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It is accurate to point out that none of these major lessons are part of the current reorganisation of the NHS.
Lots of new services in primary care are being set up with no meaningful governance. One doctor covering a population of 350,000 tells you all you need to know about the safety of out of hours services in primary care. Staffing of hospital wards is set at the bare minimum.
One thing has changed in that the blame game in the future will include criminal proceedings. Martin Yeates may be the last CEO to decline to appear at a major enquiry and I understand this option is not available when charged in the criminal courts.

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