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Page 1: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate
Page 2: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate
Page 3: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Unposted Incident - Edit 1 St Vincents Mater Health

Incident ID: 151838 This is a confidential report, please dispose of in an appropriate and secure manner le. by shredding. Failure to ensure the destruction of records may lead to the unauthorised release of sensitive information

'inctcLentJ --Z47 C'Zi7,75F.7).

tRe

Country:

Incident Time: 13:30

-

• Incident involved: Non-individual

Surname: ilierniONIMMIllinitunder Dr GrY9iel Street:

Suburb/City:

Postcode:

Incident Date: 29 February 2012

Notification Data: 29 February 2012

Date Closed:

9, Jeationl ,etar Sirerik

„ 1.*:(47.

Summary: Patient treatment schedule not completed by a consultant, wrong dose entered into chemotherapy schedule

Details: Patient treatment schedule not completed by a consultant, wrong dose entered into chemotherapy schedule

Reporter's Name:

Reporter's Position: Registered Nurse Contact Phone:

Reporter's Site:

Reporter's Location:

Seen By:

Seen By Name: Treatment Given: None

AarOnaTa-ka:

Investigations/Findings:

Investigated By:

Controls Implemented:

Control Hierarchy:

Was Restraint Used?: No

Seclusion?: No

Coroner Notified: No

Autopsy performed: No

Next Of Kin Notified: No

Outcome:

Sentinel:

Personnel Involved

Person #1: no personal involved

Person #2: 'none

rin-asIgan:TIA' estrar , Type Of restraint used:

Reason For Restraint:

Approved by Medical Officer?: No

Medication administered in the 2hrs prior to restraint:

Medication administered during the restraint:

Injuries Sustained (Restraint): No

Person #1 Position:

Person #2 Position:

Approved by Medical Officer/General Practitioner:

Prior CO_ r.stralot eolsode was the risk assessment for;

Aggression(Restraint):

A.bsconding(Restraint):

Self harm (Restraint):

Prior to restraint episode was the risk assessment for Sexual

Safety: Prior to restraint episode was

the risk assessment for Suicide: Prior to restraint episode was the risk assessment for Harm

from Others: Preventative Strategies

(Restraint):

Prior History (Restraint, No Aggression):

Prior History (Restraint, No Absconding):

Prior History (Restraint, Self No Harm):

Prior History (Restraint, Sexual No Safety):

Prior History (Restraint, For No Suicide):

Prior History (Restraint, Harm No from Others):

Page 4: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure A

1

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 6 (a) 3

As above To: CHANT, Kerry; O'SHANNESSY, Leanne; Ms Karen Crawshaw Cc: ATTARD, Margaret; DENNIS, Jenny; HINWOOD, Dannielle; MUIR, Amber; '[email protected]'; '[email protected]'; WALLACE, Adam; WALLACE, Natasha Subject: FW: Statement from St Vincent's

23/2/2016

Jenny Dennis Director Public Affairs

Yes Personal Information (unmasked)

Item 7 (a)(63)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Attachment B – Case Summary and treatment dosage for five patients with recent occurrence

Unknown

St Vincents Health Network

Y Privacy – contains health information of individual patients

Item 7 (a)(84)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Unposted incident – Edit 1 29 February 2012

St Vincent’s Mater Health

Y Privacy – contains personal information

Item 7 (a)(85)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including

Untitled Spreadsheet (n=25) including information about patients

Unknown

St Vincent’s Health Network

Y Privacy – contains health information of individual patients

Page 5: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure A

2

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

investigations and reports into the matter

Item 7 (a)(86)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Untitled Spreadsheet (n=46) including information about patients

Unknown

St Vincent’s Health Network

Y Privacy – contains health information of individual patients

Item 7 (a)(87)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Untitled Spreadsheet (n=47) including information about patients

Unknown

St Vincent’s Health Network

Y Privacy – contains health information of individual patients

Item 7 (a)(88)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Untitled Spreadsheet (n=83) including information about patients

Unknown

St Vincent’s Health Network

Y Privacy – contains health information of individual patients

Item 7 (a)(89)

All documents and emails relating to the under-dosing of patients undergoing

Communication Records – flat dose chemotherapy; record of communications with 62 patients/family. 23

February 2016

St Vincent’s Health Network

Y Privacy – contains health information of individual patients

Page 6: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure A

3

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

chemotherapy in New South Wales, including investigations and reports into the matter

Item 7 (a)(90)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Complaint to Health Care Complaints Commission including attachments

16 July 2015

Complainant Y Privacy – contains health information of individual patients

Item 7 (a) (92.11)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Jasmin Douglas to Anthony Schembri, David Faktor Subject: FW: Ms Sheila Bradbury - treatment at St Vincent's Hospital

24-Feb-16

Jasmin Douglas Y Privacy – contains health information of individual patients

Item 7 (a)(93)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Untitled spreadsheet (n = 82) including information about patients

Unknown

St Vincent’s Health Network

Y Privacy — contains health information of individual patients

Item 7 All documents and Untitled spreadsheet (n = 82) including information about Unknown St Vincent’s Health Y Privacy — contains

Page 7: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure A

4

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

(a)(94) emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

patients Network health information of individual patients

Page 8: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 1 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 1 – (a)1 all documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

H16/16238 - Teleconference action record – implications of under dosing at St Vincent’s for Western NSW LHD patients

23/2/16 Kerry Chant N

Item 1 – (a)2 all documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

H16/16238-1 - email with attachment setting out Professor David Currow’s edit suggestions for the teleconference action record – implications of under dosing at St Vincent’s for Wester NSW LHD patients

24/2/16 Helen Juillerat N

Item 1 – (a)3 all documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

H16/16238-2 - Email distributing H16/16238 action record to teleconference participants

24/2/16 Donna Cotton N

Page 9: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 2 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 1 – (a)4 all documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

H16/16210 – H note to Minister – update on actions taken by the Ministry

24/2/16 Kim Stewart, NSW MOH

N

Item 1 – (a)5 all documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

H16/16239 - email from CHO to CE SVHN summarising agreed actions re incident

19/2/2016 Kerry Chant, NSW MOH

N

Item 1 – (a)6 all documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

H16/16240 – email Debra Hyland summarising Dr Grygiel’s employment history

24/2/15 Deborah Hyland, NSW MOH

N

Page 10: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 3 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 2 (a)(1) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Media snapshot email dated 19 February 2016, forwarded by Sandra Chapman from Rachel Gleeson to Chris Leffers, Debbie Kaplan, Katrina Hasleton, Judith Burgess, Erin Halligan, Claudia Carr, Nikki Maloney, Karen Beard, Robyn Murray and Kate Jackson cc: Fiona Wynn, Marc Reynolds, Dr Murray Wright and Adrian Dunlop

19 February 2016

Rachel Gleeson No

Item 2 (a) (2) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Sydney Morning Herald newspaper article, dated 19 February 2016, ‘St Vincent’s oncologist gave wrong chemo doses’

19 February 2016

Kate Aubusson No

Item 2 (a) (3) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Media snapshot email dated 22 February 2016, forwarded by Sandra Chapman from Rachel Gleeson to Chris Leffers, Debbie Kaplan, Katrina Hasleton, Judith Burgess, Erin Halligan, Claudia Carr, Nikki Maloney, Karen Beard, Robyn Murray and Kate Jackson cc: Fiona Wynn, Marc Reynolds, Dr Murray Wright and Adrian Dunlop

22 February 2016

Rachel Gleeson No

Page 11: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 4 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 2 (a) (4) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Daily Telegraph newspaper article, dated 20 February 2016, ‘Scandal doctor leaves hospital’

20 February 2016

Miles Godfrey, Laura Banks

No

Item 2 (a) (5)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Northern Daily Leader newspaper article, dated 20 February 2016, ‘Doctor still employed’

20 February 2016

Unknown No

Item 2 (a) (6)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Media snapshot email dated 24 February 2016, forwarded by Sandra Chapman from Natasha Wallace to Chris Leffers, Debbie Kaplan, Katrina Hasleton, Judith Burgess, Erin Halligan, Claudia Carr, Nikki Maloney, Karen Beard, Robyn Murray and Kate Jackson cc: Fiona Wynn, Marc Reynolds, Dr Murray Wright and Adrian Dunlop

24 February 2016

Natasha Wallace No

Page 12: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 5 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 2 (a) (7)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

North Shore Times newspaper article, dated 24 February 2016, ‘Low-dose chemo doc takes leave’

24 February 2016

Miles Godfrey No

Item 2 (a) (8)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Sydney Morning Herald Newspaper article, dated 24 February 2016, ‘Investigation into chemo error starts’

24 February 2016

Kate Aubusson and Sean Nicholls

No

Item 3 (a) 1 All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from ETHICS to Winston Liauw; Meera Agar BCC: [email protected] Subject: FW: CINSW Ref:2007C/09/019 Protocol Amendment submis...

20/01/2012 Suyen Moncada N

Page 13: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 6 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 3 (a) 2 All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Suyen Moncada to ETHICS Subject: CINSW Ref:2007C/09/019 Protocol Amendment submis...

