Maureen Christy

“The central policy or practice change with which this inquest was concerned was that pertaining to the testing of those designated as "Covid contacts"”

“The adoption and understanding of good policy and practice, serves to protect patients and to provide clinicians with an overarching framework within which to work. It provides clinicians with the security of knowing what is expected of them in their clinical practice”

“The policy change concerned was not acted upon in the case of the Deceased at the time of her being identified as a "Covid contact"”

“circumstances creating a risk of other deaths will occur, or will continue to exist, in the future, by reason of shortcomings in the dissemination of policy and practice changes pertaining to clinical care”