Investigation into complaint by North Australian Aboriginal Justice Agency about the care provided to Ms N by Department of Health and Community Services, the Public Guardian and Council. 27 June 2013
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81 which ensure that complex clients are proactively case managed, risks are assessed, services are delivered and standards are maintained. 194. However, in light of the systemic failings identified by this Investigation over two decades, a real and significant potential risk to a cohort of our most vulnerable community members cannot be excluded based on reassurances of change and further investigation is essential. 195. A comprehensive and independent inquiry must be undertaken to determine whether care provided to people with disabilities in remote communities has improved since Ms Ns death in 2006, or whether their safety, well-being and dignity remain at serious risk as a result of the same systemic failures that had such a tragic impact on Ms Ns life.
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