19/01/2012 Suyen Moncada N

Item 4 (a) 1 Emails relating to under-dosing of chemotherapy

Email trail from Phillip Broughton to Christopher Harlan, Sarah McQuarrie and Deborah Hyland

18/2/16 Deborah Hyland Sarah McQuarrie Christopher Harlan Phillip Broughton

N

Item 4 (a) 2 Emails relating to under-dosing of chemotherapy

Email trail from Christopher Harlan to Deborah Hyland and Sarah McQuarrie

18/2/16 Deborah Hyland Christopher Harlan

N

Item 4 (a) 3 Emails relating to under-dosing of chemotherapy

Email trail from Christopher Harlan to Deborah Hyland and Ministers’ Offices.

18/2/16 Deborah Hyland Christopher Harlan

N

Item 4 (a) 4 Emails relating to under-dosing of chemotherapy

Email from Christopher Harlan to Deborah Hyland

19/2/16 Christopher Harlan N

Item 4 (a) 5 Emails relating to under-dosing of chemotherapy

Email trail from Christopher Harlan to Deborah Hyland

19/2/16 Christopher Harlan Deborah Hyland

N

Item 4 (a) 6 Emails relating to under-dosing of chemotherapy

Email trail from Christopher Harlan to Deborah Hyland and Andrew Kirk

19/2/16 Deborah Hyland Andrew Kirk Christopher Harlan

N

Item 4 (a) 7 Emails relating to under-dosing of chemotherapy

Email trail from Christopher Harlan to Deborah Hyland

19/2/16 Christopher Harlan Deborah Hyland

N

Item 4 (a) 8

Emails relating to under-dosing of chemotherapy

Email from St Vincent’s Health Network to Chris Harlan

19/2/16 Phillip Broughton N

Page 14: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 7 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 4 (a) 9 Emails relating to under-dosing of chemotherapy

Email from Christopher Harlan to Deborah Hyland

22/2/16 Christopher Harlan N

Item 4 (a) 10

Emails relating to under-dosing of chemotherapy

Christopher Harlan to Deborah Hyland and Kerry Chant

22/2/16 Deborah Hyland N

Item 4 (a) 11

Emails relating to under-dosing of chemotherapy

Christopher Harlan to Deborah Hyland to Kerry Chant

22/2/16 Deborah Hyland N

Item 4 (a) 12

Emails relating to under-dosing of chemotherapy

Email from Deborah Hyland and Ministers’ Offices.

22/2/16 Deborah Hyland N

Item 4 (a) 13 Emails relating to under-dosing of chemotherapy

Email from Dannielle Hinwood to Deborah Hyland

22/2/16 Dannielle Hinwood N

Item 4 (a) 14

Emails relating to under-dosing of chemotherapy

Email from Jennifer Edwards to Deborah Hyland 23/2/16 Jennifer Edwards N

Item 4 (a) 15

Emails relating to under-dosing of chemotherapy

Email from Minister Skinner’s office to Chris Harlan

23/2/16 Rohan Ely N

Item 4 (a) 16

Emails relating to under-dosing of chemotherapy

Email from St Vincent’s Health Network to Chris Harlan

23/2/16 Katarina Cvitkovic N

Item 4 (a) 17

Emails relating to under-dosing of chemotherapy

Email from Christopher Harlan to Deborah Hyland

24/2/16 Christopher Harlan N

Item 4 (a) 18

Emails relating to under-dosing of chemotherapy

Email from St Vincent’s Health Network to Chris Harlan

24/2/16 Phillip Broughton N

Item 4 (a) 19

Emails relating to under-dosing of chemotherapy

Email from St Vincent’s Health Network to Chris Harlan

24/2/16 Katarina Cvitkovic N

Page 15: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 8 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 5(a)1 All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email “FW: cancer incident” 22 February 2016

Chief Health Officer, Dr Kerry Chant

No

Item 5(a)2 As above Email “Cancer incident at St Vincents” 22 February 2016

Chief Health Officer, Dr Kerry Chant

No

Item 5(a)3 As above Email “FW Cancer incident at St Vincents” 22 February 2016

Chief Health Officer, Dr Kerry Chant

No

Item 5(a)4 As above Email “Cancer incident - St Vincents” 23 February 2016

Chief Health Officer, Dr Kerry Chant

No

Item 5(a)5 As above Terms of Reference for Section 122 Inquiry and covering brief

23 February 2016

General Counsel, Leanne O’Shannessy

No

Item 5(a)6 As above Certificates of Authority for inquiry team (4) 24 February 2016

General Counsel, Leanne O’Shannessy

No

Item 5(a)7 As above Revised Terms of Reference for Section 122 Inquiry and covering brief

25 February 2016

General Counsel, Leanne O’Shannessy

No

Item 5(a)8 As above Letter to HCCC Commissioner, attaching revised Terms of Reference for Section 122 Inquiry and covering brief

1 March 2016

General Counsel, Leanne O’Shannessy

No

Page 16: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 9 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 6 (a) 1 All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email to Public affairs Team Ref: In-Brief - SVHN - Under-dosing of Chemotherapy Agent in a Cohort of Patients

18/2/2016 Jenny Dennis Director Public Affairs

No

Item 6 (a) 2 As above Email to Media Team, Jenny Dennis, dfaktor Cc: Blake Hardy Ref: Inquiry into Dr Gryiel

24/2/2016 Liz Hannan Senior Media Advisor- Minister Jillian Skinner’s Office

No

Item 6 (a) 3

As above To: CHANT, Kerry; O'SHANNESSY, Leanne; Ms Karen Crawshaw Cc: ATTARD, Margaret; DENNIS, Jenny; HINWOOD, Dannielle; MUIR, Amber; '[email protected]'; '[email protected]'; WALLACE, Adam; WALLACE, Natasha Subject: FW: Statement from St Vincent's

23/2/2916 Jenny Dennis Director Public Affairs

Yes Personal Information

Item 6 (a) 4 As above To: CHANT, Kerry, Karen Crawshaw, Leanne O’Shannessy Ref: St Vincent's statement

23/2/2016 Jenny Dennis Director Public Affairs

No

Item 6 (a) 5 As above To Jenny Dennis Cc Rachel Gleeson Ref: UPDATE – Employment of Dr Grygiel

24/2/2016 Nicolette Kormendy Advisor Public Affairs

No

Item 6 (a) 6 As above To KORMENDY, Nicolette No subject

23/02/16 Jenny Dennis Director Public Affairs

No

Page 17: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 10 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 6 (a) 7 As above To: CRAWSHAW, Karen; CHANT, Kerry; O'SHANNESSY, Leanne; Paul Curtis; David CURROW; 'David Faktor' Cc: MEDIA; Liz Hannan ([email protected]); 'Blake Hardy'; 'Sharon Hogan'; Melissa Devine; Laura Kiely Subject: SMH story - St Vincent's cancer dosages

23/02/16 KORMENDY, Nicolette

No

Item 6 (a) 8 As above To: LUCAS, Peta Cc: HYLAND, Deborah; TYRRELL, Melanie; DENNIS, Jenny Subject: SMH request: Dr Grygiel

24/2/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 9 As above To David Faktor Cc Media Ref; SMH inquiry re chemotherapy dosages

22/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 10 As above To David Faktor, Jenny Dennis, Liz Hannan Ref: Statement from St Vincent’s

23/02/16 Blake Hardy No

Item 6 (a) 11 As above To Kate Aubusson RE: Vinnies cancer patient dosage error

22/2/16 KORMENDY, Nicolette

No

Item 6 (a) 12 As above To Sarah Gerathy- ABC reporter Ref: St Vincent’s Statement

23/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 13 As above To: '[email protected]' Subject: RE: St Vincent's Oncology

23/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 14 As above To: '[email protected]' Subject: RE: regarding St Vincent hospital review

24/02/16 KORMENDY, Nicolette Public Affairs

No

Page 18: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 11 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 6 (a) 15 As above To: DENNIS, Jenny Cc: Rebekah Bullock; ATTARD, Margaret; HINWOOD, Dannielle; MUIR, Amber; KORMENDY, Nicolette; GLEESON, Rachel; WALLACE, Adam; WALLACE, Natasha; Brendan Williams Subject: RE: Grygiel statement

23/02/16 Vanessa Delaney No

Item 6 (a) 16 As above To Liz Hannan Cc Media Ref: inquiry re Dr Grygiel

24/02/16 Dannielle Hinwood No

Item 6 (a) 17 As above To: KORMENDY, Nicolette Cc Liz Hannan , Media Ref; Kate Aubusson inquiry re Dr Grygiel

24/02/16 David Currow No

Item 6 (a) 18 As above To: KORMENDY, Nicolette, CRAWSHAW, Karen; CHANT, Kerry; O’SHANNESSY, Leanne, ‘Paul Curtis’; David CURROW; ‘David Faktor’ Cc Melissa Devine , Media RE: Pls check – DRAFT – Statement – St Vincent’s Cancer dosages

23/02/16 Laura Kiely No

Item 6 (a) 19 As above To Jenny Dennis Ref: Employment of Dr Grygiel

24/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 20 As above To: 'Liz Hannan'; 'Blake Hardy' Cc: MEDIA Subject: RE: For checking - St Vincent's Hospital

