The Panel Report - 20th June 2018

Foreword by The Right Reverend James Jones KBE

Part I: What happened at Gosport War Memorial Hospital, unheeded warnings and the deaths that resulted

• Chapter 1: Unheeded warnings, the nurses’ concerns and their context
• Chapter 2: Prescribing and administration of drugs and the deaths that resulted
• Chapter 3: The experience of patients and families on the wards

Part II: The concerns voiced by families and how they were heard

• Chapter 4: Healthcare organisations and individuals
• Chapter 5: Hampshire Constabulary and the Crown Prosecution Service
• Chapter 6: The General Medical Council
• Chapter 7: The Nursing and Midwifery Council
• Chapter 8: The inquests
• Chapter 9: The local and national media
• Chapter 10: The local MP

Part III: The work of the Gosport Independent Panel

• Chapter 11: The Panel’s work

Part IV: How the Report adds to public understanding

• Chapter 12: Summary and conclusions

Appendices

• Appendix 1: Further background
• Appendix 2: Detailed patient case studies
• Appendix 3: Gosport Independent Panel – Terms of Reference

Table 1: Summary findings from clinical records of patients in the Initial Group