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The family of a brain-damaged man have called for certainty when doctors decide if he is brain dead.

Andy Casey, from south London, has been in St George’s Hospital in Tooting for a week after being punched in the back of the head.

The 20-year-old’s family say doctors treating him at the hospital want to do a brain stem test to assess whether he is brain dead before removing life support.

The family oppose the test, citing questions over its reliability after two recent cases where the test was used to wrongly declare living people as dead.

Andy Casey, 20, from South London has been in St George’s Hospital in Tooting for a week after being punched in the back of the head. His family say doctors treating him at St George’s Hospital want to do a brain stem test to assess whether he is brain dead before removing life support.

Mr Casey’s mother Samantha Johnson told Sky News the test is “not 100% accurate”.

She said: “If they do this test and it comes back zero activity, they can turn off the machine … it’s not a 100% accurate test so there could be a chance that my son could pull through this.

“I believe my son is fighting. He needs this chance and I’m going to fight no matter what.”

The brain stem test is a clinical examination carried out when there is clear evidence of serious brain damage that cannot be cured.

It consists of a series of mini tests to check the brain’s automatic functions, including reaction to light in the eyes, ice-cold water in the ear and a short period off a ventilator, to see whether a patient attempts to take a breath.

Andy Casey's mother Samantha Johnson
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Andy Casey’s mother Samantha Johnson

Teen and baby ‘wrongly declared brain dead’

In March 2021, 18-year-old Lewis Roberts was declared brain stem dead after a road accident.

But he began breathing independently hours before his organs were to be extracted for donation. He went on to make significant recovery and a year later was able to play football and basketball.

Last year, the test wrongly found a baby at a hospital in London dead before he also began breathing independently.

High Court judge Mr Justice Hayden, who was asked to decide what was in the baby’s best interests, called the test “unreliable”.

Before then, medical consensus had been that the brain stem test was the gold standard. The baby’s case shattered that orthodoxy and the Academy of Medical Royal Colleges pledged to update guidance around brain stem testing.

Sky News understands a team of experts there are reviewing the guidance and they are expected to report later this year.

Baroness Ilora Finlay, former president of the British Medical Association, suggested doctors could look at each case individually in the interim.

She said: “Guidelines and protocols are really helpful, they act as a checklist of a minimum thing to do – but they don’t take away the importance of individual assessment.”

Baroness Finlay said such cases are already complicated without uncertainty over guidelines.

She added: “These are incredibly difficult situations for all the clinical team, nurses, doctors the other staff as well as of course for the families who are distraught.”

St George’s Hospital has been contacted for comment.

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Girl, 7, dies after tree collapses at park in Southend

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Girl, 7, dies after tree collapses at park in Southend

One girl has died and another is in a critical condition after a tree partially collapsed at a park in Essex.

The girls, aged seven and six, suffered serious injuries when they were among a number of children caught beneath the tree at Chalkwell Park in Southend.

Essex Police confirmed the seven-year-old girl died in hospital and her family is receiving support from specialist officers.

Three other children suffered minor injuries following the incident.

An East of England Ambulance Service spokesperson said: “We were called at 2.55pm to reports that a tree had fallen in Chalkwell Park in Chalkwell.

“Six ambulances, three ambulance officer vehicles, the London Air Ambulance and Kent Air Ambulance were sent to the scene.”

Map showing the location of Chalkwell Park in Essex

Police said an investigation is continuing into what caused the tree to collapse.

‘Unimaginable hardship’ for families

Chief Superintendent Leighton Hammett said: “Families are facing unimaginable hardship this evening and all of our thoughts are with them at this time.

“I cannot begin to put into words how difficult today’s events have been, and continue to be, for them.

“It’s also not lost on me how traumatic it must have been for the members of the public who witnessed this awful incident.

“Across a matter of moments, many of them went from enjoying the warm summer weather to rushing to the aid of strangers without a second thought.”

Chief Sup Hammett also paid tribute to police, ambulance and fire crews who “did all they could,” adding that “today’s loss is one they will all take personally”.

Death is ‘truly devastating’

Local MP David Burton-Sampson said: “The news of the sad death of one of the children involved in the incident at Chalkwell Park today is truly devastating.

“I am sure I reflect the thoughts of all our residents here in Southend in sending my deepest condolences to the child’s family and friends.

“My thoughts are also with the other children injured and I wish them a full and speedy recovery.