22/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 21 As above To: 'Blake Hardy'; Liz Hannan Cc: MEDIA Subject: RE: DRAFT statement - ABC 7.30 St Vincent's cancer dosages

23/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 22 As above To Jenny Dennis Re Dr Grygiel

24/02/16 Gemma Najem AAP Journalist

No

Item 6 (a) 23 As above To Kerry Chant Ref: Carboplation recommended dosage

16/02/16 Jenny Dennis No

Page 19: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 12 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 6 (a) 24 As above To: KORMENDY, Nicolette Cc Liz Hannan, Media Ref: Kate Aubusson enquiry re Dr Gyrgiel

24/02/16 David Currow No

Item 6 (a) 25 As above To: KORMENDY, Nicolette; CRAWSHAW, Karen; CHANT, Kerry; O'SHANNESSY, Leanne; 'Paul Curtis'; David CURROW; 'David Faktor' Cc: Melissa Devine; MEDIA Subject: RE: Pls check - DRAFT statement - St Vincent's cancer dosages

23/02/16 Laura Kiely Cancer institute

No

Item 6 (a) 26 As above To: DENNIS, Jenny Cc: Rebekah Bullock; ATTARD, Margaret; HINWOOD, Dannielle; MUIR, Amber; KORMENDY, Nicolette; GLEESON, Rachel; WALLACE, Adam; WALLACE, Natasha; Brendan Williams Subject: RE: Grygiel statement

23/02/16 Vanessa Delaney Media Manager Western NSW LHD

No

Item 6 (a) 27 As above To Liz Hannan, Blake Hardy Cc Media Re: For checking- St Vincent’s hospital

22/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 28 As above To Liz Hannan, Blake Hardy Cc Media Ref: draft Statement – ABC 7:30 – St Vincent’s cancer dosages

23/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 29 As above To Jenny Dennis Cc reception, NSW Ministry Health Ref: Callers re Dr John Gyrgiel

19/02/16 Maria Edwards Receptionist Health share

No

Item 6 (a) 30 As above To Media Re cancer incident

20/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 31 As above To Jenny Dennis Cc Dannielle Hinwood Ref: 7:30 request re St Vincent oncology

23/02/16 KORMENDY, Nicolette Public Affairs

No

Page 20: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 13 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 6 (a) 32 As above To Jenny Dennis, KORMENDY, Nicolette, Blake Hardy & Liz Hannan Ref: Please find final version of our statement for your records: David

23/02/16 David Faktor No

Item 6 (a) 33 As above To: CRAWSHAW, Karen; CHANT, Kerry; O'SHANNESSY, Leanne; 'Paul Curtis'; '[email protected]'; 'David Faktor' Cc: 'Melissa Devine'; 'Laura Kiely'; MEDIA Subject: Pls check - DRAFT statement - St Vincent's cancer dosages Importance: High

23/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 34 As above To Jenny Dennis Cc Rebekah Bullock Ref: Grygiel statement

23/02/16 Vanessa Delaney No

Item 6 (a) 35 As above To Jenny Dennis Cc Rebekah Bullock, Brendan Williams Ref: Grygiel dates

24/02/16 Vanessa Delaney No

Item 6 (a) 36 As above To Jenny Dennis Cc Dannielle Hinwood Ref: Fwd Vinnies cancer patient dosage error

22/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 37 As above To Jenny Dennis Ref: FWD St Vincent’s incident

24/02/16 Kerry Chant No

Item 6 (a) 38 As above To KORMENDY, Nicolette Ref: FWD Kate Aubusson inquiry- re Dr Grygiel

24/02/16 Jenny Dennis Director Public Affairs

No

Item 6 (a) 39 As above To Professor David Currow Ref: FWD: Please find final version of our statement for your records. David

23/02/16 Jenny Dennis Director Public Affairs

No

Item 6 (a) 40 As above To Professor David Currow Ref: FWD Health in Brief for MOH Chemo incidents 19022015

19/02/16 Jenny Dennis Director Public Affairs

No

Item 6 (a) 41 As above To Media Ref: Dr Grygiel

24/02/16 Sean Nicholls No

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 14 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 6 (a) 42 As above To Kerry Chant, Leanne O’Shannessy Cc Jenny Dennis Ref: Draft Statement-7:30-Cancer dosages

23/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 43 As above To David Faktor Cc Media Ref: ABC &.30 transcript & Dr Grygiel statement

24/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 44 As above To David Currow Ref: FW: Health in Brief for MOH Chemo incident 19022016

19/02/16 Jenny Dennis Director Public Affairs

No

Item 6 (a) 45 As above To Kerry Chant Ref: FW Grygiel date

24/02/16 Jenny Dennis Director Public Affairs

No

Item 6 (a) 46 As above To Kerry Chant Ref: Fw employment of Dr Grygiel

24/02/16 Jenny Dennis Director Public Affairs

No

Item 6 (a) 47 As above To: DENNIS, Jenny Ref: Fw Draft Statement – ABC 7:30 St Vincent’s Cancer dosages

23/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 48 As above To: DENNIS, Jenny Ref: FW Draft response to CWD inquiry re Dr Grygiel-visiting Oncologist-Orange Base hospital

23/02/16 Jenny Dennis Director Public Affairs

No

Item 6 (a) 49 As above To: DENNIS, Jenny, KORMENDY, Nicolette Ref FW communications record V4 final

23/02/16 David Faktor Director Medisa St Vincent’s hospital

No

Item 6 (a) 50 As above To Kerry Chant Cc Media Ref: Foer review: Media Statement on low dosage and Orange Hospital

23/02/16 Dannielle Hinwood No

Item 6 (a) 51 As above To: Anthony Schembri Cc: David CURROW; DENNIS, Jenny; PEARCE, Susan; [email protected]; FOLEY, Mary Subject: cancer incident

19/02/16 Jenny Dennis Director Public Affairs

No

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 15 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 6 (a) 52 As above To Kerry Chant CC MEDIA Ref: for review: Media inquiry re Dr Grygiel – visiting Oncologist-Orange base hospital – deadline 11am tomorrow

22/02/16 Jenny Dennis Director Public Affairs

No

Item 6 (a) 53 As above To: Anthony Schembri Cc: David CURROW; DENNIS, Jenny; PEARCE, Susan; [email protected]; FOLEY, Mary Subject: cancer incident

19/02/16 Jenny Dennis Director Public Affairs

No

Item 6 (a) 54 As above To: [email protected] Cc: ATTARD, Margaret, DENNIS, Jenny; HINWOOD, Dannielle; MUIR, Amber; [email protected]; ‘[email protected]’; WALLACE, Adam; WALLACE, Natasha

24/2/16 Jenny Dennis Director Public Affairs

No

Item 6 (a) 55 As above To Kerry Chant Cc Media Ch-9-Under dosed patients-Fri19 February 2016

20/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 56 As above To: DENNIS, Jenny Ref; ABC radio inquiry; St Vincent’s statement

23/02/16 KORMENDY, Nicolette Public Affairs

No

Item 6 (a) 57 As above To KORMENDY, Nicolette FWD Kate Aubusson inquiry re Dr Grygiel

24/02/16 Jenny Dennis Director Public Affairs

No

Item 7 (a)(1) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Emails relating to a request for information about the recommended dosage of Carboplatin for head and neck cancer patients

16 February 2016

Laura Kiely, Cancer Institute NSW and Matt Peacock, Australian Broadcasting Corporation

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 16 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(2) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

eviQ protocol: Head and Neck Squamous Cell Carcinoma Locally Advanced cARBOplatin (Weekly) Chemoradiation (Part 2 of TPF)

25 June 2010

Cancer Institute NSW

N

Item 7 (a)(3) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

eviQ protocol: Head and Neck Squamous Cell Carcinoma Locally Advanced Definitive cARBOplatin and Fluorouracil Chemoradiation

11 July 2006

Cancer Institute NSW

N

Item 7 (a)(4) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Head and Neck Squamous Cell Carcinoma Locally Advanced Post Operative cARBOplatin (Weekly) Chemoradiation

21 June 2006

Cancer Institute NSW

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 17 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(5) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Head and Neck Squamous Cell Carcinoma Recurrent or Metastatic cARBOplatin and Fluorouracil

21 June 2006

Cancer Institute NSW

N

Item 7 (a)(6)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Nasopharyngeal Locally Advanced cARBOplatin (Weekly) Chemoradiation

9 November 2011

Cancer Institute NSW

N

Item 7 (a)(7)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Laura Kiely, Cancer Institute NSW to Jenny Dennis, Ministry of Health, relating to request from journalist about Carboplatin recommended dosage

16 February 2016

Laura Kiely, Cancer Institute NSW

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 18 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(8)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Laura Kiely to Melissa Devine, David Currow and Shelley Rushton attaching report of media coverage

19 February 2016

Laura Kiely, Cancer Institute NSw

N

Item 7 (a)(9)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Mediaportal Report on Carboplatin underdosing 19 February 2016

Isentia Group Ltd N

Item 7 (a)(10) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Laura Kiely to Helen Juillerat regarding Carboplatin protocol

19 February 2016

Laura Kiely, Cancer Institute

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 19 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(11) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Head and Neck, SCC, locally advanced, Carboplatin, weekly, post operative chemoradiation

