The Inquiry recommends that the Trust and Department work together to ensure there is:
• A specific programme of work to strengthen patient involvement, improve communication, and ensure patients and families are treated as partners in care.
• Direct communication with patients as standard practice.
• More effective handling of concerns and complaints, with an emphasis on early resolution, learning and advocacy support.
• Routine collection and use of patient experience data and transparent public reporting of quality and outcomes in accessible formats.