work in order and hopefully now I am dealing with you rather than anyone else, I will send you by return of post, the authority by Mr Moss (whom by the way under the act is not even suitable to be next relative having his rights taken away as an abusive person and has had no parental rights since Edward was 12, and he will tell you that himself as I am sure he has) to Geraldine Whiley, the oldest sibling, who lives in Devon and cannot perform function of next relative for that reason alone, who will then delegate to me. You will then keep those records scrupulously, since this is a repeat of the events that happened three years ago when your staff wanted to drug Edward who medically cannot be drugged as he has a hole in his heart. Evidence of this is for you, not me to obtain via Jenny Daley his ex-social worker in Hammersmith. When Edward is then released, I want an account of what help you as an authority give Edwards in terms of his mental health as I have found both St Mungo's and Roman wanting and offering very little. Kind Regards Mary Moss 8th April 2021- Mary Moss gets the post from Mr Moss senior signing over next relative status directly to her, so hand delivers and gets recipe of delivery from Gracie at the MHA office and so now there can be no argument re the next relative status. Dear Dominique Merlande, I have just received the next relative delegation from Mr Moss by post. He has delegated to me and I have accepted and I hope that draws an end to the matter. Attached; Letter arrived in. Delegation form signed by Mr Moss. A stamped addressed envelope to David Hamilton at St Pancras. The signed and accepted form by myself to be the next relative. I also attach the discharge for my Brother Edward Moss by noon on Sunday, whereby I am safeguarding his rights not to be detained unlawfully in my safeguarding role as his next relative. I will like an immediate plan for his reduction in medication before Sunday and a current list of what you have him on against his will. Kind Regards Mary Moss 8/4/21 Mary Moss writes separately to other MHA officers since by now numerous amounts of them have been involved. Dear Dominique Merlande & David Hamilton, I have this afternoon at 3pm hand delivered the delegation documents for next relative and Gracie Tanjikem Ndoke has signed for the documents. Copy of that attached. I look forward to hearing from you with regards to Edward's release on Sunday and any plans for any ongoing support at the dual diagnosis hostel that cost's £1,800 a month for a room the size of a cell. Perhaps you could ask Roman to give me an email on any offers of help for Edward and his drugs use at all at this time appreciating the pandemic. Perhaps some forward planning may be of help and I would like to attend any such meetings as usual. I am copying in his solicitor. Kind Regards Mary Moss 8/4/21 Mary writes to the hostel to TC Edwards key worker regarding Edward’s imminent discharge on Sunday and the TV. Dear TC, I hope you are doing well. I have applied for Ed to be discharged by Sunday and am keen to have his room TV ready, since that is what his frustration was over when he was sectioned on 6th March 2021 since he sold his to James. Either could you ensure that he has a TV and I can give him a Netflix account, so he is not bored in a pandemic or tell me what facilities are in the cell he occupies, to connect a new TV that I can purchase? Obviously the old analoge ones don't work anymore, with an ariel, so are there TV sockets specifically to plug ariels into or does the building have wifi so that he can be given a password to tune in. The wifi is probably the one you have but then I'll have to get him a new TV. If I get him say a 55 inch can they be wall mounted? What happens if the other residents steal it off him? Could you not have big TV's built in? Is there a communal TV? Can you give me the options so I can have this sorted by Sunday as he will be in no state after the amount of drugs they pumped into him to do much else and I wish him to be comfortable at least. Best Wishes Mary TC replied 10/4/21 and was very helpful as usual and I replied back. Dear TC, Thank you for that information I will order a medium sized TV to get delivered then and hopefully the wi-fi can connect. Most helpful information, I think we both get what needs doing. Best Wishes Mary Sunday 11th April 2021 there has been no word from the MHA now that I am officially declared next relative. I even had to call Dominique as I had her mobile number from 2020 and ask if preparation was in place for Sunday. She said that she had not in two days seen my email or proof of next relative and that she would at 3.30pm, the time of the call to her, ask the clinician if he was happy to release Edward, on his and my legal authority, to safeguard Edward and bring him home. Since Dominique called me back at 5pm and told me that the clinician was going to ban my request, I asked that it be put in writing to me as there was no grounds and a ban would require grounds and that was to be done also on time. Nothing was sent and so I was half expecting to have him be freed on Sunday since they did not formally let me know that the correct paperwork had been filled out and on what grounds. However on Sunday despite getting a cab to meet with him and collect him, he was not released. I decided that since I had had no communication and that the MHA were assisting in delays to justice for Edward to take it up with the medical practice tribunal service. They were very helpful and referred me to the General Medical Council. Dear MPTS, Doctor Neil Stewart of Highgate Mental Health Coral Ward has twice taken my brother and misused the Mental Health Act 1983 to drug my brother against his will and mine, his next relative. Edward Moss has a hole in his heart and could die from the seizure inducing medicines as well as strong antihistamines. He was in A&E last time with respiratory problems. He's been held down, injected, assaulted by those under Dr Stewart, so his licence to practice medicine and human care should be looked into and suspended pending investigation. Edward Moss was due to be discharged today at noon. Kind Regards Mary Moss They replied and referred me to the GMC Good morning, Thank you for your email. I am afraid that the MPTS is unable to assist you with your concerns as we do not investigate doctors. The MPTS makes decisions about doctors’ fitness to practise in cases referred to us by the General Medical Council. I have forwarded your email to the General Medical Council, but if you would like to contact them directly you can find out how to do so on their website. I’m sorry I cannot be of further assistance. Kind regards, I replied back Dear MPTS, Thank you for your thoughtfulness in making a referral to the GMC. I will follow up with the latest abuse of protocols and treatment of my brother in the care of the psychiatrist and his staff/admin. Kind Regards Mary Moss 7.23am 12/4/21 12/4/21 My reply to the above Dear MHA, There are many aspects of Edward's care and his medicines that are not being communicated to me as next relative. This includes yet another aspect. Do you have a copy of that request and can you send it to me as I wish to see the strict grounds for detention regarding harm to himself or others quoted and proved as his solicitor asked for in the last tribunal? Meanwhile can you send me a list of his medicines and dosages and timeline for them since admission, any meetings arranged before and going forward and times he is aloud out of his room, times he is allowed outside and any restrictions he has already faced? As his next relative can you let me know all these things and consult me on all future decision making/meetings by phone 07916 325037 (not using a private number so that I can tell who is calling) and email giving me prior notice of call times that suit me as I work full time from home. This includes being there at ward rounds on the phone and notice of them. Can you also stop consulting with other members of my family as Edward has requested this today? Therefore, unless I hear otherwise from Edward, he has requested I alone and not Patrick his former next relative will be attending all meetings on the phone regarding Edward's care. Please let Patrick know by email that the request by Edward is this and will be respected. I am copying in his solicitor regarding her safeguarding his legal entitlements, in regards to your reply and forthcoming evidence of the ban on my request for discharge and if you are indeed accurate, as I don't think the rules have been applied. Kind Regards Mary Moss Response on 12/4/21 3.23pm Dear Ms Moss Please see attached copy of barring form completed by RC. The hospital managers will be in touch with you in due course. I have forwarded your clinical requests to the ward team as this is in no way reviewed by this office. Many thanks Kind regards Maggie Deas Margaret Deas Mental Health Law Administrator Mental Health Law Hub Highgate Mental Health Centre London N19 5NX This was attached and is copied in below Form M2 - Regulation 25(1)(a) and (b) Mental Health Act 1983 Section 25 — Report barring discharge by nearest relative PART 1 (To be completed by the responsible clinician) To the managers of [name and address of hospital] Highgate Mental Mental Health Centre, Dartmouth Park Hill, London, N19 5NX [Name of nearest relative] Mary Moss gave notice at [time] 15:55 on [date] 9 April 2021 of an intention to discharge [PRINT full name of patient]. Edward Moss I am of the opinion that the patient, if discharged, would be likely to act in a manner dangerous to other persons or to himself or herself. The reasons for my opinion are— Mr Moss suffers from schizo-affective disorder and is currently severely unwell with it. His illness has been worsened over the years by the abuse of multiple different substances of abuse. He is currently suffering from psychomotor agitation and profound thought disorder. He is likely to behave in a dangerous manner to both himself and others if discharged. His dangerousness to others takes the form of verbal abuse, property damage and threats. In Coral Ward he has been repeatedly aggressive towards staff and patients. He broke a heavy door in a rage approximately ten days ago. He is dangerous to himself. He puts himself in very vulnerable situations by provoking others, who then threaten him. I have witnessed another patient react adversely to Mr Moss swearing at him, by shouting at Mr Moss over several minutes threatening to assault him. In addition, Mr Moss endangers himself by profoundly neglecting himself. [If you need to continue on a separate sheet please indicate here and attach that sheet to this form] I am furnishing this report by: consigning it to the hospital managers’ internal mail system today at [time]. today sending it to the hospital managers, or a person authorised by them to receive it, by means of electronic communication. sending or delivering it without using the hospital managers’ internal mail system. Signed Responsible clinician PRINT NAME NEIL STEWART Email address (if applicable) neil1.stewart@candi.nhs.uk Date 9 April 2021 Time 17:25 PART 2 (To be completed on behalf of the hospital managers) This report was: furnished to the hospital managers through their internal mail system. furnished to the hospital managers, or a person authorised by them to receive it, by means of electronic communication. received by me on behalf of the hospital managers at [time] on [date]. 09/04/2021 Signed M Deas on behalf of the hospital managers PRINT NAME Margaret Deas Date 09/04/2021 © Crown copyright 2020 Mental Health www.gov.uk/dhsc This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. My response much later on at 7.30pm on 12/4/21 Dear MHA, Sorry I was taken away from this earlier due to an urgent work engagement. Having now read the reasons my initial thoughts are; Schizoaffective disorder is a mental health disorder that is marked by a combination of schizophrenia symptoms, such as hallucinations or delusions, and mood disorder symptoms, such as depression or mania Sometimes, however, psychomotor agitation does not relate to mental tension and anxiety. A 2010 study found that there was also a link between psychomotor agitation and nicotine, alcohol, and drug dependence. In other cases, psychomotor agitation can be caused by antipsychotic medications. A thought disorder is a mental health condition that affects a person's beliefs, thoughts, or perceptions. Thought disorders alter the way a person puts together ordered sequences of ideas and can affect a person's behaviour by causing them to experience paranoia, delusions, hallucinations, or other symptoms. Likely to behave in a dangerous manner is not evidential it is opinion 1. Edward broke a door trying to escape and succeeded 10 days ago, he recalled the incident when asked as his intention to escape detention and a profound security breach, where he simply kicked the door in two places. 2. Verbal abuse, or verbose is part of Edwards personality. His mother was a member of Mensa and Edward went to the London Oratory. He likes to watch university challenge and is often conversing on philosophies as it normal. If Edward is in danger by being verbal, do you suggest that slowing him down for a period of time will ever rid him of this? 3. Edward does not neglect himself, the medication caused him to soil himself and is a well know side effect. On the occasion of Edwards escape, he went back to St Mungo’s and presented himself after going to his room, when sighted as dressed in a dapper manner as per his usual attire. He remarked also that he wished to keep his tracksuit bottoms with him as he had only just washed them yesterday and he said it’s seems a strange thing to have got slightly attached to HMP a tracksuit. It would seem that the psychiatrist has identified a drug dependency disorder like many people in the UK have. That is not a reason in itself for Edward to be detained. If it were most of the UK population would be in hospital instead of a rehab. The hostel caters for the disorder, they call it dual-diagnoses and it would seem that they and the social workers linked to Edward's care have not done their job and I have seen no evidence of any plans going forward for them to do their job. I refute that my brother is behaving in any other way than someone who is angered by his detention and is regularly being depo' and assaulted by the staff for wanting his freedom. This I would suggest this is exceptionally normal human behaviour. Edward therefore is not a danger to himself or to others. I have looked after him throughout the pandemic and it should have never been questioned, to cause delay in regards to my normal caring relationship for my brother. I attach evidence he does not neglect himself by way of photos taken in Nov 2020, Dec and January 2021. Kind Regards Mary Moss 21/4/21 I have heard nothing since and today whilst evidencing this history for the Hospital Managers Meeting, it has been in total 10 days, so there has been ample time to convene a hospital managers meeting, since they all are from the same trust. I called Roman Mental Health Social Worker as he had been on leave since late March until 19th April 2021 and is normally nice with Edward, when he see’s him. I then emailed TC at the hostel and asked for both of them to make plans for Edwards return and to put a support plan in place, since they are funded as a ‘dual diagnoses’ (drugs/MH) placement. His housing benefit claim is still open and is in danger of being closed if he is not returned to add problems to everything. Dear TC, I hope all is well. There will soon be a hospital manager's meeting and I want to ask you to attend by phone? I will let you know of the date when I know. I will be asking Roman also to attend. During the meeting to discuss Edwards possible release on the same day, I would like to have some offers/plans put in place around Edward's drug usage and any possible idea's going forward in his future for him to not feel the need so much to take drugs. The plans/offers may involve activities, perhaps a smaller placement with activity-based ethos and/or drug programmes, support groups, residential settings, holidays, volunteering. Also, to discuss his environmental needs such as a better room and of course the TV which will be on the way soon. Edward has the need to get the jab, glasses, a doctor and a community dentist. He could do with being offered dental implants on the NHS for his confidence. He may also in line with the wishes of the clinician be expected to keep up his one dose of aripiprazole 15mg as this historically can help and so perhaps a placement offering supportive environments for administration of meds may be looked at. We do need a good plan for Ed. Anyway, I will let you know the date and how to access the meeting by phone as well as let Roman know too. Hopefully if there is a care plan I could have it in advance to discuss by phone with Edward. His number is 02075614000 if you want to chat with him about any plans going forward too. Best Mary Response 7pm 21/4/21 Hi Mary, I am very happy to phone in to a meeting, or attend virtually. If at all possible, I will make myself available even if I am not on shift. I am happy to update Ed’s plans to reflect any wishes he has for his future, activities and goals. I do agree that Ed needs something more structured in the way of activities, and I am hoping this can be achieved as we come out of lockdown. I am not sure what Ed really likes doing, but there is a gardening based activity programme on the south side of the river which is not too far from Endell. This is run by Mungo’s. I can enquire about places and what they have going on? Not sure what is available in the way of other projects/hostels/rehab, but from previous experience I believe that most of such placements/moves would have to be initiated by Ed himself. I will forward the below email to Roman. Have a good evening Kind regards TC Terese C. Lundquist (TC) She/her Project worker 83 Endell Street London WC2H 9DN 020 7632 4000 Dear TC, As always very positive response. Thank you Mary Added above whilst writing as email came in 21/4/21. I also had a response from the CQC today 21/4/21 MsMaryMossSent by email: naypic@hotmail.com MHA Ref: ENQ1-1056565584821April2021 Dear MsMoss Re: Your complaint regarding the care and service received from CamdenandIslingtonNHSFoundationTrust Thank you for contacting the Care Quality Commission (CQC) with your agreement that we can forward your concerns to the above care provider for them to investigate and respond directly to you, copying in the CQC. What should happen next is that the provider will contact you directly in relation to the complaint you have raised. They will also let you know the date by which they intend to provide you with a response. I have asked that a copy of the acknowledgement and response sent to you is also sent to the Care Quality Commission. Should you have any follow up complaints I would suggest you liaise directly with the provider to avoid delays or protracted processes. Once the provider has concluded their investigation and provided you with a response to the issues you have raised, should you remain unhappy with that response you can approach the CQC to ask that we consider conducting a review into any unresolved matters. We would need you to clarify your outstanding concerns and explain why you feel the response has not fully addressed your complaint and to confirm the outcome that you are seeking.Care Quality Commission have also had to adapt our ways of working and at present are extremely limited to what we can send out by post. It would be preferred that we can correspond with you via email where possible. We are sorry and recognise that this is not ideal in some cases, if you do not have access to email at present please feel free to contact us via our contact centre to discuss. Please be assured we are working tirelessly toensure that any delays are kept to a minimumOn the completion of local resolution you also have the option of contacting theParliamentary and Health Service Ombudsman Office (PHSO), saying why you are not satisfied. CQC Mental Health Act TeamCitygateGallowgateNewcastle upon TyneNE1 4PATelephone: 03000 616161(press option 1 when prompted)www.cqc.org.ukEmail: MHAEnquiries@cqc.org.uk Their address is:-The Parliamentary and Health Service OmbudsmanCitygateMosley StreetManchesterM2 3HQ If you have any questions about whether the Ombudsman may be able to help you please contact their helpline on:Tel: 0345 015 4033Email phso.enquiries@ombudsman.org.ukfax 0300 061 4000 Further information about the Ombudsman is available at www.ombudsman.org.ukThe Ombudsman can consider whether to investigate complaints that the NHS (and NHS funded care) in England have failed to act properly or fairly or provided a poor service. The PHSO is the final arbiter in any complaint matter and therefore the CQC cannot consider any request for investigation once the Ombudsman has reviewed a complaint. The PHSO may decide that your complaint would be more appropriately reviewed by the CQC should it be about the way an organisation has applied its powers under the Mental Health Act. This would not include disagreements around clinical diagnoses. Our legal powers are discretionary –this means that we can decide whether or not we will investigate a complaint under the Mental Health Act, but please be assured that we always read and consider every one we receive so that we can make that decision fairly. We will always write to you and explain our reason for not conducting a review. Should you wish to complain about our decision not to investigate you can contact our Corporate Complaints Team by phone, letter or email.CQC Corporate Complaints Team 151 Buckingham Palace Road LondonSW1W 9SZ Phone: 03000 616161 Email: complaints@cqc.org.ukThe information you have given us is extremely valuable in helping us decide now or in the future if people using a service are receiving safe, compassionate and high quality care. What people using services tell us informs our decision making and helps focus on areas of a service that may need attention by a provider. We publish full information on our policies for processing, sharing and protecting personal data at http://www.cqc.org.uk/about-us/our-policies/privacy-statementIf you require any further information please contact the Mental Health Act Enquiries on 03000 616161 select option 1 when prompted, quoting the above MHA reference.Yours sincerelyTuri MaddisonMental Health Act Senior Complaints OfficerMental Health Act Complaints Department So the position as it stands is, Edward wants to be released. I can no longer communicate with him coherently as he is very sedated and still claiming to be assaulted. At the Hospital Managers Meeting hearing where the clinician has resorted to barring my request for discharge, I will make an application as the ‘nearest relative’ to have Edward Moss discharged. I will say that he has never been a risk to himself or to others, he is known as a gentle soul with a very intelligent side to his personality, he is caring and generous to a fault and has never had any history of harm to himself or to others. He does take drugs and he is supplied by the DWP with copious amounts of money to have drugs. This then makes him vulnerable to others, the drug cartels currently being funded by the DWP and with no end in sight, which seriously makes me despair as a concerned sister. There is no place it seems in the DWP to manage his money for example giving it to him daily and I would recommend this at the least. There is no drug rehabs available but that is not a good enough reason for Dr Neil Stewart to give him lab drugs. Medically he has a hole in his heart and was born with that. He has a hernia so that cannot burst with fat inducing lab drugs. He has repirtory problems on the lab drugs also as some of them are prescribed for dangerous dogs. I am of the firmly held belief that the section 3 is doing him more harm than good and outside at least he has choice. I suggest his verbal abuse is solely due to his anger at being unlawfully detained, I feel the same as him on this and am furious at the lack of duty of care shown towards him in a so called mental health setting, where next relative is barred. If you do go to the county court so that I am removed I will accuse you of attempted corporate/medical manslaughter. I have only been informed today that the hospital managers meeting is this Monday, again more game playing. I have had to inform my solicitors Burke Niazi only this afternoon. Kind Regards Mary Moss Attachment. Mental Health Law Hub Room 120, First Floor, East Wing St Pancras Hospital 4 St Pancras Way London NW1 0PE Tel: 020 3317 6085 26/04/2021 Dear Ms Moss Re: Edward Moss I am writing to inform you that, in accordance with the provisions of the Mental Health Act (1983), the Hospital Managers have received a report barring you from discharging your relative. The Associate Hospital Managers (AHMs) must meet to consider the decision to bar you from discharging your relative. The Responsible Clinician, Nursing Team and Care Co-ordinator will provide written reports and will also meet with you and the AHMs to discuss the decision. A hearing has therefore been arranged for: Date: 10/05/2021 Time: 14:30 Venue: BT Conference Call Hearing/ (MS Teams) (All witnesses are expected to call in at 14:30 for the afternoon hearing). If there is any problem with accessing the video call via MS Teams above, you can also join the meeting by telephone conference call: 1. Dial 0800917 1950 (BT Free Toll Number). 