25 July 2007

Cancer Institute NSW

N

Item 7 (a)(12) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Laura Kiely to Lisa King 19 February 2016

Laura Kiely, Cancer Institute

N

Item 7 (a)(13) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Media Reportal report 22 February 2016

Isentia Group Ltd N

Page 27: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 20 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(14) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Dannielle Hinwood on daily issues brief for Monday 22 February

22 February 2016

Dannielle Hinwood, Ministry of Health

N

Item 7 (a)(15) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anjali Mullick obo David Currow to Helen Juillerat

19 February 2016

Anjali Mullick, Cancer Institute NSW

N

Item 7 (a)(16) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Emails between Nicolette Kormendy and Melissa Devine regarding enquiry from Sydney Morning Herald

22 February 2016

Nicolette Kormendy, Ministry of Health and Melissa Devine, Cancer Institute NSW

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 21 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(17) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Media statement regarding St Vincent’s cancer dosages (marked-up with changes suggested by Cancer Institute NSW)

22 February 2016

Ministry of Health N

Item 7 (a)(18) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Sharon Hogan to Melissa Devine, Nicolette Kormendy, David Faktor and Paul Curtis, cc Dannielle Hinwood and Karen Luxford

22 February 2016

Sharon Hogan, Clinical Excellence Commission

N

Item 7 (a)(19) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Media statement regarding St Vincent’s cancer dosages (marked-up with changes suggested by Clinical Excellence Commission)

22 February 2016

Ministry of Health N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 22 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(20) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Melissa Devine to David Currow cc Laura Kiely and Helen Juillerat attaching final version of Media statement

22 February 2016

Melissa Devine, Cancer Institute NSW

N

Item 7 (a)(21) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Media Statement regarding St Vincent’s Hospital cancer dosages

22 February 2016

Ministry of Health N

Item 7 (a)(22) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Dr Paul Curtis to Nicollette Kormendy, David Faktor, Sharon Hogan, Melissa Devine cc Media and Karen Luxford

22 February 2016

Paul Curtis, Clinical Excellence Commission

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 23 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(23) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Nicolette Kormendy to Laura Kiely, Karen Crawshaw, Kerry Chant, Leanne O’Shannessy, Paul Curtis, David Currow and David Faktor regarding St Vincent’s cancer dosages

23 February 2016

Nicolette Kormandy, Ministry of Health

N

Item 7 (a)(24) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Media Statement on St Vincent’s Hospital cancer dosages (marked-up with changes suggested by Cancer Institute NSW)

23 February 2016

Ministry of Health N

Item 7 (a)(25) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Nicolette Kormendy to David Faktor and Laura Kiely cc Karen Crawshaw, Kerry Chant, Leanne O’Shannessy, Paul Curtis, David Currow, Melissa Devine and Media

23 February 2016

Nicolette Kormendy, Ministry of Health

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 24 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(26) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Nicolette Kormendy to Karen Crawshaw, Kerry Chant, Leanne O’Shannessy, Paul Curtis, David Currow and David Faktor cc Media, Liz HAnnan, Blake Hardy, Sharon Hogan, Melissa Devine and Laura Kiely regarding Sydney Morning Herald article

23 February 2016

Nicolette Kormendy, Ministry of Health

N

Item7 (a)(27) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Emails between Laura Kiely and Helen Juillerat regarding Sydney Morning Herald article

23 February 2016

Laura Kiely, Cancer Institute NSW

N

Item 7 (a)(28) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Melissa Devine to David Currow cc Laura Kiely forwarding email from Nicolette Kormendy

23 February 2016

Melissa Devine, Cancer Institute NSW

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 25 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(29) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Daily Issues Brief 23 February 2016

Ministry of Health N

Item 7 (a)(30) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Natasha Wallace regarding AM Media Snapshot

24 February 2016

Natasha Wallace, Ministry of Health

N

Item 7 (a)(31) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Mediaportal Report 24 February 2016

Isentia Group Ltd N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 26 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(32) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Laura Kiely to Lisa King regarding ABC report

24 February 2016

Laura Kiely, Cancer Institute NSW

N

Item 7 (a)(33) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Emails between Vanessa Delaney and Jenny Dennis regarding question from Sydney Morning Herald about Western NSW Local Health District

24 February 2016

Jenny Dennis, Ministry of Health

N

Item 7 (a)(34) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Rachel Gleeson attaching Daily Issues Brief

24 February 2016

Rachel Gleeson, Ministry of Health

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 27 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(35) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Daily Issues Brief 24 February 2016

Ministry of Health N

Item 7 (a)(36) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Helen Juillerat to Kim Stewart regarding paragraph on review process

24 February 2016

Helen Juillerat, Cancer Institute NSW

N

Item 7 (a)(37) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anjali Mullick to Helen Juillerat attaching Health-In-Brief for MoH Chemo Incident 19022016

19 February 2016

Anjali Mullick, Cancer Institute NSW

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 28 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(38) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Health In Brief for Ministry of Health, ABC 7.30 Report of under-dosing of a chemotherapy agent in a cohort of patients

19 February 2016

St Vincent’s Health Network Sydney

N

Item 7 (a)(39) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anjali Mullick to Helen Juillerat, forwarding email from Cate Malone attaching updated InBrief

24 February 2016

Anjali Mullick, Cancer Institute NSW

N

Item 7 (a)(40) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Health In Brief for Ministry of Health, ABC 7.30 Report of under-dosing of a chemotherapy agent in a cohort of patients, updated

19 February 2016

St Vincent’s Health Network Sydney

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 29 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(41) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anjali Mullick to Helen Juillerat, forwarding updated InBrief

24 February 2016

Anjali Mullick, Cancer Institute NSW

N

Item 7 (a)(42) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Health In Brief for Ministry of Health, ABC 7.30 Report of under-dosing of a chemotherapy agent in a cohort of patients, updated

24 February 2016

St Vincent’s Health Network Sydney

N

Item 7 (a)(43) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Helen Juillerat to SRCmail cc Kerry Chant, requesting David Currow be added to the distribution list for St Vincent’s Health Network In-Briefs

24 February 2016

Helen Juillerat, Cancer Institute NSW

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 30 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(44) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anjali Mullick to Helen Juillerat regarding cancer incident

19 February 2016

Anjali Mullick, Cancer Institute NSW

N

Item 7 (a)(45) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anjali Mullick to Helen Juillerat, attaching section 122 Inquiry Terms of Reference

24 February 2016

Anjali Mullick, Cancer Institute NSW

N

Item 7 (a)(46) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Inquiry under section 122 of the Health Services Act 1997 Terms of Reference signed by Mary Foley, Secretary NSW Ministry of Health

23 February 2016

Mary Foley, Secretary, Ministry of Health

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 31 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(47) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anjali Mullick to Helen Juillerat regarding preliminary documentation for inquiry

24 February 2016

Anjali Mullick, Cancer Institute NSW

N

Item 7 (a)(48) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anjali Mullick to Helen Juillerat attaching Certificates of Authority issued under Health Services Act 1997

24 February 2016

Anjali Mullick, Cancer Institute NSW

N

Item 7 (a)(49) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Certificates of Authority issued under Health Services Act 1997 appointing Professor David Currow, Dr Paul Curtis, Dr Tina Chen and Mr Paul Gavel as authorised officers under section 124 of the Health Services Act

24 February 2016

Leanne O’Shannessy, Executive Director Legal and Regulatory Services and General Counsel, Ministry of Health

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 32 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(50) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Helen Juillerat, on behalf of David Currow, to Anthony Schembri, attaching signed Certificates of Authority

24 February 2016

Helen Juillerat, Cancer Institute NSW

N

Item 7 (a)(51) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Certificates of Authority signed by the authorised officers

24 February 2016

Leanne O’Shannessy, Executive Director Legal and Regulatory Services and General Counsel, Ministry of Health

N

Item 7 (a)(52) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Karen Crawshaw to David Currow cc Kerry Chant and Leanne O’Shannessy regarding amended Terms of Reference

24 February 2016

Karen Crawshaw, Deputy Secretary Governance Workforce and Corporate, Ministry of Health

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 33 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(53) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Inquiry under section 122 of the Health Services Act 1997 Terms of Reference for signature of Mary Foley, Secretary NSW Ministry of Health

23 February 2016

Mary Foley, Secretary, Ministry of Health

N

Item 7 (a)(54) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Helen Juillerat to Kerry Chant cc Kim Stewart and Donna Cotton re St Vincent Incident attaching outcomes of 23 February teleconference – implications for Western NSW

24 February 2016

Helen Juillerat, Cancer Institute NSW

N

Item 7 (a)(55) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Outcomes of the teleconference conducted on 23rd February regarding implications for Western NSW of the St Vincent’s under dosing issue (marked-up with changes suggested by the Cancer Institute NSW)

24 February 2016

Division of Population Health, Ministry of Health

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 34 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(56) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Donna Cotton to Richard Cheney, Ruth Jones and David Currow cc Kim Stewart, Deborah Ross and Helen Juillerat re outcomes of underdosing teleconference held 23.2.2016

24 February 2016

Donna Cotton, Ministry of Health

N

Item 7 (a)(57) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

St Vincents Underdosing Issue – Implications for Western NSW – teleconference – Tuesday 23 February 2016

24 February 2016

Division of Population Health, Ministry of Health

N

Item 7 (a)(58) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Letter from Anthony Schembri to David Currow – release of information pursuant to Health Services Act 1997

24 February 2016

Anthony Schembri, Chief Executive Officer, St Vincent’s Health Network

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 35 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(59) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

St Vincents Hospital Sydney Carboplatin matter 24 February 2016

St Vincent’s Health Network

N

Item 7 (a)(60) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

St Vincents Health Network Sydney Matter for Information

7 August 2015

Ngaire Buchanan, Brett Gardner St Vincent’s Health Network

N

Item 7 (a)(61) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

St Vincents Health Network Sydney Matter for Information – final internal investigation

16 November 2015

Gabrielle Prest St Vincent’s Hospital Sydney

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 36 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(62) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Attachment A - H & N Chemotherapy Critical Incident Action Register Aug-Nov 2015

Unknown St Vincent’s Health Network

N

Item 7 (a)(63) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Attachment B – Case Summary and treatment dosage for five patients with recent occurrence

Unknown St Vincents Health Network

Y Privacy – contains health information of individual patients

Item 7 (a)(64) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Attachment C – Paper to report findings in regards to dosing of Carboplatin in head and neck cancer patients.

