The “traumatised” daughters of a woman who died just days after knee surgery have said they are “really angry” after their mum’s death was ruled as preventable.
Linda Allan, 59, died at Victoria Hospital in Kirkcaldy, Fife, after suffering a cardiac arrest, multi-organ failure and complications of a perforated gastric ulcer in October 2019.
A fatal accident inquiry (FAI) concluded her post-operative care “was not at the standard that would have been expected”.
In a ruling on Thursday, Sheriff Susan Duff said Ms Allan’s death might have been avoided if she had received daily reviews, including that of her medication.
NHS Fife said it has accepted the eight recommendations outlined in Sheriff Duff’s report.
Ms Allan’s daughters, Shona and Sharon Adams, told Sky News they’ve been left “absolutely traumatised”.
Shona, 36, said: “I still feel really angry. Really angry, and [we’ve] just not really had time to grieve [because] it’s been ongoing for about three-and-a-half years.
“I don’t know how we are going to move on from this, but time will tell.”
Sharon, 39, added: “It’s horrific, especially when we’ve now been told that mum’s death could have been avoided.
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“I think it makes it even worse that now we’re left with this huge gap in our life that nobody [can replace].”
Image: Ms Allan died at Victoria Hospital in Kirkcaldy following knee surgery. Pic: Allan family
Ms Allan, from Kirkcaldy, was admitted to the orthopaedic unit on 15 October 2019 after injuring her right knee while stepping over a low garden wall that gave way.
X-rays revealed a complex fracture and surgery was carried out two days later.
Ms Allan initially reported no pain but on her return to the ward said she was feeling “rotten”.
A few days later, Ms Allan became “very unwell” with stomach pain.
She suffered a cardiac arrest on 21 October but was resuscitated and transferred to the intensive care unit.
Ms Allan then underwent an operation which found a large perforated chronic ulcer. Surgeons also discovered restricted blood flow to the small bowel and possibly the liver.
Doctors decided that any further attempts at intervention would likely be unsuccessful. Ms Allan died on 23 October.
‘I just couldn’t get my head round it’
Shona said: “I was just in complete disbelief, saying ‘how has this possibly happened? She’s came in with a broken knee now to the point like she’s dying.’
“I just couldn’t get my head round it to be honest.”
Shona said she felt “regret” after believing her mum was in the “safest place”, adding: “I still just can’t believe that you can go into the hospital and just never come out again.”
Sheriff Duff said there were “opportunities to detect the deterioration in her condition” and take action to “prevent further decline”.
This included launching an “urgent medical review” when Ms Allan’s pain score went from zero to 10 in just seven hours.
‘She was there alone with no family’
Sharon, who said Ms Allan was given anti-inflammatory medication for the fracture, said it was difficult to hear during the FAI proceedings how unwell and upset her mum was.
“She was there alone with no family,” she said.
In the conclusion of her 32-page determination, Sheriff Duff wrote: “The inquiry has established that the care which Ms Allan received post-operatively was not at the standard that would have been expected.
“There were opportunities for her condition to be reviewed which could have altered the tragic outcome in this case.”
The siblings welcomed the findings but described the hospital’s treatment as “horrific”.
Sharon added: “Personally, now, I don’t want to go there for care.
“I pray that nothing ever happens in our family because I don’t think I would want to go to the hospital.”
The sisters described their mum as their “rock” who was the “life and soul of the party”.
Sharon said: “She wasn’t just our mum, she was like our best friend.”
She said the “devastated” family were still in “shock”, adding: “I still don’t quite believe everything that’s happened. I still go to get my phone to phone my mum.”
Image: Sheriff Susan Duff determined Ms Allan’s death could have been prevented. Pic: Allan family
The sheriff made eight recommendations, including a daily review for every post-operative patient and an immediate referral should a patient change from a low to high pain score between observations.
Dr Christopher McKenna, medical director at NHS Fife, said: “On behalf of NHS Fife I would like to say sorry and extend our condolences to Ms Allan’s family.
“We accept the eight recommendations outlined in Sheriff Duff’s report.
“The recommendations align with the learning and actions that the board has already taken as a result of our internal investigation.
“We will work towards ensuring the recommendations set out in the sheriff’s report are implemented with the aim of preventing harm occurring in similar situation again.”
“That smell of maggots, rotting food and maggots, my house smells like that.”
For Louise, not her real name, home has become a hell she cannot escape.
“We just couldn’t move for flies, and then we noticed an increase in rats,” she says.
Louise lives near Bolton House Road in Wigan. At the end of a row of terraced houses sits a former scrapyard, which has been transformed into an industrial-scale illegal dump site.
The wagons started coming last winter, “20, maybe 30 times a day,” Louise remembers.
“Eighteen-tonne wagons. Full of all sorts; nappies, black bin rubbish, chemicals, plastic.”
