Recommendation · source text
Following discussions with the SHA and HPFT during our review, it is our recommendation that further work should be undertaken to assist HPFT to identify in more detail the cultural and managerial changes that are required within the AOT in relation to risk assessment and management as well as broader managerial and practice matters. This could take the form of a brief review of current management, custom and practice within the AOT, specifying the potential changes needed to improve management and practice, and to provide focused support to implement those changes including direct work with AOT staff.