Unknown Dr P Savage St Vincents Health Network

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 37 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(65) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Letter from Anthony Schembri to Danny Rischin 24 November 2015

Anthony Schembri, Chief Executive Officer, St Vincent’s Health Network

N

Item 7 (a)(66) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email correspondence between Beth Keightly and Dominika Maciazsek

23 February 2016

Beth Keightly N

Item 7 (a)(67) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Beth Keightly and Dominika Maciazsek

23 February 2016

Beth Keightly N

Page 45: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 38 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(68) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Beth Keightly and Dominika Maciazsek

23 February 2016

Beth Keightly N

Item 7 (a)(69) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Letter from Anthony Schembri to Brian Stein 23 December 2015

Anthony Schembri, Chief Executive Officer, St Vincent’s Health Network

N

Item 7 (a)(70) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Letter from Brian Stein to Richard Gallagher 9 February 2016

Richard Stein Adelaide Cancer Centre

N

Page 46: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 39 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(71) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Drug and Therapeutics Committee Terms Of Reference 2012

July 2012 St Vincent’s Hospital N

Item 7 (a)(72) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Drug and Therapeutics Committee Terms Of Reference 2013

July 2013 St Vincent’s Hospital N

Item 7 (a)(73) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

St Vincent’s Health Network Drug and Therapeutics Committee Terms Of Reference

12 September 2014

St Vincent’s Hospital N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 40 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(74) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

St Vincent’s Health Network Drug and Therapeutics Committee Terms Of Reference

12 December 2014

St Vincent’s Hospital N

Item 7 (a)(75) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Cancer Clinical Governance meeting minutes and action list

28 September 2015

The Kinghorn Cancer Centre

N

Item 7 (a)(76) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Cancer and immunology program – clinical governance committee minutes

29 February 2012

St Vincent’s Hospital N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 41 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(77) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Cancer and immunology program – clinical governance committee minutes

4 April 2012

St Vincent’s Hospital N

Item 7 (a)(78) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Cancer and immunology program – clinical governance committee minutes

4 July 2012 St Vincent’s Hospital N

Item 7 (a)(79) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Cancer and immunology program – clinical governance committee minutes

9 May 2012 St Vincent’s Hospital N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 42 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(80) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Cancer and immunology program – clinical governance committee minutes

20 October 2014

St Vincent’s Hospital N

Item 7 (a)(81) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Cancer and immunology program – clinical governance committee agenda

29 May 2014

St Vincent’s Hospital N

Item 7 (a)(82) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Cancer and immunology program – clinical governance committee minutes

27 March 2014

St Vincent’s Hospital N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 43 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(83) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Cancer and immunology program – clinical governance committee minutes

20 May 2015

St Vincent’s Hospital N

Item 7 (a)(84) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Unposted incident – Edit 1 29 February 2012

St Vincent’s Mater Health

Y Privacy – contains personal information

Item 7 (a)(85) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Untitled Spreadsheet (n=25) including information about patients

Unknown St Vincent’s Health Network

Y Privacy – contains health information of individual patients

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 44 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(86) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Untitled Spreadsheet (n=46) including information about patients

Unknown St Vincent’s Health Network

Y Privacy – contains health information of individual patients

Item 7 (a)(87) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Untitled Spreadsheet (n=47) including information about patients

Unknown St Vincent’s Health Network

Y Privacy – contains health information of individual patients

Item 7 (a)(88) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Untitled Spreadsheet (n=83) including information about patients

Unknown St Vincent’s Health Network

Y Privacy – contains health information of individual patients

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 45 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(89) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Communication Records – flat dose chemotherapy; record of communications with 62 patients/family.

23 February 2016

St Vincent’s Health Network

Y Privacy – contains health information of individual patients

Item 7 (a)(90) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Complaint to Health Care Complaints Commission including attachments

16 July 2015

Complainant Y Privacy – contains health information of individual patients

Item 7 (a)(91) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Gabrielle Prest to Anthony Schembri Cc Anthony Joshua, Richard Gallagher Subject: chemotherapy risk mitigation

19-Feb-16 Gabrielle Prest N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 46 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(92.1)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Gabrielle Prest to Anthony Schmebri, Terry Melocco, Anthony Joshua, Brett Gardiner, Ngaire Buchanan, Richard Gallagher Cc SVHN CEO Subject: Re: Private and Confidential - Med Onco

23-Feb-16 Gabrielle Prest N

Item 7 (a) (92.2) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Gabrielle Prest to Anthony Schembri, Chris Conn Cc Brett Gardiner Subject: Re: RIB RiskMan Chemotherapy Under-dose Request

23-Feb-16 Gabrielle Prest N

Item 7 (a) (92.3) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Brett Gardiner to Anthony Schembri Subject: Request for assistance

22-Feb-16 Brett Gardiner N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 47 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a) (92.4) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Richard Gallagher to Anthony Joshua, Brett Gardiner, Anthony Schembri, Ngaire Buchanan, Gabrielle Prest, David Faktor, Margaret Lazar, Margaret Bramwell, Jasmin Douglas, Terry Melocco Cc SVHN CEO, Phillip Broughton Subject: Re: Private and Confidential - Med Onco

19-Feb-16 Richard Gallagher N

Item 7 (a) (92.5) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Brett Gardiner to Anthony Schmebri Cc David Faktor Subject: Carboplatin @ 9:55am

19-Feb-16 Brett Gardiner N

Item 7 (a) (92.6) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Richard Gallagher to Anthony Schembri Subject: Stein Report

10-Feb-16 Richard Gallagher N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 48 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a) (92.7) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anthony Schembri to Phillip Broughton Subject: FW: Head and Neck Cancer Review

22-Feb-16 Anthony Schembri N

Item 7 (a) (92.8) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anthony Schembri to Phillip Broughton Subject: FW: Review of Adjuvant Chemotherapy Dosing

23-Feb-16 Anthony Schembri N

Item 7 (a) (92.9) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anthony Schembri to Phillip Broughton Subject: FW: Head and Neck Cancer Review

23-Feb-16 Anthony Schembri N

Page 56: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 49 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a) (92.10)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Brian Stein to Richard Gallagher, Anthony Schembri Subject: Carboplatin and clarficiation

23-Feb-16 Brian Stein N

Item 7 (a) (92.11)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Jasmin Douglas to Anthony Schembri, David Faktor Subject: FW: Ms Sheila Bradbury - treatment at St Vincent's Hospital

24-Feb-16 Jasmin Douglas Y Privacy – contains health information of individual patients

Item 7 (a) (92.12)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Jasmin Douglas to Anthony Schembri Subject: Letters to patients & relatives

24-Feb-16 Jasmin Douglas N

Page 57: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 50 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a) (92.13)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Jasmin Douglas to Brett Gardiner, Ngaire Buchanan, Gabrielle Prest, Richard Gallagher, Anthony Schembri Cc Margaret Bramwell Subject: Letters to patients & relatives

24-Feb-16 Jasmin Douglas N

Item 7 (a) (92.14)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Katarina Cvitkovic to Anthony Schembri, Brett Gardiner, Ngaire Buchanan, Phillip Broughton, Patricia Orourke - SVHA Subject: FYI - TMF notified

24-Feb-16 Katarina Cvitkovic N

Item 7 (a) (92.15)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Jasmin Douglas to Anthony Schembri, David Faktor, Brett Gardiner Subject: Re: SMH Inquiry re chemotherapy dosages

22-Feb-16 Jasmin Douglas N

Page 58: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 51 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a) (92.16)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Anthony Schembri to SVHN Executive, SVHN Clinical Streams, David Faktor, Nikki Potent, Hansni Bhagani, Heidi Boss, Margaret Bramwell, Katarina Cvitkovic, Susan Golightly Subject: Thanks to the team

