Lamb Chiropractic Clinic Ltd
Howard Lamb D.C.

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The Surgery, 48 Marsh Road, Pinner, Middlesex, HA5 5NQ

020-8866-3230/020-8866-8018

22nd August, 2016

FAO: Roger Dunshea

Dear Sir,

I believe that Mr Howell has written to you about my 3 formal complaints; 2 about himself and 1 about Mr Button. If not, please let me know and I will send all of the relevant paperwork.

Please explain how the complaints have not been taken seriously. No part of your complaints procedure has been activated several months after the event and prior to me being removed from the register.

On the subject of my removal from the register, I have been waiting since January for Mr Howell’s chiropractic expert to contact me as part of my disability (autism and dyslexia.) My CPD is in expert short-hand and would take several hours to explain in long-hand and my preference would be to talk for 5 minutes with an expert to clear up any problems. This has been denied me (Disabilities Act.) I can supply my solicitor’s letter and response if need be.

I am talking with solicitors this afternoon regarding whether Mr Howell’s actions were legal, i.e. whilst under complaint, removing the complainee from the register, and asking for silks advice regarding judicial review/public enquiry.

I will send the relevant paperwork for the appeal even though it would seem to be on the back of an illegal action, and obviously Mr Button, whose CV and details of CPD I am still waiting for, has no clinical knowledge, hence the need to speak to someone who has.

My complaints were made as a patient of long-standing and a 30-year plus professional. Professor C. Cunliffe would be my expert of choice due to her experience.

Yours faithfully,

Howard Lamb, DC

Lamb Chiropractic Clinic Ltd
Howard Lamb D.C.

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The Surgery, 48 Marsh Road, Pinner, Middlesex, HA5 5NQ

020-8866-3230/020-8866-8018

6th May, 2016

Dear Satjit,

I was very pleased to read about the upgrades the BCA have made regarding litigation and GCC complaints. Hopefully after each case someone will check if the result was correct and see what lessons were learned. Then the structure would be complete – total quality control.

I am afraid that I am not the tea and sympathy type so cannot help out with your 12 counselling vacancies. However, if you would like me to look at past lost cases and see if any other scams are visible, it would be my pleasure.

The main reason for this letter is Bupa. It would seem they want my Practice Manager to do their administration at my cost. I have pretty much been told ‘that’s how it is and if you want to be with Bupa you have to toe the line.’ (I’m not very good at that I’m afraid.) My Practice Manager has spoken with Bupa, at my expense, but they do not seem to have been truthful at all. I myself had a chat with Dan Beresford from Customer Services who followed their corporate line of ‘like it or lump it.’ They were told last year that we were planning to increase our fees and we were assured that this would be taken into account. This is now apparently not the case. From May I will be charging my patients £40.00 here per treatment, but for Bupa patients after doing all their paperwork and invoice procedure, and waiting 7-14 days to be reimbursed, I will only be paid £35.00. I am not happy. This is good business for the Bupa clients I was told.

If it weren’t for the fact that most of my Bupa clients are old hands I would have told the CEO about my complaint. However, now that the BCA is looking after the members so well in other areas, I hope that you are making headway with Bupa. I cannot be the only one that this is affecting.

Please let me know if I can be of service regarding past cases. I have another 5 years to come back at our ex-insurers, and there could be others just like me. Also, if a resistance movement has started over Bupa, please let me know so that I can join.

Yours Sincerely,

Howard Lamb, DC

Lamb Chiropractic Clinic Ltd
Howard Lamb D.C.

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The Surgery, 48 Marsh Road, Pinner, Middlesex, HA5 5NQ

020-8866-3230/020-8866-8018

                                                                                                                                    18th August, 2015

Bernadette Martin, BSc Chiro, FMCA,
Chair of McTimoney Chiropractic Association

Dear Bernie,

Firstly I must thank you, the Association, colleges, and expert witness, for all the help and support you have afforded me over the last few difficult years, particularly over the insurer’s side of the Flynn case and Child X. We must finally catch up to share our findings, me from the outside looking in, and you obviously in the middle. Please read a trilogy of e-mails on the subject to my negligence lawyer. From my side Stuart Taylor’s insurers got a bit squirrelly and were probably naive at best, but with no criminal intent. Without a suitable gatekeeper they will be more vulnerable to scams like this one.