Within a few weeks, she and her neighbours realised the waste was just being dumped, not sorted or managed. It piled up, higher and higher.
They contacted the council, the Environment Agency and the police – but Louise claims no one did anything to stop the lorries.
Her retired neighbour, Tom, says it felt like the authorities “didn’t want to know”.
Though he does remember someone from the council asking him if he could go and “have a look for them” and “report back” information about what sort of waste was being dumped.
Louise and Tom are both so worried about who could be behind this that they are only comfortable speaking anonymously.
The fire which lasted nine days
By July’s heatwave, the site had long been full. The wagons had stopped months earlier, so 25,000 tonnes of waste, several storeys high, sat festering in the sun.
Lorries and vehicles in the former scrapyard lay buried, unseen, beneath the shredded and rotting filth – and then the fire started.
For nine days, dozens of firefighters from across Greater Manchester fought to bring the fire under control.
Image: Pic: Wigan Council
Image: Pic: Wigan Today
The nearby primary school had to shut due to the acrid smoke.
The sheer amount of water needed by fire engines to tackle the blaze left residents without any – while many were forced to keep their windows and doors shut in the 30C-plus heat.
Some were left with chest infections, others were hospitalised.
“I think it’s awful to let people live with that toxic rubbish right next to our house after us all asking for help and nothing’s materialised,” Louise says.
The crime costing the economy billions
Sky News has been investigating how, across the country, waste crime is a growing scourge and a booming business being exploited by criminal gangs.
Being paid to remove rubbish only to dump it illegally without sorting it or paying tax is an easy way of making huge amounts of money, with poorly enforced legal repercussions and a huge cost to the environment.
It’s something the previous head of the Environment Agency called “the new narcotics”.
The residents of Bolton House Road are not the only victims of this toxic dump.
Last winter, Neil Hardwick rented out three diggers to an individual, unaware of the growing illegal dump site in Wigan.
By March of this year, he had not received several rental payments and had received a call from the Environment Agency warning him about what was happening at the site.
Image: Neil and Carla Hardwick
With his daughter Carla, he went to Bolton House Road in an attempt to retrieve the machinery, worth approximately £300,000 in total.
At the site, Carla says a group of men slapped her, as well as spat at her. The men allegedly told her father: “We want you to give us £100,000, and we’ll allow you to take your diggers back, or we can cut your throat.”
Carla and Neil say an officer from Greater Manchester Police dismissed their report, and claimed their machinery was not stolen.
That officer also threatened to arrest the pair if they did not leave the area, they say.
“I just wanted us to get those machines back. But the fact that a man can spit in a woman’s face and get away with it, and the police are not interested, well, it is maddening,” Carla said.
The Hardwicks returned to the site 10 days later with officers from the National Crime Agency but found their machines smashed up and destroyed.
Mr Hardwick said the ordeal was “absolutely soul-destroying”.
“It’s caused us so much grief, damage to business, just absolutely brought us to our knees,” he said.
Image: A vehicle used to transport waste to the illegal dump
Greater Manchester Police told Sky News there is an ongoing complaint relating to the incident involving Neil and Carla Hardwick at Bolton House Road, and “this process will take time”.
“As part of this complaint, our Professional Standards Directorate are assessing all elements of the investigation including all crimes and reviewing bodyworn footage,” a spokesperson said.
The £4.5m bill
Finding out how the illegal dump in Wigan happened, and who’s responsible, is hugely challenging.
The landowner has not responded to Sky, nor have the companies which allegedly own the lorries seen by residents transporting the waste.
They appear to be either refuse or haulage companies that boast of their environmentally friendly credentials.
Image: The firms seen moving waste to the illegal dump did not reply to Sky News
One company’s website claims it diverts most of its waste away from landfill, and advertises its “innovative approach” to waste management.
“We’re passionate about the environment,” the website says.
Josh Simons, the local Labour MP, has been outraged by the case.
Speaking before his promotion to the Cabinet Office, he said it is “buck-passing” between Wigan Council, the police, and the Environment Agency.
Mr Simons says he was told at the start of the year that there was a criminal investigation, “and therefore no action can be taken to prevent people from dumping more on the site or intervening”.
“That just doesn’t seem right to me,” he says.
He also says information and financial support from the Environment Agency to Wigan Council has been poor.
“The number [the council] have come up with is about £4.5m to clear the waste.
“Anybody who knows local authority budgets at the moment knows they don’t have nearly five million pounds stashed behind the sofa. So what’s supposed to happen?”
The land itself is not worth £4.5m – and Mr Simons thinks this makes working-class areas uniquely vulnerable to this kind of crime.
Image: The funding and powers of the Environment Agency need to change, says Josh Simons MP
Paul Barton, director for environment at Wigan Council, said: “Our top priority is to ensure those residents feel heard and safe while the Environment Agency carries out their investigation with our full cooperation.
