Tuesday 7th July 2015

Ten years ago today, a series of coordinated attacks swept through London causing devastation and death - changing the lives of thousands of people forever.

On July 7th 2005, 52 workers, tourists and normal people going about their day to day business were killed by four terrorists who also lost their lives.

700 people were injured in the UK's first 'suicide' attack which saw three tube trains and a double decker bus targeted in a short space of time.

A decade on, those people will be remembered in homes throughout the country - and one local doctor will be doubtless lost in his own memories of that dreadful day.

Chesterfield born Dr Peter Holden (left), was, on that day, in London in his offices at the BMA in Tavistock Square, a place where he spent two days a week. He shouldn't have been there at all but, on account of a meeting with officials, he had changed his plans.

What started as 'a normal day in the office' quickly turned into a day which the esteemed doctor described as one on which the medical profession showed itself at its finest, sitting with colleagues on the third floor, he was aware that something was unfolding - colleagues had reported that there were problems with London Transport and an Air Ambulance was circling close by, obviously looking for somewhere to land.

Within minutes everything had gone 'salmon pink' as the pressure wave from the No 30 bus being blown up hit.

An inquest into the attacks - led by Lady Justice Heather Hallett In 2011- delivered a verdict of unlawful killing, and concluded that the emergency services could not have saved more lives than they had done that day.

Ahead of that inquest, in October 2010, The Chesterfield Post spoke with Dr Holden who recounted his memories of that day (HERE) and the effect that it still had on him. We are re-running that interview today, to mark the anniversary 10 years on.

A well respected local GP, and a partner at Matlock's Imperial Road surgery, Dr Holden has vast experience in pre-hospital medicine, spending a large amount of time doing shifts with various air ambulance teams around the country. He was the BMA's lead negotiator on Swine flu and a highly regarded medic. At that time he was one of only a few doctors in the country to have completed courses on biological, nuclear and Chemical attack response.

He was therefore well placed to deal with what was put before him that day.

His colleagues made it clear they were following his orders and he told how his first point of call was to the Library in the BMA HQ where he knew he'd find a book, 'British Critical Management Master', only to find that, after years of seeing it gathering dust on the shelf, it had been moved that day!

So, it was down to 'Plan B' - sit for two minutes in a corner and write down what he thought he'd need!

He recalled the scene outside as being 'chaos'.

"There is", he said, "always a period of time where all involved need to get a sense of direction. There was no sense of horror, or fear."

Used to dealing with roadside casualties, a need to make clinical decisions he remembered that he walked round with his hands in his pockets, knowing that he needed to be a clinical leader, fearing that as soon as he rolled his sleeves up he would become a 'Doctor' and the organisation of the scene would be lost.

Dr Holden told us that all the training had taught him to prepare for a scene that would have commanders and organized facilities. However, this unexpected event meant that only office medical supplies were on hand - just one bag of stuff.

People were being brought in to be treated on table tops, used as stretchers and treatment was taking place in the inner courtyard of the BMA offices, as it was safer than anywhere else in case another blast took place.

He recalled that the doctors treating the casualties were vaguely aware of what was happening around the city throughout all of this, but with everyone shutting down their mobiles as a priority - the radioactivity could set off a second blast - communication was non existent.

THE TIMESCALE...

Dr Holden remembers getting downstairs to the scene at just before 10am.

The first external person arrived at 10:10am, an Ambulance Technician who was quickly dispatched to get more supplies.

At 10:20am the back doors opened at the BMA and help arrived in the shape of the Royal London Medics.

Dr Holden who, as he remembers, was wearing pin stripe trousers and a white shirt greeted them. They had communication equipment and were able to relay the message that there was a functioning casualty station that just needed supplies.

The first ambulance arrived soon after with an Ambulance Commander following behind, enabling a grease board to go up detailing casualty priority and an evacuation planned.

The area was cleared by 11:30am, leaving causalities who had been taken to a next-door hotel to be triaged by Dr Holden.

The only remaining priority was finding beds for the staff at the offices, as London was gridlocked, and the Tavistock Square area was to become a forensic scene for 12 days.

With typical British 'stiff upper lip' spirit, Dr Holden informed us that offices were found so that the British Medical Journal could still be published as normal - "The Luftwaffe hadn't stopped us publishing, neither would they."

SO, WHY DID IT GO SO WELL?...

Dr Holden paid tribute to the caliber of the team around him, mainly older doctors who had the breadth of training and skill to call on.

Ironically, Dr Holden had spent 9/11 watching events unfold in New York with the same group of doctors by his side - they had talked over what their response would be to such an incident and remembered that on the day.

Only later did Dr Holden realise that the Courtyard where the treatments had taken place was in fact the site of the Memorial to Doctors killed in WWI and WWII, "I hope we did them proud." he said.

At the time of the original interview, and by personal invite, Dr Holden had been made a member of the Emergency Incident Advisory group, one of three medics from the BMA to be honoured in this way.

He admitted he had been unable to travel on a London bus since, and it took the group at the BMA a year to travel on the tube again.

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