JW: in learning from those instances for a Trust as a whole. I don’t think the experience in Sasha’s family’s case was considered optimal but we’ve been working to improve that Coroner: So what sort of steps have been taken?

JW: in learning from those instances for a Trust as a whole. I don’t think the experience in Sasha’s family’s case was considered optimal but we’ve been working to improve that Coroner: So what sort of steps have been taken?