Dear Mr Osborne Regulation 28 Report Following Inquest into the death of David Mostari Thank you for the report dated 5 February, sent to the Trust under cover of a letter from your Senior Officer dated the same day The Trust was obviously very concerned that you considered there is a risk f future deaths as there did not appear to you any robust system in place for ensuring that urgent tests and imaging are carried out without delay, particularly at the week end. The Trust has therefore developed and is in the process of implementing the attached position statementl action plan in order to ensure that there is a robust system in place. hope that this will give you sufficient assurance that the appropriate steps have been or will be taken to reduce the potential risk of future deaths_ A copy of this letter and the attachment is being sent to both Mr Andrew Mostari; as an interested party and the CQC. A copy of the covering letter to Mr Mostari is attached Yours sincerely Stephen Conroy Chief Executive Abo_ 2 Vww bedfordhospitai nnsuk 615a8L69 INVESTOR IN PEOPLE CCRON ; AM AND (

Bedford Hospital NHS] NHS Trust South Kempston Road Bedford MK42 9DJ Tel: 01234 355122 Trust Ref SCIAL Fax: 01234 218106 April 2016 Mr Andrew Mostari 16 Partridge Piece SANDY Beds SG19 2UP Dear Mr Mostari Regulation 28 Report Following Inquest into death of David Mostari on behalf of the Trust extend my unreserved apologies for the failures in the care offered by the hospital during your father's final illness, as identified in the Trust's serious incident investigation report: Please accept my sincerest condolences The Trust was obviously very concerned that at the Inquest; the Senior Coroner considered there was a risk of future deaths as there did not appear to him to be any robust system in place for ensuring that urgent tests and imaging are carried out without delay, particularly at the week end The Trust has therefore developed and is in the process of implementing the attached position statementl action plan in order to ensure that there is a robust system in place_ hope that this will give you sufficient assurance that the appropriate steps have been or will be taken to reduce the potential risk of what happened to your father happening again. A copy has been sent to the Coroner If you have any queries, or would like to discuss further what happened to your father, do please contact me and will do my best to ensure that you the answers you want