improvement, inadequate, they have mostly been in special measures for all that time and the question for everybody now is haven t we reached the end of the road? what is going to happen now? nhs england and nhs improvement have put in so much support to the trust and it fails and continues to fail and the reality of it failing is that patients every day are being left to suffer, patients are harming themselves and sadly losing their lives and families and carers are left to just get on with it. there are massive waiting list, so people cannot even get into services but even when they do, there is such a lack of staffing, that they just cannot get the help that they need, and this is a very serious crisis. the head of inspections for mental health services at the cqc pointed to staffing issues and said it was a significant factor in these shortcomings, a lack of staff. the report said the trust needs knows that it needs to turn isolated examples of improvement into a culture of bett