Documents used to investigate the deaths at Gosport Hospital have revealed that 456 people died from the staff practice of prescribing too many painkillers without medical justification. An additional 200 patients were ‘probably’ similarly affected between 1989 and 2000. The inquiry, led by Rt Rev James Jones, did not ascribe criminal or civil liability for the deaths. He said that a number of nurses raised concerns about prescribing diamorphine. Their warnings went unheeded, the opportunity to rectify the practice was lost, deaths resulted, and 22 years later it had become necessary to hold an inquiry to discover the truth of what happened. Health secretary Jeremy Hunt said that a catalogue of failings had been identified, and apologised to the grieving families. Hampshire’s chief constable said that police would assess any new information contained in the report,, and consult their partners in health and the Crown Prosecution Service in order to decide the next steps.