- Recently, I had reason to make a Freedom of Information (FOI) request to the BBC. It refused my request for information, so my experience of the BBC Information Rights team wasn’t a happy one.
- Here I won’t say anything more other than all emails in the series I received from the BBC on this matter failed to disclose names. Everyone hid behind the sign-off BBC Information Rights. There’s an obvious irony in the BBC’s non-disclosure given the subject matter.
- What’s worse, the BBC was unaccountable on its lack of transparency. I asked in an email why staff names are withheld in this way. But answer there came none (at date of publication).
- The BBC says on its website it “welcomes feedback from the public on all aspects of our handling of Freedom of Information Act matters. Let us know your views.” Well, I did – and the broadcaster simply ignored my email with the question about its non-disclosure.
- On FOI, of all things, it’s difficult not to conclude the BBC is an opaque and unaccountable organisation.
- On 30 October 2017, Charles Moore wrote about “wonderful” charity Style for Soldiers in his notebook column in The Daily Telegraph newspaper: Daily Telegraph 30 Oct 2017. But he failed to disclose something relevant – colleague Lisa Armstrong, Telegraph fashion director, is a trustee of the charity that provides bespoke clothes for wounded soldiers.
- The “Fashion Journalist of the Year” hasn’t just become a trustee. Ms Armstrong was a founding director – that is, trustee – when the charitable company was incorporated on 13 November 2012, according to Companies House records (registered company number: 08291711). The Charity Commission public register of charities confirms her as a trustee (registered charity number: 1161119).
- It may be “wonderful” as former Telegraph editor Mr Moore says, but Style for Soldiers seems to be confused about the difference between patron and trustee. Ms Armstrong is identified as a patron on the charity website (screen shot in Figure 1). Shirtmaker Emma Willis set up Style for Soldiers.
- This isn’t the first time the military charity has appeared in The Telegraph, however. On 17 December 2016, for example, Ms Armstrong wrote a gushing profile of founder and trustee Ms Willis in The Daily Telegraph, nominating her as woman of the year for her achievements with Style for Soldiers. Here’s the online version: http://www.telegraph.co.uk/fashion/brands/meet-emma-willis-tailor-helping-injured-soldiers-regain-confidence/. Hardly an unbiased nomination. Yet the fashion director didn’t declare her own role at the charity, so readers had no idea of the ridiculousness of the situation.
- Almost exactly a year before, meanwhile, then chief reporter Gordon Rayner reported on Style for Soldiers in The Sunday Telegraph (20 December 2015). Again, here’s the online version: http://www.telegraph.co.uk/news/uknews/defence/12058116/Style-For-Soldiers-how-a-charity-has-used-bespoke-clothes-to-restore-wounded-soldiers-confidence.html. Mr Rayner, you won’t be surprised to learn, failed to mention colleague Ms Armstrong. What’s more, an editorial that Sunday, too, plugged Style for Soldiers – again saying nothing about the fashion director‘s position there.
- The Telegraph has given lots of publicity to Style for Soldiers, almost always failing to declare Ms Armstrong‘s involvement with the charity. Columnist Mr Moore is only continuing the tradition.
- Mr Moore hasn’t responded to requests for comment at date of publication.
- The current issue of Private Eye (1456) reports my Dr Louise Newson and Allison Pearson exposé (see 10 October 2017 post).
- Private Eye is the UK’s number one best-selling news and current affairs magazine.
- You won’t find the report – or much else from the magazine – on the Eye website because the online presence is minimal. Here is a scanned copy of the page from my subscription copy: Private Eye 1456.
- How strange: The accounts of a UK subsidiary of Sanofi, the French multinational pharmaceutical company, are one month overdue at Companies House at date of publication. Sanofi UK won’t say why.
- Aventis Pharma Ltd’s accounts made up to 31 December 2016 were due at Companies House by 30 September 2017, the company register shows (registered company number: 01535640).
- Sanofi UK, based in Guildford, Surrey, hasn’t responded to a request for comment at date of publication.
