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Health and Community Services Complaints Commission Report on Investigation of Royal Darwin Hospital Security Arrangements for the protection of Children and Infants Paediatric Ward 5B Volume 1



Health and Community Services Complaints Commission Report on Investigation of Royal Darwin Hospital Security Arrangements for the protection of Children and Infants Paediatric Ward 5B Volume 1

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68. unfortunately, the aggression minimisation training is not currently available. The response by RDH that this training is conducted every 12 months is not supported by Mr Lingards review, information provided by the CNC, hospital Security Manager or documents provided to the HCSCC. HCSCC Q31: After the 31 March 2006 (sic 30 March 2006) incident were discussions held regarding security? RDH response: Yes, discussions were held in regards to security. HCSCC COMMENT: A responsible, accountable, transparent response would have included when they were held, between whom, and what was discussed, and what was the outcome. The notices served on RDH under Section 55 of the Health and Community Services Complaints Act also required the General Manager, Dr Len Notaras, to provide to the HCSCC all documents relevant to such discussions. These questions assumed that any responsible organisation in response to such a serious violation of a five month old child would have had meetings at the highest level of management. As it is an offence for Dr Len Notaras to fail to provide requested documents I must assume there are no records of a report to the Minister, discussion at the Executive Management Group, a report by RDH to the Director of Acute Services or to the CEO of DHCS. This failure is one of the reasons for my recommendation that the Minister consider restructuring the governance of RDH. I am required to adopt a presumption of innocence as a criminal offence is involved. The failure to keep records of when, what and who discussed the incident of 30th March 2006 seriously undermines any confidence in the Executive Management of RDH. Q31 continued - Were recommendations made to install CCTV cameras outside each room? RDH response: There were no recommendations made or implemented to install CCTV cameras outside each room. CNC response: Point Y (page 25 above) - The CNC advised that after the 2006 incident discussions about security were undertaken. One of the recommendations was to install CCTV outside each of the patient rooms. She said that as a result of budget restrictions this has not occurred. The action plan of the Working Party (see Question 25, page 61) referred to implementing an electronic system similar to those operating in other secure environments, eg, Childrens Hospital Brisbane, Sydney. Australian Standard 4485.2-1997 point 3.9.4 refers to reducing vulnerabilities. One of the methods noted for reducing vulnerabilities is listed as (e) Using security technology and monitoring devices.

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