2. Passcode: 42874387# You will be asked to record your name after a bleep and be told you have now joined the call. Our records show it is unclear who your legal rep is I have enclosed a list of mental health solicitors, from which you may select a firm to represent you. If you have any difficulties with contacting them, please contact us we will be happy to assist you. You will be given copy of the reports. If you let us know which solicitor you have selected, we will be happy to forward the reports to them, to assist with your representation. Otherwise copies of the reports will be sent to you with the post or made available to you on the day. If you have any queries, please do not hesitate to contact the Mental Health Law Hub. Yours sincerely, Antoinette Maito AHM office Emails. 11/05/2021 from Edwards solicitor Fernanda Please can you let me know when the hospital managers meeting is? Fernanda Stefani You; MHL_Highgate Dear Mary Good morning. I received the following e-mail from the MHAO: "For future reference, the alternative number is 02034639740. The passcodes remain the same. Please be advised that outcome was no discharge. Full written decision to follow once obtained. Julius Mitala" I will let EM know and I will wait to peruse the decision. On a more positive note, we have the Tribunal this week which will be another opportunity to request discharge. Please let me know if you have any questions. Please confirm you have a Solicitor assisting you? Thanks NN/YP Youth Parliament Emails. 10/05/2021 from Edwards solicitor Fernanda at 12:51 Fernanda Stefani; MHL_Highgate Hi Fernanda, Yes, it is at 2.15pm. Kind Regards Mary Fernanda Stefani You; MHL_Highgate I believe it is today at 2:30pm. I am waiting for the link to access it as well. 10/05/2021 11:02 NN/YP Youth Parliament AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) AHM Coordinator Dear All, Now that I have received the reports, I will read them, and I will endeavour to attend at 2.15pm out of courtesy to those managers attending. I will not be able to get legal help at this time so please ensure you don't use CRP language as I won't know it off hand but if then you need to, just let me know rather than a number the relevant laws you are referring to. My mobile is 07916 325037 but I will follow the instructions sent on Friday. Kind Regards Mary Moss 10/05/2021 10:33 MHL_Highgate You; MHL_Highgate AHM Coordinator Dear Ms Moss, Julius, has responded with the relevant information you were requesting regarding the Managers Hearing which is scheduled for today 10/05/2021. Please see email attached. Kind Regards, Sital Gorasia Mental Health Act Office Manager Mon 10/05/2021 10.21 4 Attachments marked Attachment Content on each one.. Starting EM and contents Attachment Content: EM Correspondence..docx Managers hearing Barring order EM 8  A AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) Fri 07/05/2021 12:18      To: • fernanda.stefani@rtw.cjsm.net 
 +2 others em- Nearest Relatives Hearing Date Notification - 10.05.2021.doc 454 KB Dear Sirs 
I have been informed that you are in contact with the nearest relative Ms. Moss. Please can you send her the letter attached as we haven't managed to get a response from her. Also please can you ask her to confirm her attendance and let us know who will be representing her. Thank you in advance Kind regards Antoinette Maito AHM Coordinator   Telephone: +44(0)20 3317 6085 Email: Antoinette.maito@Candi.nhs.uk (secure email Antoinette.maito@nhs.net) Online: www.candi.nhs.uk Twitter: @CI_NHS   Mental Health Law Hub Camden and Islington NHS Foundation Trust Room 120, 1st Floor, East Wing, St Pancras Hospital, 4 St Pancras Way, London NW1 0PE  Reply Reply all Forward A AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) Wed 05/05/2021 13:34      To: • naypic@hotmail.com 
 Dear Ms Moss Please can you confirm whether you will be attending the above hearing? Also please let us know whether you would like legal representation? Kind regards Antoinette Maito AHM Coordinator   Telephone: +44(0)20 3317 6085 Email: Antoinette.maito@Candi.nhs.uk (secure email Antoinette.maito@nhs.net) Online: www.candi.nhs.uk Twitter: @CI_NHS   Mental Health Law Hub Camden and Islington NHS Foundation Trust Room 120, 1st Floor, East Wing, St Pancras Hospital, 4 St Pancras Way, London NW1 0PE  A AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) Fri 30/04/2021 10:38      To: • naypic@hotmail.com 
 EM.Med.28.04.2021.docx 35 KB Dear Ms Moss Please find attached the updated medical report. Please also let us know if you would like legal representation and whether you will attend the hearing. Kind regards Antoinette Maito AHM Coordinator   Telephone: +44(0)20 3317 6085 Email: Antoinette.maito@Candi.nhs.uk (secure email Antoinette.maito@nhs.net) Online: www.candi.nhs.uk Twitter: @CI_NHS   Mental Health Law Hub Camden and Islington NHS Foundation Trust Room 120, 1st Floor, East Wing, St Pancras Hospital, 4 St Pancras Way, London NW1 0PE  A AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) Thu 29/04/2021 15:56      To: • naypic@hotmail.com 
 EM.SOC.28.04.2021.docx 28 KB Dear Ms Moss Also please see attached social report. Kind regards Antoinette Maito AHM Coordinator   Telephone: +44(0)20 3317 6085 Email: Antoinette.maito@Candi.nhs.uk (secure email Antoinette.maito@nhs.net) Online: www.candi.nhs.uk Twitter: @CI_NHS   Mental Health Law Hub Camden and Islington NHS Foundation Trust Room 120, 1st Floor, East Wing, St Pancras Hospital, 4 St Pancras Way, London NW1 0PE  A AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) Thu 29/04/2021 15:52      To: • naypic@hotmail.com 
 Cc: • AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) 
 EM. NUR. 23.04.21.doc 95 KB em- Nearest Relatives Hearing Date Notification - 10.05.2021.doc 454 KB EM.Med.28.04.2021.docx 35 KB EM.Barringm2.09.04.2021.docx 54 KB Show all 4 attachments (639 KB)Download allSave all to OneDrive - NHS Dear Ms Moss Please see attached reports for the hearing along with Notification of the hearing. please confirm your attendance and whether your require a solicitor. Kind regards Antoinette Maito AHM Coordinator   Telephone: +44(0)20 3317 6085 Email: Antoinette.maito@Candi.nhs.uk (secure email Antoinette.maito@nhs.net) Online: www.candi.nhs.uk Twitter: @CI_NHS   Mental Health Law Hub Camden and Islington NHS Foundation Trust Room 120, 1st Floor, East Wing, St Pancras Hospital, 4 St Pancras Way, London NW1 0PE  A  AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) Wed 28/04/2021 18:35 Kind regards Antoinette Maito AHM coordinator Telephone +44 (0)20 3317 6085 Mobile 07970407063 Email Antoinette.maito@Candi.nhs.uk(secure email antoinette.maito@nhs.net) Online www.candi.nhs.uk Twitter @CI_NHS Working hours: Mon – Fri 9-5 Mental Health Law A [Draft] Saved: Wed 28/04/2021 18:13 (No message text) A [Draft] Saved: Wed 28/04/2021 18:04 (No message text) A [Draft] Saved: Wed 28/04/2021 18:03 (No message text) A AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) Wed 28/04/2021 17:17      To: • naypic@hotmail.com 
 Dear Ms Moss Please  see attached  Kind regards   Antoinette Maito  AHM coordinator     Telephone               +44 (0)20 3317 6085  Mobile                          07970407063    Email                        Antoinette.maito@Candi.nhs.uk(secure email antoinette.maito@nhs.net)  Online                      www.candi.nhs.uk  Twitter                      @CI_NHS    Working hours: Mon – Fri 9-5   Mental Health Law Hub  Camden and Islington NHS Foundation Trust  Room 120, 1st Floor, East Wing, St Pancras Hospital  4 St Pancras Way, London NW1 0PE  From: AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) 
Sent: 26 April 2021 11:28 
To: naypic@hotmail.com 
Cc: AHM Coordinator 
Subject: Re: Managers hearing Barring order EM   Dear Ms Moss Please also let us know whether you will be attending or not and whether you require legal representation. Kind regards Antoinette Maito AHM Coordinator   Telephone: +44(0)20 3317 6085 Email: Antoinette.maito@Candi.nhs.uk (secure email Antoinette.maito@nhs.net) Online: www.candi.nhs.uk Twitter: @CI_NHS   Mental Health Law Hub Camden and Islington NHS Foundation Trust Room 120, 1st Floor, East Wing, St Pancras Hospital, 4 St Pancras Way, London NW1 0PE From: AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) 
Sent: 26 April 2021 10:47 
To: naypic@hotmail.com 
Cc: AHM Coordinator 
Subject: Managers hearing Barring order EM   Dear Ms Moss Please find attached letter containing hearing details for the manager hearing. Kind regards Antoinette Maito AHM Coordinator   Telephone: +44(0)20 3317 6085 Email: Antoinette.maito@Candi.nhs.uk (secure email Antoinette.maito@nhs.net) Online: www.candi.nhs.uk Twitter: @CI_NHS   Mental Health Law Hub Camden and Islington NHS Foundation Trust Room 120, 1st Floor, East Wing, St Pancras Hospital, 4 St Pancras Way, London NW1 0PE Attachment Content: EM.Med.28.04.2021 Mon 10/05/2021 10.21 AHMCOORDINATORS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) You AHM Coordinator; mhl_highgate@candi.nhs.uk Dear Ms Moss, Thanks for your emails below. 
 Please see reports attached again. I have to state, as I have already stated that we sent you all the communication in the timeline below: 26/April/2021 at 10:47 (Letter) 26/April/2021 at 11:28 ( Email requesting you to advise us of you will attend the hearing and have sorted legal representation) 28/April/2021 at 17:17 letter 29/April/2021 at 15:53 Nursing Report, Medical report, Letter and Form M2 Barring order) 29/April/2021 at 15:56 (Social report) 30/April/2021 (Medical report) 05/May/2021 (Further inquiry whether you had managed to organise legal representation) 07/May 2021 (Various other communications by email) All the above communications are sent to your preferred email naypic@hotmail.com. Coral Ward Medical Report Highgate Mental Health Centre 
Dartmouth Park Hill 
London 
N19 5NX 
Tel: 020 7561 4010/4012 Date of report: 28th April 2021 Name: Mr Edward Moss Address: St Mungo Association, 83 Endell Street, London WC2H 9DN DOB: 08/07/1970 NHS No: 434 894 2870 Coral Ward Consultant: Dr Neil Stewart Community Consultant: Dr Stella Kingett Coral Ward Doctor Dr Sucheta Tiwari, Specialty Doctor MHA Status Section 3 Community Care Coordinator Mr Roman Wyper Admission Date (hospital) 06/03/2021 GP Name and Address 39 Brunswick Centre, London WC1N 1AF Admission Date (Coral Ward/PICU) 29/03/2021 Primary Diagnosis: Schizophrenia ICD 10 code: F20 This report was prepared by Dr Sucheta Tiwari, Specialty Doctor working under Dr Neil Stewart, Consultant Psychiatrist. The content of this report has been compiled from: 1. Review of patient’s electronic case notes. 
 2. Clinical assessment since admission to Coral ward. 
 Reason for Admission to Mental Health Hospital Mr Moss was assessed, after brief period of deterioration in his mental state (see history of presenting complaints), at the Mental Health Crisis Assessment Service on 06/03/2021. On assessment he was verbally hostile and agitated. It was suspected that he had not been taking his prescribed antipsychotic medication. He was very unkempt and malodorous. He was agitated, aggressive and threatening. He exhibited pressure of speech and thought disorder. He was labile in mood. He was detained under Section 2 of the Mental Health Act and admitted to Emerald Ward at the Highgate Mental Health Centre, which is an acute treatment ward on 06/03/2021. Reason for Transfer to PICU (Coral Ward) On 26/03/2021, Mr Moss went AWOL from Emerald ward. He returned to his hostel and was brought back by police. He appeared very agitated and verbally aggressive, so was brought to the PICU. History of Presenting Complaints Staff at Mr Moss’ hostel contacted the mental health crisis team on 06/03/2021 raising concerns that Mr Moss was a risk to self and others and needs to be in hospital. He had told staff he has been hearing voices. They observed bizarre behaviour including moving a fridge from his room to the hallway, trying to lift things in the stairwell. Whether he had taken any psychoactive substances was unclear: He had returned to hostel after being absent for a couple of days. Later on the same day an ambulance was called by hostel staff after Mr Moss had thrown a TV out of his window and was becoming increasingly agitated. He was taken to the Mental Health Crisis Assessment Service where he was assessed and detained under the Mental Health Act. Mental State Examination on Admission to Coral Ward Appearance and Behaviour: Middle aged Caucasian British gentleman, poorly kempt and dressed inappropriately for the weather (open shirt and no footwear), didn’t maintain eye contact, had increased psychomotor activity levels: kept pacing and changing his posture, kept walking in and out of the garden. 
Speech: Frequently incoherent, increased rate, normal tone and rhythm, 
Affect: Irritable, labile 
Thought: Could not be formally assessed 
Perception: Could not be formally assessed 
Insight: Absent Past Psychiatric History Mr Moss first developed psychosis at the age of nineteen. At the time he was living in a Children’s Home. There was a fire in the home that resulted in a boy’s death. His sister Mary has previously reported that she thinks that the stress of this caused Mr Moss to develop schizophrenia. At the age of twenty he was detained in hospital and was diagnosed as having schizophrenia. He had a second admission at the age of twenty-two. Details of his first two admissions are not available. In 2012-13 he had an admission on section 2 then section 3 to Ravenscroft Ward in West London. The admission lasted nine months. He was treated with olanzapine 20 mg ON and valproate 800mg BD. He was discharged to supported accommodation had been a three-month period of deterioration prior to the admission. He was eventually found by police trying to sleep in some public toilets. He had stolen a bicycle the night before. On admission he was over-active, very thought disordered and rather elated. He then remained out of hospital until 2019 but notes from West London NHS Trust indicate that he remained chronically unwell with thought disorder and disorganised behaviour. Substance abuse is repeatedly mentioned in the notes as well as a tendency for him to be evicted from various accommodations due to his drug use and associated antisocial behaviour. Poor adherence with medication is repeatedly mentioned. From approximately 2017 he was prescribed oral aripiprazole because he found olanzapine too sedating. Mr Moss was previously on the Hammersmith and Fulham's recovery team's caseload where he had a care coordinator, Ms Jenny Daly. He has been known to mental health services in Camden and Islington since 2019. He was admitted to hospital under section 3 of the MHA on 13/11/2019, initially to Cygnet Hospital in Colchester, being later transferred to Dunkley Ward, St Pancras Hospital and then Kingston Ward, Huntercombe Hospital and Coral ward (PICU), Highgate Mental Health Centre. The police arrested Mr Moss for stealing a car, driving recklessly and almost running somebody over. He initially failed to stop when police intervened. They noted that he was irritable and made little sense. He presented as being agitated, aroused, pressured in speech and thought disordered. He reported a hallucinatory voice telling him that his body had been taken over. He was admitted to PICU after he attempted to abscond on multiple occasions and during one attempt had to be restrained. He spat at staff during restraint and ripped someone’s trousers. He also threatened staff, took their belongings, used stolen swipe cards to enter the staff room and damaged a window in the lounge. He was discharged from Coral ward on 08/01/2020, having been treated successfully with a zuclopenthixol depot, but he refused to continue to take this following his discharge from hospital. From 01/07/2020 to 15/07/2020 Mr Moss was admitted to Laffan ward, St Pancras Hospital under section 2 of the MHA. This was after he became agitated and aggressive at his accommodation- defecated in a sink and was shouting in the reception area. When assessed he was found to be irritable, confused and thought disordered. During the admission he was restarted on treatment with Risperidone. His presentation was thought to have been linked with psychoactive substance use. He made a relatively quick recovery and a prolonged admission was not necessary. From 03/08/2020 to 12/08/2020, Mr Moss was admitted to Sapphire ward and Amber ward, Highgate Mental Health Centre under section 2 of the MHA. This was after he was arrested by police after being seen trying to break into a car. In custody he appeared mentally unwell- paranoid, thought disordered and threatening/verbally abusive. He had not been taking Risperidone since being discharged from hospital. On the ward he was verbally and racially abusive to staff and stole items from other patients. He was treated with aripiprazole after refusing risperidone. He was discharged after appearing calmer, no longer meeting criteria for detention under the MHA and requesting discharge. Psychoactive substance use was thought to be the precipitating factor for this episode. Medical History • Pneumonia: December 2019 
 • History of head injury following RTA in adolescence 
 • Back pain 
 
 Medication on Admission to Hospital • Aripiprazole 15mg OD 
 • Promethazine 25mg QDS 
 Current Medication: • Zuclopenthixol 30 mg BD 
 • Zuclopenthixol decanoate 300 mg im weekly 
 • Sodium Valproate 1000 mg BD 
 • Clonazepam 1 mg BD, 2mg ON 
 • Promethazine 25 mg BD, 50 mg ON 
 Drug and Alcohol History Mr Moss began using drugs at approximately eighteen years of age. Over the years he has used several different types of substances including alcohol, heroin, crack cocaine, cannabis and amphetamines. He has used substances throughout his adult life. He has never been in a detoxification or rehabilitation facility. Notes suggest that he is currently known to smoke crack cocaine with a pipe. A urine drug screen could not be done during his current admission. Forensic and Risk History • July 2018: Attended court over attempted theft of a bike. He was found guilty of going equipped to steal. He was given a conditional discharge for 12 months 
 • November 2018: Court appearance in relation to arrest for trying to break into a car. 
 • February 2019: In court for going equipped to steal bicycles 
 • May 2019: Seen in Acton custody following arrest for Harassment, Positive drug screen for cocaine. 
 • November 2019: Arrested for driving a vehicle erratically and nearly running someone over-subsequently detained under MHA 
 Risk to himself: Mr Moss attempted to take his own life by electrocution in 1993, after his son’s death. There is also a record of another suicide attempt in 2005. He has been at risk of self-neglect when unwell. Risk to others: Mr Moss has a history of emotional lability, agitation and aggressive behaviour when unwell. This has required restrictive interventions and treatment in the Psychiatric Intensive Care Unit during his in-patient admissions. He has also previously stolen from other patients and staff during previous admissions. He has a history of dangerous driving when unwell and reportedly nearly ran someone over in 2019. Risk from others: Mr Moss has previously been the victim of exploitation by drug dealers, including using his former property for drug-related activity. There have been concerns during his previous admissions that Mr Moss is at risk of retaliation from other due to his behaviour. He was once slapped by another patient during a previous admission. Family History and Personal History Mr Moss has four sisters and two brothers. One brother has schizophrenia. His mother died in 2011. Mr Moss and his siblings were all traumatised by their abusive father. Mr Moss was physically abused by his father and at least one of his sisters was sexually abused by him. Mr Moss and his siblings spent time in care. In 1993 his son passed away. It is unclear whether he has further children. Social Circumstances Mr Moss lives in a homeless persons’ hostel: St Mungo’s in Endell Street. This accommodation remains open to him. He is known to the Focus team. He previously lived in mental health supported accommodation in Hammersmith and Fulham from September 2016 to January 2019. He was evicted from there due to his high levels of illicit drug use and lack of engagement with available support around him to help him address these difficulties. 
