Katrina

I think the point is if you have a good investigation, the learning will identify itself. However, most trusts are not interested once the RCA has been signed off. The action plan is sometimes forgotten or fudged to show it is completed. Worst it's changed by the clinical director to fit their needs. I hope this new scheme readjusts the balance. From what I have read, trusts will now have to be really honest and accountable and sorry but I cannot see this happening. I can see trusts saying lets just do an audit, it's so rare this happens etc., I am worried where we are going.