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Gosh, I trust this isn't going to be a single report! We need to know which NHS organisations haven't contributed data because they have some questions to answer for the public they serve and whatever vestigial oversight bodies still exist locally. There should be no reasons to exclude any provider.

I appreciate how hard it's going to be to extend such a survey to care homes and make sure that data isn't 'sanitised' before submission. But the closed nature of such institutions means that patients/clients are very vulnerable.

Agree about excessive weight loss & malnutrition as a second phase addition. Start with older people & those who stay in hospital more than 4 weeks? But for most inpatients, it doesn't become a sentinel event and as a wider health problem, it's less common than obesity.

Planned risk taking with best possible safeguards and consent of relevant parties is OK, but I've seen it misused to justify poor practices, poor staffing & inadequate safety equipment levels.

This is a valuable report and I will watch progress with great interest.

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