But We All Know It Won't Be...

In a prevention of future deaths report, coroner Laurinda Bower outlined numerous failings admitted by Nottinghamshire Healthcare NHS Foundation Trust, including 'inadequate monitoring' as staff were 'distracted by the use of their personal mobile phones', even though it was prohibited on wards.

In the report sent to the trust last month, Ms Bower said she was concerned more people could die 'unless action is taken'.

Who is going to force that action to be taken, then? A report from the coroner isn't going to do it, is it? 

An inquest jury concluded in September that the failings had 'probably more than minimally' contributed to her death.

Her widower Michael, 49, of Rainworth, Nottinghamshire, said: 'When Michelle [seemingly] fell asleep, staff should have realised something was very wrong. Had they acted earlier Michelle would have been taken to ICU (intensive care unit) and put on a drip. That would have saved her life.

'By the time they realised what was happening, the same course of action was far too late.'

Mr Whitehead said his 'warm, caring and easy to love' wife had suffered a 'total breakdown from the person she normally is' in the last days of her life.

And no doubt he was reassured that she was in 'the best place' to treat her condition, when that was very far from the case... 

The trust admitted eight failings which also included staff failure to adhere to policy after Mrs Whitehead was sedated, leading to inadequate assessments of her. There was also a delay in a doctor arriving, and in admitting paramedics to the building.

Ifti Majid, chief executive of the trust, apologised to Mrs Whitehead's family for her 'quality' of care, and said the trust was considering the findings of the jury and coroner.

Why is no-one 'considering' whether this trust is still fit to run hospitals? Because we all know that no-one is...