The report of the investigation into matters relating to Savile at Leeds Teaching Hospitals NHS Trust NHS Hospitals Teaching Leeds at Savile to relating matters into investigation the of report The The report of the investigation into matters relating to Savile at Leeds Teaching Hospitals NHS Trust The report of the investigation into matters relating to Savile at Leeds Teaching Hospitals NHS Trust Authors: Susan Proctor; Ray Galloway; Rebecca Chaloner; Claire Jones; David Thompson © Copyright Leeds Teaching Hospitals NHS Trust 2014 Contents Executive summary 1 Summary of findings 3 Recommendations 6 Acknowledgements 7 Chapter one: Introduction 9 Introduction 10 Jimmy Savile 11 Leeds Teaching Hospitals NHS Trust 12 The hospitals within Leeds Teaching Hospitals NHS Trust 12 Chapter two: Origin and nature of the investigation 15 The Speaking Out campaign 16 Status of the investigation 17 The investigation 17 Policy critique 20 Sourcing and analysis of documents 20 Governance and scrutiny 21 Risks 21 Connections with other Savile investigations 21 Relationship with the police 22 Limitations of the investigation 23 Specific issues for consideration in this investigation 23 Chapter three: Contextual narrative 25 Introduction 26 Part one: Society 26 Part two: The NHS 32 Summary 41 iii The report of the investigation into matters relating to Savile at Leeds Teaching Hospitals NHS Trust Chapter four: The Infirmary and Jimmy Savile 43 Introduction 44 Savile’s early days with the Infirmary 45 General reputation within the Infirmary 49 Savile’s role in publicity for the Infirmary 52 Later years 60 Reactions to the revelations about abusive behaviour 61 Conclusion 62 Chapter five: Fundraising 63 Introduction 64 Context 64 The nature and origins of Savile’s fundraising at Leeds 65 Major project funding at the Infirmary 69 The Leeds Heart Institute 73 Commentary 75 Conclusion 76 Chapter six: Access and influence 79 Introduction 80 Savile’s role as a porter 80 Unrestricted access 84 Security at the hospital 90 Mortuary 92 Savile’s offices and other privileges 98 Savile as a celebrity 100 Savile’s significant relationships 102 Conclusion 106 Chapter seven: Abusive encounters 107 Introduction 108 Par t one 111 Part two 131 Concluding remarks 140 iv Contents Chapter eight: Individual responses 143 Introduction 144 Savile’s reputation: patients and children and young people 145 Accounts where staff witnessed inappropriate access to patients 150 Accounts where staff witnessed inappropriate behaviour towards others 152 Accounts where Savile was challenged 153 Responses to the incidents of abuse 154 Commentary – victims who reported incidents of abuse 159 Conclusions 162 Chapter nine: Corporate responses 167 Role and purpose of NHS boards 168 Leadership curiosity 169 Leadership insight and empathy 172 The connection between senior management and the rest of the organisation 174 Systems of internal control 176 The safeguarding and protection of patients 181 Systems for reporting concerns and complaints 186 Reputation management 192 Conclusion 192 Chapter ten: Policy critique 195 Introduction 196 Trust Internal Audit report 197 Current assurance 198 Safeguards in place today 203 Conclusion 203 Chapter eleven: Recommendations 205 Leadership; organisational values; executive accountability 207 Patient-centred drivers: safeguarding patients 207 Board/ward coherence 209 Security and controls on the physical access to hospital premises 209 Policy development and implementation 209 Fundraising 210 Chapter twelve: Conclusion 213 v The report of the investigation into matters relating to Savile at Leeds Teaching Hospitals NHS Trust References 217 Appendix one: Terms of reference 222 Appendix two: Investigation Team biographies 224 Appendix three: Schedule of documents and materials 226 Appendix four: Press articles inventory 228 Appendix five: Expert opinion biographies 234 Appendix six: Local Oversight Panel terms of reference 235 Appendix seven: Abortion Act 1967 237 Appendix eight: National circulars received by the Board of Governors 241 Appendix nine: Chronology 245 Appendix ten: Report regarding unattributable information 247 vi Executive summary Executive summary Leeds General Infirmary is part of the Leeds Teaching Hospitals NHS Trust. Originally the city’s teaching hospital, it dates back to the 1700s. The Trust now administers seven hospitals in Leeds and the surrounding area. It is one of the largest teaching hospitals in Europe, with an annual turnover of £1 billion. It employs over 15,000 staff and each year treats almost 1.5 million patients in its wards and departments. Many departments are regional or supra-regional centres of clinical excellence, and many also excel in teaching, research and clinical innovation. James Wilson