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Hundreds of NHS quangos to be axed – as plans unveiled for health funding to be linked to patient feedback

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Hundreds of NHS quangos to be axed - as plans unveiled for health funding to be linked to patient feedback

NHS funding could be linked to patient feedback under new plans, with poorly performing services that “don’t listen” penalised with less money.

As part of the “10 Year Health Plan” to be unveiled next week, a new scheme will be trialled that will see patients asked to rate the service they received – and if they feel it should get a funding boost or not.

It will be introduced first for services that have a track record of very poor performance and where there is evidence of patients “not being listened to”, the government said.

This will create a “powerful incentive for services to listen to feedback and improve patients’ experience”, it added.

Sky News understands that it will not mean bonuses or pay increases for the best performing staff.

NHS payment mechanisms will also be reformed to reward services that keep patients out of hospital as part of a new ‘Year of Care Payments’ initiative and the government’s wider plan for change.

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Speaking to The Times, chief executive of the NHS Confederation Matthew Taylor expressed concerns about the trial.

He told the newspaper: “Patient experience is determined by far more than their individual interaction with the clinician and so, unless this is very carefully designed and evaluated, there is a risk that providers could be penalised for more systemic issues, such as constraints around staffing or estates, that are beyond their immediate control to fix.”

He said that NHS leaders would be keen to “understand more about the proposal”, because elements were “concerning”.

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Health Secretary Wes Streeting said: “We will reward great patient care, so patient experience and clinical excellence are met with extra cash. These reforms are key to keeping people healthy and out of hospital, and to making the NHS sustainable for the long-term as part of the Plan for Change.”

In the raft of announcements in the 10 Year Health Plan, the government has said 201 bodies responsible for overseeing and running parts of the NHS in England – known as quangos – will be scrapped.

These include Healthwatch England, set up in 2012 to speak out on behalf of NHS and social care patients, the National Guardian’s Office, created in 2015 to support NHS whistleblowers, and the Health Services Safety Investigations Body (HSSIB).

The head of the Royal College of Nursing described the move as “so unsafe for patients right now”.

Professor Nicola Ranger said: “Today, in hospitals across the NHS, we know one nurse can be left caring for 10, 15 or more patients at a time. It’s not safe. It’s not effective. And it’s not acceptable.

“For these proposed changes to be effective, government must take ownership of the real issue, the staffing crisis on our wards, and not just shuffle people into new roles. Protecting patients has to be the priority and not just a drive for efficiency.”

Elsewhere, the new head of NHS England Sir Jim Mackey said key parts of the NHS appear “built to keep the public away because it’s an inconvenience”.

“We’ve made it really hard, and we’ve probably all been on the end of it,” he told the Daily Telegraph.

“The ward clerk only works nine to five, or they’re busy doing other stuff; the GP practice scrambles every morning.”

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Cocaine haul worth nearly £100m seized in one of UK’s biggest-ever drugs busts

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Cocaine haul worth nearly £100m seized in one of UK's biggest-ever drugs busts

A haul of cocaine worth nearly £100m has been seized at a UK port, authorities say.

The haul, weighing 2.4 tonnes, was found under containers on a ship arriving from Panama at London Gateway port in Thurrock, Essex.

It had been detected earlier this year after an intelligence-led operation but was intercepted as it arrived in the UK this week.

With the help of the port operator, 37 large containers were moved to uncover the drugs, worth an estimated £96m.

The haul is the sixth-largest cocaine seizure in UK history, according to Border Force.

Its maritime director Charlie Eastaugh said: “This seizure – one of the largest of its kind – is just one example of how dedicated Border Force maritime officers remain one step ahead of the criminal gangs who threaten our security.

“Our message to these criminals is clear – more than ever before, we are using intelligence and international law enforcement cooperation to disrupt and dismantle your operations.”

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Container ships are one of the main ways international gangs smuggle Class A drugs into the UK, Mr Eastaugh said.

Cocaine deaths in England and Wales increased by 31% between 2022 and 2023, according to the latest Home Office data.

Elsewhere this weekend, a separate haul of 170 kilos of ketamine, 4,000 MDMA pills, and 20 firearms were found on a lorry at Dover Port in Kent.

One of the 20 firearms found at Dover Port. Pic: NCA
Image:
One of the 20 firearms found at Dover Port. Pic: NCA

Experts estimate the ketamine’s street value to be £4.5m, with the MDMA worth at least £40,000.

The driver of the lorry, a 34-year-old Tajikistan national, was arrested at the scene on suspicion of smuggling the items, the National Crime Agency said.

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