Quick links

UNISON

Site search

Join UNISON

Site navigation

Features

USEFUL WEB LINKS

UNISON has produced a very useful NHS staff handbook called Link to another page on this siteThe Duty of Care. It sets out the rights and duty of staff to raise and record concerns about the treatment of staff and patients. There’s also a series of frameworks for letters you might need to write if you’re a whistle-blower.

Link to an external websiteClick here to read an NHS Executive Health Service circular, issued in 1999, which required NHS employers to have a whistleblowing policy in place and to remove all gagging clauses.

Verbal and physical abuse, suicide, indecent assault and rape were common at Broadmoor, alleges one whistleblower. Gary Flood examines how can unions help those who want to expose bad practice.

Blowing the whistle


There are 350 male patients at Broadmoor Special Hospital in Berkshire. Men get sent to Broadmoor for crimes such as manslaughter, murder, severe sexual offences and offences involving serious violence.

There are around 70 women as well. They get sent there mainly for arson and other crimes stemming from mental disturbance.

But if what Julia Wassell (right), formerly a senior social worker at the hospital, says is true those women enter a dangerous world at Broadmoor, locked in with those men.

There they face at the very least constant verbal abuse - and at the worst rape and indecent assault. So severe has some of this abuse been that some women have committed suicide as a result, she alleges.

But we may never know the truth. Because Julia’s employers ignored her warnings, then paid no attention to her attempts to use their own internal whistle-blowing procedures to raise the alarm - and then, she claims, forced her to resign after a series of more and more aggressive responses to her complaints.

UNISON and the British Association of Social Workers have just helped Julia with her case against her former employers for constructive dismissal. The case was settled out of court a week before the planned industrial tribunal after 18 months’ of wrangling.

Wassell was a dedicated NHS worker who’d won a number of awards and was a promising manager, forced out for trying to get things changed.

This is a disturbing case. Here are some more statistics: Julia polled some 28 women patients in her care. She says they reported 1,008 incidents of verbal abuse, 64 occasions of sexual harassment, 5 rapes and 6 incidents of consensual sex in the period 1998-2001. (Broadmoor has a policy where there’s no sex permitted between male and female patients.)

Sexual incidents ranged from indecent exposure to rape. Julia claims two women killed themselves in 1999 and another in 2000 as a result of the trauma from such attacks.

Problems stemmed from poor supervision by staff with no clinical training at sports events and occasions where there were no staff of any kind in mixed-sex meetings and patient councils.

She says she first became concerned when in March 2001 she reported the stories of some women patients to the hospital’s senior management under the existing whistle-blowing procedures.

Things escalated until her resignation in April 2002 claiming constructive dismissal as a result of management moves in response to her initiatives.

All mixed gender activities at Broadmoor were cancelled a week later.

That’s too little, too late says UNISON.

‘A lot of damage has already been done and that cannot be brushed under the carpet,’ warns UNISON general secretary Dave Prentis.

Beyond the need to make sure all allegations of sexual abuse are properly checked out, UNISON is worried that Julia’s bad experience will discourage other NHS or public servants who feel they need to speak out.

Whistle-blowing is now sanctioned in law as a legitimate response to concerns over patient safety. But they didn’t help here. Despite repeated meetings with her line manager, hospital executives and non-executives, then her local MP her warnings were ignored.

‘The whole purpose of the Public Interest Disclosure Act and clinical governance post-Bristol was to encourage employers and employees to work together openly to uncover wrongdoing,’ he warns.

‘My experiences illustrate that having a whistle-blowing policy itself isn’t enough,’ says Julia.

‘Its effectiveness depends on senior managers being prepared to accept there’s something wrong in their organisation, put it right and respect the views of the publicly concerned professional.’

Contact the article's author Gary Flood

Julia Wassell (pic: Andrew Wiard)

UNISON CALLS FOR INDEPENDENT INQUIRY

UNISON says the only response to the Wassell case is a full independent inquiry into all the problem of alleged sexual abuse of women patients at Broadmoor.

‘We’re calling on the government and health secretary Alan Milburn to set up as a matter of urgency an investigation into these allegations,’ says UNISON general secretary Dave Prentis.

In particular, the union wants a probe into how the rights of vulnerable patients are being protected at Broadmoor and similar hospitals.

‘We understand the unsupervised mixed-gender meetings were stopped a week after Julia was victimised and hounded out of her job. But what about the women who told her of the harassment, abuse and in some cases rape that she tried to do something about?’

The case also raises some disturbing questions about the attitude of senior management in the NHS to whistle-blowing. The investigation should try and find out why the hospital ignored its own procedures in this area.

There’s also the question of why the NHS is still trying to impose gagging clauses on whistle-blowers – hardly something that’s going to encourage others to come forward if their consciences are troubled.

‘There is no doubt that Julia was a high flyer in the NHS and a very promising career was cut short because she blew the whistle on unsafe practices. What sort of message does this send out to other NHS staff who feel patients are at risk in some way?’

Prentis says he is shocked by the case. ‘It’s hard to listen to the details of this and not be. I’m also shocked by the attitude of managers to the women in their care and shocked at the treatment meted out to Julia for raising her concerns.’
Link to another page on this siteMore on The Duty of Care

LOTS MORE FEATURES

Including stress in the workplace, getting out of debt and the pensions crisis more...
UNISON, 1 Mabledon Place, London WC1H 9AJ. Telephone: 0845 355 0845.
© Copyright 2008
UNISON plus
for Home Insurance
Investor in People