- A growing national charity that provides “special days” for seriously ill young adults has excessive – and increasing – fundraising costs.
- The Willow Foundation (registered charity number: 1106746) was founded in 1999 by former professional footballer and TV presenter Bob Wilson and wife Megs in honour of daughter Anna, who died of cancer the year before. The couple are now life presidents. The charity has tens of celebrity supporters, or ambassadors, as the website calls them.
- “In the last five years alone the number of special days has grown by 65%,” trumpets the latest trustees’ annual report (TAR) and accounts, made up to 31 December 2016. So in 2012 there were 775 special days, and 1279 last year. The number increased year-on-year as well over the last five years. Impressive growth. What happened, though, to Willow’s income and fundraising costs over the same period? (Table 1)
|Year||Income||Fundraising costs||Number of special days|
- Income first. Increasing year-on-year, too, it more than doubled between 2012 and 2016: from £2.11m to £4.29m. In other words, income rose faster than special days.
- So why hasn’t the charity actually provided more special days? Well, there’s a clue in the fundraising costs. Again increasing year-on-year, these nearly trebled between 2012 and 2016: from £1.06m to £2.97m. Fundraising costs, then, shot up even faster than income.
- But it’s not as if fundraising costs were low in 2012. That year at £1.06m they represented 50% of income (£2.11m), a high proportion already. And again this proportion has only ratcheted up year-on-year. Astonishingly, for each of the last two years, 2015 and 2016, almost 70% of funds raised in the name of seriously ill young adults have been swallowed up as fundraising costs. That’s right, almost 70%.
- Willow justified the 2015 jump in fundraising costs as a boost to investment, saying in that year’s TAR it would enable “a planned major growth of charitable activity over the subsequent three years.” The charity thus created the impression the 2015 jump would be a one-off, “to prepare for long-term growth.” So it’s disappointing fundraising costs in fact ticked up in 2016. Last year’s TAR fails to address this directly, though, only identifying the “substantial” increase in event fundraising costs: from £0.49m in 2015 to £1.14m. This upsurge, it writes, was due to “a larger number” of events than the year before. But what the charity fails to say is the 2016 events clearly didn’t raise as much as hoped.
- In fact, the latest TAR implicitly acknowledges this: in 2017, the charity plans “to further lessen our reliance on events income which will help to improve Willow’s overall return on fundraising investment.” But note the “further”: the same TAR told us there’d been more events in 2016 than the previous year!
- It’s instructive to compare fundraising costs at a national charity with a similar business model, Make-A-Wish Foundation UK (registered charity number: 295672). Make-A-Wish UK grants “wishes” to “children and young people” with life-threatening illnesses. For four of the last five years, its fundraising costs have been around 30% of income (Table 2). In 2016, there was an increase to 40% of income. Yet nothing like the figures at Willow.
Table 2. Make-A-Wish Foundation UK 2012-2016 (GBP m) Year Income Fundraising costs Number of wishes 2012 6.29 1.78 (28%) 916 2013 6.40 1.87 (29%) 893 2014 7.44 2.00 (27%) 872 2015 9.94 2.94 (30%) 855 2016 7.03 2.87 (40%) 984
- This year Willow “hopes” to provide 1400 special days, according to the 2016 TAR. A laudable aim. Nevertheless fundraising costs of almost 70% of income are self-evidently excessive. Regardless of the exact number of special days, Willow must surely drive down fundraising costs, if it’s to retain public trust and confidence.
- Willow hasn’t responded to a request for comment at date of publication.
- Today (18 October 2017) is 2017 World Menopause Day, as Allison Pearson told readers in her Daily Telegraph column, er, today. She didn’t mention GP and menopause expert Dr Louise Newson this time, though (see previous post).
