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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

Details:

Title

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

Other title

Tabled paper 163

Collection

Tabled papers for 11th Assembly 2008 - 2012; Tabled papers; ParliamentNT

Date

2008-11-27

Description

Deemed paper

Notes

Made available by the Legislative Assembly of the Northern Territory under Standing Order 240. Where copyright subsists with a third party it remains with the original owner and permission may be required to reuse the material.

Language

English

Subject

Tabled papers

File type

application/pdf

Use

Copyright

Copyright owner

See publication

License

https://www.legislation.gov.au/Details/C2019C00042

Parent handle

https://hdl.handle.net/10070/280524

Citation address

https://hdl.handle.net/10070/415989

Page content

81. HCSCC Comment: On the 16 May 2006 a Royal Darwin Hospital Maternal & Child Health Clinical Risk Management Meeting was held35. Discussion point 2.6 is the issue of the Sexual Assault in 5B. It is noted that the criminal investigation is still underway, that there is an intention that the investigator will speak to staff on 5B when the investigation is completed and modified RCA commenced. As it is reported that the criminal investigation was still underway, the assumption can be drawn that a check was conducted with Police that confirmed the continuing investigation. At a meeting on 8 August 200636 reference is made to the security issues on 5B, the document states that the Risk Cause Analysis (RCA) outcomes were lodged with the GM (General Manager) in July 2006. It is to be noted that DHF does not produce these records to HCSCC on the ground that they are protected from disclosure under the Federal Health Commission Act (Medicare). What has occurred at RDH is that these secret reports are meant to be additional to its other records of action taken to redress adverse events and near misses. It has become the only record kept. This prevents proper accountability of management to HCSCC and to the Minister. A meeting held of the same group on 5 September 2006 advises that no response has been received from the Police, that no acknowledgement had been received from the GM regarding the RCA and that on the 01.09.2006 a memo was sent (to the GM) with no response. Further that Paul will attend the MGG meeting on Friday and raise the Paediatric issues. In his response of 31 October 2008 the CEO of DHF explained that no discussion about compensation had occurred as the police investigation was not finalised. This office, on contacting the police and asking when the investigation had concluded, were advised that the police investigation concluded on 7 December 2006. The DHF was aware that the complainant was seeking compensation since the complaint in June 2006. The failure to enter into any negotiations because of the police investigation or the HCSCC investigation is no excuse at all for the delay in addressing the issue. The HCSCC can conciliate but it is not the primary method or pathway to compensation. RDH does not appear to have sought or received feedback from the NT Police. Considering that this incident caused such injury to a five month old child, and extreme distress to the infants mother, it is essential that RDH actively seek feedback to help identify and manage the risk of a recurrence. It is not known who Paul is (it is assumed by the HCSCC that Paul is Paul Bauert as he is listed under the action officer column) and what an MGG meeting is. RDH was required under Section 55 of the Health and Community Services Complaints Act to produce all records relevant to any matter 35 Volume 2 - RDH Attachment 19. 36 Volume 2 - RDH Attachment 19.