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Lessons from Gosport

The report of the inquiry into deaths at Gosport War Memorial Hospital is hard but essential reading (gosportpanel.independent.gov.uk).
This BMJ article summarises the report and all its imlpications... 
In cool clear prose it records the personal tragedies of patients, admitted for respite care and not in pain, for whom “keep patient comfortable” proved a death sentence. It describes the courage and persistence of the families, and the devastating roll call of professional and institutional failings