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Team have changed, for example the Chief Executive of the Hospital Trust left, the Medical Director left, they both left in 2018. And so it is a new Management Team now, but they are left with the very difficult position of trying to justify what happened before they came into office. But it is the case that members of staff have told the bbc that when they tried to raise legitimate concerns about what was going on in the unit, they were ignored by management. So there are Big Questions to be answered, and i think it is inevitable, as i said, that people will be calling for a Public Inquiry in...

Rock—solid data to back—up their cases, ratherthan rock—solid data to back—up their cases, rather than a feeling that things were not right and that they did not have that sort of data, according to dr bale —— dr bill kirkup. now he is very well respected, he said that work is beginning to happen but it is far from being rolled out right across the health service, so i think there are lessons to learn like that, for example, and perhaps the warning systems that could be put in place could be much more effective. dominic, thank you, our health correspondent dominic hughes, he was ou...