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Published 12:06 26 Jan 2022 GMT
Updated 12:13 26 Jan 2022 GMT
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The doctor was said to be very tired at work, and worked overtime.
Further concerns about the doctor's prescribing of medication were raised the following year, and while a supervisor advised changes, they did not insist that these changes happened.
The review, which covered the period from 1 July 2016 to 19 April 2021, found that supervision was a major issue in the unit, as well as a lack of checks ensuring that it was running safely and effectively. There was no clinical lead and no consultant child and adolescent psychiatrist, which in turn impacted the quality of service being provided.
The HSE has published the report about the South Kerry CAMHS and it has been sent to the families of the children involved. Letters of apologies have also been sent.
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