Press release

HSE Publishes Terms of Reference for Independent Investigation - University Hospital Limerick

Published: 2 January 2024

Updated: 2 May 2024


In late December 2023 the CEO of the HSE received a report (Systems Analysis) following the death of teenager Aoife Johnston at the hospital in December 2022. 

At the time it was confirmed that there would be an independent and further investigation led by retired Chief Justice Frank Clarke. The HSE has this evening published the Terms of Reference. 

Commenting on the process HSE CEO Bernard Gloster said: 

“The scope of the Independent Investigation is to provide an evidence-based report on the circumstances surrounding the death of Aoife and the clinical and corporate governance of University Hospital Limerick which led to the conclusions set out in the previous systems analysis report. The Judge has been asked to make any recommendations as he sees fit and to report directly to me.”

Terms of reference for an independent investigation (PDF, 180 KB, 7 pages)


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