Thanks Alison – very interesting Susan – though could another explanation be rising risk aversion, increasing diversion of staff to record keeping, reduced personal relationships and etc.? It is interesting that the highest CS rates are also in London, beyond the expected rates for casemix. So might increased surveillance paradoxically add to the risk, rather than being part of the solution? What did Einstein say? The significant problems we have cannot be solved at the same level of thinking with which we created them.

All the best

Soo

FYI, published today

Please forward as you see fit

Susan Bewley