Dear Wendy, <br>As am sure you are aware this has been extremely complex, we have been working with you and your family for 2 years, we have tried everything to help and support you and your family.<br>Due to confidentiality I cannot go into the details, but it has been discussed with a number of health professionals and external advice taken. We do not serve notice without a detailed reason. We have provided you and your family with a huge amount of support and advice and our staff continued to do this right up to the end.<br>We have a duty to support and protect our staff. The team have done all they can to support you and your family over the two years we have acted with kindness compassion and care. We have answered hundreds of emails and phone calls on an almost weekly basis. As a service, we have a responsibility to ensure we can look after and support everyone we look after. If you would like to speak further about the reasons I am more than happy to discuss.