I refer you to my earlier post. The Governament have done this with nothing more than media coverage in mind.
The people being sent, up to and including Consultants, are non specialists in this kind of healthcare.
Therefore, in my humble opinion, the mistakes are down to lack of training and specialist skills.
If you get someone from the local bike shop to service your car then expect problems.
Absolutely disgraceful and I hope those brought home make a speedy recovery and then phone a Lawyer.