- To coincide with 2017 World Menopause Day, charity the British Menopause Society (BMS; registered charity number: 1015144) today released the results of an online survey it commissioned on UK women’s experiences of the menopause. “The findings reveal the need for greater support for women experiencing the menopause across the UK,” claims BMS. Here’s the press release, which shows the charity again used PR company Edelman: EMBARGOED-UNTIL-18-OCT-2017-00.01_BMS-Survey-Results-2017_Press-Release.
- BMS used Edelman for last year’s national PR campaign organised around a 2015 survey (see 17 July 2017 post). There I revealed who actually funded the previous PR campaign – three pharmaceutical companies: Novo Nordisk, Mylan and Pharmacare. Prior to my investigation, BMS hadn’t disclosed the funding sources.
- As today’s press release shows, the charity has again failed to be transparent about who’s funded its PR campaign. It says nothing about funding. Disappointing, but predictable.
- In Allison Pearson’s new novel, “How Hard Can It Be?”, Kate Reddy is back, now dealing with the menopause. The bestselling author devotes a paragraph in the acknowledgements to Dr Louise Newson, “an expert in hormone replacement therapy” (HRT). HRT is the main treatment for menopause. On 17 September 2017, Dr Newson gushed on Twitter: “This book [“How Hard Can It Be?”] is so enlightening and truthful about the menopause – I have so enjoyed helping @allisonpearson with it!” Later that day the GP and menopause expert re-tweeted Ms Pearson’s response: “You were so helpful. Gave me great confidence that what I was writing was true!” Yes, but Ms Pearson and her readers should be aware: Dr Newson is paid to promote HRT and other menopause-related products and services – but doesn’t always disclose her commercial relationships with the relevant companies.
- Ms Pearson and Dr Newson‘s mutual admiration continued in The Daily Telegraph newspaper, where the novelist is a columnist. On 2 October 2017, Dr Newson published an article again banging the drum for HRT, “Women need HRT, not antidepressants.” Again, the menopause expert was full of praise for “How Hard Can It Be?” and its author. There was even a plug at the end, proclaiming the book is available via The Telegraph website.
- There‘s no suggestion Ms Pearson has been paid or received other material benefit to promote menopause-related products and services in her new book, which was published on 21 September 2017.
- True, Dr Newson declares her financial interests in a file on her website. But she only published the file after I contacted her to query the absence of the information on her site in relation to a particular company (see below). Also, the disclosures there are inadequate. Particularly concerning, though, is her non-disclosure when quoted as a seemingly independent expert in editorial articles in newspapers and on websites – or as author herself of such pieces. Here I discuss two examples. In the first, Dr Newson‘s promotional activities around menopause-related vaginal dryness and a new laser treatment, MonaLisa Touch (MLT). Then her work with US drug company Mylan, a major HRT manufacturer. In quotes for a recent national Sunday newspaper article, for instance, Dr Newson praised a new supposedly independent menopause website for the public – but failed to say Mylan was responsible for it. She didn’t reveal her commercial relationship with the drug firm, either.
- On 4 July 2017, Dr Newson published on her website, menopausedoctor.co.uk, an article by Jane Lewis on vaginal dryness. There Ms Lewis enthuses about treatment MLT. There’s two paragraphs about the laser treatment, and a link to a new website, takeoutthepause.co.uk (screen shots in Figure 1a and 1b).
- In her introduction, though, Dr Newson didn’t declare a relevant financial interest. She simply said: “Jane Lewis has written this article to share her experience and help to empower women and break this taboo. I am so grateful to her for allowing me to share this on my website.”
- Yet Dr Newson was working with MLT, raising awareness of vaginal dryness and promoting the company. Website takeoutthepause.co.uk, where she appears, is part of a PR campaign for MLT organised by ROAD Communications (screen shot in Figure 2). As you can see, ROAD put Dr Newson at the heart of the campaign.
- On the same day Dr Newson published Ms Lewis’ article, MLT UK expressly thanked Ms Lewis on Twitter for sharing her “story” via the menopause expert‘s website (screen shot in Figure 3).