When he lived independently in Hammersmith and Fulham his flat was taken over by drug dealers. He has also in the past spent periods of time rough sleeping. He has also sofa surfed at his sister’s place. Progress since admission to Coral ward: When Mr Moss was first brought to Coral ward after having gone AWOL, he appeared very chaotic in presentation. During ward round on 29/03/2021, he was overfamiliar, attempting to hug the consultant psychiatrist. He was also inappropriately dressed for the weather, wearing no footwear with his shirt buttons open outdoors when it was cold. He was labile and became irritable during the assessment and made inappropriate remarks of a sexual nature. Later, on the same day, he had to be placed under involuntary isolation as he wasn’t adhering to the COVID-19 related isolation protocol. He had been sexually inappropriate with female staff. While in isolation, he then used the bed frame to bang the door which then broke from the frame. He was angry and shouting at staff and had to be redirected to the seclusion area, where he was kept overnight before seclusion was terminated early AM. He was then on enhanced nursing observations for a few days. On 30/03/2021, he was assessed for and detained under Section 3 of the Mental Health Act. Over the next few days he appeared over-sedated on the medication that he had been prescribed, and unfortunately had a fall when he was attempting to sit on a chair and missed it. He did not sustain any injury. His sedation was reduced, however, he continued to be frequently restless and chaotic on the ward over the next few days. On 08/04/2021, Mr Moss got into an altercation with another patient on the ward when they tried to take each other’s’ drinks. The other patient attempted to physically assault Mr Moss. The situation was de-escalated by staff and both patients were provided one on one support. On 10/04/2021, he verbally abused staff and refused to leave an area of the ward that was being cleaned, putting himself at risk of slipping and falling. He had to be taken to his room in holds by staff. Mr Moss continued to be labile and irritable over the next few days. He frequently couldn’t sleep at night and needed prn medication to help with insomnia. He showed gradual improvement, albeit with persistent lability between 14/04/2021 and 19/04/2021. He was given Section 17 escorted internal leave on 19/04/2021 but he became abusive towards staff and patients when he learnt that he couldn’t leave hospital grounds. He was observed to be intrusive and verbally abusive. Lithium was added to his treatment on 20/04/2021. In the week since starting Lithium, he has been less chaotic in presentation. On 24/04/2021 he informed a member of the nursing team that he can see white spheres on the ward which he believed were spirits which had escaped from a portal. He appeared preoccupied with spirits and Lucifer at that time. On ward round on 27/04/2021, he engaged better than he previously had, although affective symptoms including labile and elated mood and increased psychomotor activity levels were still prominent. He also expressed paranoid ideas against other patients and members of staff. He does not have insight into his mental health symptoms and has expressed a desire to continue using drugs upon discharge. He reported some physical health concerns in the week of 14/04/2021. On 14/04/2021, he complained of per rectal bleeding characterised by small amounts of fresh blood. Haemorrhoids were detected on assessment and treatment was started by the duty doctor. He reported transient difficulty in breathing on 17/04/2021, and bloods from 19/04/2021 revealed raised white blood cells suggestive of infection. On assessment, he was found to have signs of a lower respiratory infection. He was started on antibiotics and his physical health has improved considerably since then. Formulation: Mr Edward Moss is a 50 year old gentleman with a longstanding diagnosis of schizophrenia and poly-substance misuse. He now presents with a relapse of psychosis with predominant affective symptoms, it is unclear whether this episode was precipitated by drug use, but it seems likely. He has not yet fully responded to treatment although he is beginning to show signs of improvement in his mental state. He remains labile in mood, intrusive and with increased psychomotor activity levels. He recently described visual hallucinations, and exhibits significant paranoid beliefs about patients and members of staff. He lacks insight into his mental state, doesn’t believe he requires medication, and has poor motivation to stop using psychoactive drugs, which pose a further risk to his mental state. He remains at high risk of self-neglect and aggression if not adequately treated. Diagnosis: Paranoid schizophrenia Mental and behavioural disorder due to the use of multiple substances, harmful use Opinion and Recommendations I respectfully recommend that Mr Edward Moss should not be discharged from the hospital at this stage. Nature of mental disorder Mr Moss has a longstanding diagnosis of paranoid schizophrenia. He has had multiple admissions in the past, including admissions under the Mental Health Act and on a PICU. He has a history of significant self-neglect when unwell, and also has a history of aggressive behaviours and engaging in impulsive, risky behaviours when unwell. He has a history of not taking his psychotropic medications and using illicit substances which further puts his mental health at risk and has an impact on the long-term prognosis. Degree of mental disorder Mr Moss remains unsettled in his mental state. He has recently described visual hallucinations and is paranoid about staff and other patients on the ward. He also has affective symptoms of elated and labile mood, increased psychomotor activity levels, low threshold for irritability, and verbal aggression. He lacks insight into his mental state, and has poor motivation to abstain from substances if discharged. His medication regimen is being optimised as his symptoms didn’t respond well to medications tried in the beginning of his admission. Dangerousness to himself Mr Moss’s mental state is very brittle. He is unlikely to take medication if discharged and is very likely to use psychoactive substances. His level of self-care is still not optimal and he remains at risk of self-neglect if he is not adequately treated before discharge. His affective symptoms and likelihood of drug use put him at a risk of misadventure. He is also at risk of retaliation from others for his intrusive and aggressive behaviour. Dangerousness to others Mr Moss remains unwell, intrusive and verbally aggressive. These symptoms have not yet shown significant improvement despite treatment. These are likely to escalate if he is discharged. He has been known to be physically aggressive when unwell, and his current mental state is very brittle. He is likely to have a rapid deterioration in his mental health if he is discharged. Dr Sucheta Tiwari Dr Neil Stewart Specialty Doctor Consultant Psychiatrist Checked Yes Checked No 
 
 Attachment Contents - EM.SOC.28/04/2021 SOCIAL CIRCUMSTANCES REPORT Name: Edward Moss   DOB: 08/07/1970 Address: St Mungo Association, 83 Endell Street, London, WC2H 9DN   GP: Brunswick Medical Centre Address: 39 Brunswick Centre, London, WC1N 1AF  Admitted: 06/03/2021 Date of report: 28/04/2021 Community Consultant: Dr Stella Kingett, Focus Homeless Outreach. 4 Greenland Road, London, NW1 0AS Community Care Coordinator: Roman Wyper, Focus Homeless Outreach, 4 Greenland Road, London, NW1 0AS  Section:  Section 3 of the Mental Health Act (2007) This report has been written following consideration of the electronic records (carenotes), discussion with the client, the in-patient and community team. Forensic History November2019: Arrested for driving a vehicle erratically and nearly running someone over (subsequently sectioned) May 2019: Seen in Acton custody following arrest for Harassment, Positive drug screen for cocaine. He admitted heroin, crack, and alcohol use. Presentation appeared to be due to substance use rather than acute psychotic symptoms. Feb2019: In court for going equipped to steal bicycles November2018: Court appearance in relation to arrest for trying to break into a car. July 2018: Attended court over attempted theft of a bike. He was found guilty of going equipped to steal. He was given a conditional discharge for 12 months. Mental Health History Edward has a diagnosis of Paranoid Schizophrenia and multiple psychoactive substance misuse. He was under CPA and the care of a community team in Hammersmith and Fulham, where he had lived for a long time, before he came over to Camden. He was well known to services there, though he had largely disengaged from mental health services for around a year before moving to Camden. He was referred to our team in November 2019 by his hostel keyworker. Focus is a CMHT for homeless people in Camden and I am his care co-ordinator. It can be difficult to engage Ed in the community as he frequently misses appointments. His mental health is prone to fluctuation, in part due to his illicit drug use and also due to non-compliance with medication. There are times where he can be pleasant, engaging and quite well orientated but also others where he is more thought disordered, erratic and irritable. Prior to this admission hostel staff had become concerned for his wellbeing. Ed told them he was hearing voices telling him he was dead, he was visibly distressed, crying then becoming angry and aroused. Staff were unable to make sense of most of his speech. He brought a television from his room and proceeded to throw this out the front door of the hostel smashing it in the street. Emergency services were called and Ed was taken to A+E at UCLH. Physical Health Edward had a hernia operation in July 2018. Substance Misuse Edward has a long history of heroin and crack cocaine misuse dating back to 1999. The notes indicate that Edwards’s substance misuse has a negative impact on his mental state. When living independently, in the past, his flat was taken over by drug dealers. Much of his previous offending is acquisitive in nature and probably done to fund illicit drug use. Ed is open about his drug use but does not acknowledge that it has a negative impact on his mental health. He smokes crack with a pipe and is not known to inject. He has never been to rehab. Home and Family Circumstances Edward has four sisters and two brothers. His mother is deceased and his father is alive. He had a troubled childhood and there was a history of physical abuse from his father. My understanding is that Edward grew up in care for a large part of his childhood. Edward currently describes having a close relationship with his sister (Mary) who also lives in Camden and with a friend Sophie. Accommodation Edward previously lived in mental health supported accommodation in Hammersmith and Fulham from September2016 to January 2019. He was evicted from there due to his high levels of illicit drug use and lack of engagement with available support around him to help him address these difficulties. When he lived independently in Hammersmith and Fulham his flat was taken over by drug dealers. He has also in the past spent periods of time rough sleeping. Edward moved over to Camden in January 2019 after he was evicted, where Mary his sister lives, and after a period of time sofa surfing was accommodated by LBC (as he had a family link to the borough) in Endell street hostel (St Mungos). Once placed in Endell Street staff became increasingly concerned about Edwards’s bizarre and erratic behaviour. He was seen responding to voices, he was paranoid and delusional; he was unable to engage in a meaningful way to address his tenancy and benefit issues. He was neglecting himself and his personal environment. Due to these increasing concerns he was referred to Focus CMHT. Ed can be difficult to engage in the community as he often misses appointments and spends long periods of time away from the hostel. Financial Edward is in receipt of benefits ESA/Universal Credit. There was previously an issue at Endell st with his housing benefit getting paid and Ed falling behind with his service charge but my understanding is these issues are now largely resolved. Employment Opportunities Edward told me that he used to work at home with his father ‘doing electrics around the house’. My understanding is that he has not worked for many years now. St Mungos offer a variety of courses but most of these are currently on hold due to the covid pandemic. There are also a variety of courses at Camden and Islington’s Trust run Recovery College that Edward could in time access, encompassing recovery, wellbeing, mental health conditions and self-development. Aftercare / Community Support I will continue to work with Edward when he leaves hospital. His care will be managed under CPA and he will receive medical reviews from our consultant psychiatrist. I’ll be able to advise and support him with medication, encouraging compliance and monitoring his mental health. It may also be useful for Edward to re-engage with local substance misuse services at the Margarete Centre when he is discharged. If he returned to his current hostel he would continue to be supported by the staff team at St Mungos (Endell Street) and his keyworker TC. Endell Street is in the general hostel pathway and is staffed 24hrs. It maybe that Edward’s needs could be better met in the mental health housing pathway, in a mental health supported hostel, where he could receive a higher level of support in relation to his mental health. This is under consideration at the moment. Risk Offending: Edward has a history of offending behaviour. He narrowly missed running someone over when he stole a car when he was unwell. To others: Edward can be aggressive towards others when he is unwell. When well he is an engaging and amiable character. Neglect: Edward can neglect himself and his personal environment. There were issues with hoarding type behaviour at his previous hostel and his room at Endell Street is often reported to be in a poor state. Substance misuse: Edward has a long history of substance misuse, mainly crack cocaine and sometimes heroin. He is at risk of accidental overdose and/or physical health problems due to long term drug use. Also, Drug dealers have previously exploited him and taken over his property when living independently. Patients View I met with Ed on Coral ward on 26/04/21. He told me he was fed up and wanted to leave hospital. He would leave hospital if his section was lifted. He was sometimes hard to follow as his thinking was quite confused. I asked Edward if he thought he was unwell and he said “I’m not sure”. We spoke about substance misuse and Ed told me he intended to start using drugs again once he’s out of hospital. He doesn’t think drug use has a negative impact on him. I encouraged him to think about engaging with substance misuse services. He said he’d like us to engage in some social activities together when he’s discharged. Nearest Relative View I spoke with Ed’s nearest relative (Mary Moss/sister) on 28/04/21 to ascertain her point of view. Mary thinks its an ‘injustice’ that Ed’s in Hospital. She does not think that he is a risk to himself or other people and she wants him to be discharged. She told me the recent process of establishing who was in fact Ed’s nearest relative had been upsetting for the family and created a lot of discord. We spoke about accommodation and Mary thinks Ed would be better placed in a mental health supported hostel where he could receive a higher level of support. She also feels if Ed had something constructive to do with his time this would be beneficial. Mary also mentioned having someone to talk to would be helpful for Ed as she feels he’s had a lot of upsetting events in his life to deal with. Recommendations / Summary Having discussed Ed’s case with the in-patient team it is felt that Ed would benefit from remaining on section so that he can continue to receive treatment and for his mental health to improve. This would also allow time for necessary discharge planning to be put in place. Roman Wyper Community Mental Health Nurse Focus Homeless Outreach Team 4 Greenland Road London, NW1 0AS Attachment Content - EM. NUR. 23.04.2021 Background: Edward has a long standing duel diagnosis of schizophrenia and poly-substance misuse (cocaine, heroin, ketamine). Edward is well known to the services in Camden and Islington. Edward was first seen by mental health services at the age of 20 and since this time he has had multiple admissions, where he has been detained under section. Previously Edward has also required an admission to PICU. Edwards last admission was in July 2020. Reason for admission: Edward was brought into hospital due to concerns which were raised by his accommodation (St mungo’s) to mental health services reporting that Edward was experiencing a decline in his mental state. He had reported to staff that he was hearing voices and at times he appeared bizarre in his behaviour. Edward had been absent from his accommodation for a few days and it was unclear whether Edward had taken any substances. Edward was detained under a section 2 and was brought into hospital. On 7/3/21. Edward absconded from Emerald ward on the 25/3/21 and returned on the 29/3/21. Upon arrival he was verbally aggressive and hostile in his presentation so was transferred to PICU. Has the patients’ mental health improved since admission? Yes ( X ) No ( ) Please give further details and examples: Upon admission to Coral ward on the 29/3/21 Edward appeared Labile in mood, he appeared to be misidentifying staff members. Edward was verbally abusive and hostile towards staff and appeared to be thought disordered. When having to isolate Edward was refusing to isolate , so was placed in involuntary isolations where he smashed the door using his bedframe. Edward was placed in seclusion due to this and was given IM medications. Since his admission Edward had his level of observations gradually downgraded to general observations from 2:1 which shows that Edward is presenting as less agitated. However Edward continues to present as labile in mood and remains hostile at times and verbally abusive towards staff, although at times Edward does appear tearful and apologetic regarding this. Edward further remains chaotic at times and intrusive towards other patients as well as him intermittently sleeping during the night. Edward has reported that he is finding it difficult to sleep however he declines any medication to help with this. Social History: Edward has accommodation at St mungo’s and has previously received support from Focus. Edward previously lived in mental health supported accommodation in Hammersmith and Fulham from September2016 to January 2019. He was evicted from there due to his high levels of illicit drug use and lack of engagement with available support around him to help him address these difficulties. When he lived independently in Hammersmith and Fulham his flat was taken over by drug dealers. He has also in the past spent periods of time rough sleeping. Has also sofa surfed at his sisters place. In 1993 his son passed away. Unclear whether Edward has further children. Is the patient able to carry out activities of daily living, including regular washing/bathing, preparing meals, budgeting, social activities. If yes, please give details: Currently Edwards appears unkempt. At times , he requests support from staff at times with changing his linen and his clothes. Does the patient have: Escorted Leave ( x ) Unescorted Leave ( ) No Leave () How often and where? 15 minutes twice daily courtyard leave. Does the patient comply with leave? Yes What kind of relationship does the patient have with their primary nurse, staff, and other patients? Has the patient participated in the care planning process and complied with agreed actions? Edward is extremely labile in his mood at times he will engage with his key nurse however at other times he declines to engage for example in the care planning process and can be extremely verbally abusive towards staff. Edward selectively apologised to some staff members and can become tearful after this. However Edward sometimes engages in the care planning process. At times Edward engages with peers however he can become intrusive and have verbal altercations with other patients. Describe what kind of relationship the patient has with relatives, friends, partner and children? How frequently do they visit?. Edward has had a visit from his brother Patrick on the 13/4/21 and on the 23/4/21 , however lots of his siblings are in frequent contact with Edward and tend to contact the ward to ask how Edward is progressing and they drop any items Edward may need in reception. What social and other networks does the patient have in the community? Does the patient have an allocated Care Co-ordinator? Yes (x) No () If yes, please record the name and team Name: Roman Wyper Team: Focus team Do they have an established relationship with them? Yes Edward has been under their care since November 2019. Do they attend any other MH Services in the community? None known. Has a Brief Risk Assessment been completed? Yes (X) No ( ) Has a Full Risk Assessment been completed? Yes (X) No () Does the patient have a history of violence? Yes (X) No ( ) If yes, is their aggression directed towards: People (X) Objects ( x) Please describe any details. On the 29/3/21 Edward was refusing to isolate so had been placed in involuntary isolation. Due tot his Edward smashed the door using his bed frame. Due to Edwards level of Aggression he was given IM medication and was secluded. Does the patient have a history of self-harm? Yes (x) No () Historic suicide attempt in 1993 – attempted to electrocute him self after his son passed away Please describe any details: N/A Does the patient have a forensic history? Yes (x) No () If so, list details: 
November2019: Arrested for driving a vehicle erratically and nearly running someone over-got sectioned 
May 2019: Seen in Acton custody following arrest for Harassment, Positive drug screen for cocaine. 
Feb2019: In court for going equipped to steal bicycles 
November2018: Court appearance in relation to arrest for trying to break into a car. 
July 2018: Attended court over attempted theft of a bike. He was found guilty of going equipped to steal. He was given a conditional discharge for 12 months 
 Have any additional risk factors been identified? Yes (x) No () If yes, please list: When Edward is unwell, he can appear unkempt and appears to not attend to his personal hygiene. So is at risk of self-neglect. Edward is also at risk from others as he can become intrusive with other patients. On the 16/4 Edward was assaulted by another patient. Does the patient have any insight into their mental health problems? What do they understand their problems are? At times Edward lacks insight into his mental state, he believes that he does not need to be in hospital and does not understand as to why he is in hospital. However Edward does accept his prescribed medications. Does the patient comply with prescribed medication in hospital? Yes (X ) No ( ) Please give details of particular issues: Edward has only required IM medications once whilst on Coral ward. Edward tends to accept him medications with prompting. Edward is also accepting of his weekly zuclopenthixol depot. When Edward becomes agitated and requires PRN he will also accept oral medications. What is their view of the medication and future compliance in the community? Always comply (x ) Sometimes comply ( ) Never comply ( ) Please give details of particular issues: Although Edward accepts his medication, he does sometimes need encouragement to take his medications. Edward believes that he does not need to take his medication. Edward has a history of noncompliance with his medication in the community. Does the patient use alcohol or non-prescription drugs? Alcohol ( ) Non-prescription drugs ( X ) If yes, what is the patient’s view of this? Edward has a history of poly substance misuse in the community. Historically in the 1990s he was using crack cocaine and heroin. Has the patient participated in available activities, both on and off the ward, for example, OT or ward groups? Edward refuses to engage in ward-based activities with the activity worker however he spends time in communal areas watching Tv with peers and self-occupying. 
 
Is the patient able to carry out activities of daily living, including regular washing/bathing, preparing meals, budgeting, social activities. If yes, please give details: Edward has minimal engagement with ward-based activities however as his mental state improves he may begin to engage more. Please summarise the main reasons you feel the patient should remain on section and the potential difficulties that may arise if the patient becomes informal. It is the view of the team that Edward still needs to remain under a section of the mental health act due to him lacking insight into his mental state and him still undergoing treatment on the 20/4/21 Edward was started on Lithium which is a new medication for him so the effects of this medication on Edwards mental state are still unknown. Edward does comply with his prescribed medications however he believes that he should not be in hospital. Historically Edward has had been non concordant with his prescribed medications in the community this would pose as a risk if Edward was no longer under a section. Edward further has a history of disengaging with his community team . Staff Name: Victoria Irvine Signature V.irvine Date: 23/4/21 Please be advised again that as the nearest relative, you are entitled to attend the hearing and make any representations to the panel, we as the Mental Health Act Office have no influence over the decisions that the panel has to make because it is an independent panel that makes decision purely on the basis of evidence provided. The details for the hearing are once again below, should you wish to attend and be heard. Date: 10/05/2021 Time: 14:30 Venue: BT Conference Call Hearing/ (MS Teams) (All witnesses are expected to call in at 14:30 for the afternoon hearing). 1. Dial 0800917 1950 (BT Free Toll Number). 2. Passcode: 42874387# Please state your name after a bleep, after the recording you will be alive on the call and all other participants are able to hear you. Please be in a quite place so you can give your evidence without noise or disruptions. Julius Mitala Mental Health Act Office Manager (AHMs/SLA Mon 10/05/2021 09.52 NN/YP Youth Parliament MHL_Highgate; MHAFORMS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST); MHA Enquiries; Hub, MHL AHM Coordinator Copy Who are you exactly? NN/YP Youth Parliament Mon 10/05/2021 09:51 Dear AHM, Sital manager at the MHA Highgate says you arranged a meeting to question my right to have my brother discharged. Did you check with me I would be available and did you check with my solicitor she would be either and if not why on earth would you not when the meeting is to remove my rights as next relative to safeguard my brother from the clinician? You must organise a hospital manager meeting again, with me having received the reports and being given notice of the meeting or checking with my diary and my solicitors as to dates we can also make. You don't run a dictatorship or are not an island onto yourself. Now behave professionally and whilst you are at it tell me who you are at the very least! You don't get to have meetings to remove my power. Regards Mary Moss Mon 10/05/2021 09.42 NN/YP Youth Parliament MHL_Highgate; MHAFORMS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST); MHA Enquiries; Hub, MHL AHM Coordinator Dear Sital, Yes, I know Julius from Jan 2020 a very amusing guy who just lies to suit him or his clinician and as such here he goes again telling me black is white and that you sent reports and invitations that you clearly did not and if you think I am waiting for another set of lies from him you are as much of a joke as he is. Please respond yourself. Mary Mon 10/05/2021 09.20 MHL_Highgate You; MHL_Highgate AHM Coordinator Dear Ms Moss, I have spoken to Julius, who will be responding to your queries regarding the managers hearing. The AHM Coordinators arrange all managers hearings. My colleague Julius responded to you on the 07/05/2021 email attached. Kind Regards, Sital Gorasia Mental Health Act Office Manager Mon 10/05/2021 08.57 NN/YP Youth Parliament MHL_Highgate AHM Coordinator Dear Sital, Would someone respond to my email regarding the AMH co-ordinators failed attempts to communicate with either myself or my solicitor regarding the hospital managers meeting? This was your own email on the 6th May responding to my question 'can you let me know when the hospital managers meeting is'? Dear Mary Moss, I confirm I have forwarded your email on to our AHM Coordinators (A team who organise the Managers hearings) Please allow 48 hours for a response from the team. Kind Regards, Sital Gorasia Mental Health Act Office Manager What date can you give so that I and my solicitor can attend? Kind Regards Mary Sun 09/05/2021 17:10 NN/YP Youth Parliament AHM Coordinator Dear All, I asked for my report to be at the hospital managers meeting and you agreed. In my report of events since admission, I say attached is photos of Edward. I attach a video my sister Elena made of the photos I forgot to attach. Please ensure the panel see's the attached video, when you rearrange the meeting due on Monday, consulting myself as to my availability as would be normal and that of my legal representative. Kind Regards Mary Moss Ps, please disregard my other little brother is briefly in the video they both suffer with mental health issues and are at St Mungo's albeit different placements. NN/YP Youth Parliament AHM Coordinator Dear Julius, I suppose you'll tell me black is white next; 1. Send proof of your emails above or resend them.
 2. Further send the reports you say you have sent. 3. Explain why on this thread from 28th March I ask 'Please can you let me know when the hospital managers meeting is', in all the subject matters. And explain why no one told me in numerous replies, when you already knew but had no intention of letting me know until Friday and as I said my solicitor also cannot be given less than 24 hours' notice either? Although you especially Julius will find this all amusing and feel you have won, please remember that all actions of your staff will be accounted for eventually so explain it to a Judge! What seems absurd is that when you made arrangements for the hospital managers meeting to bar me from getting my brother discharged on behalf of Dr Neil Stweart is why you did not think to include me in the planning or my solicitor. Kindly act appropriately and reschedule. Kind Regards Mary Moss NN/YP Youth Parliament Wed 28/04/2021 12:49 Reply all Forward Dear All, It has now been more than two weeks since a hospital managers meeting was meant to be convened for Edward Moss to be released from the section 3 following a ban of the applied for discharge, by myself, the nearest relative, from the clinician Neil Stewart. Could you give an update on that? Kind Regards Mary Moss NN/YP Youth Parliament AHM Coordinator Dear All, I asked for my report to be at the hospital managers meeting and you agreed. In my report of events since admission, I say attached is photos of Edward. I attach a video my sister Elena made of the photos I forgot to attach. Please ensure the panel see's the attached video, when you rearrange the meeting due on Monday, consulting myself as to my availability as would be normal and that of my legal representative. Kind Regards Mary Moss Ps, please disregard my other little brother is briefly in the video they both suffer with mental health issues and are at St Mungo's albeit different placements. NN/YP Youth Parliament AHM Coordinator Dear Julius, I suppose you'll tell me black is white next; 1. Send proof of your emails above or resend them.
