I know, I know and we loop round again. I’m even at the point now where I have sympathy for the CCRC and Lady Thirlwall; having to generate reports and opinions, and in respect of the inquiry coming up with recommendations that differ from the ones that should have been followed in 2015 and weren’t. Should we appreciate that the doctors raised the red flag, of course- should we accept that they did it in a timely manner with due diligence following their own policies- they didn’t, and there should be an acceptance of that, and in their senior roles, that they have some repercussions professionally. When one of the gang of 7 suggested going to the police (albeit they weren’t convinced she had done anything wrong, and were just advising their colleagues of what they would do in that situation), instead of trying to compile tables and stats to report up the chain- Dr J and Dr B shut them down in an email chain submitted to the inquiry and continued on their own independent investigations. I honestly apologise for sounding like a broken record (I know you are bored of me saying it)- but where were the Drs SUDIC and Datix forms logging all these incidents and concerns, if they were so afraid of not following external procedures, at least follow your internal ones. I may be appearing as difficult, but actually I feel the public should get answers- why the lack of even basic post mortems, a fairly standard thing., and that’s ignoring the fact we now know if they had more serious concerns they could have requested a more detailed forensic post mortem. Even if she was magically acquitted- there will still be questions over whether she is guilty or not- and that boils down to lack of record keeping and notes from all staff, including doctors. Yes scientific understanding evolves, yes medical professionals disagree or can provide alternative theories- but doubts in this case have arisen, and I fear it may end up as a case of not enough of that “tedious, pointless” paperwork being completed and subsequently the picture can be muddied by either side and no one can state with confidence what occurred.