Published: 19/08/2004, Volume II4, No. 5919 Page 21

Your news story on the problems facing Manchester Mental Health and Social Care trust (page 7, 15 July) made no reference to the Commission for Health Improvement's investigation published in September 2003.

CHI investigated allegations of abuse of older people with dementia at the trust. CHI's report noted the impact of significant financial problems on the trust's management, along with other factors associated with rapid organisational change.

These issues contributed to the inadequate management focus on the quality of care given to this group of patients, and others in the trust's care.

Dr Heather Wood Investigation manager Healthcare Commission