 2. Further send the reports you say you have sent. 3. Explain why on this thread from 28th March I ask 'Please can you let me know when the hospital managers meeting is', in all the subject matters. And explain why no one told me in numerous replies, when you already knew but had no intention of letting me know until Friday and as I said my solicitor also cannot be given less than 24 hours' notice either? Although you especially Julius will find this all amusing and feel you have won, please remember that all actions of your staff will be accounted for eventually so explain it to a Judge! What seems absurd is that when you made arrangements for the hospital managers meeting to bar me from getting my brother discharged on behalf of Dr Neil Stweart is why you did not think to include me in the planning or my solicitor. Kindly act appropriately and reschedule. Kind Regards Mary Moss NN/YP Youth Parliament Wed 28/04/2021 12:49 Reply all Forward Dear All, It has now been more than two weeks since a hospital managers meeting was meant to be convened for Edward Moss to be released from the section 3 following a ban of the applied for discharge, by myself, the nearest relative, from the clinician Neil Stewart. Could you give an update on that? Kind Regards Mary Moss Fri 07/05/2021 16:28 AHM Coordinator You; AHM Coordinator Dear Ms Moss, Unfortunately it is a bit late for this panel to be cancelled at this point in time, we would usually request for at least a minimum of 24 hours before the hearing is due to take place in order for us to make adjustments that do not impact on all other clinical processes. Having gone through the timelines of our communication with you; I note the following events on which occasion we have sent you all the hearing notices and additional information relating to this hearing, these were all sent by email communication to your email as above. 1. 07/05/2021 12:18 letter Notification sent 2. 05/05/2021 letter Notification sent 3. 30/04/2021 report and letter Notification sent 4. 29/04/2021 report and letter Notification sent 5. 29/04/2021 email sent to Highgate informing them I have not heard anything 6. 28/04/2021 letter Notification sent 7. 26/04/2021 letter Notification sent Whereas I acknowledge the difficulties that might be associated with this case, I believe we have provided you sufficient time and opportunity to enable you participate in this process reasonably and fairly. I am sorry that we cannot accommodate your request at past 17:00 on a Friday evening where the case is listed to be heard on Monday 10/05/2021 pm, my suggestion therefore is for you to make the request for adjournment before the panel when it convenes, the panel will be the best place to make a decision on this matter. Many thanks, Julius Mitala Mental Health Act Office Manager (AHMs/SLA) Fri 07/05/2021 16:09 NN/YP Youth Parliament AHM Coordinator Dear All, Please reconvene the Hospital Managers Meeting as it is too short notice and the solicitor has another tribunal on Monday. Kind Regards Mary Moss Fri 07/05/2021 15:44 NN/YP Youth Parliament AHM Coordinator Dear All, I want to have copies of the reports sent to me and also to my solicitor today as requested earlier today so please email them to me now before the weekend since you left it that late. Kind Regards Mary Moss Fri 07/05/2021 15:02 NN/YP Youth Parliament AHM Coordinator Hi Julius, Long time, no see 😉 Yes it's okay I have sent the same to the courts this afternoon. Best Wishes Mary Fri 07/05/2021 14:59 AHM Coordinator You; AHM Coordinator Dear Ms Moss, I acknowledge receipt of the below information, which will duly be passed to the panel as additional information. You will also have the opportunity to challenge any aspects of the relatives care at the hearing on 10/05/2021 at 14:30 pm, I suggest these matters would be best decided by the panel as convened. I am happy to help with anything else if you do have any further questions. Many thanks, Julius Mitala Mental Health Act Office Manager (AHMs/SLA) Fri 07/05/2021 14:42 NN/YP Youth Parliament AHM Coordinator Dear All, At this stage I will need the following; The notes that have been mentioned to give to my solicitors for the hospital managers meeting and the following account of the situation to date to be made available to the hospital managers before the meeting on Monday. Dec 27th 2020 11am/27/12/20 - Mary emails TC Edward’s key worker re support in Newry for people who are affected by drugs - Plan March 5th 2021 2am/5th March 2021 -Edward Moss gets his benefits of £300 and spends it on 10 bits of crack and some dark - High March 6th 2021 Midnight/6th March 2021 - Edward is upset as it is the 4th year death anniversary of his very good friend/lover- Upset 4am/6th March 2021 -Two police officers attended hostel as Edward put a broken TV outside hostel door - Ed to A&E 4pm/6th March 2021 -Mary next relative informed by hostel that Edward had been in A&E since 4am- Mary calls Pat 4pm/6th March 2021 -Mary requests Patrick Moss brother to attend A&E to check if Ed is a danger to himself/others- 5pm/6th March 2021 -Meanwhile two doctors Section 2 Edward, just before Patrick arrives to check Edward’s status- 6pm/6th March 2021 -Patrick puts Edward on the phone to Mary at A&E- Normal state but scared after 12 hours in A&E 6.30pm/6th March 2021 -Transport arrives four security men escourt Edward into a van to Highgate - Pat follows van 7pm/6th March 2021 - Edward placed on Emerald ward - Pat get’s him a McDonalds, vapes and £180 for petty cash March 7th 2021 6am/7th March 2021 - Mary emails Edward's solicitor Fernanda, to inform her what has happened - Ed will have legal help 8am/7th March 2021 - Fernanda emails, says ‘sorry to hear that this has happened again’ - Tribunal organised in 5 days 9am/7th March 2021 - Mary writes to the Highgate Mental Health Act and to formally discharge Edward from section 2 A PROTRACTED EXCHANGE BETWEEN MARY MOSS AND MHA RE HER NEXT RELATIVE STATUS - DELAYS DISCHARGE MANAGERS/CLINICIANS AT THE HIGHGATE MENTAL HEALTH HOSPITAL/OFFICE REQUEST TRIBUNAL CANCELLED - March 15th 2021 2.15pm/15th March 2021 -HM Tribunal Service, Leicester, convene- Attended by Edward and his solicitor, Samson an emerald ward staff, the psychiatrist from the ward, the outreach social work side of mental health, two other independent clinicians and Mary Moss as next relative. Notes from that meeting but transcript although has not been made available should evidence what was said; Fernanda Edward's solicitor asks for strict proof that Edward is a danger to himself or others. Social work falsely claims to have visits/calls once a week with Edward and have support in place for his drug usage, Mary claims that this is total fabrication. Sampson is asked is Edward a danger to himself and says no. Asked if he is a danger to others Sampson says no. Sampson claims that by Edward being very ‘verbal’ (and some might say he has verbose/intelligence as part of his personality) and that being in hospital is placing him in danger from ‘others’ in the ward, this is a very alarming claim. The psychiatrist claims to have no history of the patient and no medical records, mentally or physically. Edward is asked a question by the judge and he has clearly been drugged so he is then asked to leave. He later says the connection was interrupting and he could not hear the Judge. Mary knows her brother very well and claims he has been sedated before the hearing. (Note; next hearing NO SEDATION REQUESTED). Verdict Edward not formally discharge from the section 2. March 16th 2021 Mary writes an email to the psychiatrist Dr Berg that attended the Tribunal yesterday; Copy of Email I was surprised when you said in the meeting that I was not the nearest relative however I was relieved when the Camden Mental health team confirmed at the end of the meeting for you, that I am. Following a telephone call to my mobile last Wednesday by your discharge people, when I was expecting a High Court Judge to call me at 12.15pm, I politely asked that your staff to call me back as my call was due at the very time they called. I did not get the call back as I would have been happy to speak with you all before now. There was a number of issues raised at the meeting not least that Edward is in danger in the ward. This was stated five times by Samuel. Edward by nature is a talkative, verbose individual with a high IQ like his Mum who was a member of Mensa and he himself was well educated at the London Oratory. Being verbal as Samuel put it, should not put Edward in danger of attack by the other patients. Also being angry is a natural emotion he is entitled to. He should not be cohered to be a different individual or drugged to be one. I have asked for Edward's discharge and I hope that you understand my grave concerns at this time for my brother's safety at hospital. You said that Edward was on 'perilipin' and 'endixaprine' please forgive the spelling and correct me if I am wrong but the latter is known to have a recurrent stupor effect? Could you let me know by reply what these medications are, the correct spelling, the dosages and the side effects. I did suggest he was not himself on the call, so I personally won't have a conversation with someone drugged up as he was. He normally does take aripiprazole but only on a 5mg bases and that is his right as a 50-year-old man to choose not to become addicted to pharmaceuticals, he has a moral view on it that, he is entitled to. You mentioned his relapse in schizophrenia, however I did not see a difference in him, when Patrick was asked by me to attend A&E, 12 hours after the event of him being taken there by two policemen, for putting a TV outside in the street, he had found in the street earlier in the day. I spoke with him on Patrick's phone and he relayed events normally. He was quiet down regarding events but after 12 hours being in a cell in A&E without me, his nearest relative being informed, I'm not surprised he was down. He was still very much compos mentis. I should have been told at 4am and they hostel should have called me and not the police. This was not an act of violence or self-harm. You were asked was his presentation due to the fact he had been wrongly brought into the hospital, I suggest, since you have no knowledge of him, that it was and will continue to be. Despite holding him to a floor stripping him naked and sedating him. I would also suggest that the Camden mental health team alongside St Mungo's have done nothing for him, in terms of any meaningful engagement around his drug use. They have him in a holding cell, he shares with mice and they charge Housing Benefit of £1,800 PM. Roman his worker has not visited and does not call. The Margaret centre I have had several attempts for them to help Edward with his drug problem and their exact words are, we cannot help him because we don't have a substitute for crack only heroin. I was flabbergasted at how difficult it was for him to have any meaningful help or help at all. I went with him five times last year to get help at the centre, where he tried to engage, the problem you will find is them and not him. You say Edward has a poor insight to his situation and that he is self-neglecting, well if you were pulled from your bed in the middle of the night and had no access to your belonging and have been sedated by force and put into a non-consensual involuntary isolation, perhaps you would feel like him. Your place is not a holiday camp and drugging him is not meaningful nor is your tin-pot psychology about him. If he is not a danger to himself or others, please release him. That is the only reason you can keep him, your opinions mean nothing, your power is the only thing that has any meaning right now and that you are using wrongly, without care or knowledge of his history. You didn't seem to know much at all about this human being, my brother. Meanwhile you now have my email for meaningful and accurate engagement. Following the meeting today, I have been told that, yesterday Edward found himself naked on his bed after being sedated, what do you have to say about that? I will be making my views known publicly and legally and any which way I can stop you abusing my brother. You will not hear the end of this, this time unlike the last time when we left it. Kind Regards Mary Moss 16th March 2021 - Mary writes to Health Watch Camden to complain and get support for Edward and his detention. Dear Health Watch, I have just been in the most alarming mental health tribunal where I was told by Dr Bird at Highgate mental health ward Emerald ward, that I was not the next relative of Edward Moss 8/7/70 my brother. Edward has been detained not due to him being a danger to himself or others, however 5 times during the tribunal we were informed bu Nurse Samuael that Edward was in danger from others in the hospital who wanted to attack him as he is very verbal, when that is his normal behaviour. The judge in this knowledge ruled that he was not to be discharged and his solicitor who attended had said she would need strict proof he was being held lawfully and she is appealing. Please attend to him. They are drugging him up out of his mind and he said he awoke last night completely naked and had been sedated. I have applied for his discharge and have been illegally ignored. Many Thanks Mary Moss 17th March - Mary Moss writes a complaint to the CQC regarding Edward being drugged, assaulted, restrained, detained. Dear CQC, Edward Moss 8/7/70 he was put in there on 7th March 2021 for putting a TV he had found back onto the street; he is on a section 2 and I have applied as his next relative for his immediate release more than ten days ago. Going forward, I would be happy for you to contact the provider on my behalf as a matter of urgency. A resident died last year in the Highgate hospital where my brother is staying against his will. As I said the staff have indicated he is not aggressive himself or a danger to himself, but he is in danger from others and from staff stripping him and holding him down and injecting him. He has been crying on the phone about his treatment and wishes to leave. He is in Emerald ward. Kind Regards Mary Moss 18th March 2021 CQC respond and ask can they contact the hospital MHA directly to raise the concerns, they gave a reference number. FROM 18/3/21 TO 7/4/21 NEARLY 3 WEEKS WAS SPENT AGAIN IGNORING ME OR TRYING TO ATTEMPT TO SAY I WAS NOT THE NEAREST RELATIVE WITHIN THE MEANING OF THE ACT- THEY WENT SO FAR AS TO CONTACT EDWARDS FATHER WHO HAS HAD NO PARENTAL CUSTODY OF EDWARD SINCE HE WAS 12 AND THEY GAVE HIS FATHER NEXT RELATIVE STATUS, WHO THEN WAS CALLED UP BY THE SOCIAL WORKERS TO DELEGATE TO A YOUNGER BROTHER OF TEN YEARS. THE WHOLE MESS WAS SORTED OUT WHEN THE FATHER OF EDWARD TOOK THE PAPERS TO BE SIGNED AND GAVE NEXT RELATIVE STAUS TO ‘THE NEXT RELATIVE’ WHO IS THE NEXT RELATIVE, NAMELY ME, MARY MOSS. SEVERAL ORDERS FOR DISCHARGE ARE SIMPLY IGNORED WITH THE EXCUSE I AM NOT NEAREST RELATIVE. 23rd March 2021 - Geraldine Whiley is the oldest ‘next relative’ of Edward Moss within the meaning of the Mental Health Act and is the sister of Edward Moss who was placed in local authority care at 12 years old, when Mr Moss was charged with grievous bodily harm of all children, so notwithstanding the fact that Edward’s father does not count under the act. 23rd March 2021 - Since Mary Moss was challenged as to her ‘next relative’ status and since this had been somewhat a familiar game, played by the MHA office on behalf of the clinicians last time in 2019 - Jan 2020, which was also subject of a CQC complaint, the family was familiar with this game to delay and therefore drug their brother. Geraldine Whiley therefore signed the delegation of next relative form immediately to Mary Moss to prevent delay. This signed delegation is already on Highgate Mental Health’s MHA office records from Edwards last admission to Coral ward under Dr Neil Stewart in late 2019, which was Edward’s first admission under section for over 20yrs in his new borough Camden. 25th March 2021 - Mary Moss formerly requests discharge from the section 2 by 27th April 21 5pm with now all the correct procedures in place notwithstanding they were already in place and she has been next relative since 2019. 27th March 2021 - Edward Moss escapes detention because of a security breach by kicking two parts of a door and walking out. 29th March 2021 - Edward is exhausted and returns to his hostel and is further detained but now in Coral ward which was subject to an unresolved and discontinued, formal complaint to the CQC in Jan 2020 and Edward has had post traumatic regarding Dr Neil Stewart and speaks about a fear of being in his care as he was drugged so much he couldn’t breathe and was taken twice to A&E with breathing difficulties and had to be given oxygen. He was close to death under Dr Stewart’s and medically experimented on by way of no informed consent or either himself or his next relative allowed by the offices of the MHA and their same way of doing that with the ‘next relative’ not being allowed to safeguard her brother. 30th March 2021 - Mr Moss senior has been telephoned and written to by the social work side of the mental health team at Camden and Islington who have had relatively little if any previous involvement with Edward Moss outside of this incident. They have suggested he is the next relative and that they are sending him paperwork to give the next relative status to Mr Patrick Moss junior, who is ten years younger than Edward and so this is also not the way it works under the Act. Mr Moss also had been contacted by Mary Moss who also sent him paperwork to give next relative status within the meaning of the act and in accordance with the age range being oldest to youngest to Geraldine Whiley. 30th March 2021 - Since Elena Moss has spoken to Mr Moss senior rather than him filling out the paperwork to Geraldine and then to Mary it seems best to just send it straight forward to Mary Moss and he does that and sends to Mary. 30 March 2021 - Not realising that the social worker is trying to get Mr Moss senior to give next relative status to Patrick Moss junior but assuming that the stamped addressed envelope Mary Moss has send Mr Moss senior to be send back to the hospital directly, has been executed, Geraldine Whiley then assumes position as next relative in the correct order. 30 March 2021 - Geraldine Whiley signs over next relative to Mary Moss, Edward’s next relative, who within the meaning of the act attended all his meeting throughout a pandemic and all his court cases and ensured he was on time. As well as attended drug centre help for him with him 5 times during the pandemic but was offered nothing at all from the services. 1st April 2021 - Mary Moss applies for Edward to be discharged from the section 2 by 3rd April 2021 9pm within the 28 days of the section 2. Notwithstanding Edwards disappearance and therefore the 28 days should start again but it is believed that around the time of Edward coming back to the hostel thereafter upon admission to Coral he may have been put on a section 3 but this is certainly information that has been kept from the next relative and list of medications. All the confusion led to no one knowing over the next few days who was the next relative as the left hand didn’t know what the right hand was doing. Mary is told she again is not next relative, and that Patrick Moss junior is. This despite no paperwork being received as nothing had been sent back as there was conflicting paper work sent to Mr Moss, Edward’s Dad. After Mr Moss then having an understanding of what is going on with the social worker and the mental health act, Mr Moss senior simply sign’s delegation over to Mary Moss directly using the paperwork the social worker sent to him and the envelope sent by Mary to Mary’s house. Ms Mary Moss then hand delivers the delegation to Gracie one of the social workers at St Pancras. 7th April 2021 - Mary writes to the MHA office to Dominique Merlande whom she had dealings with over the 2020 ‘next relative’ game that seems to be what the MHA thrive on whilst delaying Edwards rights and allowing time to drug and confuse him. Dear Dominique, As the established next relative of Edward Moss for 3 years I applied for his discharge on the 7th March 2021 having spoken to him and found him to be no danger to himself or others. I was told I was suddenly after three years of caring for him, including attending ward round meetings in a pandemic with Dr Gin and attending court cases with him. These are the facts and as such I still see myself as the next relative. Gracie has committed gross misconduct in that she did not accurately do her job and committed harm to the patient who did not wish to be held against his will or mine. I have on numerous occasions asked you now to discharge my brother but instead you have gone around members of my family creating chaos as a purposeful distraction and I saw this last time three years ago where in a meeting with you, and me, he was discharged. Since you still have not got your paper work in order and hopefully now I am dealing with you rather than anyone else, I will send you by return of post, the authority by Mr Moss (whom by the way under the act is not even suitable to be next relative having his rights taken away as an abusive person and has had no parental rights since Edward was 12, and he will tell you that himself as I am sure he has) to Geraldine Whiley, the oldest sibling, who lives in Devon and cannot perform function of next relative for that reason alone, who will then delegate to me. You will then keep those records scrupulously, since this is a repeat of the events that happened three years ago when your staff wanted to drug Edward who medically cannot be drugged as he has a hole in his heart. Evidence of this is for you, not me to obtain via Jenny Daley his ex-social worker in Hammersmith. When Edward is then released, I want an account of what help you as an authority give Edwards in terms of his mental health as I have found both St Mungo's and Roman wanting and offering very little. Kind Regards Mary Moss 8th April 2021- Mary Moss gets the post from Mr Moss senior signing over next relative status directly to her, so hand delivers and gets recipe of delivery from Gracie at the MHA office and so now there can be no argument re the next relative status. Dear Dominique Merlande, I have just received the next relative delegation from Mr Moss by post. He has delegated to me and I have accepted and I hope that draws an end to the matter. Attached; Letter arrived in. Delegation form signed by Mr Moss. A stamped addressed envelope to David Hamilton at St Pancras. The signed and accepted form by myself to be the next relative. I also attach the discharge for my Brother Edward Moss by noon on Sunday, whereby I am safeguarding his rights not to be detained unlawfully in my safeguarding role as his next relative. I will like an immediate plan for his reduction in medication before Sunday and a current list of what you have him on against his will. Kind Regards Mary Moss 8/4/21 Mary Moss writes separately to other MHA officers since by now numerous amounts of them have been involved. Dear Dominique Merlande & David Hamilton, I have this afternoon at 3pm hand delivered the delegation documents for next relative and Gracie Tanjikem Ndoke has signed for the documents. Copy of that attached. I look forward to hearing from you with regards to Edward's release on Sunday and any plans for any ongoing support at the dual diagnosis hostel that cost's £1,800 a month for a room the size of a cell. Perhaps you could ask Roman to give me an email on any offers of help for Edward and his drugs use at all at this time appreciating the pandemic. Perhaps some forward planning may be of help and I would like to attend any such meetings as usual. I am copying in his solicitor. Kind Regards Mary Moss 8/4/21 Mary writes to the hostel to TC Edwards key worker regarding Edward’s imminent discharge on Sunday and the TV. Dear TC, I hope you are doing well. I have applied for Ed to be discharged by Sunday and am keen to have his room TV ready, since that is what his frustration was over when he was sectioned on 6th March 2021 since he sold his to James. Either could you ensure that he has a TV and I can give him a Netflix account, so he is not bored in a pandemic or tell me what facilities are in the cell he occupies, to connect a new TV that I can purchase? Obviously the old analoge ones don't work anymore, with an ariel, so are there TV sockets specifically to plug ariels into or does the building have wifi so that he can be given a password to tune in. The wifi is probably the one you have but then I'll have to get him a new TV. If I get him say a 55 inch can they be wall mounted? What happens if the other residents steal it off him? Could you not have big TV's built in? Is there a communal TV? Can you give me the options so I can have this sorted by Sunday as he will be in no state after the amount of drugs they pumped into him to do much else and I wish him to be comfortable at least. Best Wishes Mary TC replied 10/4/21 and was very helpful as usual and I replied back. Dear TC, Thank you for that information I will order a medium sized TV to get delivered then and hopefully the wi-fi can connect. Most helpful information, I think we both get what needs doing. Best Wishes Mary Sunday 11th April 2021 there has been no word from the MHA now that I am officially declared next relative. I even had to call Dominique as I had her mobile number from 2020 and ask if preparation was in place for Sunday. She said that she had not in two days seen my email or proof of next relative and that she would at 3.30pm, the time of the call to her, ask the clinician if he was happy to release Edward, on his and my legal