if you cut staff numbers to the bare bones, where staff have to do extremely long shifts and there are less supervisors and managers to oversee others, it stands to reasons complacacency can emerge and things like this can be missed. Just like the many cases of mistreatment of kids from abusive...
how much is down to Tory cuts to NHS and other services, due to staff shortages / austerity which creates vacuums where such complacancy can occur?
Remember when they say "less government / smaller state" and "the nanny state" - reap what you sow