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An investigation report has been published today, prompted by the death of a woman in Essex in 2020.
The purpose of the investigation was to help the NHS and partners understand if there are lessons that could be learned and improvements in service delivery that could prevent something similar happening in the future.
The report seeks to identify common risks and opportunities to improve patient safety and make recommendations about organisational and system learning.
A full copy of the independent investigation report and related links, is available on the NHS England – East of England website: https://www.england.nhs.uk/east-of-england/publications/ind-invest-reports/