authority, to safeguard Edward and bring him home. Since Dominique called me back at 5pm and told me that the clinician was going to ban my request, I asked that it be put in writing to me as there was no grounds and a ban would require grounds and that was to be done also on time. Nothing was sent and so I was half expecting to have him be freed on Sunday since they did not formally let me know that the correct paperwork had been filled out and on what grounds. However on Sunday despite getting a cab to meet with him and collect him, he was not released. I decided that since I had had no communication and that the MHA were assisting in delays to justice for Edward to take it up with the medical practice tribunal service. They were very helpful and referred me to the General Medical Council. Dear MPTS, Doctor Neil Stewart of Highgate Mental Health Coral Ward has twice taken my brother and misused the Mental Health Act 1983 to drug my brother against his will and mine, his next relative. Edward Moss has a hole in his heart and could die from the seizure inducing medicines as well as strong antihistamines. He was in A&E last time with respiratory problems. He's been held down, injected, assaulted by those under Dr Stewart, so his licence to practice medicine and human care should be looked into and suspended pending investigation. Edward Moss was due to be discharged today at noon. Kind Regards Mary Moss They replied and referred me to the GMC Good morning, Thank you for your email. I am afraid that the MPTS is unable to assist you with your concerns as we do not investigate doctors. The MPTS makes decisions about doctors’ fitness to practise in cases referred to us by the General Medical Council. I have forwarded your email to the General Medical Council, but if you would like to contact them directly you can find out how to do so on their website. I’m sorry I cannot be of further assistance. Kind regards, I replied back Dear MPTS, Thank you for your thoughtfulness in making a referral to the GMC. I will follow up with the latest abuse of protocols and treatment of my brother in the care of the psychiatrist and his staff/admin. Kind Regards Mary Moss 7.23am 12/4/21 12/4/21 My reply to the above Dear MHA, There are many aspects of Edward's care and his medicines that are not being communicated to me as next relative. This includes yet another aspect. Do you have a copy of that request and can you send it to me as I wish to see the strict grounds for detention regarding harm to himself or others quoted and proved as his solicitor asked for in the last tribunal? Meanwhile can you send me a list of his medicines and dosages and timeline for them since admission, any meetings arranged before and going forward and times he is aloud out of his room, times he is allowed outside and any restrictions he has already faced? As his next relative can you let me know all these things and consult me on all future decision making/meetings by phone 07916 325037 (not using a private number so that I can tell who is calling) and email giving me prior notice of call times that suit me as I work full time from home. This includes being there at ward rounds on the phone and notice of them. Can you also stop consulting with other members of my family as Edward has requested this today? Therefore, unless I hear otherwise from Edward, he has requested I alone and not Patrick his former next relative will be attending all meetings on the phone regarding Edward's care. Please let Patrick know by email that the request by Edward is this and will be respected. I am copying in his solicitor regarding her safeguarding his legal entitlements, in regards to your reply and forthcoming evidence of the ban on my request for discharge and if you are indeed accurate, as I don't think the rules have been applied. Kind Regards Mary Moss Response on 12/4/21 3.23pm Dear Ms Moss Please see attached copy of barring form completed by RC. The hospital managers will be in touch with you in due course. I have forwarded your clinical requests to the ward team as this is in no way reviewed by this office. Many thanks Kind regards Maggie Deas Margaret Deas Mental Health Law Administrator Mental Health Law Hub Highgate Mental Health Centre London N19 5NX This was attached and is copied in below Form M2 - Regulation 25(1)(a) and (b) Mental Health Act 1983 Section 25 — Report barring discharge by nearest relative PART 1 (To be completed by the responsible clinician) To the managers of [name and address of hospital] Highgate Mental Mental Health Centre, Dartmouth Park Hill, London, N19 5NX [Name of nearest relative] Mary Moss gave notice at [time] 15:55 on [date] 9 April 2021 of an intention to discharge [PRINT full name of patient]. Edward Moss I am of the opinion that the patient, if discharged, would be likely to act in a manner dangerous to other persons or to himself or herself. The reasons for my opinion are— Mr Moss suffers from schizo-affective disorder and is currently severely unwell with it. His illness has been worsened over the years by the abuse of multiple different substances of abuse. He is currently suffering from psychomotor agitation and profound thought disorder. He is likely to behave in a dangerous manner to both himself and others if discharged. His dangerousness to others takes the form of verbal abuse, property damage and threats. In Coral Ward he has been repeatedly aggressive towards staff and patients. He broke a heavy door in a rage approximately ten days ago. He is dangerous to himself. He puts himself in very vulnerable situations by provoking others, who then threaten him. I have witnessed another patient react adversely to Mr Moss swearing at him, by shouting at Mr Moss over several minutes threatening to assault him. In addition, Mr Moss endangers himself by profoundly neglecting himself. [If you need to continue on a separate sheet please indicate here and attach that sheet to this form] I am furnishing this report by: consigning it to the hospital managers’ internal mail system today at [time]. today sending it to the hospital managers, or a person authorised by them to receive it, by means of electronic communication. sending or delivering it without using the hospital managers’ internal mail system. Signed Responsible clinician PRINT NAME NEIL STEWART Email address (if applicable) neil1.stewart@candi.nhs.uk Date 9 April 2021 Time 17:25 PART 2 (To be completed on behalf of the hospital managers) This report was: furnished to the hospital managers through their internal mail system. furnished to the hospital managers, or a person authorised by them to receive it, by means of electronic communication. received by me on behalf of the hospital managers at [time] on [date]. 09/04/2021 Signed M Deas on behalf of the hospital managers PRINT NAME Margaret Deas Date 09/04/2021 © Crown copyright 2020 Mental Health www.gov.uk/dhsc This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. My response much later on at 7.30pm on 12/4/21 Dear MHA, Sorry I was taken away from this earlier due to an urgent work engagement. Having now read the reasons my initial thoughts are; Schizoaffective disorder is a mental health disorder that is marked by a combination of schizophrenia symptoms, such as hallucinations or delusions, and mood disorder symptoms, such as depression or mania Sometimes, however, psychomotor agitation does not relate to mental tension and anxiety. A 2010 study found that there was also a link between psychomotor agitation and nicotine, alcohol, and drug dependence. In other cases, psychomotor agitation can be caused by antipsychotic medications. A thought disorder is a mental health condition that affects a person's beliefs, thoughts, or perceptions. Thought disorders alter the way a person puts together ordered sequences of ideas and can affect a person's behaviour by causing them to experience paranoia, delusions, hallucinations, or other symptoms. Likely to behave in a dangerous manner is not evidential it is opinion 1. Edward broke a door trying to escape and succeeded 10 days ago, he recalled the incident when asked as his intention to escape detention and a profound security breach, where he simply kicked the door in two places. 2. Verbal abuse, or verbose is part of Edwards personality. His mother was a member of Mensa and Edward went to the London Oratory. He likes to watch university challenge and is often conversing on philosophies as it normal. If Edward is in danger by being verbal, do you suggest that slowing him down for a period of time will ever rid him of this? 3. Edward does not neglect himself, the medication caused him to soil himself and is a well know side effect. On the occasion of Edwards escape, he went back to St Mungo’s and presented himself after going to his room, when sighted as dressed in a dapper manner as per his usual attire. He remarked also that he wished to keep his tracksuit bottoms with him as he had only just washed them yesterday and he said it’s seems a strange thing to have got slightly attached to HMP a tracksuit. It would seem that the psychiatrist has identified a drug dependency disorder like many people in the UK have. That is not a reason in itself for Edward to be detained. If it were most of the UK population would be in hospital instead of a rehab. The hostel caters for the disorder, they call it dual-diagnoses and it would seem that they and the social workers linked to Edward's care have not done their job and I have seen no evidence of any plans going forward for them to do their job. I refute that my brother is behaving in any other way than someone who is angered by his detention and is regularly being depo' and assaulted by the staff for wanting his freedom. This I would suggest this is exceptionally normal human behaviour. Edward therefore is not a danger to himself or to others. I have looked after him throughout the pandemic and it should have never been questioned, to cause delay in regards to my normal caring relationship for my brother. I attach evidence he does not neglect himself by way of photos taken in Nov 2020, Dec and January 2021. Kind Regards Mary Moss 21/4/21 I have heard nothing since and today whilst evidencing this history for the Hospital Managers Meeting, it has been in total 10 days, so there has been ample time to convene a hospital managers meeting, since they all are from the same trust. I called Roman Mental Health Social Worker as he had been on leave since late March until 19th April 2021 and is normally nice with Edward, when he see’s him. I then emailed TC at the hostel and asked for both of them to make plans for Edwards return and to put a support plan in place, since they are funded as a ‘dual diagnoses’ (drugs/MH) placement. His housing benefit claim is still open and is in danger of being closed if he is not returned to add problems to everything. Dear TC, I hope all is well. There will soon be a hospital manager's meeting and I want to ask you to attend by phone? I will let you know of the date when I know. I will be asking Roman also to attend. During the meeting to discuss Edwards possible release on the same day, I would like to have some offers/plans put in place around Edward's drug usage and any possible idea's going forward in his future for him to not feel the need so much to take drugs. The plans/offers may involve activities, perhaps a smaller placement with activity-based ethos and/or drug programmes, support groups, residential settings, holidays, volunteering. Also, to discuss his environmental needs such as a better room and of course the TV which will be on the way soon. Edward has the need to get the jab, glasses, a doctor and a community dentist. He could do with being offered dental implants on the NHS for his confidence. He may also in line with the wishes of the clinician be expected to keep up his one dose of aripiprazole 15mg as this historically can help and so perhaps a placement offering supportive environments for administration of meds may be looked at. We do need a good plan for Ed. Anyway, I will let you know the date and how to access the meeting by phone as well as let Roman know too. Hopefully if there is a care plan I could have it in advance to discuss by phone with Edward. His number is 02075614000 if you want to chat with him about any plans going forward too. Best Mary Response 7pm 21/4/21 Hi Mary, I am very happy to phone in to a meeting, or attend virtually. If at all possible, I will make myself available even if I am not on shift. I am happy to update Ed’s plans to reflect any wishes he has for his future, activities and goals. I do agree that Ed needs something more structured in the way of activities, and I am hoping this can be achieved as we come out of lockdown. I am not sure what Ed really likes doing, but there is a gardening based activity programme on the south side of the river which is not too far from Endell. This is run by Mungo’s. I can enquire about places and what they have going on? Not sure what is available in the way of other projects/hostels/rehab, but from previous experience I believe that most of such placements/moves would have to be initiated by Ed himself. I will forward the below email to Roman. Have a good evening Kind regards TC Terese C. Lundquist (TC) She/her Project worker 83 Endell Street London WC2H 9DN 020 7632 4000 Dear TC, As always very positive response. Thank you Mary Added above whilst writing as email came in 21/4/21. I also had a response from the CQC today 21/4/21 MsMaryMossSent by email: naypic@hotmail.com MHA Ref: ENQ1-1056565584821April2021 Dear MsMoss Re: Your complaint regarding the care and service received from CamdenandIslingtonNHSFoundationTrust Thank you for contacting the Care Quality Commission (CQC) with your agreement that we can forward your concerns to the above care provider for them to investigate and respond directly to you, copying in the CQC. What should happen next is that the provider will contact you directly in relation to the complaint you have raised. They will also let you know the date by which they intend to provide you with a response. I have asked that a copy of the acknowledgement and response sent to you is also sent to the Care Quality Commission. Should you have any follow up complaints I would suggest you liaise directly with the provider to avoid delays or protracted processes. Once the provider has concluded their investigation and provided you with a response to the issues you have raised, should you remain unhappy with that response you can approach the CQC to ask that we consider conducting a review into any unresolved matters. We would need you to clarify your outstanding concerns and explain why you feel the response has not fully addressed your complaint and to confirm the outcome that you are seeking.Care Quality Commission have also had to adapt our ways of working and at present are extremely limited to what we can send out by post. It would be preferred that we can correspond with you via email where possible. We are sorry and recognise that this is not ideal in some cases, if you do not have access to email at present please feel free to contact us via our contact centre to discuss. Please be assured we are working tirelessly toensure that any delays are kept to a minimumOn the completion of local resolution you also have the option of contacting theParliamentary and Health Service Ombudsman Office (PHSO), saying why you are not satisfied. CQC Mental Health Act TeamCitygateGallowgateNewcastle upon TyneNE1 4PATelephone: 03000 616161(press option 1 when prompted)www.cqc.org.ukEmail: MHAEnquiries@cqc.org.uk Their address is:-The Parliamentary and Health Service OmbudsmanCitygateMosley StreetManchesterM2 3HQ If you have any questions about whether the Ombudsman may be able to help you please contact their helpline on:Tel: 0345 015 4033Email phso.enquiries@ombudsman.org.ukfax 0300 061 4000 Further information about the Ombudsman is available at www.ombudsman.org.ukThe Ombudsman can consider whether to investigate complaints that the NHS (and NHS funded care) in England have failed to act properly or fairly or provided a poor service. The PHSO is the final arbiter in any complaint matter and therefore the CQC cannot consider any request for investigation once the Ombudsman has reviewed a complaint. The PHSO may decide that your complaint would be more appropriately reviewed by the CQC should it be about the way an organisation has applied its powers under the Mental Health Act. This would not include disagreements around clinical diagnoses. Our legal powers are discretionary –this means that we can decide whether or not we will investigate a complaint under the Mental Health Act, but please be assured that we always read and consider every one we receive so that we can make that decision fairly. We will always write to you and explain our reason for not conducting a review. Should you wish to complain about our decision not to investigate you can contact our Corporate Complaints Team by phone, letter or email.CQC Corporate Complaints Team 151 Buckingham Palace Road LondonSW1W 9SZ Phone: 03000 616161 Email: complaints@cqc.org.ukThe information you have given us is extremely valuable in helping us decide now or in the future if people using a service are receiving safe, compassionate and high quality care. What people using services tell us informs our decision making and helps focus on areas of a service that may need attention by a provider. We publish full information on our policies for processing, sharing and protecting personal data at http://www.cqc.org.uk/about-us/our-policies/privacy-statementIf you require any further information please contact the Mental Health Act Enquiries on 03000 616161 select option 1 when prompted, quoting the above MHA reference.Yours sincerelyTuri MaddisonMental Health Act Senior Complaints OfficerMental Health Act Complaints Department So the position as it stands is, Edward wants to be released. I can no longer communicate with him coherently as he is very sedated and still claiming to be assaulted. At the Hospital Managers Meeting hearing where the clinician has resorted to barring my request for discharge, I will make an application as the ‘nearest relative’ to have Edward Moss discharged. I will say that he has never been a risk to himself or to others, he is known as a gentle soul with a very intelligent side to his personality, he is caring and generous to a fault and has never had any history of harm to himself or to others. He does take drugs and he is supplied by the DWP with copious amounts of money to have drugs. This then makes him vulnerable to others, the drug cartels currently being funded by the DWP and with no end in sight, which seriously makes me despair as a concerned sister. There is no place it seems in the DWP to manage his money for example giving it to him daily and I would recommend this at the least. There is no drug rehabs available but that is not a good enough reason for Dr Neil Stewart to give him lab drugs. Medically he has a hole in his heart and was born with that. He has a hernia so that cannot burst with fat inducing lab drugs. He has respirtory problems on the lab drugs also as some of them are prescribed for dangerous dogs. I am of the firmly held belief that the section 3 is doing him more harm than good and outside at least he has choice. I suggest his verbal abuse is solely due to his anger at being unlawfully detained, I feel the same as him on this and am furious at the lack of duty of care shown towards him in a so called mental health setting, where next relative is barred. If you do go to the county court so that I am removed I will accuse you of attempted corporate/medical manslaughter. Since writing the majority of this text 3 weeks has past by and no hospital managers meeting was convened. I was finally given a list of meds Edward has been put on and one of them puts him in terms of toxicity into a coma at 1000mg. I have also only been informed of the hospital managers meeting on this Monday today, so yet another game. I wish to hear what you all have to say at the meeting before I respond this time. Regards Mary Moss Fri 07/05/2021 12:22 NN/YP Youth Parliament AHM Coordinator Dear AMA Co-ordinator, If you have had this letter attached dated 24 April 2021, how come you are only sending me it now when I have repeatedly asked for the date and you let me know the Friday before the Monday? This is very much in keeping with all my complaints to date. I will expect you to forward any reports today and not on the date as I will not be able to read the reports before the meeting takes place. I will let you know if my legal rep who called you yesterday will be able to make the meeting later on today or on Monday. Kind Regards Mary Moss. Fri 07/05/2021 10:09 MHL_Highgate You; MHL_Highgate Dear Ms Moss, Regrettably your query below is a clinical query I confirm I have forwarded your query onto Jade Ward, who will be able to respond. Kind Regards, Sital Gorasia Mental Health Act Office Manager Fri 07/05/2021 08:39 AHM Coordinator You; MHL_Highgate AHM Coordinator Dear Ms Moss The hearing will take place on Monday. Please can you kindly confirm your attendance and whether you require legal representation. Kind regards Antoinette Maito AHM coordinator Fri 07/05/2021 07:42 NN/YP Youth Parliament MHL_Highgate AHM Coordinator Dear All, I have not had an email re the hospital managers meeting? Kind Regards Mary Moss Fri 07/05/2021 06:01 MHL_Highgate You; MHL_Highgate AHM Coordinator Dear Mary Moss, Thank you for your email. I have been informed by the AHM Coordinator Team an email was sent to you regarding the Hospital Managers Hearing. I have included the AHM Coordinator team into this email. Kind Regards, Sital Gorasia Mental Health Act Office Manager 
 Telephone 020 7561 4159 Email sital.gorasia@candi.nhs.uk Generic Email :- MHL_Highgate@Candi.nhs.uk Electronic Section Papers: cim-tr.MHAforms@nhs.net Online www.candi.nhs.uk 
Twitter @CI_NHS Camden and Islington NHS Foundation Trust Highgate Mental Health Centre
Dartmouth Park Hill
London
N19 5NX Please Note My Working Pattern Monday – Thursday 06:45 – 15:15 Friday – 06:45 – 12:45 Thu 06/05/2021 15:56 NN/YP Youth Parliament MHL_Highgate; Fernanda Stefani Dear Maggie Deas, Thank you for that and Alice did tell me so that's fine. I am still none the wiser about what drug he was given to knock him out for 48 hours or why his blood was taken in the night. I can only assume having just got the list of meds from Alice that this might be something to do with clozapine/Clozaril as this requires monitoring for the drug companies and for you all to monitor him. I was not consulted on giving him such an experimental drug. My other brother is on it in such large doses and Edward Moss has always said he thinks that John Paul is a drug lab rat so I don't think he will be happy about it. Was he consulted? Kind Regards Mary Moss Thu 06/05/2021 15:24 MHL_Highgate You MHL_Highgate Dear Ms Moss I can confirm that the £100 are in the safe on Jade Ward. Someone from the ward will contact you about his treatment shortly I believe. Kind regards Maggie Maggie Deas MHA Administrator Highgate Mental Health Centre Dartmouth Park Hill London N19 5NX Thu 06/05/21 14:32 Dear All, I just spoke to Alice the Coral ward Manager who is always very helpful she during the call located who took the £100. I asked to speak to Edward and have been told he is fast asleep although I just spoke to him on his mobile and he said he was going to wait for me to call Coral ward re his money and why he cannot remember the last 48 hours after being given a drug. He says he has no sweet wrappers and no £100. Kind Regards Mary Moss MHL_Highgate You Thu 06/05/21 14:32 MHL_Highgate Dear Ms Moss Thank you for your email, I will refer your clinical queries to the ward team to respond to as we do not deal with clinical matters. Please advise where the £100 was left and who it was left with so that this can be tracked. I can be confident he was not told he was going to Topaz Ward as this is currently a female only ward. I will follow up on the money when you provide the necessary information. Many thanks Kind regards Maggie Maggie Deas MHA Administrator Highgate Mental Health Centre Dartmouth Park Hill London N19 5NX Wed 28/04/2021 12:49 NN/YP Youth Parliament MHAFORMS (CAMDEN AND ISLINGTON NHS FOUNDATION TRUST) Dear All, It has now been more than two weeks since a hospital managers meeting was meant to be convened for Edward Moss to be released from the section 3 following a ban of the applied for discharge, by myself, the nearest relative, from the clinician Neil Stewart. Could you give an update on that? Kind Regards Mary Moss Thu 06/05/2021 12:41 NN/YP Youth Parliament Harriet Kaiser Hi Harriet, I called yesterday regarding representation as Hansen Palomares originally recommended you as the best people for this kind of human rights breach. This below is my latest correspondence and I am being ignored by them hence why it is imperative I get a good legal rep, whilst my brother is according to other family members who saw him, looking like a zombie these days, it's so sad. I really want to mess up their power and teach them a lesson. Copied from my email. Please can you let me know when the hospital managers meeting is? NN/YP Youth Parliament Thu 06/05/2021 12:30 He is in Topaz ward rather and not locally in Laffan as I was told he would be. NN/YP Youth Parliament Thu 06/05/2021 12:29 Dear All, It has been more than 3 weeks with no information on the drugs being given to Edward, no invitation or consultation on either Hospital Managers meeting or the tribunal. I spoke to Alice Coral Ward Manager re the CQC complaint who reassured me that she would send the me the lists of medications and said that Edward would be moved locally to St Pancras when he is stepped down from Coral Ward yet now I hear in a message today from Edward that he is in Coral Ward. Can someone please update me? Mary Moss MHL_Highgate Wed 28/04/2021 13:24 Dear Mary Moss, I confirm I have forwarded your email on to our AHM Coordinators (A team who organise the Managers hearings) Please allow 48 hours for a response from the team. Kind Regards, Sital Gorasia Mental Health Act Office Manager Telephone 020 7561 4159 Email sital.gorasia@candi.nhs.uk Generic Email :- MHL_Highgate@Candi.nhs.uk Electronic Section Papers: cim-tr.MHAforms@nhs.net Online www.candi.nhs.uk
