The record
Each entry is one inquiry, investigation, policy review or national strategy. Open a review for the findings, the paraphrased recommendations, and the other reviews that share its themes.
Dr Henrietta Hughes
Report by the Patient Safety Commissioner on options for redress for people harmed by pelvic mesh and sodium valproate. It followed the Cumberlege recommendation for a redress agency, which had not been created.
Sir Brian Langstaff
UK statutory inquiry into how people were infected with HIV and hepatitis by NHS blood and blood products, and into the response over subsequent decades. It found a systemic failure to put patient safety first, and a response that added to the harm.
Baroness Cumberlege
Review of harm from hormone pregnancy tests, sodium valproate in pregnancy, and pelvic mesh. It found that patients, mostly women, were not listened to, and that the system was not set up to spot harm from a product once it was in use. The review made nine recommendations.
Bishop James Jones
Independent panel report on the prescribing of opioids at Gosport War Memorial Hospital. It found that the lives of patients were shortened, and that families had raised concerns for years without being heard.
The Rt Hon Lord Penrose
Scottish public inquiry into HIV and hepatitis infection from NHS blood and blood products. It was widely criticised by campaigners as not going far enough on fault and compensation.
