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.