I do feel that there are enough grounds to check all qualifications of managers in control of current/past cases to make sure there is no chance of negligence, particularly the cases which probably should not have been lost (injustice scars). After all ‘Assumption is the mother of all clusterf**ks’, as I have seen repeatedly in the Child X case.

Dealing with two insurers, I feel that they would represent much of the industry as their actions were similar. They have no interest in fraud, as clearly seen, where’s the profit in that? So fraud can run rife. Again, how can you correct a system that can’t correct itself?

Stuart and I, as your members, were tied up for three years in a matter where we were innocent but were not allowed to prove it. Then everyone else is on an expense-paid jolly, even better if they are on a sure thing, and we are left counting the cost. I am sure this is not what we have been paying our premiums for. If the manager has not got the basic skill-sets to understand what they are dealing with, the whole thing becomes an expensive nonsense with the solicitors cleaning up again, as we have seen previously at the GCC.

If 60% of myelomas are diagnosed and 40% are not, lawyers see negligence. However if 60% are slow-burning and detectable which is why they were diagnosed and 40% are acute and come out of the blue with no chance of diagnosis there cannot be negligence (often diagnosed through luck rather than judgement.) Take Mr Flynn whose myeloma was clearly acute. This was in the hospital notes. It was most probably activated due to bone marrow/oseos damage after his heavy fall in the January where the x-rays show nothing but a gas bubble, (again in hospital notes), to total decimation in February, seen on an MRI. There was a high probability that a scan or x-ray would not have shown anything before January, maybe a week after the fall, other than cellular level. The opposition had been fully informed and then tried to pervert the course of justice, in my opinion. Whilst on the subject, I released a trigger point on Mr Flynn, which made him yelp, which stopped his T4 synaptic event caused by the physiotherapist and mentioned in his testament. I did not enter it in my notes because it was obviously soft tissue and solved the problem. Only if abnormal reaction had taken place would it be raised.

Child X is living in a tent in his mother’s garden after being dumped on the streets by Herts County Council. Sarah-Jane’s solicitors have been pushing hard and the case of one has been accepted by the Ombudsman whilst the other is working on a judicial review, having completed the Complaints Procedure, which was a disgrace and well-documented. Sarah-Jane has been on 3 Counties Radio as a warm-up to get her used to media. The BBC has been helpful.

My involvement with the case so far has been treatment, support and finance. With negligence hanging over me, and the BCA and GCC unable to support my right to diagnose and my right to refer, which was denied me, hence the tribunal. It would be difficult to defend it on an even playing field when viewed as ‘some pratt who cracks necks, what can he know?’ My lawyer is in contact with the GCC and we have been waiting for all notes back on Child X which I will forward to the Ombudsman at the right time.

Thirdly, the GCC are at it again I see. Hand-picking those they need to bias the decision-making process so that government targets on fitness to practice can be met. I feel that the profession should go through a period of non-compliance until the first Chiropractic Act and it’s criteria are actually in place and functioning before we can see if it needs changing.

Please channel this information to the right places as potentially all clinicians could be affected in all professions. I have not communicated with the BCA, except through solicitors, as it is not clear whether they have been complicit, but their members need to know about their insurance company. Maybe the alliance could help you mediate for me, if you would be so kind.

Yours Sincerely,

Howard Lamb,
DC

PS Please share all with Christina, and what you want with who you want with the rest.

Lamb Chiropractic Clinic Ltd
Howard Lamb D.C.

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The Surgery, 48 Marsh Road, Pinner, Middlesex, HA5 5NQ

020-8866-3230/020-8866-8018

                                                                                                               28th May 2014,

Dear Sue,

It is with regret that I have to write this letter. Approximately 18 months into the Flynn case my insurers have managed one document to the court, based on my letters and expertise, and reports from 2 experts. One I have been waiting to review for 6 months, and the other which is not worth the paper it is written on.

Mr Finlay, a spinal neurosurgeon, whose expertise in neurosurgery was not utilised at any stage of Mr Flynn’s treatment, pontificates on subjects that he has no understanding of, or expertise in, i.e. musculoskeletal injuries, general practice, chiropractic, physiotherapy, and presumably imaging. Specific qualifications and experience in these areas would be needed to be deemed expert, otherwise it is just worthless opinion. According to his CV he has none.

