title: What needs to change.
abstract: Earlier this year we heard how Southern Health NHS Foundation Trust had failed to investigate the deaths of more than 1,000 patients with mental health problems. It was a reminder to me of the importance of my work as a clinical adviser to the Parliamentary and Health Service Ombudsman, the body that makes final decisions on unresolved complaints about the NHS in England.
authors.affiliation: Oxford Health NHS Foundation Trust.
authors.forename: Barbara
authors.initials: B
authors.lastname: Cannon
mesh_terms: D003695:Delivery of Health Care / Q000592:standards*; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D009732:Nursing Care / Q000592:standards*; D061214:Patient Safety / Q000592:standards*; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom