Christine and Francis Saunders, who lost their beloved daughter Juliet, respond to the news that advice on maternal deaths in England and Wales has been routinely ignored
Thank you for your article on how coroners’ prevention of future deaths (PFD) reports are being routinely ignored (Coroners’ advice on maternal deaths in England and Wales routinely ignored, study finds, 19 November).
Experience has shown us that a coroner’s PFD report is issued in response to serious systemic failings and a trust’s inaction to prevent future tragedies. Tolerating poor care and refusing to learn seem to be shared features of health scandals, including the treatment of people with learning disabilities, such as our own beloved daughter, Juliet Saunders, who died aged 25. Continue reading…
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