A high dependence on locum doctors, a poor recruitment process and a lack of accountability have also been highlighted as possible contributory factors which led to the death of Elizabeth Rourke.
Mrs Rourke died on 17 October 2006 after a routine gynaecological procedure went tragically wrong. One of her major veins was perforated, which led to a massive blood loss and her death.
Dr Dolores Moyano Ontiveros carried out that procedure and was charged, then
acquitted, of Mrs Rourke’s manslaughter. A subsequent report by independent UK consultancy Verita yesterday pointed the finger to a series of failings within Health.
• Full reports and analysis in today’s Jersey Evening Post