Twitter @CI_NHS Camden and Islington NHS Foundation Trust Highgate Mental Health Centre
Dartmouth Park Hill
London
N19 5NX Please Note My Working Pattern Monday – Thursday 06:45 – 15:15 Friday – 06:45 – 12:45 NN/YP Youth Parliament Wed 28/04/2021 12:49 Dear All, It has now been more than two weeks since a hospital managers meeting was meant to be convened for Edward Moss to be released from the section 3 following a ban of the applied for discharge, by myself, the nearest relative, from the clinician Neil Stewart. Could you give an update on that? Kind Regards Mary Moss I do hope you can help me as someone has to stop this flagrant disregard of consultation and consent now and in future and before someone dies. He says he can't sleep as he is afraid, he will die. Kind Regards Mary Moss NN/YP Youth Parliament enquiries@burkeniazi.com Dear Burken Niazi, I am the nearest relative of Edward Moss; my name is Mary Moss. My brother is being unlawfully detained at Highgate mental health Coral ward and has Duncan Lewis as his solicitors, and this is the second time that this has happened. I am anxious the hospital is currently attempting to bar me from my application to discharge him and they have played many games in an attempt to keep drugging him to his eyeballs. Please see below for the timeline. Could you represent me at the hospital managers meeting that they have now taken 12 days to organise and where they will attempt to bar me. There is no date set, whilst my brother is terrified and wants to be out. They are even now saying he will hit them and he has never done such a thing in his born days, I always fight on his behalf as he is a very passive gentle soul. But yes, he is very angry rightly so, as he is not a danger to himself or others, and is being assaulted on a daily basis. My mobile is 07916 325037. Kind Regards Mary Moss Time/Dates - Events - Outcomes Dec 27th 2020 11am/27/12/20 - Mary emails TC Edward’s key worker re support in Newry for people who are affected by drugs - Plan March 5th 2021 2am/5th March 2021 -Edward Moss gets his benefits of £300 and spends it on 10 bits of crack and some dark - High March 6th 2021 Midnight/6th March 2021 - Edward is upset as it is the 4th year death anniversary of his very good friend/lover- Upset 4am/6th March 2021 -Two police officers attended hostel as Edward put a broken TV outside hostel door - Ed to A&E 4pm/6th March 2021 -Mary next relative informed by hostel that Edward had been in A&E since 4am- Mary calls Pat 4pm/6th March 2021 -Mary requests Patrick Moss brother to attend A&E to check if Ed is a danger to himself/others- 5pm/6th March 2021 -Meanwhile two doctors Section 2 Edward, just before Patrick arrives to check Edward’s status- 6pm/6th March 2021 -Patrick puts Edward on the phone to Mary at A&E- Normal state but scared after 12 hours in A&E 6.30pm/6th March 2021 -Transport arrives four security men escourt Edward into a van to Highgate - Pat follows van 7pm/6th March 2021 - Edward placed on Emerald ward - Pat gets him a McDonalds, vapes and £180 for petty cash March 7th 2021 6am/7th March 2021 - Mary emails Edward's solicitor Fernanda, to inform her what has happened - Ed will have legal help 8am/7th March 2021 - Fernanda emails, says ‘sorry to hear that this has happened again’ - Tribunal organised in 5 days 9am/7th March 2021 - Mary writes to the Highgate Mental Health Act and to formally discharge Edward from section 2 A PROTRACTED EXCHANGE BETWEEN MARY MOSS AND MHA RE HER NEXT RELATIVE STATUS - DELAYS DISCHARGE MANAGERS/CLINICIANS AT THE HIGHGATE MENTAL HEALTH HOSPITAL/OFFICE REQUEST TRIBUNAL CANCELLED - March 15th 2021 2.15pm/15th March 2021 -HM Tribunal Service, Leicester, convene- Attended by Edward and his solicitor, Samson an emerald ward staff, the psychiatrist from the ward, the outreach social work side of mental health, two other independent clinicians and Mary Moss as next relative. Notes from that meeting but transcript although has not been made available should evidence what was said; Fernanda Edward's solicitor asks for strict proof that Edward is a danger to himself or others. Social work falsely claims to have visits/calls once a week with Edward and have support in place for his drug usage, Mary claims that this is total fabrication. Sampson is asked is Edward a danger to himself and says no. Asked if he is a danger to others Sampson says no. Sampson claims that by Edward being very ‘verbal’ (and some might say he has verbose/intelligence as part of his personality) and that being in hospital is placing him in danger from ‘others’ in the ward, this is a very alarming claim. The psychiatrist claims to have no history of the patient and no medical records, mentally or physically. Edward is asked a question by the judge and he has clearly been drugged so he is then asked to leave. He later says the connection was interrupting and he could not hear the Judge. Mary knows her brother very well and claims he has been sedated before the hearing. (Note; next hearing NO SEDATION REQUESTED). Verdict Edward not formally discharge from the section 2. March 16th 2021 Mary writes an email to the psychiatrist Dr Berg that attended the Tribunal yesterday; Copy of Email I was surprised when you said in the meeting that I was not the nearest relative however I was relieved when the Camden Mental health team confirmed at the end of the meeting for you, that I am. Following a telephone call to my mobile last Wednesday by your discharge people, when I was expecting a High Court Judge to call me at 12.15pm, I politely asked that your staff to call me back as my call was due at the very time they called. I did not get the call back as I would have been happy to speak with you all before now. There was a number of issues raised at the meeting not least that Edward is in danger in the ward. This was stated five times by Samuel. Edward by nature is a talkative, verbose individual with a high IQ like his Mum who was a member of Mensa and he himself was well educated at the London Oratory. Being verbal as Samuel put it, should not put Edward in danger of attack by the other patients. Also being angry is a natural emotion he is entitled to. He should not be cohered to be a different individual or drugged to be one. I have asked for Edward's discharge and I hope that you understand my grave concerns at this time for my brother's safety at hospital. You said that Edward was on 'perilipin' and 'endixaprine' please forgive the spelling and correct me if I am wrong but the latter is known to have a recurrent stupor effect? Could you let me know by reply what these medications are, the correct spelling, the dosages and the side effects. I did suggest he was not himself on the call, so I personally won't have a conversation with someone drugged up as he was. He normally does take aripiprazole but only on a 5mg bases and that is his right as a 50-year-old man to choose not to become addicted to pharmaceuticals, he has a moral view on it that, he is entitled to. You mentioned his relapse in schizophrenia, however I did not see a difference in him, when Patrick was asked by me to attend A&E, 12 hours after the event of him being taken there by two policemen, for putting a TV outside in the street, he had found in the street earlier in the day. I spoke with him on Patrick's phone and he relayed events normally. He was quiet down regarding events but after 12 hours being in a cell in A&E without me, his nearest relative being informed, I'm not surprised he was down. He was still very much compos mentis. I should have been told at 4am and they hostel should have called me and not the police. This was not an act of violence or self-harm. You were asked was his presentation due to the fact he had been wrongly brought into the hospital, I suggest, since you have no knowledge of him, that it was and will continue to be. Despite holding him to a floor stripping him naked and sedating him. I would also suggest that the Camden mental health team alongside St Mungo's have done nothing for him, in terms of any meaningful engagement around his drug use. They have him in a holding cell, he shares with mice and they charge Housing Benefit of £1,800 PM. Roman his worker has not visited and does not call. The Margaret centre I have had several attempts for them to help Edward with his drug problem and their exact words are, we cannot help him because we don't have a substitute for crack only heroin. I was flabbergasted at how difficult it was for him to have any meaningful help or help at all. I went with him five times last year to get help at the centre, where he tried to engage, the problem you will find is them and not him. You say Edward has a poor insight to his situation and that he is self-neglecting, well if you were pulled from your bed in the middle of the night and had no access to your belonging and have been sedated by force and put into a non-consensual involuntary isolation, perhaps you would feel like him. Your place is not a holiday camp and drugging him is not meaningful nor is your tin-pot psychology about him. If he is not a danger to himself or others, please release him. That is the only reason you can keep him, your opinions mean nothing, your power is the only thing that has any meaning right now and that you are using wrongly, without care or knowledge of his history. You didn't seem to know much at all about this human being, my brother. Meanwhile you now have my email for meaningful and accurate engagement. Following the meeting today, I have been told that, yesterday Edward found himself naked on his bed after being sedated, what do you have to say about that? I will be making my views known publicly and legally and any which way I can stop you abusing my brother. You will not hear the end of this, this time unlike the last time when we left it. Kind Regards Mary Moss 16th March 2021 - Mary writes to Health Watch Camden to complain and get support for Edward and his detention. Dear Health Watch, I have just been in the most alarming mental health tribunal where I was told by Dr Bird at Highgate mental health ward Emerald ward, that I was not the next relative of Edward Moss 8/7/70 my brother. Edward has been detained not due to him being a danger to himself or others, however 5 times during the tribunal we were informed bu Nurse Samuael that Edward was in danger from others in the hospital who wanted to attack him as he is very verbal, when that is his normal behaviour. The judge in this knowledge ruled that he was not to be discharged and his solicitor who attended had said she would need strict proof he was being held lawfully and she is appealing. Please attend to him. They are drugging him up out of his mind and he said he awoke last night completely naked and had been sedated. I have applied for his discharge and have been illegally ignored. Many Thanks Mary Moss 17th March - Mary Moss writes a complaint to the CQC regarding Edward being drugged, assaulted, restrained, detained. Dear CQC, Edward Moss 8/7/70 he was put in there on 7th March 2021 for putting a TV he had found back onto the street; he is on a section 2 and I have applied as his next relative for his immediate release more than ten days ago. Going forward, I would be happy for you to contact the provider on my behalf as a matter of urgency. A resident died last year in the Highgate hospital where my brother is staying against his will. As I said the staff have indicated he is not aggressive himself or a danger to himself, but he is in danger from others and from staff stripping him and holding him down and injecting him. He has been crying on the phone about his treatment and wishes to leave. He is in Emerald ward. Kind Regards Mary Moss 18th March 2021 CQC respond and ask can they contact the hospital MHA directly to raise the concerns, they gave a reference number. FROM 18/3/21 TO 7/4/21 NEARLY 3 WEEKS WAS SPENT AGAIN IGNORING ME OR TRYING TO ATTEMPT TO SAY I WAS NOT THE NEAREST RELATIVE WITHIN THE MEANING OF THE ACT- THEY WENT SO FAR AS TO CONTACT EDWARDS FATHER WHO HAS HAD NO PARENTAL CUSTODY OF EDWARD SINCE HE WAS 12 AND THEY GAVE HIS FATHER NEXT RELATIVE STATUS, WHO THEN WAS CALLED UP BY THE SOCIAL WORKERS TO DELEGATE TO A YOUNGER BROTHER OF TEN YEARS. THE WHOLE MESS WAS SORTED OUT WHEN THE FATHER OF EDWARD TOOK THE PAPERS TO BE SIGNED AND GAVE NEXT RELATIVE STAUS TO ‘THE NEXT RELATIVE’ WHO IS THE NEXT RELATIVE, NAMELY ME, MARY MOSS. SEVERAL ORDERS FOR DISCHARGE ARE SIMPLY IGNORED WITH THE EXCUSE I AM NOT NEAREST RELATIVE. 27th March 2021 - Edward Moss escapes detention because of a security breach by kicking two parts of a door and walking out. 29th March 2021 - Edward is exhausted and returns to his hostel and is further detained but now in Coral ward which was subject to a formal complaint to the CQC in Jan 2020 and Edward has had post traumatic regarding Dr Neil Stewart. 7th April 2021 - Mary writes to the MHA office to Dominique Merlande whom she had dealings with over the 2020 ‘next relative’ game that seems to be what the MHA thrive on whilst delaying Edwards rights and allowing time to drug and confuse him. Dear Dominique, As the established next relative of Edward Moss for 3 years I applied for his discharge on the 7th March 2021 having spoken to him and found him to be no danger to himself or others. I was told I was suddenly after three years of caring for him, including attending ward round meetings in a pandemic with Dr Gin and attending court cases with him. These are the facts and as such I still see myself as the next relative. Gracie has committed gross misconduct in that she did not accurately do her job and committed harm to the patient who did not wish to be held against his will or mine. I have on numerous occasions asked you now to discharge my brother but instead you have gone around members of my family creating chaos as a purposeful distraction and I saw this last time three years ago where in a meeting with you, and me, he was discharged. Since you still have not got your paper work in order and hopefully now I am dealing with you rather than anyone else, I will send you by return of post, the authority by Mr Moss (whom by the way under the act is not even suitable to be next relative having his rights taken away as an abusive person and has had no parental rights since Edward was 12, and he will tell you that himself as I am sure he has) to Geraldine Whiley, the oldest sibling, who lives in Devon and cannot perform function of next relative for that reason alone, who will then delegate to me. You will then keep those records scrupulously, since this is a repeat of the events that happened three years ago when your staff wanted to drug Edward who medically cannot be drugged as he has a hole in his heart. Evidence of this is for you, not me to obtain via Jenny Daley his ex-social worker in Hammersmith. When Edward is then released, I want an account of what help you as an authority give Edwards in terms of his mental health as I have found both St Mungo's and Roman wanting and offering very little. Kind Regards Mary Moss 8th April 2021- Mary Moss gets the post from Mr Moss senior signing over next relative status directly to her, so hand delivers and gets recipe of delivery from Gracie at the MHA office and so now there can be no argument re the next relative status. Dear Dominique Merlande, I have just received the next relative delegation from Mr Moss by post. He has delegated to me and I have accepted and I hope that draws an end to the matter. Attached; Letter arrived in. Delegation form signed by Mr Moss. A stamped addressed envelope to David Hamilton at St Pancras. The signed and accepted form by myself to be the next relative. I also attach the discharge for my Brother Edward Moss by noon on Sunday, whereby I am safeguarding his rights not to be detained unlawfully in my safeguarding role as his next relative. I will like an immediate plan for his reduction in medication before Sunday and a current list of what you have him on against his will. Kind Regards Mary Moss 8/4/21 Mary Moss writes separately to other MHA officers since by now numerous amounts of them have been involved. Dear Dominique Merlande & David Hamilton, I have this afternoon at 3pm hand delivered the delegation documents for next relative and Gracie Tanjikem Ndoke has signed for the documents. Copy of that attached. I look forward to hearing from you with regards to Edward's release on Sunday and any plans for any ongoing support at the dual diagnosis hostel that cost's £1,800 a month for a room the size of a cell. Perhaps you could ask Roman to give me an email on any offers of help for Edward and his drugs use at all at this time appreciating the pandemic. Perhaps some forward planning may be of help and I would like to attend any such meetings as usual. I am copying in his solicitor. Kind Regards Mary Moss 8/4/21 Mary writes to the hostel to TC Edwards key worker regarding Edward’s imminent discharge on Sunday and the TV. Dear TC, I hope you are doing well. I have applied for Ed to be discharged by Sunday and am keen to have his room TV ready, since that is what his frustration was over when he was sectioned on 6th March 2021 since he sold his to James. Either could you ensure that he has a TV and I can give him a Netflix account, so he is not bored in a pandemic or tell me what facilities are in the cell he occupies, to connect a new TV that I can purchase? Obviously, the old analogue ones don't work anymore, with an ariel, so are their TV sockets specifically to plug ariels into or does the building have Wi-Fi so that he can be given a password to tune in. The Wi-Fi is probably the one you have but then I'll have to get him a new TV. If I get him say a 55 inch, can they be wall mounted? What happens if the other residents steal it off him? Could you not have big TVs built in? Is there a communal TV? Can you give me the options so I can have this sorted by Sunday as he will be in no state after the amount of drugs, they pumped into him to do much else and I wish him to be comfortable at least. Best Wishes Mary TC replied 10/4/21 and was very helpful as usual and I replied back. Dear TC, Thank you for that information I will order a medium sized TV to get delivered then and hopefully the wi-fi can connect. Most helpful information, I think we both get what needs doing. Best Wishes Mary Sunday 11th April 2021 there has been no word from the MHA now that I am officially declared next relative. I even had to call Dominique as I had her mobile number from 2020 and ask if preparation was in place for Sunday. She said that she had not in two days seen my email or proof of next relative and that she would at 3.30pm, the time of the call to her, ask the clinician if he was happy to release Edward, on his and my legal authority, to safeguard Edward and bring him home. Since Dominique called me back at 5pm and told me that the clinician was going to ban my request, I asked that it be put in writing to me as there was no grounds and a ban would require grounds and that was to be done also on time. Nothing was sent and so I was half expecting to have him be freed on Sunday since they did not formally let me know that the correct paperwork had been filled out and on what grounds. However on Sunday despite getting a cab to meet with him and collect him, he was not released. I decided that since I had had no communication and that the MHA were assisting in delays to justice for Edward to take it up with the medical practice tribunal service. They were very helpful and referred me to the General Medical Council. Dear MPTS, Doctor Neil Stewart of Highgate Mental Health Coral Ward has twice taken my brother and misused the Mental Health Act 1983 to drug my brother against his will and mine, his next relative. Edward Moss has a hole in his heart and could die from the seizure inducing medicines as well as strong antihistamines. He was in A&E last time with respiratory problems. He's been held down, injected, assaulted by those under Dr Stewart, so his licence to practice medicine and human care should be looked into and suspended pending investigation. Edward Moss was due to be discharged today at noon. Kind Regards Mary Moss They replied and referred me to the GMC Good morning, Thank you for your email. I am afraid that the MPTS is unable to assist you with your concerns as we do not investigate doctors. The MPTS makes decisions about doctors’ fitness to practise in cases referred to us by the General Medical Council. I have forwarded your email to the General Medical Council, but if you would like to contact them directly you can find out how to do so on their website. I’m sorry I cannot be of further assistance. Kind regards, I replied back Dear MPTS, Thank you for your thoughtfulness in making a referral to the GMC. I will follow up with the latest abuse of protocols and treatment of my brother in the care of the psychiatrist and his staff/admin. Kind Regards Mary Moss 7.23am 12/4/21 12/4/21 My reply to the above Dear MHA, There are many aspects of Edward's care and his medicines that are not being communicated to me as next relative. This includes yet another aspect. Do you have a copy of that request and can you send it to me as I wish to see the strict grounds for detention regarding harm to himself or others quoted and proved as his solicitor asked for in the last tribunal? Meanwhile can you send me a list of his medicines and dosages and timeline for them since admission, any meetings arranged before and going forward and times he is aloud out of his room, times he is allowed outside and any restrictions he has already faced? As his next relative can you let me know all these things and consult me on all future decision making/meetings by phone 07916 325037 (not using a private number so that I can tell who is calling) and email giving me prior notice of call times that suit me as I work full time from home. This includes being there at ward rounds on the phone and notice of them. Can you also stop consulting with other members of my family as Edward has requested this today? Therefore, unless I hear otherwise from Edward, he has requested I alone and not Patrick his former next relative will be attending all meetings on the phone regarding Edward's care. Please let Patrick know by email that the request by Edward is this and will be respected. I am copying in his solicitor regarding her safeguarding his legal entitlements, in regards to your reply and forthcoming evidence of the ban on my request for discharge and if you are indeed accurate, as I don't think the rules have been applied. Kind Regards Mary Moss Response on 12/4/21 3.23pm Dear Ms Moss Please see attached copy of barring form completed by RC. The hospital managers will be in touch with you in due course. I have forwarded your clinical requests to the ward team as this is in no way reviewed by this office. Many thanks Kind regards Maggie Deas Margaret Deas Mental Health Law Administrator Mental Health Law Hub Highgate Mental Health Centre London N19 5NX This was attached and is copied in below Form M2 - Regulation 25(1)(a) and (b) Mental Health Act 1983 Section 25 — Report barring discharge by nearest relative PART 1 (To be completed by the responsible clinician) To the managers of [name and address of hospital] Highgate Mental Mental Health Centre, Dartmouth Park Hill, London, N19 5NX [Name of nearest relative] Mary Moss gave notice at [time] 15:55 on [date] 9 April 2021 of an intention to discharge [PRINT full name of patient]. Edward Moss I am of the opinion that the patient, if discharged, would be likely to act in a manner dangerous to other persons or to himself or herself. The reasons for my opinion are— Mr Moss suffers from schizo-affective disorder and is currently severely unwell with it. His illness has been worsened over the years by the abuse of multiple different substances of abuse. He is currently suffering from psychomotor agitation and profound thought disorder. He is likely to behave in a dangerous manner to both himself and others if discharged. His dangerousness to others takes the form of verbal abuse, property damage and threats. In Coral Ward he has been repeatedly aggressive towards staff and patients. He broke a heavy door in a rage approximately ten days ago. He is dangerous to himself. He puts himself in very vulnerable situations by provoking others, who then threaten him. I have witnessed another patient react adversely to Mr Moss swearing at him, by shouting at Mr Moss over several minutes threatening to assault him. In addition, Mr Moss endangers himself by profoundly neglecting himself. [If you need to continue on a separate sheet please indicate here and attach that sheet to this form] I am furnishing this report by: consigning it to the hospital managers’ internal mail system today at [time]. today sending it to the hospital managers, or a person authorised by them to receive it, by means of electronic communication. sending or delivering it without using the hospital managers’ internal mail system. Signed Responsible clinician PRINT NAME NEIL STEWART Email address (if applicable) neil1.stewart@candi.nhs.uk Date 9 April 2021 Time 17:25 PART 2 (To be completed on behalf of the hospital managers) This report was: furnished to the hospital managers through their internal mail system. furnished to the hospital managers, or a person authorised by them to receive it, by means of electronic communication. received by me on behalf of the hospital managers at [time] on [date]. 