Please could you ask Rachel to find out from Mr Finlay how it was physically possible for there to be pain referral to Mr Flynn’s leg. There were no c.r.a.b. symptoms until after his collapse in February. On x-ray in January no evidence that the myeloma was active or had leaked out of the bone into the neural canal, or was external to the body of the bone. Noted in the hospital in Jan/Feb as no neurology, no night sweats, etc (see court documents) which would have been expected with cord/nerve impingement. No sign on imaging until the collapse in February.

The BCA insurance is roughly 55% and 65% more expensive than the UCA’s and MCA’s. I presume that the difference is due to the MCA larger membership and a better deal. From my experience with the insurers I am sure it is not due to the quality of their work. I doubt if your average BCA member is any more dangerous than the other association’s members, and as such should be similarly priced, as the others are.

The answer probably is that ours have lost more cases and wasted vast sums of our money whilst trying to chase and catch red herrings. This is due to the lack of understanding of medical matters. They then pass this cost, of incompetence, onto the BCA membership.

Maybe Rachel could give up to date figures of how much this case has cost so far. Also could she explain why the first question asked was not ‘Is it an asymptomatic or symptomatic myeloma?’ Then we would have known if there was any case to answer, and plan accordingly.

This was asymptomatic myeloma (see my letters) where the vast majority collapse before symptoms (30% of all myelomas) so it would seem that I am being prosecuted for not diagnosing Mr Flynn through luck rather than judgement, which is the normal way for this disease to show. By chance rather than by design it can be revealed on imaging, or in the latter stages with bloods whilst looking for something else. Unfortunately this is rare which is why the vast majority collapse and then give symptoms.

Mr Flynn was an NHS patient, not privately insured, and his condition had improved, his doctor had signed him back to work, and saw no reason to refer for a scan. No reference to acute lower thoracic pain, getting worse, by the time he reached the second physios – Mr Flynn did not fulfil the requirements for the NHS to give him a scan (nice protocols). His rapid degeneration in one month means that there would be no guarantee that it would have shown in the Sept/Oct even if it had been imaged.

I was unhappy when the insurers hired Mr Finlay. I suggested an oncologist with specialist expertise in myeloma, but what do I know? I contacted the UCA on this matter (documented). I believe from Helen’s last e-mail that they are about to hire another haematologist. As we don’t know what the GP’s expert has said, this will only cause more confusion to my defence team, who have highly limited understanding of anatomy, physiology, pathology, oncology, etc, and no understanding of medical language. This means they are learning on the job and reliant on experts like Mr Finlay (Heaven help me!) You will see from my letters/e-mails that I have had to explain the case in a piecemeal fashion, and in plain language to aid the process. All the information supplied has supported my first letter in my complaints procedure right at the beginning in January last year. So far my insurers have not been able to do the same. I did e-mail Helen asking for details of how many such cases she had been involved with and her success rate – no reply on this subject.

I verbally asked for references for Mr Finlay and was told that it was not necessary. I still await a satisfactory reply to my last e-mail to Helen, from 17th February, in terms of the information I asked for. No chiropractic, haematology or oncology reports. All parties’ chronologies :- Stewarts Law set up each case to be tried separately so each bundle will be unique due to individual emphasis to perpetuate this scam.

I also asked for all notes, minutes, reports, e-mails including third parties on this case held by the BCA, insurers and solicitors, my legal entitlement. This is probably another breach of protocols and procedures. After all we have seen what that has meant in GCC cases so often. I would like you to include details of Dr Brown’s involvement which surprised me as I had not been told, or given my authority (data protection).

I networked the profession last year at the Royal College, UCA, MCA, and BCA AGM and conferences, and also spoke with several 30 year plus veterans of chiropractic. Seemingly there is potential for other cases which probably should not have got to court, or GCC, and then been lost. Such precedents do not bode well for our professions future with the ambulance chasing culture we live in today. This shows potential for miscarriage of justice for BCA members.

If the BCA cannot defend a chiropractor’s diagnosis, and have no stomach for the fight ahead, please let me know, and I will put in my own team and then start complaints procedures with the governing bodies of both solicitors and insurers, which would potentially lead to litigation to recover some of the vast sum of money this case has cost me so far, and damages. Obviously I would also put in a complaint to the Disabilities Commission for their lack of understanding of autism, dyslexia, and note-taking (or the stress of having to explain myself).

