177:"failed to properly apply relevant personnel policies... was not fair, impartial or complete... many of the allegations had little or no basis... to discourage other staff from openly and actively raising concerns about clinical care" (Part 1, p. 5), the Commission did not recommend any prosecutorial or disciplinary action be directed at any individual. This omission was seen by the then newly appointed NSW Health Minister Morris Iemma as a failure of the Health Care Complaints Commission to discharge its statutory duties, leading him to sack the South West Sydney Area Health Services Board (which was responsible for supervising the management of the Camden and Campbelltown Hospitals) and the Health Care Complaints Commissioner, Amanda Adrian, stating on
229:
to put the political motivations of their masters ahead of patient safety. The
Inquiry committee singled out former General Manager Jennifer Collins for specific criticism, stating "The Committee is critical of former Macarthur Health Services General Manager Jennifer Collins and believes her management approach hindered efforts to bring forward complaints about health care" (paragraph 4.21) and found her evidence to the committee as lacking credibility, stating it was "evasive at best" (paragraph 4.19).
168:. The New South Wales Health Care Complaints Commission published its final report on 9 December 2003, but a leaked interim draft copy was obtained by the media in September (two months earlier, which also prompted then NSW Heath Minister Morris Iemma to commission Professor Bruce Barraclough to conduct a separate review), which resulted in the sacking of the then chief executive officer of the South West Sydney Area Health Service, Ian Southwell, by then newly appointed NSW Health Minister
156:
and ongoing failures of clinical governance processes at Camden and
Campbelltown Hospitals, for which there had been systemic inaction by senior management to address, and for which retaliatory action, including intimidation, against those reporting such incidents had been occurring, including directly from the then General Manager Jennifer Collins.
125:
Campbelltown
Hospitals be pushed to not reduce or limit services, which created an environment of numerous clinical care safety risks that resulted in unnecessary adverse incidents, including 21 avoidable deaths, and a "sick hospital and administration system" that had "severely shaken... public confidence in New South Wales hospitals".
228:
On 24 June 2004, the NSW Legislative
Council Inquiry released its final report, with Inquiry Chairman Gordon Moyes stating that the medical mistakes and their cover-ups were a result of a system run by an "old girls' network" of administrators protected by their political affiliations and willingness
163:
commissioning an internal investigation by the
Departmental Director of Audit. On 18 November 2002, the Director-General of the NSW Department of Health, after considering the internal investigation report, referred 47 clinical care incidents that occurred between June 1999 and February 2003 to the
155:
On 5 November 2002 Nurses
Valerie Owens, Sheree Martin, Yvonne Quinn and Fraser, accompanied by solicitor John Chalhoub, met with the then NSW Health Minister Craig Knowles as whistleblowers, detailing multiple episodes of substandard clinical practice that had resulted in patient death and injury,
176:
While the New South Wales Health Care
Complaints Commission found that "in some instances the care was so poor that patients suffered serious deteriorations in health" (Part 1, p. 4) and that "disciplinary action" taken by the then General Manager Jennifer Collins against the whistleblowers
232:
Ultimately though, despite five major inquiries, multiple findings of concern and numerous media coverage, no criminal or civil charges were laid, nor was any finding of corrupt conduct made (due to lack of evidence), on anyone involved. Camden and
Campbelltown Hospitals did receive more funding
292:
On 30 July 2014 Fraser had her registration as a nurse and midwife cancelled for administering insulin potentiation therapy and intravenous vitamin therapy to her brother and three other cancer patients, under the direction of former doctor
Chittoor Krishnan (who had voluntarily cancelled his
132:
Unit
Manager at Camden Hospital and member of the Critical Care Review Committee (an internal clinical safety governance body) – raised and reported numerous separate clinical safety incident reports to document deficiencies in and episodes of substandard clinical practice, that were met with
124:
Despite this, Camden and Campbelltown Hospitals continuously failed to attract sufficient numbers of suitably qualified clinical staff, compared to other hospitals of the same size, to meet the increasing clinical demand. Political electoral sensitivities however continued to see Camden and
172:
and the resignation of the then General Manager Jennifer Collins (who transferred to a lucrative six figure contract with the NSW Central Sydney Area Health Service, but was shortly thereafter sacked by Minister Morris Iemma from this role, albeit with a six figure termination payment).
144:
In October 2002, after sending the then chief executive officer of the South Western Sydney Area Health Service, Ian Southwell, details about the alleged mismanagement and misconduct at the Camden and Campbelltown Hospitals, Nora Fraser requested an appointment with then
277:
266:
94:, that resulted in 21 avoidable deaths and other unnecessary injuries, sparking five major inquiries and the resignation and termination of a number of senior executive managers in the NSW health service.
187:
Meanwhile, commencing from February 2003, Fraser (and to a lesser extent Sharee Martin and Vanessa Bragg) had been actively putting pressure, together with the then New South Wales Opposition Leader,
222:
146:
138:
681:
121:. Rapid population growth in the region, particularly from overseas immigration, during the 1990s and 2000s put increasing strain on Camden and Campbelltown Hospitals.
