PT  - JOURNAL ARTICLE
AU  - Helen Hughes
TI  - Public inquiries, patient safety and the implementation gap
AID  - 10.7861/fhj.2023-FR103
DP  - 2023 Mar 01
TA  - Future Healthcare Journal
PG  - 7--9
VI  - 10
IP  - 1
4099  - http://www.rcpjournals.org/content/10/1/7.short
4100  - http://www.rcpjournals.org/content/10/1/7.full
SO  - Future Healthc J2023 Mar 01; 10
AB  - A decade on from the Francis report, avoidable patient harm continues to occur and we have continued to see new inquiries and reviews into serious patient safety scandals. A failure to listen to patients or learn from previous investigations, a corrosive blame culture, a lack of effective leadership and an unresponsive regulatory framework are alarming and often reported themes that we review here.