“We want the site to be cleared as a matter of urgency and are continuing to work with the Environment Agency to survey and sample the waste so polluters/landowners – who are the responsible parties – can progress this as soon as possible.”
Paul Clements, director of operations at the Environment Agency, said: “We are prioritising local people, businesses and the nearby school as we work… to deal with this illegal waste site as quickly as possible.
“Our staff continue to visit the site and at the forefront of our minds is the impact the illegal waste is having on the local community.
“We are continuing to progress our criminal investigation as a priority. This includes actively pursuing many lines of enquiry, interviewing under caution and using the enforcement tools available to us.”
Additional reporting by Adam Parker, OSINT editor, and Niamh Lynch, planning producer
The Environment Agency (EA), police and other agencies are failing to stop fly-tipping by organised crime groups, a cross-party group of peers has found.
In a damning letter to the government, members of the House of Lords’ Environment and Climate Change Committee called for an independent review of waste crime, with the current approach “inadequate”.
Their report described the EA as “slow to respond to even the most flagrant and serious illegality” – and said its taskforce on waste crime appears “ineffective”.
Police are accused of showing a “lack of interest” in the crime, while penalties for criminals do not match their profits and are “insufficient to deter future offending”.
Sky News has been investigating the boom in waste crime – a trade so lucrative it has been named the “new narcotics”.
Our most recent investigation found that for months the Environment Agency failed to prevent 20 lorries a day dumping industrial levels of waste at the end of a residential street in Wigan.
Over the summer, the 25,000 tonnes of rubbish burnt for nine days – making life hell for residents.
In July, we tracked down a group of suspected organised fly-tippers who waved wads of cash on TikTok after appearing to dump waste in the countryside and in farmers’ fields.
The Lords’ committee has called for the EA’s Joint Unit for Waste Crime to do more to encourage collaboration between various authorities, and for the Department for Environment, Rural and Food Affairs to develop and publish targets for tackling this issue.
Peers have also demanded an end to what they call the “merry-go-round of reporting” where members of the public who report fly-tipping and waste crime in their area get bounced between various agencies.
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Criminals benefitting from trash
This is something Sky News has often heard from victims – they will call the police, only to be told to speak to the council, which then pushes them over to the EA.
Peers want a “single telephone number and web portal” which would triage responsibility for each case.
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The boom in waste crime
An EA spokesperson said: “We recognise the recommendations of the report and are committed to doing more.
“Last year alone, our dedicated teams shut down 462 illegal waste sites and prevented nearly 34,000 tonnes of waste being illegally exported – showing that we can make real change despite the challenges involved.”
The King has been heckled over his brother Prince Andrew’s relationship with convicted sex offender Jeffrey Epstein during a visit to a cathedral.
Charles was shouted at by a man in the crowd outside Lichfield Cathedral in Staffordshire on Monday, who asked: “How long have you known about Andrew and Epstein?”
The protester, who was filming on a mobile phone, also said: “Have you asked the police to cover up for Andrew? Should MPs be allowed to debate the royals in the House of Commons?”
Image: King Charles during his visit to Lichfield Cathedral. Pic: AP
The King did not respond to the comments, which came as the monarchy faces increasing pressure to resolve the controversy surrounding Andrew, who earlier this month said he would stop using his Duke of York title and his knighthood after revelations in the posthumous memoir of sex assault accuser Virginia Giuffre.
The prince has always strenuously denied all allegations against him from the late Ms Giuffre.
At the moment, Andrew resides at Royal Lodge, a Windsor mansion where he effectively lives rent-free. He’s done so since 2003.
Obstacles to a settlement are reportedly where the prince, who remains eighth in line to the throne, will live and what financial recompense he will receive for the funds he spent renovating the home.
The Sun reported he is keen on Harry and Meghan’s former home Frogmore Cottage.
Image: Prince Andrew and Jeffrey Epstein. Pics: PA/Sipa/Shutterstock
‘The royals need to be challenged’
Calls are still growing for Andrew’s dukedom to be revoked, which can only be done by an act of parliament.
Downing Street has indicated it its reluctance to do so, suggesting the King would not want the issue to take up politicians’ time.
Graham Smith, chief executive of anti-monarchy group Republic, said: “The royals need to be challenged, and if the politicians won’t do the job and the police won’t investigate, then more and more members of the public will be asking tough questions.”
He said he believed Monday’s heckler was “one of our own members but doing their own thing”.
After the visit to the cathedral, the King laid flowers at the UK’s first national memorial commemorating LGBT armed forces.
He was joined by dozens of serving and former members of the armed forces, as he met veterans who told of the trauma inflicted by the military’s former “gay ban”.
The memorial, titled An Opened Letter, was unveiled at the National Memorial Arboretum.