Exclusive interview - 'I've been hung out to dry, with no chance to air my side of the story': Cynthia Bower has her say against the accusation she led cover-up after NHS baby deaths

 

Health Editor

Cynthia Bower was angry when she called last Saturday afternoon. I was walking the Norfolk coastal path against a stiff breeze and had to crouch in the lee of a dyke to hear what she was saying. But her bitterness and distress were unmistakeable.

The former head of the NHS regulator, the Care Quality Commission, described the report alleging a cover-up of failings in the inspection process at the Morecambe Bay hospitals, where up to two mothers and 16 babies are feared to have died because of poor care, as “illegal” and blamed her successor as chief executive, David Behan, for hanging her and her deputy Jill Finney “out to dry”.

In a five-minute conversation sprinkled with expletives, she said the review by Grant Thornton, the management consultants appointed by the CQC, was neither fair nor reasonable, and the way in which it had been carried out was “against natural justice”.

We agreed to meet at the Charing Cross Hotel today. She had been living in jeans for the last three weeks and was “homeless”  and “on the run”, she said, having left her house in Birmingham last Tuesday with the media camped outside.

Today she arrived at the hotel, accompanied by a friend, wearing a crisp black suit and cream shirt, pale horn-rimmed glasses and a deep frown. With her intense gaze, powerful voice and rapid delivery she can be intimidating but she seemed less assured than the £200,000-a-year chief executive of old.

She has been accused of presiding over a “dysfunctional organisation”, with a “closed culture” that did not tolerate criticism and had “covered up” a key report exposing weaknesses in the inspection process. Weekend headlines said her “career and credibility were in tatters” and the new CQC chairman, David Prior, had used the noxious phrase “A fish rots from the head” to describe the problems at the organisation he had inherited.

“That was extremely distressing given I had left at my own choice, as others [senior executives] had. We took on an incredibly difficult task and tried to do it to the best of our ability espousing the best values of patient care,” she said.

The most damaging accusation in the Grant Thornton report, commissioned by her successor, was that she had been involved with her deputy Jill Finney and media manager Anna Jefferson in a decision at a meeting in March 2012 to delete an internal review critical of the CQC’s inspection process at the University Hospitals of Morecambe Bay NHS Trust, in order to save face.

Ms Finney was alleged to have given the order saying “Read my lips”,  backed up by Ms Bower and Ms Jefferson, who is alleged to have said: “This can never be in the public domain.”

Ms Bower said: “I can’t speak for someone else’s interpretation. All I can say is I didn’t say it [delete the report], no one else said it, and the report still exists. I categorically deny the words that have been put in people’s mouths. ”

Her recollection and that of her two colleagues, that no such decision was taken, was at odds with that of Louise Dineley, head of regulatory risk and quality, who took a contemporaneous note of the meeting and was found by Grant Thornton to be the “more reliable witness”.

Ms Bower said: “If David Behan really believed there had been a cover up by the previous chief executive he should have referred it to the police, not a firm of accountants. If public officials are involved in covering up poor care – which I vehemently deny – then of course the police should investigate. I have no reason to be concerned by a police investigation – I would have welcomed it. It would have been a fairer and more reasonable process.”

“David Behan did not tell us the report was going to be published. If people are going to be named and shamed it should have been made clear at the start so they can see the evidence and have an opportunity to challenge it. We weren’t given an opportunity to respond. When X says one thing and Y another, how do you reach a judgement? What is the standard of proof? This is a report that has hung people out to dry for something we categorically deny.”

Did she plan to sue? “I will take legal advice,” she said.

The internal review that was the subject of the alleged cover up had been commissioned because of concerns that serious problems at Morecambe Bay hospitals, involving the deaths of mothers and babies, had been overlooked during the inspection process, before the trust was registered as “compliant” in April 2011.

Ms Bower admitted that was wrong, and the trust should have been subject to further monitoring before applying for foundation status, which was granted in October 2011. “We should have registered it with conditions. There was information the trust and the strategic health authority had which, had we known it, would have led to that.”

But Ms Bower was unable to say how the CQC responded to the serious deficiencies in its regulatory process that the internal review had exposed. The Grant Thornton report noted there was a “lack of action” in response to the review.

“Many changes were already in place. We had to learn on the job. At that point we were looking at changes in our methods,” she said.

Launched in 2009, the CQC was in trouble almost from day one. It took over the roles of three previous bodies, but with a third less income. Inspector posts were left unfilled and a “tick-box” culture developed as it struggled to cope with an expanded workload.

