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Acknowledge, answer, action, apologise

Day 10 #WCMTLD today, feels like time is flying by. Today I visited the Office of the Disability Services Commissioner (ODSC) in Melbourne. I got to spend time with their Systemic Review Team, who are a very newly formed (still forming) team charged with looking into reviewable deaths. The Disability Act 2006 was amended in […]

#LearningFromDeaths – some background context

This quote was from a bereaved family member who spoke to me as part of the CQC Deaths Review. It is a conversation I have often ruminated on since we had it. A remarkably tenacious mother who had done everything in her power to get answers to what happened to her baby, and ensure that […]