Jeremy Marshall

“During the course of the evidence the final witness | heard from was EE 0 was involved in the Root Cause Analysis. In respect of the following areas he indicated that he would take those observations by me back to the hospital. In law the only way | can ensure a response and given that | did not have explained to me how my concerns would be resolved with any certainty, | decided that | would make a Regulation 28 Report covering the following areas of concern:-”