If the paperwork is not forthcoming I will apply for a court order. Within a couple of days of your receipt of this e-mail I will send a copy plus my thoughts on the subject to the GCC. If the insurers are not incompetent then the BCA’s members are seemingly 2 or 3 times more dangerous than the other associations, and either way it needs to be looked at. With help from the MCA/UCA or not, I will mail-shot the whole profession with a full explanation of my concerns and results of my comparative study of BCA vs MCA insurers and solicitors over the past 18 months. An interesting read. I believe that the MCA had a report supporting Dr Taylor within 3 months. Then setting up an e-mail hotline for chiropractors who feel they have been treated unjustly by GCC/courts/ Associations back to the Singh case and the carnage afterwards. I say none of this as a threat but one way or another the truth will come out.

My preference has always been to work within, and if needs be improve the system, but there is always another way to skin a cat. I am short staffed due to this case, and Dr Taylor is on holiday with my grand-children. My practice manager is just recovering from major surgery and on limited hours. I am also writing my last series of letters on behalf of Child X and will have no time to discuss this for 2 weeks (14th June). This should give you plenty of time to respond, as to how the BCA would like to move forward, after all I did a full case review and responded to Stewarts Law last January in the same length of time, which I stand by even though the insurers have not been able to help.

Please compile my letters and relevant documents to show a full chronology, and then send them to Mr Howell at the GCC within the next few days. I will let him know in my letter to expect them.

Yours with regret,

Howard Lamb,
DC

From: Howard Lamb [mailto:lambchiro@btinternet.com] Sent: 14 December 2012 16:39 To: ‘Sue Wakefield’ Cc: brown.richard@dsl.pipex.com; rob.finch@colchiro.org.uk; principal@mctimoney-college.ac.uk; president@ecunion.eu; mca.chair@virginmedia.com; flynn@cajun.net; d.howell@gcc-uk.org Subject: RE: Child X

Dear Sue,

Thank you for your response.  I understand the position I have put the BCA in.  Please supply all details as to why you do not agree with Chiropractors making a diagnosis when protocols and procedures are in place.  Also, what are the protocols and procedures that are stopping you from agreeing that a Doctor of Chiropractic is qualified to make a diagnosis?

Please can you send details of our next AGM so I can be prepared.

Kind regards,

Howard Lamb

A doctor has the right to diagnose.  If he or she gets it wrong, the mechanism is in place to deal with it, i.e. the GCC, insurance etc.  To make a diagnosis is what I was taught in college.  There are 3 things that make you a good practitioner- diagnosis, diagnosis, diagnosis.  It is my right to diagnose and if I am wrong it is my reputation on the line.

Lamb Chiropractic Clinic Ltd
Howard Lamb D.C.

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The Surgery, 48 Marsh Road, Pinner, Middlesex, HA5 5NQ

020-8866-3230/020-8866-8018

4th August, 2016

Dear Mr Howell,

Please can you provide me with an explanation as I am a bit confused. How is it possible that even though a very serious complaint (criminal negligence and complicit to child abuse) has been registered with you, it has been ignored. You have then thrown me out of the profession. Your 10 days to respond were long up before you made you final judgement on my CPD. I do not believe that there is a profession in the world where you could ethically do this.

If you have some form of explanation then please let me know.

Yours sincerely,

Howard Lamb
DC

Lamb Chiropractic Clinic Ltd
Howard Lamb D.C.

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The Surgery, 48 Marsh Road, Pinner, Middlesex, HA5 5NQ

020-8866-3230/020-8866-8018

3rd August, 2016

Dear Mr Howell,

I believe that I can answer your letter in 5 points.

1). You were requested for paperwork and did not send any in over 6 months. How is that not a refusal? It must then be negligence.

2). You were set up by the government and report to the government.

3). As a solicitor and regulator you must comply with the law, and you have not on multiple occasions.

4). Duty of Care and advancement of the profession are in the Chiropractic Act. Also as a regulator you must comply with mandatory obligations, and you have not.

5). You have not followed your own policies, i.e. ten days to respond etc, report of child abuse, or right to diagnose.

You have still not given the details of who you report to at Privy Council, or contact details other than ‘the chair’. What you seem to be saying is that you are above the law, you can do what you want, and nobody can touch you. This is not what we have fought so hard to achieve over the past hundred years as a profession. You also say that you have sent all correspondence to ‘the chair’ but that it will take you time to send it to me(?)

As always with you, you leave more questions than answers.

I will be in contact again with you soon.

Yours sincerely,

Howard Lamb