09/04/2021 Signed M Deas on behalf of the hospital managers PRINT NAME Margaret Deas Date 09/04/2021 © Crown copyright 2020 Mental Health www.gov.uk/dhsc This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 Where we have identified any third-party copyright information you will need to obtain permission from the copyright holders concerned. My response much later on at 7.30pm on 12/4/21 Dear MHA, Sorry I was taken away from this earlier due to an urgent work engagement. Having now read the reasons my initial thoughts are; Schizoaffective disorder is a mental health disorder that is marked by a combination of schizophrenia symptoms, such as hallucinations or delusions, and mood disorder symptoms, such as depression or mania Sometimes, however, psychomotor agitation does not relate to mental tension and anxiety. A 2010 study found that there was also a link between psychomotor agitation and nicotine, alcohol, and drug dependence. In other cases, psychomotor agitation can be caused by antipsychotic medications. A thought disorder is a mental health condition that affects a person's beliefs, thoughts, or perceptions. Thought disorders alter the way a person puts together ordered sequences of ideas and can affect a person's behaviour by causing them to experience paranoia, delusions, hallucinations, or other symptoms. Likely to behave in a dangerous manner is not evidential it is opinion 1. Edward broke a door trying to escape and succeeded 10 days ago, he recalled the incident when asked as his intention to escape detention and a profound security breach, where he simply kicked the door in two places. 2. Verbal abuse, or verbose is part of Edwards personality. His mother was a member of Mensa and Edward went to the London Oratory. He likes to watch university challenge and is often conversing on philosophies as it normal. If Edward is in danger by being verbal, do you suggest that slowing him down for a period of time will ever rid him of this? 3. Edward does not neglect himself, the medication caused him to soil himself and is a well know side effect. On the occasion of Edwards escape, he went back to St Mungo’s and presented himself after going to his room, when sighted as dressed in a dapper manner as per his usual attire. He remarked also that he wished to keep his tracksuit bottoms with him as he had only just washed them yesterday and he said it’s seems a strange thing to have got slightly attached to HMP a tracksuit. It would seem that the psychiatrist has identified a drug dependency disorder like many people in the UK have. That is not a reason in itself for Edward to be detained. If it were most of the UK population would be in hospital instead of a rehab. The hostel caters for the disorder, they call it dual-diagnoses and it would seem that they and the social workers linked to Edward's care have not done their job and I have seen no evidence of any plans going forward for them to do their job. I refute that my brother is behaving in any other way than someone who is angered by his detention and is regularly being depo' and assaulted by the staff for wanting his freedom. This I would suggest this is exceptionally normal human behaviour. Edward therefore is not a danger to himself or to others. I have looked after him throughout the pandemic and it should have never been questioned, to cause delay in regards to my normal caring relationship for my brother. I attach evidence he does not neglect himself by way of photos taken in Nov 2020, Dec and January 2021. Kind Regards Mary Moss 21/4/21 I have heard nothing since and today whilst evidencing this history for the Hospital Managers Meeting, it has been in total 10 days, so there has been ample time to convene a hospital managers meeting, since they all are from the same trust. I called Roman Mental Health Social Worker as he had been on leave since late March until 19th April 2021 and is normally nice with Edward, when he see’s him. I then emailed TC at the hostel and asked for both of them to make plans for Edwards return and to put a support plan in place, since they are funded as a ‘dual diagnoses’ (drugs/MH) placement. His housing benefit claim is still open and is in danger of being closed if he is not returned to add problems to everything. Dear TC, I hope all is well. There will soon be a hospital manager's meeting and I want to ask you to attend by phone? I will let you know of the date when I know. I will be asking Roman also to attend. During the meeting to discuss Edwards possible release on the same day, I would like to have some offers/plans put in place around Edward's drug usage and any possible idea's going forward in his future for him to not feel the need so much to take drugs. The plans/offers may involve activities, perhaps a smaller placement with activity-based ethos and/or drug programmes, support groups, residential settings, holidays, volunteering. Also, to discuss his environmental needs such as a better room and of course the TV which will be on the way soon. Edward has the need to get the jab, glasses, a doctor and a community dentist. He could do with being offered dental implants on the NHS for his confidence. He may also in line with the wishes of the clinician be expected to keep up his one dose of aripiprazole 15mg as this historically can help and so perhaps a placement offering supportive environments for administration of meds may be looked at. We do need a good plan for Ed. Anyway, I will let you know the date and how to access the meeting by phone as well as let Roman know too. Hopefully if there is a care plan I could have it in advance to discuss by phone with Edward. His number is 02075614000 if you want to chat with him about any plans going forward too. Best Mary Response 7pm 21/4/21 Hi Mary, I am very happy to phone in to a meeting, or attend virtually. If at all possible, I will make myself available even if I am not on shift. I am happy to update Ed’s plans to reflect any wishes he has for his future, activities and goals. I do agree that Ed needs something more structured in the way of activities, and I am hoping this can be achieved as we come out of lockdown. I am not sure what Ed really likes doing, but there is a gardening-based activity programme on the south side of the river which is not too far from Endell. This is run by Mungo’s. I can enquire about places and what they have going on? Not sure what is available in the way of other projects/hostels/rehab, but from previous experience I believe that most of such placements/moves would have to be initiated by Ed himself. I will forward the below email to Roman. Have a good evening Kind regards TC Terese C. Lundquist (TC) She/her Project worker 83 Endell Street London WC2H 9DN 020 7632 4000 Dear TC, As always very positive response. Thank you Mary Added above whilst writing as email came in 21/4/21. I also had a response from the CQC today 21/4/21 MsMaryMossSent by email: naypic@hotmail.com MHA Ref: ENQ1-1056565584821April2021 Dear MsMoss Re: Your complaint regarding the care and service received from CamdenandIslingtonNHSFoundationTrust Thank you for contacting the Care Quality Commission (CQC) with your agreement that we can forward your concerns to the above care provider for them to investigate and respond directly to you, copying in the CQC. What should happen next is that the provider will contact you directly in relation to the complaint you have raised. They will also let you know the date by which they intend to provide you with a response. I have asked that a copy of the acknowledgement and response sent to you is also sent to the Care Quality Commission. Should you have any follow up complaints I would suggest you liaise directly with the provider to avoid delays or protracted processes. Once the provider has concluded their investigation and provided you with a response to the issues you have raised, should you remain unhappy with that response you can approach the CQC to ask that we consider conducting a review into any unresolved matters. We would need you to clarify your outstanding concerns and explain why you feel the response has not fully addressed your complaint and to confirm the outcome that you are seeking.Care Quality Commission have also had to adapt our ways of working and at present are extremely limited to what we can send out by post. It would be preferred that we can correspond with you via email where possible. We are sorry and recognise that this is not ideal in some cases, if you do not have access to email at present please feel free to contact us via our contact centre to discuss. Please be assured we are working tirelessly toensure that any delays are kept to a minimumOn the completion of local resolution you also have the option of contacting theParliamentary and Health Service Ombudsman Office (PHSO), saying why you are not satisfied. CQC Mental Health Act TeamCitygateGallowgateNewcastle upon TyneNE1 4PATelephone: 03000 616161(press option 1 when prompted)www.cqc.org.ukEmail: MHAEnquiries@cqc.org.uk Their address is:-The Parliamentary and Health Service OmbudsmanCitygateMosley StreetManchesterM2 3HQ If you have any questions about whether the Ombudsman may be able to help you please contact their helpline on:Tel: 0345 015 4033Email phso.enquiries@ombudsman.org.ukfax 0300 061 4000 Further information about the Ombudsman is available at www.ombudsman.org.ukThe Ombudsman can consider whether to investigate complaints that the NHS (and NHS funded care) in England have failed to act properly or fairly or provided a poor service. The PHSO is the final arbiter in any complaint matter and therefore the CQC cannot consider any request for investigation once the Ombudsman has reviewed a complaint. The PHSO may decide that your complaint would be more appropriately reviewed by the CQC should it be about the way an organisation has applied its powers under the Mental Health Act. This would not include disagreements around clinical diagnoses. Our legal powers are discretionary –this means that we can decide whether or not we will investigate a complaint under the Mental Health Act, but please be assured that we always read and consider every one we receive so that we can make that decision fairly. We will always write to you and explain our reason for not conducting a review. Should you wish to complain about our decision not to investigate you can contact our Corporate Complaints Team by phone, letter or email.CQC Corporate Complaints Team 151 Buckingham Palace Road LondonSW1W 9SZ Phone: 03000 616161 Email: complaints@cqc.org.ukThe information you have given us is extremely valuable in helping us decide now or in the future if people using a service are receiving safe, compassionate and high quality care. What people using services tell us informs our decision making and helps focus on areas of a service that may need attention by a provider. We publish full information on our policies for processing, sharing and protecting personal data at http://www.cqc.org.uk/about-us/our-policies/privacy-statementIf you require any further information please contact the Mental Health Act Enquiries on 03000 616161 select option 1 when prompted, quoting the above MHA reference.Yours sincerelyTuri MaddisonMental Health Act Senior Complaints OfficerMental Health Act Complaints Department So the position as it stands is, Edward wants to be released. I can no longer communicate with him coherently as he is very sedated and still claiming to be assaulted. At the Hospital Managers Meeting hearing where the clinician has resorted to barring my request for discharge, I will make an application as the ‘nearest relative’ to have Edward Moss discharged. I will say that he has never been a risk to himself or to others, he is known as a gentle soul with a very intelligent side to his personality, he is caring and generous to a fault and has never had any history of harm to himself or to others. He does take drugs and he is supplied by the DWP with copious amounts of money to have drugs. This then makes him vulnerable to others, the drug cartels currently being funded by the DWP and with no end in sight, which seriously makes me despair as a concerned sister. There is no place it seems in the DWP to manage his money for example giving it to him daily and I would recommend this at the least. There is no drug rehabs available but that is not a good enough reason for Dr Neil Stewart to give him lab drugs. Medically he has a hole in his heart and was born with that. He has a hernia so that cannot burst with fat inducing lab drugs. He has respirtory problems on the lab drugs also as some of them are prescribed for dangerous dogs. I am of the firmly held belief that the section 3 is doing him more harm than good and outside at least he has choice. I suggest his verbal abuse is solely due to his anger at being unlawfully detained, I feel the same as him on this and am furious at the lack of duty of care shown towards him in a so-called mental health setting, where next relative is barred. If you do go to the county court so that I am removed I will accuse you of attempted corporate/medical attempted manslaughter. Wed 21/04/2021 18:09 Time/Dates - Events - Outcomes Dec 27th 2020 Dec 27th 2020 11am/27/12/20 - Mary emails TC Edward’s key worker re support in Newry for people who are affected by drugs - Plan March 5th 2021 2am/5th March 2021 -Edward Moss gets his benefits of £300 and spends it on 10 bits of crack and some dark - High March 6th 2021 Midnight/6th March 2021 - Edward is upset as it is the 4th year death anniversary of his very good friend/lover- Upset 4am/6th March 2021 -Two police officers attended hostel as Edward put a broken TV outside hostel door - Ed to A&E 4pm/6th March 2021 -Mary next relative informed by hostel that Edward had been in A&E since 4am- Mary calls Pat 4pm/6th March 2021 -Mary requests Patrick Moss brother to attend A&E to check if Ed is a danger to himself/others- 5pm/6th March 2021 -Meanwhile two doctors Section 2 Edward, just before Patrick arrives to check Edward’s status- 6pm/6th March 2021 -Patrick puts Edward on the phone to Mary at A&E- Normal state but scared after 12 hours in A&E 6.30pm/6th March 2021 -Transport arrives four security men escourt Edward into a van to Highgate - Pat follows van 7pm/6th March 2021 - Edward placed on Emerald ward - Pat get’s him a McDonalds, vapes and £180 for petty cash March 7th 2021 6am/7th March 2021 - Mary emails Edwards solicitor Fernanda, to inform her what has happened - Ed will have legal help 8am/7th March 2021 - Fernanda emails, says ‘sorry to hear that this has happened again’ - Tribunal organised in 5 days 9am/7th March 2021 - Mary writes to the Highgate Mental Health Act and to formally discharge Edward from section 2 A PROTRACTED EXCHANGE BETWEEN MARY MOSS AND MHA RE HER NEXT RELATIVE STATUS - DELAYS DISCHARGE MANAGERS/CLINICIANS AT THE HIGHGATE MENTAL HEALTH HOSPITAL/OFFICE REQUEST TRIBUNAL CANCELLED - March 15th 2021 2.15pm/15th March 2021 -HM Tribunal Service, Leicester, convene- Attended by Edward and his solicitor, Samson an emerald ward staff, the psychiatrist from the ward, the outreach social work side of mental health, two other independent clinicians and Mary Moss as next relative. Notes from that meeting but transcript although has not been made available should evidence what was said; Fernanda Edwards solicitor asks for strict proof that Edward is a danger to himself or others. Social work falsely claim to have visits/calls once a week with Edward and have support in place for his drug usage, Mary claims that this is total fabrication. Sampson is asked is Edward a danger to himself and says no. Asked if he is a danger to others Sampson says no. Sampson claims that by Edward being very ‘verbal’ (and some might say he has verbose/intelligence as part of his personality) and that being in hospital is placing him in danger from ‘others’ in the ward, this is a very alarming claim. The psychiatrist claims to have no history of the patient and no medical records, mentally or physically. Edward is asked a question by the judge and he has clearly been drugged so he is then asked to leave. He later says the connection was interrupting and he could not hear the Judge. Mary knows her brother very well and claims he has been sedated before the hearing. (Note; next hearing NO SEDATION REQUESTED). Verdict Edward not formally discharge from the section 2. March 16th 2021 Mary writes an email to the psychiartrist Dr Berg that attended the Tribunal yesterday; Copy of Email I was surprised when you said in the meeting that I was not the nearest relative however I was relieved when the Camden Mental health team confirmed at the end of the meeting for you, that I am. Following a telephone call to my mobile last Wednesday by your discharge people, when I was expecting a High Court Judge to call me at 12.15pm, I politely asked that your staff to call me back as my call was due at the very time they called. I did not get the call back as I would have been happy to speak with you all before now. There was a number of issues raised at the meeting not least that Edward is in danger in the ward. This was stated five times by Samuel. Edward by nature is a talkative, verbose individual with a high IQ like his Mum who was a member of Mensa and he himself was well educated at the London Oratory. Being verbal as Samuel put it, should not put Edward in danger of attack by the other patients. Also being angry is a natural emotion he is entitled to. He should not be cohered to be a different individual or drugged to be one. I have asked for Edward's discharge and I hope that you understand my grave concerns at this time for my brother's safety at hospital. You said that Edward was on 'perilipin' and 'endixaprine' please forgive the spelling and correct me if I am wrong but the latter is known to have a recurrent stupor effect? Could you let me know by reply what these medications are, the correct spelling, the dosages and the side effects. I did suggest he was not himself on the call, so I personally won't have a conversation with someone drugged up as he was. He normally does take aripiprazole but only on a 5mg bases and that is his right as a 50-year-old man to choose not to become addicted to pharmaceuticals, he has a moral view on it that, he is entitled to. You mentioned his relapse in schizophrenia, however I did not see a difference in him, when Patrick was asked by me to attend A&E, 12 hours after the event of him being taken there by two policemen, for putting a TV outside in the street, he had found in the street earlier in the day. I spoke with him on Patrick's phone and he relayed events normally. He was quiet down regarding events but after 12 hours being in a cell in A&E without me, his nearest relative being informed, I'm not surprised he was down. He was still very much compos mentis. I should have been told at 4am and they hostel should have called me and not the police. This was not an act of violence or self-harm. You were asked was his presentation due to the fact he had been wrongly brought into the hospital, I suggest, since you have no knowledge of him, that it was and will continue to be. Despite holding him to a floor stripping him naked and sedating him. I would also suggest that the Camden mental health team alongside St Mungo's have done nothing for him, in terms of any meaningful engagement around his drug use. They have him in a holding cell, he shares with mice and they charge Housing Benefit of £1,800 PM. Roman his worker has not visited and does not call. The Margaret centre I have had several attempts for them to help Edward with his drug problem and their exact words are, we cannot help him because we don't have a substitute for crack only heroin. I was flabbergasted at how difficult it was for him to have any meaningful help or help at all. I went with him five times last year to get help at the centre, where he tried to engage, the problem you will find is them and not him. You say Edward has a poor insight to his situation and that he is self-neglecting, well if you were pulled from your bed in the middle of the night and had no access to your belonging and have been sedated by force and put into a non-consensual involuntary isolation, perhaps you would feel like him. Your place is not a holiday camp and drugging him is not meaningful nor is your tin-pot psychology about him. If he is not a danger to himself or others, please release him. That is the only reason you can keep him, your opinions mean nothing, your power is the only thing that has any meaning right now and that you are using wrongly, without care or knowledge of his history. You didn't seem to know much at all about this human being, my brother. Meanwhile you now have my email for meaningful and accurate engagement. Following the meeting today, I have been told that, yesterday Edward found himself naked on his bed after being sedated, what do you have to say about that? I will be making my views known publicly and legally and any which way I can stop you abusing my brother. You will not hear the end of this, this time unlike the last time when we left it. Kind Regards Mary Moss 16th March 2021 - Mary writes to Health Watch Camden to complain and get support for Edward and his detention. Dear Health Watch, I have just been in the most alarming mental health tribunal where I was told by Dr Bird at Highgate mental health ward Emerald ward, that I was not the next relative of Edward Moss 8/7/70 my brother. Edward has been detained not due to him being a danger to himself or others, however 5 times during the tribunal we were informed bu Nurse Samuael that Edward was in danger from others in the hospital who wanted to attack him as he is very verbal, when that is his normal behaviour. The judge in this knowledge ruled that he was not to be discharged and his solicitor who attended had said she would need strict proof he was being held lawfully and she is appealing. Please attend to him. They are drugging him up out of his mind and he said he awoke last night completely naked and had been sedated. I have applied for his discharge and have been illegally ignored. Many Thanks Mary Moss 17th March - Mary Moss writes a complaint to the CQC regarding Edward being drugged, assaulted, restrained, detained. Dear CQC, Edward Moss 8/7/70 he was put in there on 7th March 2021 for putting a TV he had found back onto the street; he is on a section 2 and I have applied as his next relative for his immediate release more than ten days ago. Going forward, I would be happy for you to contact the provider on my behalf as a matter of urgency. A resident died last year in the Highgate hospital where my brother is staying against his will. As I said the staff have indicated he is not aggressive himself or a danger to himself, but he is in danger from others and from staff stripping him and holding him down and injecting him. He has been crying on the phone about his treatment and wishes to leave. He is in Emerald ward. Kind Regards Mary Moss 18th March 2021 CQC respond and ask can they contact the hospital MHA directly to raise the concerns, they gave a reference number. FROM 18/3/21 TO 7/4/21 NEARLY 3 WEEKS WAS SPENT AGAIN IGNORING ME OR TRYING TO ATTEMPT TO SAY I WAS NOT THE NEAREST RELATIVE WITHIN THE MEANING OF THE ACT- THEY WENT SO FAR AS TO CONTACT EDWARDS FATHER WHO HAS HAD NO PARENTAL CUSTODY OF EDWARD SINCE HE WAS 12 AND THEY GAVE HIS FATHER NEXT RELATIVE STATUS, WHO THEN WAS CALLED UP BY THE SOCIAL WORKERS TO DELEGATE TO A YOUNGER BROTHER OF TEN YEARS. THE WHOLE MESS WAS SORTED OUT WHEN THE FATHER OF EDWARD TOOK THE PAPERS TO BE SIGNED AND GAVE NEXT RELATIVE STAUS TO ‘THE NEXT RELATIVE’ WHO IS THE NEXT RELATIVE, NAMELY ME, MARY MOSS. SEVERAL ORDERS FOR DISCHARGE ARE SIMPLY IGNORED WITH THE EXCUSE I AM NOT NEAREST RELATIVE. 27th March 2021 - Edward Moss escapes detention because of a security breach by kicking two parts of a door and walking out. 29th March 2021 - Edward is exhausted and returns to his hostel and is further detained but now in Coral ward which was subject to a formal complaint to the CQC in Jan 2020 and Edward has had post traumatic regarding Dr Neil Stewart. 