Sheila Oliver's Campaigning Website

To: <LADO@essex.gov.uk>
Martin Goss <gossmartin@hotmail.com>, Pam Cox MP <pam.cox.mp@parliament.uk>, Helen Lincoln - Executive Director Children Families and Education <lt helen.lincoln@essex.gov.uk>, Cllr Tony Ball - Member CC <cllr.tony.ball@essex.gov.uk>, Hulme, Nick <Nick.hulme@esneft.nhs.uk>

Date: Tue, 15 Jul 2025 at 10:43

Subject: Subject: Addendum to LADO Referral – Emotional Harm and Coercive Clinical Behaviour Toward child XXXX

Dear Lado

As part of my safeguarding referral for Child XXXX, I can provide a recording that captures further concerns. In this audio, a clinician:

Frames XXXX’s pain as solely medication-related, without exploring other causes, despite a complex medical history.
Threatens hospital admission in a manner that causes emotional distress and escalates XXXX’s anxiety.
Shows no evidence of applying reasonable adjustments or trauma-informed care, in breach of statutory duties under the Equality Act 2010 and the Children and Families Act 2014.

This recording confirms the clinical environment is unsafe and emotionally harmful to XXXX. It should be considered in relation to existing concerns around misdiagnosis, diagnostic neglect, and coercive medical culture.

I am  happy to provide the full audio and assist with transcription if this will support safeguarding review.

Yours sincerely,

Jo

What action should be taken?

Immediate Actions:
Acknowledge Receipt in Writing

Confirm to the referrer (Jo) that the addendum has been received and will be reviewed.

Request the audio recording and any related documentation or transcription if not already provided.

Update the Existing LADO Case File

Add this new information to the original referral.

Ensure it is logged clearly as an addendum and referenced chronologically.

Review the New Allegations Thoroughly

Evaluate the clinician’s alleged behaviour in light of:

Emotional harm criteria.

Breach of statutory duties under the Equality Act 2010 and Children and Families Act 2014.

Existing concerns of misdiagnosis and coercive behaviour.

Seek Specialist Input if Required

Consider consulting with:

Designated safeguarding leads (medical and social care).

Clinical governance or patient safety teams.

Legal advisors (regarding consent, recording use, and statutory obligations).

Further Considerations:
Risk Assessment
Assess the current and potential future risk to the child in that clinical setting. If the environment is deemed unsafe, urgent escalation may be warranted.

Engage with the Referrer
Follow up with Jo:

To obtain the audio file.

To understand the full context and any further evidence.

To clarify whether the child or family has expressed ongoing distress or trauma.

Multi-Agency Strategy Discussion (if threshold met)
If there is reasonable cause to suspect significant harm, a strategy meeting involving health, social care, and possibly police should be convened.

Notify Regulatory or Oversight Bodies (as appropriate)
If the clinician's conduct may amount to professional misconduct or breach of professional standards, consider referral to:

NHS Trust safeguarding lead

GMC or HCPC, depending on the clinician's registration

Summary:
Action Required:

Review the audio evidence, assess safeguarding concerns, update the case file, engage appropriate agencies, and determine whether further investigation or protective steps are needed regarding the clinical setting and practitioner involved.