"their serious adverse incident process has been wholly inadequate and what we have heard this week is a damning indictment of the western trust. .
when hard rains fall, the media are there with an umbrella to hold over organized society�s head. to walk away in the middle of a downpour would leave the status quo unprotected. .
"we are glad our concerns have been addressed by the coroner's office but the western trust has a lot to answer for. .