The Lampard Enquiry is the first statutory public investigation into deaths in NHS mental health inpatient care, examining more than 2,000 cases in Essex. In this blog, Dr Richard Dune explores how its findings are reshaping the national conversation on patient safety, governance, and accountability across the NHS. He highlights how systemic failures in leadership, culture, and oversight have driven the need for reform, and why the enquiry’s lessons must translate into lasting change through stronger governance frameworks, digital compliance systems, and compassionate, learning-driven leadership.

When the Lampard Enquiry was formally announced in 2023, few anticipated just how far-reaching its findings would become. Now, as evidence continues to unfold, it is increasingly evident that this enquiry, examining more than 2,000 patient deaths across mental health services in Essex, will stand alongside the Francis Report and...

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By Dr Richard Dune

Earlier this week, more than 1,000 delegates gathered in Manchester for the 18th HSJ Patient Safety Congress. Across two days, over 150 speakers and hundreds of discussions circled a single shared determination: how to make care safer in a health system under unprecedented strain. In this blog, Dr Richard Dune...

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By Dr Richard Dune
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