[2025] EWHC 2684 (KB)

Extra care is a charge.

It is applied to some of the most difficult/challenging patients.

It seemingly has been targeted at the 'softer' PCTs.

It continues to be charged regardless of the patient condition.

It continues to be charged even if the patient is absent away from the hospital under S.17 leave.

It is not reviewed.

There is no audit trail of its application.

There is no evidence that patients being charged for this care received anything extra over and above normal 'core cost' care.

Extra care as a concept is ethereal and non-tangible (see suspect explanations).

There is no clear explanation as to what is actually provided to justify the extra care charge.

The only people who knew about extra care are the suspects, Wilson, Breeze and Barker along with the witness/whistle blower Mark Deveney.

Apart from those named, no staff engaged in the delivery of care at the hospital had knowledge of what extra care actually was.

Wilson, Breeze and Barker state that there were more resources in place that an extra care patient can draw from. Staff on the Units have stated that there was, on numerous occasions a lack of staff to deliver basic care, let alone extra care. There was a culture of penny-pinching leading to a fall in the standards at the hospital.

Extra Care charges were a major source of income to the hospital. Significant loan repayments had to be met following the management buy out.

There was an aspiration to sell the company. Wilson and Breeze through this fraud and through the drugs overcharging had fattened up the company to such an extent that they were to benefit significantly from the sale.