566:
217:
as a Commissioner to conduct a Special Commission of Inquiry into Camden and Campbelltown Hospitals, followed by the separate announcements that the
284:, where she came in third, behind the Labor and Liberal candidates, with 10.5% of the vote, with sitting member Andrew McDonald retaining the seat.
141:
General Secretary who had gone on to been employed by the hospitals as General Manager since 1998 until her resignation and transfer in late 2003).
270:
250:
254:
178:
80:
710:
281:
160:
218:
76:
715:
700:
419:
165:
105:
are two acute care hospitals (Campbelltown being the larger hospital) that provide extensive clinical services to residents of the
580:
720:
645:
203:
653:
246:
242:
446:
313:
258:
524:
725:
196:
188:
106:
69:
613:
585:
349:
318:
192:
134:
90:
who made disclosures about the entrenched culture of substandard clinical practices and complicit management at
51:
608:
233:
however as a result of the scrutiny, with then Health Minister Morris Iemma pledging $ 5m in extra funding.
438:
705:
344:
102:
91:
133:
indifference or hostility from hospital executive management, especially from the then General Manager
560:
386:
677:
506:
395:
184:
on 12 December 2003 that "The report, whilst it roared incompetence, it whispered solutions".
551:
General Purpose Standing Committee No. 2 of the New South Wales Legislative Council (2004).
496:
488:
129:
65:
181:
114:
73:
257:, where she achieved a 12.38% swing towards the Liberals, but ultimately was defeated by
475:"Clinical governance breakdown: Australian cases of wilful blindness and whistleblowing"
501:
479:
474:
262:
61:
694:
149:
87:
641:
169:
269:, where she achieved a similar result, with the seat being retained for Labor by
221:
would hold an "Inquiry into Complaints Handling within NSW Health" and that the
214:
128:
Between 1995 and 2002, a number of clinical staff – including Fraser, who was a
58:
225:
would open "Operation Jardine" to examine if any corrupt conduct had occurred.
492:
118:
510:
199:
202:
and his government, through numerous media outlets, including on the
110:
439:"The "Cam affair": an isolated incident or destined to be repeated?"
388:
Nurse Whistleblowers in Australian Hospitals: A Critical Case Study
293:
registration and was no longer able to direct medical treatments).
241:
After former NSW Health Minister Craig Knowles resigned from the
308:
306:
207:
265:. Fraser again stood as the Liberal Party candidate at the
636:
634:
632:
424:
Investigation Report: Campbelltown and Camden Hospitals
414:
412:
159:
This meeting resulted in the Director-General of the
86:
Fraser first rose to public prominence as one of the
339:
337:
213:On 11 December 2003 NSW Premier Bob Carr appointed
37:
27:
20:
420:New South Wales Health Care Complaints Commission
166:New South Wales Health Care Complaints Commission
646:"Elections for the District of Macquarie Fields"
139:NSW Nurses and Midwives' Association trade union
237:Election campaigns (Macquarie Fields) 2005-2011
581:"Old girls' network holds sway: health report"
546:
544:
542:
380:
378:
376:
374:
372:
370:
368:
98:Role in the Macarthur Health Services scandal
8:
565:: CS1 maint: numeric names: authors list (
674:Health Care Complaints Commission v Fraser
650:New South Wales Election Results 1856-2007
17:
500:
527:. Australia: ABC News. 20 December 2003
437:Van Der Weyden, Martin B., ed. (2004).
302:
558:
525:"Chief NSW hospital bureaucrat sacked"
682:NSW Civil and Administrative Tribunal
553:Complaints handling within NSW Health
7:
473:Cleary, Sonja; Duke, Maxine (2019).
219:New South Wales Legislative Council
278:2011 election for Macquarie Fields
267:2007 election for Macquarie Fields
72:and Independent candidate for the
14:
103:Camden and Campbelltown Hospitals
92:Camden and Campbelltown Hospitals
447:The Medical Journal of Australia
314:"Health boss sacked over deaths"
1:
654:Parliament of New South Wales
245:in 2005, Fraser stood as the
206:radio program on broadcaster
711:Australian women in business
276:Fraser again contested the
742:
678:[2014] NSWCATOD 29
243:New South Wales Parliament
197:Premier of New South Wales
716:Australian businesspeople
701:Australian whistleblowers
614:The Sydney Morning Herald
586:The Sydney Morning Herald
350:The Sydney Morning Herald
319:The Sydney Morning Herald
288:Registration cancellation
609:"Exposing a tragic mess"
493:10.1177/0969733017731917
161:NSW Department of Health
721:Australian women nurses
684:– Occupational Division
385:Cleary, Sonja (2014).
280:, but this time as an
251:resulting by-election
345:"Critical condition"
147:NSW Health Minister
109:region (south-west
48:Nola Therese Fraser
32:Nola Therese Fraser
617:. 13 December 2003
726:Australian nurses
454:(2 February 2004)
396:Deakin University
322:. 19 October 2003
249:candidate in the
45:
44:
733:
685:
671:
665:
664:
662:
660:
638:
627:
626:
624:
622:
605:
599:
598:
596:
594:
577:
571:
570:
564:
556:
548:
537:
536:
534:
532:
521:
515:
514:
504:
487:(4): 1039–1049.