20-Feb-16 Anthony Schembri N

Item 7 (a) (92.17)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Phillip Broughton to Heidi Boss, Anthony Schembri, David Faktor, Brett Gardiner, Gabrielle prest, Richard Gallager Subject: Script

19-Feb-16 Phillip Broughton N

Item 7 (a) (92.18)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Brett Gardiner to Beth Keightley Dominika Maciaszek, SVHN CEO, Phillip Broughton, Anthony Schembri, Richard Gallagher, Gabrielle Prest, David Faktor, Ngaire Buchanan Subject: Follow up actions from MoH

19-Feb-16 Brett Gardiner N

Page 59: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 52 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a) (92.19)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Gabrielle Prest to Anthony Schembri Subject: Fw: Response to Media News Breaking

19-Feb-16 Gabrielle Prest N

Item 7 (a) (92.20)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Brett Gardiner to Anthony Schembri Cc Brett Gardiner, Gabrielle Prest Subject: Timeline Process and other documents

19-Feb-16 Brett Gardiner N

Item 7 (a) (92.21)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Gabrielle Prest to Brett Gardiner, Anthony Schembri Subject: Process and other documents

19-Feb-16 Gabrielle Prest N

Page 60: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 53 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a) (92.22)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Phillip Broughton to [email protected] Cc Anthony Schembri, SVHN CEO, Susan Golightly Subject: Update to IB16/106 In-Brief - Media Story - Under-dosing of chemotherapy agent in a cohort of patients

19-Feb-16 Phillip Broughton N

Item 7 (a) (92.23)

All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Brett Gardiner to Anthony Schembri, Richard Gallagher, Ngaire Buchanan, Gabrielle Prest, Anthony Joshua, David Faktor, Margaret Lazar, Margaret Bramwell, Jasmin Douglas Cc SVHN CEO, Phillip Broughton Subject: Re: Private and Confidential - Med Onco

19-Feb-16 Brett Gardiner N

Item 7 (a)(93) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Untitled spreadsheet (n = 82) including information about patients

Unknown St Vincent’s Health Network

Y Privacy — contains health information of individual patients

Page 61: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 54 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(94) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Untitled spreadsheet (n = 82) including information about patients

Unknown St Vincent’s Health Network

Y Privacy — contains health information of individual patients

Item 7 (a)(95) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Lisa King to Helen Juillerat regarding request for previous versions of head and neck squamous cell carcinoma locally advanced Cetuximab Chemoradiation (Part 2 of TPF)

23 February 2016

Lisa King, Cancer Institute NSW

N

Item 7 (a)(96) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Urogenital reference committee meeting minutes 9 May 2014

19 June 2014

Lisa King, Cancer Institute NSW

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 55 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 7 (a)(97) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Minutes – Medical Oncology Reference Committee Meeting – 3 May 2013

1 July 2013 Lisa King, Cancer Institute NSW0

N

Item 8(a)(1) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Philippa McGann to Aimee Kim Subject: RE: ID 1674 NHL RDHAO X

24/02/2016 Philippa McGann N

Item 8(a)(2) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from David Currow to Beth MacauleyShelley RUSHTON; Tina Chen; Subject: FW: CINSW/CEC catch up

23/02/2016 David Currow N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 56 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 8(a)(3) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Jon Plummer to Richard Walton Subject: RE: Devil's advocate

23/02/2016 Jon Plummer N

Item 8(a)(4) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from ABC NewsMail to Blanche Marchant Subject: ABC NewsMail - Morning Edition

23/02/2016 ABC NewsMail N

Item 8(a)(5) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Google Alerts to Melissa Devine Subject: Google Alert - "Cancer Institute" + NSW

23/02/2016 Google Alerts N

Page 64: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 57 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 8(a)(6) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Google Alertsto laura kiely Subject: Google Alert - Cancer Institute NSW

23/02/2016 Google Alerts N

Item 8(a)(7) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Claire to Claire BRAUER Subject: Inquiry launched into under-dosing of cancer pati...

23/02/2016 Claire N

Item 8(a)(8) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Felicity DEVITT to Claire Subject: Re: Inquiry launched into under-dosing of cancer ...

23/02/2016 Felicity DEVITT N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 58 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 8(a)(9) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Claire to Felicity DEVITT Subject: Inquiry launched into under-dosing of cancer pati...

23/02/2016 Claire N

Item 8(a)(10) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Matt Peacock Subject: Inquiry launched into under-dosing of cancer pati...

23/02/2016 Matt Peacock N

Item 8(a)(11) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Paul Curtis to David Currow Subject: RE: CINSW/CEC catch up

23/02/2016 Paul Curtis N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 59 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 8(a)(12) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Rhonda DeSouza to Christine CarringtonGriffiths, Tina; Kate Cameron... Subject: Chemo Guidelines - Minutes & Actions

19/01/2015 Rhonda DeSouza N

Item 8(a)(13) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Lisa King to Jeremy Subject: RE: ID 1488 Axitinib

01/12/2015 Lisa King N

Item 8(a)(14) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Aisling KELLY to Lisa King Subject: Tit bits from my brain....

23/11/2015 Aisling KELLY N

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Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 8(a)(15) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Lisa King to Lydia Loke Subject: RE: axitinib

18/11/2015 Lisa King N

Item 8(a)(16) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Lydia Loke to Shelley RUSHTON Subject: RE: Favour please email me the ref com minutes fr...

17/11/2015 Lydia Loke N

Item 8(a)(17) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from WILLIAMS Linda to Jill Graham Subject: Re: Request a Protocol for BIG 3-07 (TROG 07.01)

03/11/2015 WILLIAMS Linda N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 61 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 8(a)(18) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Nasreen Kaadan to David Fraser OMIS implementations

21/09/2015 Nasreen Kaadan N

Item 8(a)(19) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Aisling KELLY to Alan Boddy Subject: RE: eviQ lecture to Pharmacy students at the Univ...

31/07/2015 Aisling KELLY N

Item 8(a)(20) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Aisling KELLY to Aimee Kim Subject: Attached

31/07/2015 Aisling KELLY N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 62 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 8(a)(21) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Aisling KELLY to [email protected] Subject: RE: Development of Search String or Literature Se...

28/07/2015 Aisling KELLY N

Item 8(a)(22) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Aisling KELLY to Aimee Kim Subject: Folder with all documents

27/07/2015 Aisling KELLY N

Item 8(a)(23) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Aimee Kim to Aisling KELLY Subject: RE: Can you have a final look as this will be the...

24/07/2015 Aimee Kim N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 63 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 8(a)(24) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Rhonda DeSouza to Christine [email protected]; Kate.Camero... Subject: Agenda and dial-in details for guidelines call

12/06/2015 Rhonda DeSouza N

Item 8(a)(25) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Aisling KELLY to Betty Chaar ([email protected])alan.boddy... Subject: FW: eviQ lecture to Pharmacy students at the Univ...

23/07/2015 Aisling KELLY N

Item 8(a)(26) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Aisling KELLY to Pippa Rendel Subject: Re: COSA documents

17/06/2015 Aisling KELLY N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 64 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 8(a)(27) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Aisling KELLY to Pippa Rendel Subject: FW: Re: COSA documents

18/06/2015 Aisling KELLY N

Item 8(a)(28) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Julia Shingleton to Lydia Loke Erica Wales; Aisling ... Subject: RE: Review 1 General Principles Storyboard

01/04/2015 Julia SHINGLETON N

Item 8(a)(29) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Erica Wales to Julia Shingleton; Aislong Kelly, Aimee Kim, Lydia Loke Subject: FW: Review 1 General Principles Storyboard

06/04/2015 Aisling KELLY N

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NSW Ministry of Health Page 65 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 9 (a)1 All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Erica Wales to Erica Wales – General Principles Storyboard

31/3/2015 Erica Wales N

Item 9 (a)2 As above Email from Erica Wales to Sarah Tomkins Subject: FW: eviQ Community Pharmacy Project

30/03/2015 Erica Wales N

Item 9 (a)3 As above Email from Erica Wales to Sarah Tomkins Subject: FW: eviQ Community Pharmacy Project

30/03/2015 Erica Wales N

Item 9 (a)4 As above Email from Erica Wales to Lydia LokeAimee Kim; Aisling KELLY; Julia Shingleton... Subject: eviQ Community Pharmacy Project

29/03/2015 Erica Wales N

Item 9 (a)5 As above Email from Erica Wales to Lydia Loke Aimee Kim; Aisling KELLY; Julia Shingleton... Subject: First Activity - Take THREE

19/03/2015 Erica Wales N

Item 9 (a)6 As above Email from Almee Kim to Aisling KELLY; Julia Shingleton Lydia Loke cc Erica Wales Subject: meeting - Pharmacy project

18/03/2015 Almee Kim N

Item 9 (a)7 As above Email from Aisling Kelly to Bayan Hosseini Subject: Masters of Pharmacy workshop aterial

09/09/2014 Aisling Kelly N

Item 9 (a)8 As above Email from Violeta Sutherland to Violeta Sutherland Subject: ACI Gynaecological Oncology March Minutes

17/03/2015 Violeta Sutherland N

Item 9 (a)9 As above Email from Lydia Loke to Lydia Loke Subject:eviQdose calculator for carbonplatin...

