2005 Report
An Acute Problem?
Foreword Report
Recommendations Appendices
Summary Acknowledgements

M Cullinane PhD (Project manager)
G Findlay MB ChB FRCA (Clinical co-ordinator)
C Hargraves BSc RGN DipHSM MBA (Chief executive)
S Lucas FRCPath (Clinical co-ordinator)

Published 11th May 2005 by the
National Confidential Enquiry into Patient Outcome and Death
Epworth House, 25 City Road, London EC1Y 1AA
Tel: 020 7920 0999
Fax: 020 7920 0997
Email: info@ncepod.org.uk
Website: www.ncepod.org.uk
A company limited by guarantee – Company number 3019382
Registered charity number 1075588

Designed and produced by Interface, Bristol. Tel: 0117 923 2235.

The recommendations contained in this report represent the view of NCEPOD,
which was arrived at after a careful consideration of the available evidence.
Health professionals are expected to take it into account when exercising their
clinical judgement. It does not, however, override their individual responsibility
to make appropriate decisions in the circumstances of the individual patient,
in consultation with the patient and/or guardian or carer.