This was in the news yesterday again.
It has been decided, presumably post investigation, that this was 'non preventable'.
Really? That sounds like a bit of a cop out.
Judge concluded that lessons could be learnt. That putting in an inexperienced SW'er was not appropriate, that the 60-80 Health professionals the couple needed to deal with, was not ideal.
But no real lessons learnt, it would seem. No accountability. Non preventable. I know none of us know all the details or facts, but that just seems a bit weak and dismissive to me.