03/09/2014 Lydia Loke N

Item 9 (a)10 As above Email from Tia Moeke to CI CSI eviQ Content Authors DL Subject: FYI: JCO Current Issue JCO Table of Contents (Vo...

27/02/2015 Tia Moeke N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 66 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 9 (a)11 As above Email from Patel, Iacobuzio-Donahue, Gormley, Kern, Cunningh... Subject: Are We Systematically Under-Dosing Patients With ..

26/02/2015 Patel, Iacobuzio-Donahue, Gormley, Kern, Cunningh...

N

Item 9 (a)12 As above Email from Aimee Kim to Aimee KimAisling KELLY; Catherine Johnson; Erica ... Subject: INF: metoclopramide dosing change

26/02/2015 Aimee Kim N

Item 9 (a)13 As above Email from Aimee Kim to MOLASIOTIS, Alex [SN] Subject: RE: Inquiry about Metoclopramide dosing

25/02/2015 Aimee Kim N

Item 9 (a)14 As above Email from Aisling KELLY to [email protected] Subject: Re: Reconstitution and Administration of Methotre..

20/01/2015 Aisling KELLY N

Item 9 (a)15 As above Email from KOBAYASHI, Yoko to Lydia Loke Subject: RE: full text article pls

14/01/2015 KOBAYASHI, Yoko N

Item 9 (a)16 As above Email from Aisling KELLY to Sarah Tomkins Subject: Presentation for Community Pharmacists

07/01/2015 Aisling KELLY N

Item 9 (a)17 As above Email from sarah Donaldson to Sarah Tomkins Subject: Oral non malignant module .docx

04/01/2015 sarah donaldson N

Item 9 (a)18 As above Email from Sarah Donaldson to Sarah Tomkins Subject: Oral non malignant module .docx

23/12/2014 sarah donaldson N

Item 9 (a)19 As above Email from Lisa King to Jeremy Shapiro Subject: meeting minutes for enzalutamide

25/11/2014 Lisa King N

Item 9 (a)20 As above Email from Hayley Sciuriaga to Maggie White Subject: 2012 Outcome Report Varughese (2).doc

11/11/2014 Hayley Sciuriaga N

Item 9 (a)21 As above Email from Patricia Ryan to Lisa King Subject: IP

13/10/2014 Patricia Ryan N

Item 9 (a)22 As above Email from Maggie White to [email protected] Subject: Varughese

20/11/2014 Maggie White N

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NSW Ministry of Health Page 67 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 9 (a)23 As above Email from Claudine Lyons to Sarah McGill Subject: HPRM: FW: NSW Health Smoke-free Health Care Police...

12/10/2014 Claudine Lyons N

Item 9 (a)24 As above Email from MAIR, Samantha to David Currow Subject: NSW Health Smoke-free Health Care Policy

29/09/2014 MAIR, Samantha N

Item 9 (a)25 As above Email from Jenna Dean to Kim [email protected]; Subject: Minutes and protocols.

22/09/2014 Jenna Dean N

Item 10 (a)1 All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Aisling KELLY to Aisling KELLYaish kelly ([email protected]); Subject: Sydney Uni

01/09/2014 Aisling KELLY N

Item 10 (a)2 As above Email from Aimee Kim to Lydia Loke Aisling KELLY; Subject: RE: Pharmacy Tutorials

01/09/2014 Aimee Kim N

Item 10 (a)3 As above Email from Aisling KELLY to Lisa King Subject: Can you look at the MM one....

01/09/2014 Aisling KELLY N

Item 10 (a)4 As above Email from Stiff, Jennifer to Sanchia Aranda Subject: CQCO 2014 Ontario Cancer Plan IV Review draft pro...

25/08/2014 Stiff, Jennifer N

Item10 (a)5 As above Email from Sarah Tomkins to Annie Zheng Subject: Module 3 finished yippee

05/08/2014 Sarah Tomkins N

Item 10 (a)6 As above Email from Aisling KELLY to [email protected] Subject: Re: Oral Chemotherapy........

01/08/2014 Aisling KELLY N

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Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 10 (a)7 As above Email from Danielle Peterman to Julia ShingletonShelley RUSHTON; Peter.Grimison@l... Subject: Guidelines for Services Administering Antineoplas...

03/07/2014 Danielle Peterman N

Item 10 (a)8 As above Email from Julia Shingleton to Elizabeth Latimer Hill Subject: Community Pharmacy oral chemo

03/07/2014 Julia Shingleton N

Item 10 (a)9 As above Email from Danielle Peterman to [email protected]@gsahs.health... Subject: Guidelines for Services Adminstering Antineoplast..

30/06/2014 Danielle Peterman N

Item 10 (a)10 As above Email from Lisa King to Karen Briscoe, Alison Davies; Ankit Jan etc Subject: eviQ gynaecological protocols due for review

27/06/2014 Lisa King N

Item 10 (a)11 As above Email from Lisa King to Annabel McNally ([email protected]) Subject: FW: protocols ready for republishing

20/06/2014 Lisa King N

Item 10 (a)12 As above Email from Lisa King to Jeremy Shapiro Subject: Protocols for review

17/06/2014 Lisa King N

Item 10 (a)13 As above Email from Jeremy Shapiro to Lisa King Subject: Dose medications for testicular regimens

09/06/2014 Lisa King N

Item 10 (a)14 As above Email from Lisa King to Lydia Loke Subject: Dose medications for testicular regimens

09/06/2014 Lisa King N

Item 10 (a)15 As above Email from Jeremy Shapiro to Lisa King Subject: Re: dose modifications for Testicular regimens

29/05/2014 Jeremy Shapiro N

Item 10 (a)16 As above Email from Peter Grimison to Lisa King, Monica Dumbrava; A/Prof Alexander Gumins... Subject: RE: dose modifications for Testicular regimens

29/05/2014 Peter Grimison N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 69 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 10 (a)17 As above Email from Lisa King to Monica DumbravaA/Prof Alexander Guminski (Agumins... Subject: dose modifications for Testicular regimens

27/05/2014 Lisa King N

Item 10 (a)18 As above Email from Lydia Loke to Lisa King Subject: RE: Dose Modifications for Testicular regimens.do...

26/05/2014 Lydia Loke N

Item 10 (a)19 As above Email from Aisling KELLY to Aisling KELLY Subject: Fwd: PSAppt

25/05/2014 Aisling KELLY N

Item 10 (a)20 As above Email from Lydia Loke to Annabel McNally ([email protected]) Subject: ACT: 1441 Bladder Locally advanced cisplatin (wee...

23/05/2014 Lydia Loke N

Item 10 (a)21 As above Email from Lisa King to Lydia Loke Subject: FW: Dose Modifications for Testicular regimens.do...

21/05/2014 Lisa King N

Item 10 (a)22 As above Email from Danielle Peterman to Danielle PetermanJulia Shingleton; Shelley RUSHTO... Subject: Guidelines for Services Administering Antineoplas...

21/05/2014 Danielle Peterman N

Item 10 (a)23 As above Email from Danielle Peterman to Sue Zweck Subject: Guidelines for Services Administering Antineoplas...

21/05/2014 Danielle Peterman N

Item 10 (a)24 As above Email from Danielle Peterman to Julia ShingletonShelley RUSHTON; Peter.Grimison@l... Subject: Guidelines for Services Administering Antineoplas...

21/05/2014 Danielle Peterman N

Item 10 (a)25 As above Email from Danielle Peterman to Melissa Reddie ([email protected])... Subject: Guidelines for Services Administering Antineoplas...

20/05/2014 Danielle Peterman N

Item 10 (a)26 As above Email from Danielle Peterman to Danielle PetermanJulia Shingleton; Shelley RUSHTO... Subject: Guidelines for Services Administering Antineoplas...

20/05/2014 Danielle Peterman N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 70 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 10 (a)27 As above Email from Danielle Peterman to Julia [email protected]; Melissa... Subject: Guidelines for Services Administering Antineoplas...

20/05/2014 Danielle Peterman N

Item 10 (a)28 As above Email from Mair Humphries to Ryan Broom Subject: PSA

19/05/2014 Mair Humphries N

Item 10 (a)29 As above Email from Aisling KELLY to Aisling KELLY Subject: FW: Notes

19/05/2014 Aisling KELLY N

Item 10 (a)30 As above Email from Peter Grimison to Lisa King Subject: RE: Reference Committee Meeting Draft Minutes

18/05/2014 Peter Grimison N

Item 10 (a)31 As above Email from Lisa King to Monica DumbravaA/Prof Alexander Guminski (Agumins... Subject: Reference Committee Meeting Draft Minutes

16/05/2014 Lisa King N

Item 10 (a)32 As above Email from Danielle Peterman to Danielle PetermanJulia Shingleton; Shelley RUSHTO... Subject: Guidelines for Services Administering Antineoplas...

15/05/2014 Danielle Peterman N

Item 10 (a).33 As above Email from Mair Humphries to Aisling KELLY Subject: Fwd: Notes

13/05/2014 Mair Humphries N

Item 10 (a)34 As above Email from Feedback to Hughes, Tristan J (DHHS) Subject: RE: eviQ dose calculator for carboplatin containi...

