Deaths in Darfur are grossly underestimated.

The report recommends that the Department of Health takes the lead in creating a better core standard for handling complaints that are met by all NHS and social care providers. The new system should adopt a culture of openness and leadership by senior managers and of following up complaints to ensure that mistakes do not recur, says the report. “The fifth report of the Shipman inquiry gives us an opportunity to reflect on why the NHS complaints system is still failing patients. We must not lose this opportunity to make change happen at last,” said Ms Abraham. Zosia Kmietowicz London