7th April 2021 - Mary writes to the MHA office to Dominique Merlande whom she had dealings with over the 2020 ‘next relative’ game that seems to be what the MHA thrive on whilst delaying Edwards rights and allowing time to drug and confuse him. Dear Dominique, As the established next relative of Edward Moss for 3 years I applied for his discharge on the 7th March 2021 having spoken to him and found him to be no danger to himself or others. I was told I was suddenly after three years of caring for him, including attending ward round meetings in a pandemic with Dr Gin and attending court cases with him. These are the facts and as such I still see myself as the next relative. Gracie has committed gross misconduct in that she did not accurately do her job and committed harm to the patient who did not wish to be held against his will or mine. I have on numerous occasions asked you now to discharge my brother but instead you have gone around members of my family creating chaos as a purposeful distraction and I saw this last time three years ago where in a meeting with you, and me, he was discharged. Since you still have not got your paper work in order and hopefully now I am dealing with you rather than anyone else, I will send you by return of post, the authority by Mr Moss (whom by the way under the act is not even suitable to be next relative having his rights taken away as an abusive person and has had no parental rights since Edward was 12, and he will tell you that himself as I am sure he has) to Geraldine Whiley, the oldest sibling, who lives in Devon and cannot perform function of next relative for that reason alone, who will then delegate to me. You will then keep those records scrupulously, since this is a repeat of the events that happened three years ago when your staff wanted to drug Edward who medically cannot be drugged as he has a hole in his heart. Evidence of this is for you, not me to obtain via Jenny Daley his ex-social worker in Hammersmith. When Edward is then released, I want an account of what help you as an authority give Edwards in terms of his mental health as I have found both St Mungo's and Roman wanting and offering very little. Kind Regards Mary Moss 8th April 2021- Mary Moss gets the post from Mr Moss senior signing over next relative status directly to her, so hand delivers and gets recipe of delivery from Gracie at the MHA office and so now there can be no argument re the next relative status. Dear Dominique Merlande, I have just received the next relative delegation from Mr Moss by post. He has delegated to me and I have accepted and I hope that draws an end to the matter. Attached; Letter arrived in. Delegation form signed by Mr Moss. A stamped addressed envelope to David Hamilton at St Pancras. The signed and accepted form by myself to be the next relative. I also attach the discharge for my Brother Edward Moss by noon on Sunday, whereby I am safeguarding his rights not to be detained unlawfully in my safeguarding role as his next relative. I will like an immediate plan for his reduction in medication before Sunday and a current list of what you have him on against his will. Kind Regards Mary Moss 8/4/21 Mary Moss writes separately to other MHA officers since by now numerous amounts of them have been involved. Dear Dominique Merlande & David Hamilton, I have this afternoon at 3pm hand delivered the delegation documents for next relative and Gracie Tanjikem Ndoke has signed for the documents. Copy of that attached. I look forward to hearing from you with regards to Edward's release on Sunday and any plans for any ongoing support at the dual diagnosis hostel that cost's £1,800 a month for a room the size of a cell. Perhaps you could ask Roman to give me an email on any offers of help for Edward and his drugs use at all at this time appreciating the pandemic. Perhaps some forward planning may be of help and I would like to attend any such meetings as usual. I am copying in his solicitor. Kind Regards Mary Moss 8/4/21 Mary writes to the hostel to TC Edwards key worker regarding Edward’s imminent discharge on Sunday and the TV. Dear TC, I hope you are doing well. I have applied for Ed to be discharged by Sunday and am keen to have his room TV ready, since that is what his frustration was over when he was sectioned on 6th March 2021 since he sold his to James. Either could you ensure that he has a TV and I can give him a Netflix account, so he is not bored in a pandemic or tell me what facilities are in the cell he occupies, to connect a new TV that I can purchase? Obviously the old analoge ones don't work anymore, with an ariel, so are there TV sockets specifically to plug ariels into or does the building have wifi so that he can be given a password to tune in. The wifi is probably the one you have but then I'll have to get him a new TV. If I get him say a 55 inch can they be wall mounted? What happens if the other residents steal it off him? Could you not have big TV's built in? Is there a communal TV? Can you give me the options so I can have this sorted by Sunday as he will be in no state after the amount of drugs they pumped into him to do much else and I wish him to be comfortable at least. Best Wishes Mary TC replied 10/4/21 and was very helpful as usual and I replied back. Dear TC, Thank you for that information I will order a medium sized TV to get delivered then and hopefully the wi-fi can connect. Most helpful information, I think we both get what needs doing. Best Wishes Mary Sunday 11th April 2021 there has been no word from the MHA now that I am officially declared next relative. I even had to call Dominique as I had her mobile number from 2020 and ask if preparation was in place for Sunday. She said that she had not in two days seen my email or proof of next relative and that she would at 3.30pm, the time of the call to her, ask the clinician if he was happy to release Edward, on his and my legal authority, to safeguard Edward and bring him home. Since Dominique called me back at 5pm and told me that the clinician was going to ban my request, I asked that it be put in writing to me as there was no grounds and a ban would require grounds and that was to be done also on time. Nothing was sent and so I was half expecting to have him be freed on Sunday since they did not formally let me know that the correct paperwork had been filled out and on what grounds. However on Sunday despite getting a cab to meet with him and collect him, he was not released. I decided that since I had had no communication and that the MHA were assisting in delays to justice for Edward to take it up with the medical practice tribunal service. They were very helpful and referred me to the General Medical Council. Dear MPTS, Doctor Neil Stewart of Highgate Mental Health Coral Ward has twice taken my brother and misused the Mental Health Act 1983 to drug my brother against his will and mine, his next relative. Edward Moss has a hole in his heart and could die from the seizure inducing medicines as well as strong antihistamines. He was in A&E last time with respiratory problems. He's been held down, injected, assaulted by those under Dr Stewart, so his licence to practice medicine and human care should be looked into and suspended pending investigation. Edward Moss was due to be discharged today at noon. Kind Regards Mary Moss They replied and referred me to the GMC Good morning, Thank you for your email. I am afraid that the MPTS is unable to assist you with your concerns as we do not investigate doctors. The MPTS makes decisions about doctors’ fitness to practise in cases referred to us by the General Medical Council. I have forwarded your email to the General Medical Council, but if you would like to contact them directly you can find out how to do so on their website. I’m sorry I cannot be of further assistance. Kind regards, I replied back Dear MPTS, Thank you for your thoughtfulness in making a referral to the GMC. I will follow up with the latest abuse of protocols and treatment of my brother in the care of the psychiatrist and his staff/admin. Kind Regards Mary Moss 7.23am 12/4/21 12/4/21 My reply to the above Dear MHA, There are many aspects of Edward's care and his medicines that are not being communicated to me as next relative. This includes yet another aspect. Do you have a copy of that request and can you send it to me as I wish to see the strict grounds for detention regarding harm to himself or others quoted and proved as his solicitor asked for in the last tribunal? Meanwhile can you send me a list of his medicines and dosages and timeline for them since admission, any meetings arranged before and going forward and times he is aloud out of his room, times he is allowed outside and any restrictions he has already faced? As his next relative can you let me know all these things and consult me on all future decision making/meetings by phone 07916 325037 (not using a private number so that I can tell who is calling) and email giving me prior notice of call times that suit me as I work full time from home. This includes being there at ward rounds on the phone and notice of them. Can you also stop consulting with other members of my family as Edward has requested this today? Therefore, unless I hear otherwise from Edward, he has requested I alone and not Patrick his former next relative will be attending all meetings on the phone regarding Edward's care. Please let Patrick know by email that the request by Edward is this and will be respected. I am copying in his solicitor regarding her safeguarding his legal entitlements, in regards to your reply and forthcoming evidence of the ban on my request for discharge and if you are indeed accurate, as I don't think the rules have been applied. Kind Regards Mary Moss Response on 12/4/21 3.23pm Dear Ms Moss Please see attached copy of barring form completed by RC. The hospital managers will be in touch with you in due course. I have forwarded your clinical requests to the ward team as this is in no way reviewed by this office. Many thanks Kind regards Maggie Deas Margaret Deas Mental Health Law Administrator Mental Health Law Hub Highgate Mental Health Centre London N19 5NX This was attached and is copied in below Form M2 - Regulation 25(1)(a) and (b) Mental Health Act 1983 Section 25 — Report barring discharge by nearest relative PART 1 (To be completed by the responsible clinician) To the managers of [name and address of hospital] Highgate Mental Mental Health Centre, Dartmouth Park Hill, London, N19 5NX [Name of nearest relative] Mary Moss gave notice at [time] 15:55 on [date] 9 April 2021 of an intention to discharge [PRINT full name of patient]. Edward Moss I am of the opinion that the patient, if discharged, would be likely to act in a manner dangerous to other persons or to himself or herself. The reasons for my opinion are— Mr Moss suffers from schizo-affective disorder and is currently severely unwell with it. His illness has been worsened over the years by the abuse of multiple different substances of abuse. He is currently suffering from psychomotor agitation and profound thought disorder. He is likely to behave in a dangerous manner to both himself and others if discharged. His dangerousness to others takes the form of verbal abuse, property damage and threats. In Coral Ward he has been repeatedly aggressive towards staff and patients. He broke a heavy door in a rage approximately ten days ago. He is dangerous to himself. He puts himself in very vulnerable situations by provoking others, who then threaten him. I have witnessed another patient react adversely to Mr Moss swearing at him, by shouting at Mr Moss over several minutes threatening to assault him. In addition, Mr Moss endangers himself by profoundly neglecting himself. [If you need to continue on a separate sheet please indicate here and attach that sheet to this form] I am furnishing this report by: consigning it to the hospital managers’ internal mail system today at [time]. today sending it to the hospital managers, or a person authorised by them to receive it, by means of electronic communication. sending or delivering it without using the hospital managers’ internal mail system. Signed Responsible clinician PRINT NAME NEIL STEWART Email address (if applicable) neil1.stewart@candi.nhs.uk Date 9 April 2021 Time 17:25 PART 2 (To be completed on behalf of the hospital managers) This report was: furnished to the hospital managers through their internal mail system. furnished to the hospital managers, or a person authorised by them to receive it, by means of electronic communication. received by me on behalf of the hospital managers at [time] on [date]. 09/04/2021 Signed M Deas on behalf of the hospital managers PRINT NAME Margaret Deas Date 09/04/2021 © Crown copyright 2020 Mental Health www.gov.uk/dhsc This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. My response much later on at 7.30pm on 12/4/21 Dear MHA, Sorry I was taken away from this earlier due to an urgent work engagement. Having now read the reasons my initial thoughts are; Schizoaffective disorder is a mental health disorder that is marked by a combination of schizophrenia symptoms, such as hallucinations or delusions, and mood disorder symptoms, such as depression or mania Sometimes, however, psychomotor agitation does not relate to mental tension and anxiety. A 2010 study found that there was also a link between psychomotor agitation and nicotine, alcohol, and drug dependence. In other cases, psychomotor agitation can be caused by antipsychotic medications. A thought disorder is a mental health condition that affects a person's beliefs, thoughts, or perceptions. Thought disorders alter the way a person puts together ordered sequences of ideas and can affect a person's behaviour by causing them to experience paranoia, delusions, hallucinations, or other symptoms. Likely to behave in a dangerous manner is not evidential it is opinion 1. Edward broke a door trying to escape and succeeded 10 days ago, he recalled the incident when asked as his intention to escape detention and a profound security breach, where he simply kicked the door in two places. 2. Verbal abuse, or verbose is part of Edwards personality. His mother was a member of Mensa and Edward went to the London Oratory. He likes to watch university challenge and is often conversing on philosophies as it normal. If Edward is in danger by being verbal, do you suggest that slowing him down for a period of time will ever rid him of this? 3. Edward does not neglect himself, the medication caused him to soil himself and is a well know side effect. On the occasion of Edwards escape, he went back to St Mungo’s and presented himself after going to his room, when sighted as dressed in a dapper manner as per his usual attire. He remarked also that he wished to keep his tracksuit bottoms with him as he had only just washed them yesterday and he said it’s seems a strange thing to have got slightly attached to HMP a tracksuit. It would seem that the psychiatrist has identified a drug dependency disorder like many people in the UK have. That is not a reason in itself for Edward to be detained. If it were most of the UK population would be in hospital instead of a rehab. The hostel caters for the disorder, they call it dual-diagnoses and it would seem that they and the social workers linked to Edward's care have not done their job and I have seen no evidence of any plans going forward for them to do their job. I refute that my brother is behaving in any other way than someone who is angered by his detention and is regularly being depo' and assaulted by the staff for wanting his freedom. This I would suggest this is exceptionally normal human behaviour. Edward therefore is not a danger to himself or to others. I have looked after him throughout the pandemic and it should have never been questioned, to cause delay in regards to my normal caring relationship for my brother. I attach evidence he does not neglect himself by way of photos taken in Nov 2020, Dec and January 2021. Kind Regards Mary Moss 21/4/21 I have heard nothing since and today whilst evidencing this history for the Hospital Managers Meeting, it has been in total 10 days, so there has been ample time to convene a hospital managers meeting, since they all are from the same trust. I called Roman Mental Health Social Worker as he had been on leave since late March until 19th April 2021 and is normally nice with Edward, when he see’s him. I then emailed TC at the hostel and asked for both of them to make plans for Edwards return and to put a support plan in place, since they are funded as a ‘dual diagnoses’ (drugs/MH) placement. His housing benefit claim is still open and is in danger of being closed if he is not returned to add problems to everything. Dear TC, I hope all is well. There will soon be a hospital manager's meeting and I want to ask you to attend by phone? I will let you know of the date when I know. I will be asking Roman also to attend. During the meeting to discuss Edwards possible release on the same day, I would like to have some offers/plans put in place around Edward's drug usage and any possible idea's going forward in his future for him to not feel the need so much to take drugs. The plans/offers may involve activities, perhaps a smaller placement with activity-based ethos and/or drug programmes, support groups, residential settings, holidays, volunteering. Also, to discuss his environmental needs such as a better room and of course the TV which will be on the way soon. Edward has the need to get the jab, glasses, a doctor and a community dentist. He could do with being offered dental implants on the NHS for his confidence. He may also in line with the wishes of the clinician be expected to keep up his one dose of aripiprazole 15mg as this historically can help and so perhaps a placement offering supportive environments for administration of meds may be looked at. We do need a good plan for Ed. Anyway, I will let you know the date and how to access the meeting by phone as well as let Roman know too. Hopefully if there is a care plan I could have it in advance to discuss by phone with Edward. His number is 02075614000 if you want to chat with him about any plans going forward too. Best Mary Response 7pm 21/4/21 Hi Mary, I am very happy to phone in to a meeting, or attend virtually. If at all possible, I will make myself available even if I am not on shift. I am happy to update Ed’s plans to reflect any wishes he has for his future, activities and goals. I do agree that Ed needs something more structured in the way of activities, and I am hoping this can be achieved as we come out of lockdown. I am not sure what Ed really likes doing, but there is a gardening based activity programme on the south side of the river which is not too far from Endell. This is run by Mungo’s. I can enquire about places and what they have going on? Not sure what is available in the way of other projects/hostels/rehab, but from previous experience I believe that most of such placements/moves would have to be initiated by Ed himself. I will forward the below email to Roman. Have a good evening Kind regards TC Terese C. Lundquist (TC) She/her Project worker 83 Endell Street London WC2H 9DN 020 7632 4000 Dear TC, As always very positive response. Thank you Mary Added above whilst writing as email came in 21/4/21. I also had a response from the CQC today 21/4/21 MsMaryMossSent by email: naypic@hotmail.com MHA Ref: ENQ1-1056565584821April2021 Dear MsMoss Re: Your complaint regarding the care and service received from CamdenandIslingtonNHSFoundationTrust Thank you for contacting the Care Quality Commission (CQC) with your agreement that we can forward your concerns to the above care provider for them to investigate and respond directly to you, copying in the CQC. What should happen next is that the provider will contact you directly in relation to the complaint you have raised. They will also let you know the date by which they intend to provide you with a response. I have asked that a copy of the acknowledgement and response sent to you is also sent to the Care Quality Commission. Should you have any follow up complaints I would suggest you liaise directly with the provider to avoid delays or protracted processes. Once the provider has concluded their investigation and provided you with a response to the issues you have raised, should you remain unhappy with that response you can approach the CQC to ask that we consider conducting a review into any unresolved matters. We would need you to clarify your outstanding concerns and explain why you feel the response has not fully addressed your complaint and to confirm the outcome that you are seeking.Care Quality Commission have also had to adapt our ways of working and at present are extremely limited to what we can send out by post. It would be preferred that we can correspond with you via email where possible. We are sorry and recognise that this is not ideal in some cases, if you do not have access to email at present please feel free to contact us via our contact centre to discuss. Please be assured we are working tirelessly toensure that any delays are kept to a minimumOn the completion of local resolution you also have the option of contacting theParliamentary and Health Service Ombudsman Office (PHSO), saying why you are not satisfied. CQC Mental Health Act TeamCitygateGallowgateNewcastle upon TyneNE1 4PATelephone: 03000 616161(press option 1 when prompted)www.cqc.org.ukEmail: MHAEnquiries@cqc.org.uk Their address is:-The Parliamentary and Health Service OmbudsmanCitygateMosley StreetManchesterM2 3HQ If you have any questions about whether the Ombudsman may be able to help you please contact their helpline on:Tel: 0345 015 4033Email phso.enquiries@ombudsman.org.ukfax 0300 061 4000 Further information about the Ombudsman is available at www.ombudsman.org.ukThe Ombudsman can consider whether to investigate complaints that the NHS (and NHS funded care) in England have failed to act properly or fairly or provided a poor service. The PHSO is the final arbiter in any complaint matter and therefore the CQC cannot consider any request for investigation once the Ombudsman has reviewed a complaint. The PHSO may decide that your complaint would be more appropriately reviewed by the CQC should it be about the way an organisation has applied its powers under the Mental Health Act. This would not include disagreements around clinical diagnoses. Our legal powers are discretionary –this means that we can decide whether or not we will investigate a complaint under the Mental Health Act, but please be assured that we always read and consider every one we receive so that we can make that decision fairly. We will always write to you and explain our reason for not conducting a review. Should you wish to complain about our decision not to investigate you can contact our Corporate Complaints Team by phone, letter or email.CQC Corporate Complaints Team 151 Buckingham Palace Road LondonSW1W 9SZ Phone: 03000 616161 Email: complaints@cqc.org.ukThe information you have given us is extremely valuable in helping us decide now or in the future if people using a service are receiving safe, compassionate and high quality care. What people using services tell us informs our decision making and helps focus on areas of a service that may need attention by a provider. We publish full information on our policies for processing, sharing and protecting personal data at http://www.cqc.org.uk/about-us/our-policies/privacy-statementIf you require any further information please contact the Mental Health Act Enquiries on 03000 616161 select option 1 when prompted, quoting the above MHA reference.Yours sincerelyTuri MaddisonMental Health Act Senior Complaints OfficerMental Health Act Complaints Department So the position as it stands is, Edward wants to be released. I can no longer communicate with him coherently as he is very sedated and still claiming to be assaulted. At the Hospital Managers Meeting hearing where the clinician has resorted to barring my request for discharge, I will make an application as the ‘nearest relative’ to have Edward Moss discharged. I will say that he has never been a risk to himself or to others, he is known as a gentle soul with a very intelligent side to his personality, he is caring and generous to a fault and has never had any history of harm to himself or to others. He does take drugs and he is supplied by the DWP with copious amounts of money to have drugs. This then makes him vulnerable to others, the drug cartels currently being funded by the DWP and with no end in sight, which seriously makes me despair as a concerned sister. There is no place it seems in the DWP to manage his money for example giving it to him daily and I would recommend this at the least. There is no drug rehabs available but that is not a good enough reason for Dr Neil Stewart to give him lab drugs. Medically he has a hole in his heart and was born with that. He has a hernia so that cannot burst with fat inducing lab drugs. He has repirtory problems on the lab drugs also as some of them are prescribed for dangerous dogs. I am of the firmly held belief that the section 3 is doing him more harm than good and outside at least he has choice. I suggest his verbal abuse is solely due to his anger at being unlawfully detained, I feel the same as him on this and am furious at the lack of duty of care shown towards him in a so called mental health setting, where next relative is barred. If you do go to the county court so that I am removed I will accuse you of attempted corporate/medical manslaughter. You Wed 21/04/2021 09:00 Dear Ms Moss, Further to your consent in receiving correspondence from the Mental Health Act (MHA) Complaints Team via email, please find attached our letter which outlines the next steps in processing your complaint. Kind regards, Mental Health Act Complaints Department Hospitals Directorate Care Quality Commission Email: MHAEnquiries@cqc.org.uk By post to: CQC Mental Health Act Citygate Gallowgate Newcastle Upon Tyne NE1 4PA The Care Quality Commission is the independent regulator of all health and adult social care in England. www.cqc.org.uk. For general enquiries, call the National Customer Service Centre (NCSC) on 03000 616161 or email enquiries@cqc.org.uk. Reference number: ENQ1-10565655848 Thank you for contacting the Care Quality Commission. NN/YP Youth Parliament concerns Thu 18/03/2021 15:31 Dear CQC, Edward Moss 8/7/70 he was put in there on 7th March 2021 for putting a TV he had found back onto the street; he is on a section 2 and I have applied as his next relative for his immediate release more than ten days ago. Going forward, I would be happy for you to contact the provider on my behalf as a matter of urgency. A resident died last year in the Highgate hospital where my brother is staying against his will. As I said the staff have indicated he is not aggressive himself or a danger to himself, but he is in danger from others and from staff stripping him and holding him down and injecting him. He has been crying on the phone about his treatment and wishes to leave. He is in Emerald ward. Kind Regards Mary Moss