There has been much discussion of the scandal at Stafford Hospital in the English West Midlands, where patients were maltreated and death rates were high.
Comments have focused on cost-cutting and managerial box-ticking, but few seem able to answer the most troubling question: what made some nurses at the hospital, people who surely entered the profession to do good, turn so nasty?
The extensive report by barrister Robert Francis QC failed to substantiate some of the more lurid stories. Although the media have repeatedly said patients were reduced to drinking from vases, Mr Francis, who heard from 966 patients and families, found no direct evidence of this. What he did find was worse.