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issues-raised-by-paterson-independent-inquiry-report-web-accessible

Report of the Independent Inquiry into the Issues raised by PatersonChairman: The Right Reverend Graham James43862HC31Return to an Address of the Hono

issues-raised-by-paterson-independent-inquiry-report-web-accessibleourable the House of Commons dated 4 February 2020 forReport of the Independent Inquiry into the Issues raised by PatersonOrdered by the House of Comm

ons to be printed on 4 February 2020HC31The report of The Independent Inquiry into the issues raised by PatersonOGLữ Crown copyright 2020This publicat issues-raised-by-paterson-independent-inquiry-report-web-accessible

ion is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit nationalarchives.qov.uk

issues-raised-by-paterson-independent-inquiry-report-web-accessible

/doc/open government-licence.1' version/3Where we have identified any third party copyright information you will need to obtain permission from the co

Report of the Independent Inquiry into the Issues raised by PatersonChairman: The Right Reverend Graham James43862HC31Return to an Address of the Hono

issues-raised-by-paterson-independent-inquiry-report-web-accessibleat https://contactus.dhsc.gov.uk/.ISBN 978-1-5286-1728-4CCS0719741832 02/20Printed on paper containing 75% recycled fibre content minimumPrinted in th

e UK by the APS Group on behalf of the Controller of Her Majesty's Stationery OfficeContentsAn opening statement by the Chair of the Paterson Inquiry1 issues-raised-by-paterson-independent-inquiry-report-web-accessible

CHAPTER ONE - Introduction4CH APTER TWO - The Inquiry7CHAPTER THREE - Patient Accounts11CHAPTER FOUR - Safety and quality of care98CHAPTER FIVE - Resp

issues-raised-by-paterson-independent-inquiry-report-web-accessible

onding when things go wrong134CHAPTER SIX - Working with others to keep patients safe174CHAPTER SEVEN - Governance, accountability and culture193Recom

Report of the Independent Inquiry into the Issues raised by PatersonChairman: The Right Reverend Graham James43862HC31Return to an Address of the Hono