A report by Fiona Ritchie OBE, Chair on behalf of Oliver’s Independent Panel for NHS England and NHS Improvement. 3 | LeDeR – Action from learning: deaths of people with a learning disability from COVID-19 • We are rapidly progressing work to train at least 5,000 paid and unpaid carers of people with a learning disability in the use of RESTORE2 TM mini. His parents have fought tirelessly to seek justice for Oliver and for mandatory training. Oliver’s parents, Paula and Tom McGowan, said: “We continue to work with NHS England on the re-review of Oliver’s LeDeR. The lessons learned and recommendations made must be acted on to improve service provision for people with learning disabilities. LeDeR review finds death of autistic teenager Oliver McGowan was ‘potentially avoidable’ An independent Learning Disability Mortality Review (LeDeR) has found the death of autistic teenager Oliver McGowan at a Bristol hospital… 2016 . Anyone, including people with learning disabilities and their families, can comment on the Government’s proposal here. Mencap’s Death by indifference [PDF] reported the appalling deaths of six people with a learning disability – deaths that the six families involved and Mencap believe were the result of failings in the NHS. Main report Thomas Oliver McGowan, who was known as Oliver, died in a hospital at North Bristol NHS Trust on the 11th November 2016. The case sparked concerns the national LeDeR process may be flawed, while BNSSG CCG told HSJ it has raised concerns nationally about “ambiguities and a lack of clarity” in the review process. Oliver McGowan, 18, from Bristol, was being treated for a seizure at the city's Southmead Hospital in 2016 when he was given olanzapine to sedate him. Independent Review into Thomas Oliver McGowan’s LeDeR Process: phase two. Oliver McGowan, 18, from Bristol, was being treated for a seizure at the city's Southmead Hospital in 2016 when he was given olanzapine to sedate him. Mr and Mrs McGowan said in a statement released by NHS England yesterday (August 7): “Version 1 of Oliver’s original LeDeR report...identified that Oliver’s death was potentially avoidable.” A report has exposed failures of the initial investigation. LeDeR review finds death of autistic teenager Oliver McGowan was ‘potentially avoidable’ An independent Learning Disability Mortality Review (LeDeR) has found the death of autistic teenager Oliver McGowan at a Bristol hospital was ‘potentially avoidable’. Health officials have apologised for a botched investigation into the death of autistic teen Oliver McGowan. ‘We reject any suggestion that CCG staff sought to alter Oliver’s LeDeR report. In May 2017, Oliver’s mum sent an email about his death to the NHS England lead person from STOMP. In November, we set out our most significant action in response to the third annual LeDeR report, when we committed to introduce the Oliver McGowan Mandatory Training in Learning Disability and Autism for all health and social care staff. The death of an autistic teenager who was prescribed medication against his and his parents' wishes was "potentially avoidable", a report has found.. Oliver McGowan, 18, … memory of Oliver McGowan in recognition of his family’s tireless campaigning following his death in November 2016. South Gloucestershire CCG (Clinical Commissioning Group) then started a LeDeR process for Oliver. Our thoughts are with Oliver’s family who have campaigned tirelessly for better care for people with learning disabilities. University’s LeDeR team welcomes continued support from NHS from NHS England 6 May 2020 We are delighted that NHS England will continue to support the LeDeR … Document . We welcome the decision to firstly carry out this review from the MAR minutes and Version 1 of Oliver’s original LeDeR report and supporting evidence. to a recommendation in the 2017 LeDeR annual report and has also been campaigned for by Oliver McGowan’s family. Independent review into Thomas Oliver McGowan’s LeDeR … Oliver McGowan, whose death after he was given antipsychotic medication could have been avoided. Death of Oliver McGowan 19 October 2020 A short statement from the LeDeR team ; LeDeR COVID-19 Reviews 31 July 2020 A short summary of the findings from the first 50 completed LeDeR reviews relating to COVID19 is now available. Oliver McGowan died at Southmead Hospital in 2016 after being given anti-psychotic medication. Mandatory training was one of the recommendations in the university’s 2017 LeDeR annual report and reaction from Professor Pauline Heslop, the university’s LeDeR programme lead, can be found here. Oliver had autism and a mild learning disability, and his family had explained to the staff that he had previously experienced an allergic reaction to the same drug. A report by Fiona Ritchie OBE, Chair on behalf of Oliver’s Independent Panel for NHS England and NHS Improvement, has been published following an investigation into Bristol, North Somerset and South Gloucestershire clinical commissioning group’s Learning Disability Mortality Review (LeDeR) review into the death of Oliver McGowan. One of the recommendations that came from the LeDeR programme (from an earlier report) was for mandatory training for all health and social care staff on learning disabilities. Summary. Annual ristol Learning Disability onference is on March 22. Oliver McGowan died due to a reaction to a drug he was known to react adversely to.. Oliver was 18 years old. Oliver McGowan, 18, from Bristol, was being treated for a seizure at the city's Southmead Hospital in 2016 when he was given olanzapine to sedate him. Just eighteen at the time, Oliver had an adverse reaction to the anti-psychotic medication Olanzapine. The parents of Oliver McGowan are now calling for fundamental changes to the way the deaths of people with learning disabilities and autism are examined by the NHS after their son’s case exposed weaknesses in the national system which examines more than 4,000 reported deaths a year. Oliver McGowan was a young man who died prematurely and avoidably. The preventable death of Oliver McGowan. That’s the view of the specialist Learning Disability Mortality Review (LeDeR) into the death of 18-year-old Oliver McGowan. Find useful information related to Oliver Mcgowan's campaign. UK teenager Oliver McGowan, who lived with autism and epilepsy, died in Bristol at 18-years-old after suffering a 'catastrophic' reaction to antipsychotic medication on November 11, 2016. In November, we set out our most significant action in response to the third annual LeDeR report, when we committed to introduce the Oliver McGowan Mandatory Training in Learning Disability and Autism for all health and social care staff. We welcome the publications today relating to the death of Oliver McGowan. Document first published: 20 October 2020 Page updated: 20 October 2020 Topic: Learning disabilities Publication type: Independent report. Eighteen-year-old Oliver died in 2016 after being given anti-psychotic medication against his own and his parents’ wishes and despite medical records showing he had an intolerance to anti-psychotics. For Paula McGowan, the LeDeR represented a golden opportunity to address the health inequalities that see nearly two decades wiped off the lives of vulnerable adults. Given drug against his wishes. The learning disability mortality review (LeDeR) into his death said that "if Oliver had been assessed correctly on admission to hospital and staff had read his hospital passport, he may never have needed to be intubated and sedated". The teen’s brain swelled so much after the medication, olanzapine, it began to come out of the base of his skull. Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group (CCG) says it is “deeply sorry” for the failings of a Learning Disability Mortality Review (LeDeR) into Oliver’s death.. Oliver, 18, had autism, epilepsy, a learning disability and cerebral palsy. The review followed the tragic death of Paula McGowan’s son Oliver in November 2016 at Southmead Hospital. LeDeR report ..... 27 Annex B: Update on actions set out in the government's response to the 2018 LeDeR ... November 2019, I was pleased to set out our commitment to introduce the Oliver McGowan mandatory training in learning disability and autism for all health and social care workers. Please share with interested colleagues and friends.
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