Report of the Queensland Ombudsman The Neville Report An investigation into the adequacy of the health complaint mechanisms in Queensland, and other systemic issues identified as a result of the death of Elise Neville, aged 10 years. June 2006 © Queensland Ombudsman, 2006 Apart from any fair dealing for purposes related to the functions of the Ombudsman or the purpose of private study, research, criticism or review, as permitted under the Copyright Act, no part of this document may be reproduced by any process without permission. Inquiries should be made to the publishers, Queensland Ombudsman. Queensland Ombudsman Level 25, 288 Edward Street Brisbane Qld 4000 GPO Box 3314 Brisbane Qld 4001 Tel: (07) 3005 7000 Fax: (07) 3005 7067 Email:
[email protected] Web: www.ombudsman.qld.gov.au Contents ABBREVIATIONS AND DICTIONARY .................................................................................................. III EXECUTIVE SUMMARY ............................................................................................................................ V 1 BACKGROUND ............................................................................................................................ 1 1.1 INTRODUCTION ................................................................................................................................. 1 1.2 THE ROLE OF THE QUEENSLAND OMBUDSMAN ................................................................................ 1 1.3 PROCEDURE FOR GATHERING EVIDENCE ..........................................................................................