Jonathan Malia a father, keen rugby player, and fitness fanatic studying to be a sports therapist.
Was described as “a fun-loving, manageable, intelligent young man,”
He had been diagnosed with bipolar but had been fine for years.
But when he started to feel depressed and couldn’t cope, he sought help, assuming he would be a voluntary patient, instead he was sectioned .
Two weeks, and 3 hospitals later, he died from a “massive pulmonary embolism”.
His girlfriend had rang the hospital on his second day of detention-, he was not allowed to make phone calls or see anyone- and staff told her he was “being aggressive”.
Wouldn’t you be, if you’d asked for help, but found yourself drugged and locked up, incognito, in your second hospital .
Jonathan was then transited 97 miles to the Chamberlain Ward in Cygnet Hospital, a unit that specialised in ‘treating’ patients with “an acute episode of mental illness that requires assessment and stabilisation”.
This appears a fairly common start to inpatient ‘help’ .
‘Stabilisation’ is achieved by the use of high doses of anti psychotics and/or other drugs. .
During the following 10 days, his girlfriend rang the hospital daily, only to be told Jonathan wasn’t in a fit enough state to get to the phone.
She rang on the 11th day and was told, he’d collapsed and been rushed to the nearby Lister Hospital were he was pronounced dead.
A massive thrombosis had triggered a pulmonary embolism.
When Johnathan had been admitted to Lister Hospital, he had had bruises on his head, arms and legs..
Four days of his fluid intake charts were missing.
Vital samples taken from at his post mortem and actioned by the coroner for analysis, were not, instead they were left to deteriorate in a fridge for three weeks and discarded.
There was no paramedic report available at the inquest.
The coroner ignored evidence that his death might have been caused or contributed to, by 11 restraints and injections of Olanzapine, which drug per se, has been linked to causing deep vein thrombosis.
And the Coroner ruled Johnathan died of natural causes.
Johnathan’s aunty said.’There has been a massive cover up – we also feel the verdict had been decided before the inquest ever began’.
Errol Robinson, a Birmingham solicitor who is acting for the family commented:
“Several features about the evidence that came out at the inquest give cause for concern.
One relates to the sample that was taken for analysis by the pathologist which was instructed by the coroner but not actioned. This deteriorated and was discarded, which is wholly unsatisfactory.
Also, the coroner did not accept the need to make any recommendation in relation to the development of deep vein thrombosis in patients taking such therapeutic drugs’
Johnathan’s aunty said;
“Our evidence as a family was disregarded by the coroner who I felt was very disrespectful to us. At one point he told me that my statement was irrelevant.”
“So many questions have gone unanswered – why was Jonathan given 11 injections of the drug. Why did he have bruises on his head, legs and arms when he was admitted to Lister Hospital? Why were there fluid charts missing ? Why were samples from his body left to deteriorate before anyone had analysed them? The questions go on and on.”
Despite a campaign, petition, and letters to the GMC and MOJ and relevant authorities, his family are still waiting for answers they will never get.
It is unknown how many deaths are even investigated internally in mental health care.
We know from the LLB Campaign, SLOVEN only investigated !% of their LD deaths, and this was not an outlier for public mental hospitals.
We have no statistics for private hospitals and/or residential care provision..
There is no check, or, accountability for the use, or dosage of drugs used in private mental health care.
NICE Guidelines can, and are, being ignored, and prescribing psychiatrists are employed by private for profit mental care providers, and subject to stringent Codes of Conduct and appraisals.
Patients nor family have any control over the medication used.
Coroners inquests are the only possible independent investigation, and these are decreasing ,with no legal aid available to families.
That is if they have not been gagged and cut out by the MCA ,
Narrative verdicts are increasing .
MENCAP reported 3 years ago, that 3 learning disabled die needlessly in state care every day.
We can add to that, those like Johnathan, who ask for help.
Government statistics show that mental health service users account for 60% of those who die in the care of the state
And nothing is being done.
Latest statistics from CQC on those detained under MHA.