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Root Cause Analysis Investigation Report into the Death of Dr Julien Warshafsky

South East Published 01 May 2022

NHS England has published a Root Cause Analysis Investigation Report into the Death of Dr Julien Warshafsky . The focus of this case review is to explore opportunities for collective learning and identify actions that could be either considered or taken to minimise the risk of recurrence.

Report PDF NHS England Source
Jump to 1 recommendation

Acceptance status

Per recommendation
No Response Published
1
Total recommendations
1
About this data

Acceptance status tracks whether the trust accepted or responded to each recommendation.

Independent health investigation reports and reviews commissioned by government or NHS England.

About this investigation

Source & metadata

Independent investigation report. Recommendations and any published response are extracted below.

Recommendations

1 total
None the local health system (Kent, Surrey and Sussex) No Response Published
Recommendation
It is recommended that the local health system (Kent, Surrey and Sussex) review their approach to the management of trainees with an addiction illness and use this as a case study in that process.