Yesterday, I was told about this presentation, put together by Luca Cadrillo, which analyses Averil’s case from an academic perspective.
A story of Failed teamwork.
It is heartening to see that Averil’s tragedy is being used by others to learn, and to ensure future patients benefit from greater understanding of where care can go wrong. There is no shame in learning from mistakes.
Tomorrow, I am continuing to encourage such learning by meeting the All Party Parliamentary Group for Patient and Public Involvement in Health and Social Care. Alongside others with similar experiences, I will be explaining how the NHS trusts involved in Averil's care allowed her to die without the care that she so badly needed and how they have failed to learn from Averil's tragedy.