Oliver was an athletic, handsome, mild mannered 18 year old, who had never been involved in any altercations, living happily with his family and was about to start a BTEC at a National Star college.
He was much loved by his family and friends and had travelled the world.
His only crime was to catch meningitis as a baby and develop mild autism and epilepsy.
But unnecessary, enforced antipsychotic medication caused his horrific death at just 18.
The result of an appalling catalogue of NHS arrogance, illegality, incompetence and their staggering inability to see their own medications were causing his problems and could kill him.
Yet there has been no enquiry, Coroner’s condemnation, nor anyone blamed.
The coroner concluded the antipsychotic drug that killed Oliver had been properly prescribed, regardless of lack of consent.
Here are the details of Oliver’s treatment by the NHS.
In October last year, Oliver was admitted to a general hospital because of his seizures
After several weeks of tests Oliver was discharged on antidepressant medication although Oliver was not depressed in any way.
This unnecessary antidepressant medication was increased and caused a change to Olivers mood and greatly increased his seizures
So despite not being depressed and this medication being shown to increase his seizures he remained on it Why ?
He was admitted back to the same hospital in December. And additionally given antipsychotic medications. The effect Of which were catastrophic.
as a result of his antisychotic and antidepressant- although Oliver was neither depressed or psychotic,his seizures and agitation increased .
Allowing him to be detained in hospital under Mental health Act section.
His parents unsuccessfully challenged the section on numerous occasions stating the obvious, that his medication was in fact causing his problems.
Doctors eventually decided to stop the antipsychotic medications and immediately Olivers mood improved and within days he was allowed home..
In April , Oliver was readmitted back to the same hospital again because of his seizures and agitation.
Oliver was again given antipsychotic medications one or more of which may have caused a serious side effect that affected his eyes, with them rolling up inside his skull and he was left like this for several hours but doctors dismissed it as behavioural.
Again Olivers mood changed significantly. He was hallucinating, having up to 30 seizures a day which we had never seen happen, problems urinating, extreme high blood pressure readings, sweating which may well have been linked to his medication.
Doctors interpreted Olivers autistic and learning difficulties as psychotic, despite these being ritualistic behaviours that were normal to him.
At his mother’s request Oliver was transferred to a specialist hospital who understood Oliver’s needs.
But the use of physical restraint was increased with up to eight staff being involved.
Oliver was not allowed any privacy with his personal care. He had three staff sat around his bed and he was kept in a darkened room.
Oliver was very frightened and told me how scared the staff were making him feel.
Oliver was again given different antipsychotic medications and detained against his will and transferred to a specialist mental health ward for people with a need for intensive support.
The different approach from staff allowed Oliver to improve within days.
The Unit staff were of the opinion that Oliver was not psychotic nor mentally ill and that his placement there was a total misuse of the Mental health act. Oliver was discharged after a few days into the care of a specialist learning disability team.
They were very supportive and letters from a consultant psychiatrist in learning disability saying he did not believe Oliver was psychotic or mentally ill. He believed Olivers behaviours were a result of autism and learning difficulties and an environment that was not adapted to meet his needs.
In October Oliver had a serious episode of epilepsy and was admitted to a different general hospital.
His parents gave the hospital doctors letters showing Olivers adverse reaction to antipsychotic medications and this was then written in bold red ink on Olivers medical care sheets stating he was allergic to antipsychotics.
Oliver was intubated and later he developed severe pneumonia.
The safe guarding Officer were advised to use soft handcuffs to manage Olivers anxiety when his sedation was reduced and his parents were told to be present.
But when his sedation was reduced neither his parents nor handcuffs were presence and Oliver was reported to have become agitated and aggressive.
It is difficult to believe that somebody with severe double pneumonia, intubated and sedated would have the ability to become dangerously aggressive .
A consultant had met Oliver on 2 x 10 minute appointments as part of his community team.
She asked us about giving Oliver an antipsychotic but we made it very clear about Olivers previous reactions to this type of medication and she did NOT have our permission to administer any antipsychotic medications.
Oliver had also stated in the ambulance and also to doctors in A&E he did not want to be given antipychotic medications.
Despite this, Oliver was given an antipsychotic medication that evening whilst intubated.
Again after it was made clear to all doctors and nurses that they did not have permission to administer this.
After being given the antipsycholtic, Oliver developed a temprature of 41°. But treatment with antipsychotics continued.
As doctors thought his liver function was elevated he was not given any medication to control the temperature other than a blow up matress filled with cold air.
This was not effective at all and on several occasions the nurse forgot to turn it on leaving Oliver sweating underneath a plastic sheet.
Doctors could not understand the decline in Olivers condition as his pneumonia was improving, and sent him for a scan of his liver and lungs.
It was several more days before they scanned his brain.
It was so badly swollen it was bulging out the base of his scull.
The neurosurgeons and emergency doctors suspected NEUROLEPTIC MALIGNANT SYNDROME a side effect of antipsychotic medications.
And this was certified cause of death.
A week later the decision was made to turn Olivers life support machines off.
Oliver had died to protect staff ( and NHS from insurance issues ) from his presumed autistic aggression on waking yet he was intubulated and weak with pneumonia.
As no consent to drug had been given and Oliver had capacity so consent was needed this was a tortious battery to Oliver that directly resulted in his death.
Parents found his inquest frustrating and disheartening, they had no funded legal representation and the NHS trust adopted a defensive approach and the coroner was ferociously protective of the doctors who treated Oliver.
“We remain adamant that Oliver would not have died if he had not been administered the olanzapine, which we expressly forbade.
She said she was horrified that the consultant neuropsychiatrist who prescribed the olanzapine, Dr Monica Mohan, said she would do the same thing again.