Christopher Stevens

“The Trust has conducted a PSIR the contents of which were reviewed at inquest. The report reached conclusions I found entirely reasonable. I also heard from [REDACTED] about the steps that are being taken to implement the changes felt to be appropriate. This includes a change to the consultant model with one consultant now responsible for the individual wards. There is also an initiative to standardise documentation, for example, at handover, and later MDT (when risks are reviewed), to ensure this”