Undertaking this Serious Case Review into what happened and how to guard against future failings was complex. It was not designed to place blame on any organisation or individual. However, it does not shy away from criticising organisations that could and should have done better.
The report’s recommendations are intended to promote service quality and improved information to the public and stronger accountability drawing on the practice, management and scrutiny of Orchid View to improve such services into the future."
More top news
There has been major travel disruption on the roads and railways. Fred and Sangeeta introduce our coverage.
Holly has the latest forecast for the east of the region.
Holly has the forecast for tonight and tomorrow in the west of the region.