Final Report > Contents
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Contents
Foreword
Information
about reference material, sources of evidence and footnotes
Summary
SECTION ONE: THE BRISTOL STORY
Chapter 1: Introduction
Chapter 2: The Conduct of the Inquiry
Chapter 3: The Care and Treatment of Children with Congenital Heart Disease
Chapter 4: The Changing NHS 1984 - 1995
Chapter 5: Management in Bristol
Chapter 6: Quality, Standards and Information
Chapter 7: The Audit and Monitoring of the Paediatric Cardiac Surgical Service in Bristol
Chapter 8: Paediatric Cardiac Surgical Services
Chapter 9: The Paediatric Cardiac Surgical Service in Bristol
Chapter 10: Introduction to Concerns
Chapter 11: The Expression of Concerns by Individuals and Reaction to Those Concerns
Chapter 12: Responses to Concerns and Actions Taken, and Whether Such Actions were Appropriate and Prompt
Chapter 13: Introduction to Adequacy of Care
Chapter 14: External Assessment and Monitoring of the Quality of Care in Bristol
Chapter 15: The Culture and Management at the UBH/T
Chapter 16: The Organisation of the Paediatric Cardiac Surgical Service in Bristol
Chapter 17: Parents' Experiences
Chapter 18: The Designation of Bristol as a Centre for Neonatal and Infant Cardiac Surgery
Chapter 19: Observations on the Organisation of the PCS service
Chapter 20: Understanding and Assessing the Quality of Clinical Care in Bristol
Conclusions
SECTION TWO: THE FUTURE
Chapter 21: Introduction
Chapter 22: The Culture of the NHS
Chapter 23: Respect and Honesty
Chapter 24: A Health Service which is Well Led
Chapter 25: Competent Healthcare Professionals
Chapter 26: The Safety of Care
Chapter 27: Care of an Appropriate Standard
Chapter 28: Public Involvement Through Empowerment
Chapter 29: The Care of Children
Recommendations
APPENDICES
Appendix 1: List of Acronyms used in the Report and Annexes
Appendix 2: Guide to the Annexes of the Final Report Appendix 3: Details of Individuals who Gave Oral and Written Evidence to the Inquiry and Individuals who are Mentioned in the Report or Annex A
Appendix 4: Expenditure of the Bristol Royal Infirmary Inquiry: September 1998-July 2001
Appendix 5: Staff Employed on the Inquiry
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