Treatment of the families

The families of the children who died in 1994 put their faith and the lives of their children into the hands of our health-care system. As indicated at the outset of this chapter, the evidence suggests that these children did not always receive the standard of care that their parents had every right to expect. The preceding findings and recommendations have addressed the reasons why the system failed to provide an appropriate level of care. However, there are a number of findings that must be made about the way parents were and were not informed about matters that were of the utmost importance to them.