This report details the findings of an investigation undertaken by the Office of the Health Ombudsman relating to concerns into the quality of care provided to Miss Sandy at Doomadgee Rural Hospital, North West Hospital and Health Service (NWHHS), between November 2019 and her passing on 30 May 2020.

Aboriginal and Torres Strait Islander peoples are advised that this report contains the name of deceased persons and refers to the death of Aboriginal women.

Download the full report.

Download the list of investigation documents.