Final Report > Chapter 10: Introduction to Concerns > The range of concerns

The range of concerns

3 We do not interpret our responsibility under our Terms of Reference narrowly, as referring only to what happened in the operating theatre at the BRI. We include: concerns which were raised about the organisation of the service, particularly the provision for monitoring quality of care and making clear who was responsible and accountable for providing a safe service; concerns expressed about pressures on resources and waiting times; and concerns about the ways in which issues raised could be communicated and dealt with by the UBH/UBHT. These matters provide the context within which to consider the concerns which arose about the care of the children prior to surgery, particularly their cardiological care, their care in the operating theatre, their care after surgery in the Intensive Care Unit, and the outcome.