- After I emailed Dr Newson on 26 July 2017 to ask why she hadn’t declared her role with MLT when publishing Ms Lewis’ article, the menopause expert added a two-sentence comment at the foot of the article: “This is an independent review and the opinion of Jane Lewis. I have previously been reimbursed to provide advice on general menopause issues with regards to MonaLisa Touch (takeoutthepause.co.uk).” (screen shot in Figure 4).
- In the same email on 1 August 2017, Dr Newson also brought to my attention the file on her website containing her declaration of interests: link on the “About Louise” page. Yet the file creation date reveals it was only created that day – 1 August 2017 (screen shot in Figure 5). In other words, after I’d first contacted her. The full filename, too, shows it was published in August 2017 (screen shot in Figure 6).
- Also, the disclosures there are inadequate. The menopause expert simply lists companies with whom she has/had financial relationships (Figure 5). There’s insufficient detail.
- Following our email correspondence, Dr Newson arranged for a statement to be added to the MLT website, takeoutthepause.co.uk (screen shot in Figure 7). It wasn’t there originally (screen shot in Figure 8).
- On 28 June 2017, Dr Newson published an article, “The A-Z Of Menopause,” on the Female First website, which clearly identifies her as “ambassador” for MLT (screen shot in Figure 9). Disclosure of interest, rightly, then. Yet no disclosure in another of her articles, in dluxe Magazine dated 11 August 2017, “5 Steps to Take the Pause out of Menopause,” where author Dr Newson refers to vaginal dryness, names MLT and lists takeoutthepause.co.uk (screen shots in Figure 10a and 10b). The headline of the article, of course, echoes the MLT website, too.
- Dr Newson is on the board of the grandly titled Primary Care Women’s Health Forum (PCWHF), an organisation that falsely claimed to be a charity (see 17 July 2017 post). She’s lead for the West Midlands. PCWHF is “dedicated to the education and support of healthcare professionals across the UK caring for female patients,” says its website. On 21 July 2017, it published document “Guidance on Diagnosis and Management of Urogenital atrophy or Genitourinary Syndrome of the Menopause (GSM)”: GSM-Guideline. Dr Newson and Dr Carrie Sadler wrote the guidance on behalf of PCWHF. As the overview explains, they use GSM as a more accurate term for menopause-related vaginal dryness. Although the authors fail to declare explicitly any relevant financial interests, the document carries five – yes, five – different brand logos, including pharmaceutical company Pfizer. MLT, though, isn’t one of them. Yet here Dr Newson was again raising awareness of vaginal dryness – while the medical face of MLT‘s PR campaign to do the same. Further, the guidance describes laser treatment, which “has been shown to lead to impressive results in some studies.” While MLT isn’t named in the document, the list of references includes a single study of laser treatment – one using MLT. It’s surely remiss of Dr Newson not to disclose her link to the company. In summer 2017, I complained twice to PCWHF via email about her failure in the guidance to disclose her commercial relationship with MLT. I didn’t receive a response either time. Nor did I hear from Dr Newson when I raised the omission in an email.
- Now to Dr Newson‘s work with Mylan, the major HRT manufacturer. On 17 July 2017, I exclusively revealed that the manager of the HRT portfolio at Mylan UK is a trustee of The Daisy Network, a charity providing “support, information and networking opportunities” to women with premature menopause (registered charity number: 1077930). For several reasons, I was concerned the charity is a front organisation for the pharmaceutical company. The Sunday Times newspaper reported my findings on 30 July 2017.
- It’s clear Dr Newson works with Mylan as she sometimes declares her relevant financial interest. But sometimes she doesn’t – and that’s the problem.
- First, examples of disclosure. The GP publishes four leaflets on her homepage: downloading them you discover Mylan “developed and funded” two of them. These are “Menopause and Me” (remember the title) and “Menopause and Me: In the workplace.” Here they are: 00133-22-Menopause-Booklet-Update-AW-3-HR-FINAL-JAN17-1 and 00498-02-Menopause-and-Work-Booklet-V5-FINAL.
