Winterbourne View was a scandal which shocked and appalled us all. The systemic
failings there are as bad as those uncovered by Robert Francis in his report into Mid
Staffordshire. We are not looking at one or two poorly-trained or malicious members of
staff but at something much more insidious. That is why we need this full programme of
work to address all the different aspects and underlying causes which allowed this to
happen. We must take every step to be as sure as we possibly can be that this will not
happen again.