@EmilyJBarley@CareQualityComm Well said. I wonder if they focus too much on the 'management systems' over functional/clinical/medical safety. Yes it's is vital to have the managemenys systems in place but we also need consistent medical excellence.
@HSJEditor@mariacaulfield@AliJaneMoore Will the trust review and update their grading on the PMRT for each death?? This would also be important to do and may trigger the trust to accept liability. That said they already should!