- For further information, Mylan on the back of each leaflet points readers to several websites, including Dr Newson‘s. There both state: “Please note: Mylan has had no involvement in any of the websites listed above.” This is self-evidently false – because in both cases the drug firm’s list of recommended “independent” websites includes, er, The Daisy Network!
- On 13 September 2017, meanwhile, Dr Newson spoke at a women’s health seminar for GPs, in London, organised by Pulse Learning Seminars – title of her talk: “Early Menopause: Do we need to treat it?” She was “supported by” Mylan, according to the day’s programme (screen shot in Figure 11). Two examples, then, the leaflets and the seminar, where Dr Newson declares her commercial relationship with the drug firm.
- Yet occasionally she doesn’t. Particularly concerning are some of her promotional activities for a new menopause website for the public, Menopause and Me: www.menopauseandme.co.uk. Sound familiar? Yes, Mylan created the site.
- On 2 July 2017, Dr Newson was quoted in a very troubling article in national Sunday newspaper, The People, “It’s time to change the face of our final taboo.” Here’s the online version: http://www.mirror.co.uk/news/uk-news/final-female-health-taboo-set-10720595. (Trinity Mirror publishes The People.) Author Caroline Jones describes “new advice website Menopause & Me,” which is “designed to help women make more informed choices when it comes to managing their symptoms.” “Dr Newson is a wholehearted supporter of all such efforts,” writes Jones about the site. Yet neither the GP in her quotes nor the author disclose the fact that Mylan is behind the site. There’s no mention of Dr Newson’s commercial relationship with the drug firm, either. It‘d be laughable if it wasn‘t so serious.
- At date of publication Dr Newson hasn’t responded to requests for comment via email about The People article.
- On 30 August 2017, Dr Newson was quoted in an article on the NetDoctor website, “5 unexpected symptoms of the menopause every woman needs to know about” (screen shots in Figure 12a and 12b). As you can see, there’s a plug for Mylan‘s new site at the end of the article: “Dr Louise Newson has been working with Menopause & Me – a new website dedicated to supporting women throughout their menopause journeys.” At least this article discloses a relationship, if ill-defined, between Dr Newson and the site. But the fact that Mylan is responsible for Menopause and Me is omitted – as is the GP’s commercial relationship with the drug firm.
- A day before the NetDoctor article, author of The People one, Caroline Jones, again quoted Dr Newson at length, this time in the Daily Mirror newspaper (“Your guide to beating perimenopause blues”): Daily Mirror 29 Aug 2017. Although not plugging Menopause and Me this occasion, the GP reassures women on the safety and effectiveness of HRT – but again fails to declare any relevant financial interests. To treat vaginal dryness, meanwhile, the article advises use of a “good” vaginal moisturiser, naming a particular brand – Sylk. Sylk‘s logo is one of the five in Dr Newson and Dr Sadler‘s GSM guidance for the PCWHF.
- Dr Newson undermines both her and PCWHF‘s credibility by being paid to promote menopause-related products and services. What’s worse, she doesn’t always declare relevant financial interest(s). The egregious articles in The People and on NetDoctor deserve scrutiny for another reason: Mylan is the company involved.
- Mylan is unusual in the UK pharmaceutical industry because it isn’t a full member of trade association The Association of the British Pharmaceutical Industry (ABPI). ABPI members, for example, submit financial data to its Disclosure UK database: http://www.disclosureuk.org.uk. Non-member Mylan’s payments to Dr Newson and other healthcare professionals, and healthcare organisations are therefore hidden.
- Further, Mylan has a demonstrable track record in the UK of questionable practices in both its marketing of HRT to the public and its closeness to the menopause charities (see 17 July 2017 post). To that list can be added dishonest promotion of its new Menopause and Me website via editorial articles in newspapers and on websites. Dishonest because the editorial content hides the fact that Mylan is behind Menopause and Me; and there Dr Newson endorses the site without disclosure of relevant financial interest.