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   "ELON X."  wrote in   
      
   Mortuary abuser David Fuller was able to offend without being caught   
   because of "serious failings" at the hospitals where he worked, an   
   inquiry has found.   
      
   Between 2007 and 2020, Fuller abused the bodies of at least 101   
   women and girls in Kent hospitals.   
      
   Inquiry chair Sir Jonathan Michael said "there were missed   
   opportunities to question Fuller's working practices".   
      
   He added the abuse "had caused shock and horror across our country   
   and beyond".   
      
   The inquiry has made 17 recommendations to prevent "similar   
   atrocities".   
      
   These include installing CCTV cameras in mortuaries, ensuring non-   
   mortuary staff are always accompanied and that bodies are not left   
   out of fridges overnight.   
      
   Fuller, who is 69, was given two whole-life sentences in 2021 for   
   murdering Wendy Knell and Caroline Pierce and jailed for a total of   
   16 years for abusing corpses, meaning he will die in prison.   
      
   As well as failures of management at Maidstone and Tunbridge Wells   
   NHS Trust, Sir Jonathan said there had been a "failure to follow   
   standard policies and procedures, together with a persistent lack of   
   curiosity".   
      
   "The senior management of the trust were aware of problems in the   
   running of the mortuary from as early as 2008. But there is little   
   evidence that effective action was taken to remedy these," he said.   
      
   There had been "little regard" given to who was accessing the   
   mortuary, with Fuller visiting 444 times in a year - something that   
   had gone "unnoticed and unchecked".   
      
      
   He said Fuller's behaviour was not something that could easily be   
   anticipated.   
      
   "It is out of the ordinary, but that is precisely why you have   
   policies and procedures and protocols to pick up that which is out   
   of the ordinary."   
      
   Analysis   
   By Mark Norman, health correspondent, BBC South East   
      
   This report was far more critical of the hospital trust than many   
   observers, myself included, had expected.   
      
   The Tunbridge Wells Hospital at Pembury, where more than half of all   
   Fuller's crimes were committed, was brand new, had state of the art   
   facilities, and was regularly inspected.   
      
   While the trust and its managers face up to the criticism in Sir   
   Jonathan's report there will also be questions to be answered about   
   that inspection regime and whether it is fit for purpose.   
      
   But while this was a difficult day for the NHS, it will have been   
   horribly traumatic for families knowing that, if the hospital   
   managers had done a better job, Fuller might not have been able to   
   offend "unnoticed and unchecked" for years.   
      
   Fuller, from Heathfield, East Sussex, worked as a maintenance   
   supervisor at hospitals in Tunbridge Wells in Kent over three   
   decades.   
      
   He committed the offences at mortuaries in the now-closed Kent and   
   Sussex Hospital, and its successor, the Tunbridge Wells Hospital at   
   Pembury, between 2007 until his arrest in 2020.   
      
   Fuller gained access to morgues using his employee swipe card,   
   choosing times when he knew staff had gone home so the areas were   
   left unattended.   
      
   There, he systematically abused at least 101 corpses, the youngest   
   of which was aged nine and the oldest 100 years old.   
      
   At his trial, the court heard how he would visit "the same bodies   
   repeatedly".   
      
   Responding to the inquiry's report, Maidstone and Tunbridge Wells   
   NHS trust chief executive Miles Scott said the findings contained   
   "important lessons for us".   
      
   He said "the vast majority" of the recommendations made by the   
   inquiry had "already been actioned in the period since Fuller's   
   arrest and we will be implementing the remaining recommendations as   
   quickly as possible."   
      
      
   "We fully welcome the report and will ensure that there is a full   
   response to the recommendations in spring 2024, and that lessons are   
   learned across the wider NHS so that no family has to go through   
   this experience again."   
      
   A second part of the inquiry was launched in July to review how   
   people who have died are cared for around the country, focusing on   
   safeguarding in private mortuaries, private ambulances and funeral   
   directors.   
      
   The findings of this part of the inquiry are expected in 2024.   
      
   https://news.yahoo.com/david-fuller-management-failed-stop-   
   115450523.html   
      
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