Family solicitor Damien Tansey expressed frustration that despite previous inquiries, it took another investigation for disciplinary action to be considered, raising concerns about systemic failings.
Judge Clarke's report emphasizes the ongoing risk posed by a lack of hospital beds, stating that 'unless and until this problem is addressed,' tragedies similar to Aoife's could occur again.
The inquiry revealed severe overcrowding at the hospital, with 168 patients on trolleys the night Aoife was admitted, highlighting the critical need for systemic changes.
Despite improvements since Aoife's death, the report warns that additional acute beds won't be ready until early next year, posing risks during upcoming seasonal surges.
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