Savile was born in Leeds in 1926. He died in Leeds aged 84 in 2011. During his lifetime he was a radio disc jockey, television presenter, media personality and charity fundraiser. For over 50 years he had a close association with the Infirmary and its associated hospitals. Over the years, the nature of this association evolved through his roles as a volunteer, celebrity advisor to the hospital radio service, volunteer porter and significant fundraiser. He was awarded an OBE in 1972, an Honorary Doctorate in Law from Leeds University in 1986, a Knighthood in 1990 and a Papal Knighthood in the same year. Initially highlighted in an ITV Exposure documentary first shown in October 2012, and then through subsequent investigations including Operation Yewtree led by the Metropolitan Police, it is now known that Savile was also a prolific sexual predator, paedophile and rapist. He operated across the country through his work at the BBC, and in a number of NHS hospitals, including the Infirmary in Leeds. Following the broadcast of the ITV documentary, Leeds Teaching Hospitals NHS Trust received a number of calls from former patients, staff and others. These callers reported accounts of verbal, physical and sexual abuse at the hands of Savile. The incidents took place throughout his association with the hospital, with greater frequency during the 1960s and 1970s. Over subsequent weeks, many more victims alleging abuse by Savile, including at the Infirmary, came forward to inform the police and health authorities. The Trust’s immediate response was to conduct an urgent internal review of key areas of risk pertinent to Savile’s alleged offences. Its Internal Audit department assessed a range of relevant current policies and practices and recommended a series of actions to address deficiencies. In October 2012, Kate Lampard was invited by the Secretary of State for Health to oversee independent investigations in the NHS organisations with which Savile was closely associated. These are: Leeds Teaching Hospitals NHS Trust; Buckinghamshire Healthcare NHS Trust, which runs Stoke Mandeville Hospital; and West London Mental Health NHS Trust, which runs Broadmoor Hospital. The Department of Health is also conducting a joint investigation with West London Mental Health NHS Trust as part of this process. In December 2012, the Board of Leeds Teaching Hospitals NHS Trust commissioned an external team to investigate matters relating to Jimmy Savile and the Trust (and its predecessor bodies). Led by Dr Susan Proctor, the investigation team started its work in January 2013 and has continued over the last 18 months to fulfil the terms of reference of the investigation. 2 Executive summary The terms of reference for the investigation are as follows: 1 Thoroughly examine and account for Jimmy Savile’s association with Leeds Teaching Hospitals NHS Trust (LTHT) and its predecessor bodies, including approval for any roles and the decision-making process relating to these. 2 Identify a chronology of his involvement with LTHT and its predecessor bodies. 3 Consider whether Jimmy Savile was at any time accorded special access or other privileges, and/or was not subject to usual or appropriate supervision and oversight. 4 Consider the extent to which any such special access and/or privileges and/or lack of supervision and oversight resulted from Jimmy Savile’s celebrity or fundraising role within the organisation. 5 Review relevant policies, procedures and practices throughout the time of Jimmy Savile’s association with LTHT and its predecessor bodies and compliance with these. 6 Review past and current complaints and incidents concerning Jimmy Savile’s behaviour at any of the hospitals owned or managed by LTHT and its predecessor bodies, including: • where the incident(s) occurred; • who was involved; • what occurred; and • whether these incidents were reported at the time and whether they were investigated and appropriate action taken. The investigation does not have the power to impose disciplinary sanctions or make findings as to criminal or civil liability. Where evidence is obtained of conduct that indicates the potential commission of criminal offences, the police will be informed. Where such evidence indicates the potential commission of disciplinary offences, the relevant employers will be informed. 7 Where complaints or incidents were not previously reported or investigated, or where no appropriate action was taken, consider the reasons for this, including the part played, if any, by Jimmy Savile’s celebrity or fundraising role within the organisation. 8 Review Jimmy Savile’s fundraising activities and any issues that arose in relation to the governance, accountability for and use of funds raised by him or on his initiative/with his involvement.