Independent Investigation University Hospital Limerick

Report of the former Chief Justice Mr Frank Clarke SC on the independent investigation that he led into matters connected with the tragic death of Aoife Johnston at University Hospital Limerick on December 19th, 2022.

The report was commissioned by the CEO of the HSE Bernard Gloster after he received the report of a Systems Analysis Review (a SAR report), prepared under the HSE’s National Incident Management System (NIMS). Bernard Gloster commissioned the Clarke report having considered the conclusions of the SAR and having determined that further investigation was necessary.