At least 450 lives shortened by ‘medically unjustified’ opioid administration at Gosport War Memorial Hospital
An "institutionalised regime" of prescribing and administering opioids without medical justification at Gosport War Memorial Hospital shortened the lives of at least 450 people between 1989 to 2000, an independent panel has found.
At least 200 more patients were "probably" also affected when taking into account missing records.
The Gosport Independent Panel was led by the former bishop of Liverpool, the Rt Rev James Jones, who previously chaired the Hillsborough Independent Panel.
Presenting the findings of its £13 million investigation, which was first launched in 2014, the report shows hospital management, health organisations, Hampshire Police, local politicians, the coronial system, the Crown Prosecution Service, the General Medical Council and the Nursing and Midwifery Council "all failed to act in ways that would have better protected patients and relatives".
Retired Dr Jane Barton presided over the care of the patients at the time. She was found guilty of serious professional misconduct by the General Medical Council in 2009 but was never struck off.
An earlier separate review into deaths at the hospital, led by Professor Richard Baker, found "almost routine use of opiates" for elderly patients had "almost certainly shortened the lives of some".
It could not be published in full until 2013, 10 years after it was completed, while inquests were held and due to a police investigation.
The relatives of those who died at the hospital have waited almost two decades to find out what happened.
Marjorie Bulbeck's mother Dulcie Middleton was admitted in 2001, after a stroke. She died unexpectedly, and Marjorie told ITV News she knows "what I saw with my mother".
"She didn't get the care she was entitled to," she said. "And that contributed to her death."