I understand what you are saying @PinkPair, but the fact that this circus is going on and we are here to be talking about it is proof positive that something has gone wrong or is something is missing from the process/system, what ever you want to call it.
A lesson must be learned from this.
We have a desperate and disillusioned mother raving on TV, umpteen court cases and abused NHS staff. There must have been a point at which something could have been done differently. Or done differently in the future. Medically, legally, i don't know.