In conducting this investigation and in compiling this report, thanks are due to Mrs Una Findlay of Public Health England, and to David Leslie and Dan Curran of the Scottish Government Health Directorates.
The co-operation of staff at the ECC in assisting with this investigation and in providing the documents requested by the Inspector is also acknowledged. In particular, those operators involved have been forthcoming in acknowledging and describing the errors made, and in helping to identify the underlying circumstances.
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