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The He Puna Waiora inpatient mental health unit. Photo: RNZ An independent review commissioned after the deaths of two patients from suspected suicide in May 2019 has identified "systemic and culture issues" existed at the time. The DHB said in releasing the results today that it accepted it was responsible. Among eight key recommendations was a need to prioritise strengthening the unit's leadership and culture. That included a review of leadership positions, developing procedures for consistent and responsive leadership engagement, and developing an organisational cultural framework. The s...

Two other patients deaths had also occurred while they were under Waitematā DHB’s care. Supplied Tamaki Heke was one of the inpatients who died in May, 2019. Through interviews with patients’ families and DHB staff, the report, prepared by Alison Masters, Malcolm Steward, Sarah Gordon, Stu Bigwood and Jason Cabral-Tarry, found a number of issues with the unit. These included problems with leadership and culture, the model of care given and issues with nursing care and staff deployment. The design of the building was also found to be problematic. The report writers found leadership w...