It has been suggested that Ms Bower's failure to fight back against the Department of Health and insist the job was impossible with the resources allocated was a her greatest mistake. A stinging report from the Health Select Committee in 2011 was followed by the abuse scandal at Winterbourne View, and the Francis Inquiry into the scandal at Mid-Staffordshire NHS Trust.

Her response was defensive. She referred several times in the interview to being “on a learning curve” which involved a “changed way of working”. But she denied the job was too big.

In her four and a half years at the CQC she has been under almost constant siege. She was “finished” she said, having last week resigned from the board  of Skills for Health, an NHS training body, and from the chairmanship of a social enterprise organisation for mothers and babies she helped set up in Birmingham.

“I am unemployable. It would be extremely difficult to consider even voluntary roles when this sort of criticism has been levelled at me. I have been accused of suppressing a report about babies dying in hospital. Who wants to give me a job?”

PROMOTED VIDEO
Have you tried new the Independent Digital Edition apps?
News
ebookA unique anthology of reporting and analysis of a crucial period of history
Independent
Travel Shop
the manor
Up to 70% off luxury travel
on city breaks Find out more
santorini
Up to 70% off luxury travel
on chic beach resorts Find out more
sardina foodie
Up to 70% off luxury travel
on country retreats Find out more
Latest stories from i100
Have you tried new the Independent Digital Edition apps?
Independent Dating
and  

By clicking 'Search' you
are agreeing to our
Terms of Use.

iJobs Job Widget
iJobs General

Male Behaviour Support Assistant vacancy in Penarth

£55 - £65 per day + Travel Scheme and Free Training: Randstad Education Cardif...

BA/PM,EMIR/Dodd-Frank,London,£450-650P/D

£450 - £650 per day + competitive: Orgtel: My client, a leading bank, is curre...

SEN Learning Support Assistant vacancy in Penarth

£55 - £65 per day + Travel Scheme and Free Training: Randstad Education Cardif...

Key stage 1 and 2 teachers required for the Vale of Glamorgan

£90 - £110 per day + Travel Scheme & Free Training: Randstad Education Cardiff...

Day In a Page

Save the tiger: The animals bred for bones on China’s tiger farms

The animals bred for bones on China’s tiger farms

The big cats kept in captivity to perform for paying audiences and then, when dead, their bodies used to fortify wine
A former custard factory, a Midlands bog and a Leeds cemetery all included in top 50 hidden spots in the UK

A former custard factory, a Midlands bog and a Leeds cemetery

Introducing the top 50 hidden spots in Britain
Ebola epidemic: Plagued by fear

Ebola epidemic: Plagued by fear

How a disease that has claimed fewer than 2,000 victims in its history has earned a place in the darkest corner of the public's imagination
Chris Pratt: From 'Parks and Recreation' to 'Guardians of the Galaxy'

From 'Parks and Recreation' to 'Guardians of the Galaxy'

He was homeless in Hawaii when he got his big break. Now the comic actor Chris Pratt is Hollywood's new favourite action star
How live cinema screenings can boost arts audiences

How live cinema screenings can boost arts audiences

Broadcasting plays and exhibitions to cinemas is a sure-fire box office smash
Shipping container hotels: Pop-up hotels filling a niche

Pop-up hotels filling a niche

Spending the night in a shipping container doesn't sound appealing, but these mobile crash pads are popping up at the summer's biggest events
Native American headdresses are not fashion accessories

Feather dust-up

A Canadian festival has banned Native American headwear. Haven't we been here before?
Boris Johnson's war on diesel

Boris Johnson's war on diesel

11m cars here run on diesel. It's seen as a greener alternative to unleaded petrol. So why is London's mayor on a crusade against the black pump?
5 best waterproof cameras

Splash and flash: 5 best waterproof cameras

Don't let water stop you taking snaps with one of these machines that will take you from the sand to meters deep
Louis van Gaal interview: Manchester United manager discusses tactics and rebuilding after the David Moyes era

Louis van Gaal interview

Manchester United manager discusses tactics and rebuilding after the David Moyes era
Will Gore: The goodwill shown by fans towards Alastair Cook will evaporate rapidly if India win the series

Will Gore: Outside Edge

The goodwill shown by fans towards Alastair Cook will evaporate rapidly if India win the series
The children were playing in the street with toy guns. The air strikes were tragically real

The air strikes were tragically real

The children were playing in the street with toy guns
Boozy, ignorant, intolerant, but very polite – The British, as others see us

Britain as others see us

Boozy, ignorant, intolerant, but very polite
How did our legends really begin?

How did our legends really begin?

Applying the theory of evolution to the world's many mythologies
Watch out: Lambrusco is back on the menu

Lambrusco is back on the menu

Naff Seventies corner-shop staple is this year's Aperol Spritz