Consists of an essay prepared by Sir Liam for the MSD Foundation Meeting Alternative Futures: The NHS in the Next Five Years .

This report by an expert group chaired by Sir Liam and the Chief Dental Officer for England, in response to the rise of dental treatments performed under general anaesthestetic during the 1990s, called for standards aimed at protecting patients to be more rigorously enforced and private dental practice to be properly regulated.

Set out recommendations which aimed to prevent unexpected deaths or non-fatal complications occurring outside hospital in circumstances which seemed to be avoidable.

This report, led by Sir Liam as a statement on behalf of the Government, the medical profession and the NHS, set out a public commitment to high quality healthcare with an emphasis on safety and a framework to achieve it. This included clear standards and best practice implementation, greater clinical governance towards quality assurance and improvement in supported local services, patient collaboration and safety improvements and greater collaborative working.