Providing high-quality care means putting patient safety at the forefront of every action and decision made in the provision of healthcare services. To achieve this requires the conditions of close cooperation, good communication and the application of effective systems, processes and controls - through good governance. This investigation carried out by Niche Health and & Social Care Consulting describes a complex and evolving set of circumstances where these conditions were not met at Morecambe Bay and which played-out negatively over many years, resulting in uncontrolled legacy.
A primary objective of this investigation has been to seek a full and validated understanding of any patient harms or clinically untoward outcomes in Urology. Particularly, but not exclusively, to validate concerns raised publicly in the ‘whistleblowing’ publication Whistle in the Wind. The investigation found a multi-faceted set of contributory issues which cannot, in many cases, be singularly applied to individual Consultant failings.