“I’ll at all times be with you, wanting down on you from above. Nothing else issues to me, simply you. I’m sorry son. All my love, your dad.”

These had been the These

Adrian Watts was simply 43 years previous when he died in Southmead Hospital, days after he was recognized with terminal most cancers.

He had misplaced six stone and complained about extreme belly ache for months, however was not correctly cared for when he was in Bristol jail.

Shortly earlier than he died, he wrote his final letters to his youngsters, explaining how he was let down by the jail service.

Adrian had instructed docs for months in regards to the stabbing pains in his abdomen, blood in his bowels and the way he needed to sleep sitting up.

However as a substitute of giving him an pressing scan – regardless of calls by hospital docs – docs at HMP Bristol dismissed the mass they felt in his abdomen as “faeces” and “gallstones”.

Adrian had lost nearly 6stone
Adrian had misplaced practically 6stone

When he was lastly given a correct analysis in Southmead Hospital, it turned out to be tumours which had unfold to his pancreas, colon, kidney, liver and adrenal glands.

Adrian couldn’t be given the right ache reduction wanted, and docs stated he was unsuitable for chemotherapy as a result of he was so weak he “couldn’t even make tea.” His heartbroken youngsters sat by his bedside as he died days later.

An investigation by the Jail Ombudsman discovered “quite a lot of deficiencies” in his care and that he ought to have been despatched to a specialist earlier.

Dr Rachel Royston, who was accountable for his care at Southmead Hospital, instructed an inquest they didn’t know what was fallacious with him lower than per week earlier than he handed away.

“He was getting sicker, and sicker and sicker, and we nonetheless didn’t have any reply,” she stated.

“He was in an excruciating quantity of ache and I do not forget that very, very vividly.”

Adrian’s dying had a devastating affect on his household. Shortly after his dying, his distraught daughter Nikita began self harming and 9 months later, she was discovered lifeless on the floor flooring of her block of flats.

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Hiding the letters

Adrian wrote letters to his youngsters, however he had hidden them amongst his belongings within the hope it might escape the jail service’s detection.

They’ve agreed to share the letters simply weeks after Adrian’s inquest in August this 12 months, within the hope that what occurred to their dad is not going to occur to different prisoners.

Listed here are his letters to his daughters Naiidine and Laura and his son Adrian Junior, shared with permission by the household.

‘I can’t see you once more’

Adrian’s letter to his son

To my son Adrian, I miss you so, a lot.

I don’t know should you’ll ever get to learn this, however I hope in the future you’ll.

I take into consideration you on a regular basis and I’m sorry I’ve allow you to down. I must be with you and show you how to to develop.

Your nanny and granddad are so particular and for you, I’m so grateful they love you the way in which they do.

I might solely need you to be [in] one different place on Earth and that may be with me.

I really feel so unwell in the intervening time and fear I can’t see you once more. It scares me to assume you’ll by no means know I like you a lot. My coronary heart aches after I consider you getting on with life.

Now I’m in jail, I’m 43 years previous and in 11 months, I could also be launched.

However as it’s, I’m unwell and I don’t know if I’ll make it by means of this time.

And if I don’t, I’m determined to let you know I like you son so, a lot.

My world is all about you. I care about you in a approach I’ve by no means liked something. You’re superb and I miss you so very a lot.

Please be happy with me, even when I’m not there, as I’ll at all times be with you, wanting down on you from above.

Nothing else issues to me, simply you. I’m sorry son.

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They let me die right here in ache and I attempted to get assist however they didn’t assist. I like you.

All my love, your dad.

‘Issues went fallacious’

The letter to Naii
The letter to Naiidine

To Naiidine, sweetheart, I’m so happy with you. I’m really sorry your recollections aren’t as completely happy as mine are of you.

I bear in mind on a regular basis you made us chuckle. Nikita would chuckle with you a lot and I can actually say my thoughts’s image of you is one in all such an exquisite, completely happy little woman, with such a cheeky approach.

Me and your mum liked each of you a lot. We lived to make you each nearly as good as we might. Issues went fallacious and for that, I’m sorry.

However simply by no means, ever consider something besides I like you with all my coronary heart. You’ll at all times be my little NaiNai.

Love at all times, dad.

‘Blissful birthday, love’

Expensive Laura, sweetheart

Blissful birthday, my love. You could have grown right into a daughter any father could be happy with. You could have a approach about you, a kindness I’ve observed and you need to always remember it it doesn’t matter what occurs. If different persons are merciless or spiteful, you will need to by no means let it change your kindness.

Thanks for the boxer shorts, it means the world to me. You made positive I didn’t must stroll about in low cost crappy ones.

I’m actually sorry I can’t do something for you in the intervening time caught right here, however I’ll make it as much as you as quickly as I’m able to.

Blissful birthday.

The factor I’m wanting ahead to probably the most is assembly your horse! As you already know I’m not very effectively in the intervening time and it’s a battle to do something, however the second I’m feeling higher, I’ll do something to make it as much as you.

Have a stunning day and know I’m pondering of you.

At present and at all times, a number of love, Dad.

Adrian loved his family
Adrian liked his household

An investigation by the Jail Ombudsman discovered “quite a lot of deficiencies” in Adrian’s care and that he ought to have been despatched to a specialist earlier.

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He began self harming and had suicidal ideas earlier than he died.

The NHS guideline for suspected most cancers in adults over 40 years previous with unexplained weight reduction and belly ache is that they need to be given an pressing referral. For these over 50, rectal bleeding also needs to be thought-about.

Adrian had reported the entire above a number of instances, however jail healthcare workers didn’t deal with the mass in his stomach as a “potential malignancy”, the ombudsman stated.

In complete, he made two official complaints about his therapy in jail, however nobody responded to it.

And when the investigator for the ombudsman requested workers and prisoners at HMP Bristol for related data, nobody bought again to her.

The ombudsman stated: “Though earlier intervention is unlikely to have made a distinction to the result for Mr Watts, as his most cancers was effectively superior by the point he reported his signs, it will be important workers reply promptly to signs which could point out most cancers.”

In his findings, deputy prisons ombudsman Richard Pickering wrote: “When Mr Watts offered with regarding signs in early December, this could have prompted an pressing referral beneath the NHS pathway for suspected most cancers. A jail GP referred him simply over a month later.”

Whereas ready for check outcomes, he was not given “ample morphine” to cope with his ache and catering workers didn’t assist him with another food plan.

“Mr Watts’s care at Bristol [Prison] was not equal to that which he might have anticipated to obtain locally.

“We’re not happy the chance evaluation accomplished for Mr Watts’s last admission to hospital jail took ample account of his poor situation at the moment and the affect on his danger.”

A spokesman for the Ministry of Justice stated care in jail was the duty of the healthcare supplier.

A spokesman for Bristol Neighborhood Well being (BCH), the prime supplier of healthcare at Bristol Jail has been approached for remark.

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