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BMJ 2003;327:299-300 (9 August), doi:10.1136/bmj.327.7410.299
Poor process causes more injustice than poor professional practice
| The first 150 words of the full text of this article appear below. |
Two years ago the chief medical officer, Sir Liam Donaldson, in the course of a letter to every doctor in England and Wales, said that he doubted whether the public realised the extent to which "when things go wrong, the true cause lies in weakness within the system rather than the culpable actions of an individual."1
One area where the British public sense that things have gone badly wrong
is in the field of suspected child abuse. The quashing of Sally Clark's
conviction for the murder of two of her children in January,w1 and
the collapse of the Crown Prosecution case against Trupti Patel in
June,w2 have shaken public confidence. In each case the issue at
stake was whether it could be shownbeyond reasonable doubtthat a
death originally certified as due to natural causes had, in retrospect, been
caused by a parent. In each case suspicion only arose after a
Edmund Hey, retired paediatrician
Newcastle (shey@easynet.co.uk)
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