470:
464:
463:
461:
459:
443:
434:
428:
427:
416:
407:
406:
404:
402:
393:
382:
363:
362:
360:
358:
341:
332:
331:
329:
327:
310:
255:Macquarie Fields
253:for his seat of
179:ABC Television's
135:Jennifer Collins
130:Registered Nurse
81:Macquarie Fields
66:Registered Nurse
18:
741:
740:
736:
735:
734:
732:
731:
730:
691:
690:
689:
688:
672:
668:
658:
656:
640:
639:
630:
620:
618:
607:
606:
602:
592:
590:
579:
578:
574:
557:
550:
549:
540:
530:
528:
523:
522:
518:
472:
471:
467:
457:
455:
441:
436:
435:
431:
418:
417:
410:
400:
398:
391:
384:
383:
366:
356:
354:
343:
342:
335:
325:
323:
312:
311:
304:
299:
290:
271:Andrew McDonald
239:
182:The 7.30 Report
115:New South Wales
100:
74:New South Wales
33:
23:
12:
11:
5:
739:
737:
729:
728:
723:
718:
713:
708:
703:
693:
692:
687:
686:
666:
628:
600:
589:. 25 June 2004
572:
554:
538:
516:
480:Nursing Ethics
465:
429:
425:
408:
364:
333:
301:
300:
298:
295:
289:
286:
263:Steven Chaytor
238:
235:
195:, on the then
99:
96:
88:whistleblowers
64:owner, former
62:small business
43:
42:
39:
35:
34:
31:
29:
25:
24:
21:
13:
10:
9:
6:
4:
3:
2:
738:
727:
724:
722:
719:
717:
714:
712:
709:
707:
706:Living people
704:
702:
699:
698:
696:
683:
679:
675:
670:
667:
655:
651:
647:
643:
642:Green, Antony
637:
635:
633:
629:
616:
615:
610:
604:
601:
588:
587:
582:
576:
573:
568:
562:
552:
547:
545:
543:
539:
526:
520:
517:
512:
508:
503:
498:
494:
490:
486:
482:
481:
476:
469:
466:
453:
449:
448:
440:
433:
430:
423:
421:
415:
413:
409:
397:
390:
389:
381:
379:
377:
375:
373:
371:
369:
365:
353:. 7 June 2004
352:
351:
346:
340:
338:
334:
321:
320:
315:
309:
307:
303:
296:
294:
287:
285:
283:
279:
274:
272:
268:
264:
260:
256:
252:
248:
244:
236:
234:
230:
226:
224:
220:
216:
211:
209:
205:
201:
198:
194:
190:
189:Liberal Party
185:
183:
180:
174:
171:
167:
162:
157:
153:
151:
150:Craig Knowles
148:
142:
140:
136:
131:
126:
122:
120:
116:
112:
108:
104:
97:
95:
93:
89:
84:
82:
78:
75:
71:
70:Liberal Party
67:
63:
60:
56:
53:
49:
41:Businessowner
40:
36:
30:
26:
19:
16:
673:
669:
657:. Retrieved
649:
619:. Retrieved
612:
603:
591:. Retrieved
584:
575:
529:. Retrieved
519:
484:
478:
468:
456:. Retrieved
451:
445:
432:
399:. Retrieved
387:
355:. Retrieved
348:
324:. Retrieved
317:
291:
275:
240:
231:
227:
212:
193:John Brogden
186:
175:
170:Morris Iemma
158:
154:
143:
127:
123:
101:
85:
54:
47:
46:
15:
561:cite report
282:Independent
215:Bret Walker
68:and former
22:Nola Fraser
695:Categories
297:References
261:candidate
204:Alan Jones
137:(a former
59:Australian
38:Occupation
555:(Report).
426:(Report).
119:Australia
107:Macarthur
659:12 March
511:29137552
422:(2003).
223:NSW ICAC
200:Bob Carr
79:seat of
57:) is an
55:Chalhoub
502:7323747
394:(PhD).
247:Liberal
191:member
621:11 May
593:10 May
531:10 May
509:
499:
111:Sydney
676:
458:9 May
442:(PDF)
401:9 May
392:(PDF)
357:9 May
326:9 May
259:Labor
113:) of
77:state
661:2021
623:2020
595:2020
567:link
533:2020
507:PMID
460:2020
403:2020
359:2020
328:2020
28:Born
497:PMC
489:doi
452:180
208:2GB
117:in
52:née
697::
680:,
652:.
648:.
644:.
631:^
611:.
583:.
563:}}
559:{{
541:^
505:.
495:.
485:26
483:.
477:.
450:.
444:.
411:^
367:^
347:.
336:^
316:.
305:^
273:.
210:.
152:.
83:.
663:.
625:.
597:.
569:)
535:.
513:.
491::
462:.
405:.
361:.
330:.
50:(
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.