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.”
It started with a strong espresso in a simple cafe on a side street in north London.
Several Algerian men were inside, a few others were outside on the pavement, smoking.
I’d been told the wanted prisoner might be in Finsbury Park, so I ordered a coffee and asked if they’d seen him.
Image: Spotting a man resembling the suspect, Tom and camera operator Josh Masters gave chase
They were happy to tell me that some of them knew Brahim Kaddour-Cherif – the 24-year-old offender who was on the run.
One of the customers revealed to me that he’d actually seen him the night before.
“He wants to hand himself to police,” the friend said candidly.
This was the beginning of the end of a high-profile manhunt.
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The Algerian convicted sex offender had been at large since 29 October, after he was mistakenly released from HMP Wandsworth in south London.
Within an hour of meeting the friend in the cafe, he had followed myself and camera operator Josh Masters to a nearby street.
Image: Kaddour-Cherif was accidentally freed five days after the wrongful release of convicted sex offender Hadush Kebatu (pictured). They were both arrested separately in Finsbury Park. Pic: Crown Prosecution Service/PA
We weren’t yet filming – he didn’t want any attention or fuss surrounding him.
“Follow me, he’s in the park,” the man told me.
“Follow – but not too close.”
We did.
I was in the same park a few weeks ago after fugitive Hadush Kebatu, the Ethiopian sex offender – also wrongly released from prison – was arrested in Finsbury Park.
It was odd to be back in the same spot in such similar circumstances.
As he led us through the park past joggers, young families and people playing tennis, the man headed for the gates near Finsbury Park station.
All of a sudden, two police officers ran past us.
The Met had received a tip-off from a member of the public.
It was frantic. Undercover officers, uniformed cops, screeching tyres and blaring sirens. We were in the middle of the manhunt.
As they scoured the streets at speed, we walked by some of the Algerian men I’d seen in the cafe.
Image: Kaddour-Cherif walked up to a nearby police van as Tom continued to question him
One man near the group was wearing green tracksuit bottoms, a beanie hat and had glasses on.
“It’s him, it’s him,” one of the other men said to me, gesturing towards him.
The man in the beanie then quickly turned on his heel and walked off.
“It’s him, it’s him,” another guy agreed.
The suspect was walking off while the police were still searching the nearby streets.
Josh and I caught up with him and I asked directly: “Are you Brahim?”
You may have watched the exchange in the Sky News video – he was in denial, evasive and pretended the suspect had pedalled off on a Lime bike.
I can only guess he knew the game was up, but for whatever reason, he was keeping up the lie.
Image: Police moved in to handcuff him and used their phones to check an image of the wanted man from one of Sky News’ online platforms
Image: Once his identity was confirmed, Kaddour-Cherif was put into the back of the police van
Moments later, one of the bystanders told me “it is him” – with added urgency.
Only the prisoner knows why he then walked up to the nearby police van – officers quickly moved to handcuff him and tell him why he was being arrested.
Over the next 10 minutes, he became agitated. His story changed as I repeatedly asked if he had been the man inside HMP Wandsworth.
Officers needed confirmation too – one quickly pulled out a smartphone and checked an image of the wanted man from one of Sky News’ online platforms.
Nadjib had been on the lookout for the convicted sex offender, who had been spending time in different parts of north London since his release from HMP Wandsworth.
He even had a folded-up newspaper clipping in his pocket so that he could check the picture himself.
He told Sky News he was “very happy when he got arrested”.
“I don’t like the sex offenders,” he said.
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“I know him from the community. He has been around here every night since he was released from prison.”
Image: Nadjib (L) told Sky’s Tom Parmenter he had been looking out for the offender
Not only did he tip the police off about the prisoner’s whereabouts, but he also witnessed the other high-profile manhunt that ended in the same park last month.
Ethiopian asylum seeker Hadush Kebatu was also arrested in Finsbury Park after a 48-hour manhunt in the capital. He was then deported to Ethiopia.
Image: Brahim Kaddour-Cherif
“When he [Kebatu] got arrested in the park I was there,” Nadjib said.
I asked him why both men ended up in the same park in north London.
“Because the community, he came here for the community of Algerians,” he said.
Several Algerian people that I spoke to on Friday told me how shameful they thought it was that this sex offender was still on the run.
An NHS trust and a ward manager will be sentenced next week for health and safety failings – more than a decade after a young woman died in a secure mental health hospital.
Warning: This article contains references to suicide.
The decisions were reached after the joint-longest jury deliberation in English legal history.
Alice was 22 years old when she took her own life at London’s Goodmayes Hospital in July 2015.
Her parents sat through seven months of difficult and graphic evidence – and told Sky News the experience retraumatised them.
Image: Mother Jane Figueiredo
Jane Figueiredo said: “It’s very distressing, because you know that she’s been failed at every point all the way along, and you’re also reliving the suffering that she went through.
“It’s adding trauma on top of the wound that you’ve already got, the worst wound you can imagine, of losing your child.”
Image: Step-father Max Figueiredo
Alice’s stepfather Max said he remains “appalled” that she died in a place they thought would care for her.
“The fact we have these repeated deaths of very young people in secure mental health units shocks me to the core. How can society look at that event and portray it as something that happens as a matter of course?”
Ms Figueiredo said Alice had predicted her own death.
“She said to us – out of fear really: ‘The only way I’m going to leave this ward is in a body bag.’
Image: Alice had predicted her own death, her mother says
In a statement, the North East London NHS Foundation Trust said: “We are deeply sorry for Alice’s death, and we extend our heartfelt condolences to her family and loved ones.
“We have taken significant steps to continually improve the physical and social environment, deliberately designed to support recovery, safety, wellbeing, and assist our workforce in delivering compassionate care.”
For Alice’s family, the convictions have brought some justice, but they will never have complete closure.
“As a mum your bereavement doesn’t ever end, it changes over years as you go on, but it’s unending. The thought I won’t even hear her voice is unbearable and I still miss it. I still miss her voice,” Ms Figueiredo said.
Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.