Christian and Julia Rogers expressed their frustration that despite a coroner’s inquest leading to recommendations, no effective changes in healthcare have been implemented, reflecting on their inquest’s significance in seeking answers.
The independent report from the Department of Health emphasized that the overwhelming number of coroner recommendations adds to an already burdened healthcare system, suggesting a central monitoring system to track necessary changes.
Mr. Rogers highlighted the unique grief of sudden loss: "A lot of people can put their grief and bereavement towards something... But in this case, it was so sudden."
In the pursuit of truth about their son's death, Mr. Rogers took the unprecedented step of writing to the local coroner, questioning whether the health system had failed in its duty of care.
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