The article discusses the statutory public inquiry chaired by Kathryn Thirlwall into the murder and attempted murder of babies by former neonatal nurse Lucy Letby at the Countess of Chester Hospital Foundation Trust. It highlights the common themes in NHS inquiries, where concerns raised by staff are ignored, leading to inquiries years later. The article also discusses the role and impact of NHS inquiries, noting that recommendations are often not fully implemented. Recommendations for the Thirlwall inquiry include focusing on costed, implementable recommendations with clear responsibilities, and ensuring accountability mechanisms are in place for monitoring implementation. Overall, the article emphasizes the need for meaningful change and reform in the NHS.
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A statutory public inquiry is not always the most effective vehicle for learning lessons in the NHS
