“Notwithstanding mitigating factors, the Board accepts that mistakes were made, not least in the decision to vaccinate family members and, in one case, in the administration of two vaccines offsite. Lessons must and will be learnt to ensure that similar issues cannot recur”.
Chair of The Coombe Women & Infants University Hospital, Mary Donovan, said the review finds that “the team at the Hospital made efforts to identify other front line staff”.
“Despite the mitigating factors, and the overall success of the vaccine programme, the Board is disappointed that 16 family members were vaccinated with leftover vaccines. This should not have happened. We are also concerned that in the case of one family, two vaccinations occurred offsite. Again, this should not have happened.