12/05/2014 Feedback N

Item 10 (a).35 As above Email from Howard Elliot to [email protected] Subject: FW: eviQ and eviQEd program evaluation report 201...

08/05/2014 Howard Elliot N

Item 10 (a)36 As above Email for Elizabeth Zwart to Danielle Peterman Subject: Chemotherapy Standards

02/05/2014 Elizabeth Zwart N

Item 10 (a).37 As above Email from Debbie Marriott to Krissy Ukena Subject: please print including email and highlight my mes...

29/04/2014 Debbie Marriott N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 71 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 11 (a)1 All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Mair Humphries to Aisling KELLY Subject: FW: Speaker Update - CPExpo14

27/04/2014 Mair Humphries N

Item 11 (a)2 As above Email from Julia Shingleton to Aisling KELLY Subject: Comments - PSA oral chemo slides

24/04/2014 Julia Shingleton N

Item 11 (a)3 As above Email from Aisling KELLY to [email protected] Subject: Ppt final version woth notes

24/04/2014 Aisling KELLY N

Item 11 (a)4 As above Email from Aisling KELLY to Julia ShingletonAimee Kim; Lydia Loke; Subject: FW: Speaker Update - CPExpo14

23/04/2014 Aisling KELLY N

Item 11 (a)5 As above Email from Aisling KELLY to Julia Shingleton Lydia Loke; Aimee Kim; Subject: FW: Re: PSA Presentation

09/04/2014 Aisling KELLY N

Item 11 (a)6 As above Email from Medical News Today to [email protected] Subject: Medical News Today weekly newsletter - 2 April 20...

02/04/2014 Medical News Today N

Item 11 (a)7 As above Email from Galletta Laura to Kim FAULKNER Subject: RE: Request for copy of TROG 08.02 Trial protocol

19/03/2014 Galletta Laura N

Item 11 (a)8 As above Email from Feedback to Julia ShingletonAisling KELLY; Subject: RE: eviQ contact us

27/02/2014 Feedback N

Item 11 (a)9 As above Email from Rachel De Bear to [email protected] Subject: Trial Transfer - AURED Reference 07/CIC/08 CI NSW...

13/11/2013 Rachel De Bear

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 72 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 12 (a)1 All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Sarah Tomkins to Lisa Barrow Subject: RE: info on monoclonal Abs and safe handling

26/09/2013 Sarah Tomkins N

Item 12 (a)2 As above Email from Lisa King to Robyn Ward ([email protected]) Subject: Olfactory Neuroblastoma ID 660

23/09/2013 Lisa King N

Item 12 (a)3 As above Email from Ciara McGrath to Natalie COOK Subject: FW: Community Module 4 - reviewing antineoplastic...

19/09/2013 Ciara McGrath N

Item 12 (a)4 As above Email from Natalie COOK to Ciara McGrath Subject: RE: Community Module 4 - reviewing antineoplastic...

18/09/2013 Natalie Cook N

Item 12 (a)5 As above Natalie Cook to Natalie Cook 26/7/2013 Natalie Cook N Item 12 (a)6 As above Email from Lydia Loke to Lydia Loke

Subject: FW: eviQ GI Meeting Fri 25 Nov 0930 to 1515 Agend...

05/09/2013 Lydia Loke N

Item 12 (a)7 As above Email from Aisling KELLY to Paris Manii Subject: RE: Calculation of Crcl in Carboplatin dosing

06/08/2013 Aisling KELLY N

Item 12 (a)8 As above Email from Aisling KELLY to Paris Manii Subject: RE: Calculation of Crcl in Carboplatin dosing

05/08/2013 Aisling KELLY N

Item 12 (a)9 As above Email from Aisling KELLY to Lydia Loke Subject: FW: Calculation of Crcl in Carboplatin dosing

05/08/2013 Aisling KELLY N

Item 12 (a)10 As above Email from Julia Shingleton to Lorna KnottenbeltHoward Elliot; Subject: eviQ and eviQEd program evaluation report 2012 He...

08/05/2014 Julia Shingleton N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 73 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 12 (a)11 As above Email from Hughes, Tristan J (DHHS) to Feedback Subject: eviQ dose calculator for carboplatin containing p...

02/05/2014 Hughes, Tristan J (DHHS)

N

Item 12 (a)12 As above Email from Zwart, Elizabeth (Health) to Danielle Peterman RE: NSW Chemotherapy Standards

02/05/2014 Zwart, Elizabeth (Health)

N

Item 12 (a)13 As above Feedback to Lydia Loke, Aisling Kelly, Julia Shingleton

04/05/2013 Julia Shingleton N

Item 12 (a)14 As above Email from Annabel McNally to [email protected] Subject: FW:

31/07/2013 Annabel McNally N

Item 12 (a)15 As above Email from Natalie COOK to Aisling KELLY Subject: RE: RE; Oral Chemotherapy Information

26/07/2013 Natalie Cook N

Item 12 (a)16 As above Natalie Cook to Natalie Cook – Oral Chemotherapy Module 4

26/07/2013 Natalie Cook N

Item 12 (a)17 As above Email from Notify to [email protected] Subject: Australian Government media releases for Jul 24 2...

24/07/2013 Notify N

Item 12 (a)18 As above Email from Lydia Loke to Sarah Tomkins Subject: ADACV2AdminOralDrugs

18/07/2013 Lydia Loke N

Item 12 (a)19 As above Email from Aimee Kim to Danielle PetermanAisling KELLY; Subject: FW: wrong attachments

03/07/2013 Aimee Kim N

Item 12 (a)20 As above Email from Lisa King to Briscoe, Karen Subject: RE: EMA- EP

01/07/2013 Lisa King N

Item 12 (a)21 As above Email from Lisa King to Annabell McNally – protocols with Carboplatin

01/07/2013 Lisa King N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 74 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 13 (a)1 All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Annabel McNally to Annabel McNally 28/06/2013 Annabel McNally N

Item 13 (a)2 As above Email from Lisa King to Briscoe, Karen Subject: FW: Carboplatin dosing for head and neck protocol...

20/06/2013 Lisa King N

Item 13 (a)3 As above Email from Annabel McNally to [email protected] Subject: FW: CPG eNewsletter – April 2013

29/05/2013 Annabel McNally N

Item 13 (a)4 As above Email from Kirsa Sue to.All Medical Staff.Senior Nursing Staff (PMCI); Subject: FW: Pharmacy Newsletter May 2013

26/05/2013 Kirsa Sue N

Item 13 (a)5 As above Email from Aimee Kim to YenZhi Tham Subject: FW: Dosing chemotherapy in obese patients: Actual..

23/05/2013 Aimee Kim N

Item 13 (a)6 As above Email from Lisa King to Lydia Loke Aimee Kim; Catherine Johnson; Subject: jobs from RC meeting

17/05/2013 Lisa King N

Item 13 (a)7 As above Email from Lisa King to Briscoe, Karen Subject: Draft reference committee meeting minutes

15/05/2013 Lisa King N

Item 13 (a)8 As above Email from Lydia Loke to Cl eviQ Content Authors Subject: INF: A couple of articles that came through the C...

16/04/2013 Lydia Loke N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 75 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 13 (a)9 As above Email from Lydia Loke to Annabel McNallyAimee Kim; Subject: FYI: CPG eNewsletter – April 2013

16/04/2013 Lydia Loke N

Item 13 (a)10 As above Email from Patricia Ryan to Michael Harvey Subject: RE: miss print in Rowe article

03/04/2013 Patricia Ryan N

Item 13 (a)11 As above Email from Yen Zhi Tham to Aimee Kim Subject: Dosing chemotherapy in obese patients: Actual ver...

19/03/2013 Yen Zhi Tham N

Item 13 (a)12 As above Email from Sarah Tomkins to [email protected] Subject: article you might find interesting

07/03/2013 Sarah Tomkins N

Item 13 (a)13 As above Email from Sarah Tomkins to [email protected], sarah.spinks@health.... Subject: thought you might find this interesting..

07/03/2013 Sarah Tomkins N

Item 13 (a)14 As above Email from Danielle Peterman to Elizabeth Latimer HillChris Sargeant; Sarah Tomki... Subject: FW: Safe use of oral cytotoxic medicines Aust Pre...

07/03/2013 Danielle Peterman N

Item 13 (a)15 As above Email from Annabel McNally to CI eviQ Content Authors Subject: Safe use of oral cytotoxic medicines Aust Prescr ...

06/03/2013 Annabel McNally N

Item 13 (a)16 As above Email from Feedback to [email protected] Subject: FW: eviQ contact us Danielle Peterman

03/03/2013 Feedback N

Item 13 (a)17 As above Email from Annabel McNally to Aisling KELLY Subject: INF: Obese pts

01/03/2013 Annabel McNally N

Item 13 (a)18 As above Email from Jennifer Aung to Kate LowrieETHICS; Subject: HREC submission for M028457 study

12/11/2012 Jennifer Aung N

Item 13 (a)19 As above Email from Kidney International Alert to Elizabeth TRACEY Subject: Kidney International - Table of Contents alert Vo...

30/09/2012 Kidney International Alert

N

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Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 76 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 13 (a)20 As above Email from Jane Garrad to Elizabeth Latimer Hill Subject: eviQ/eviQEd Evaluation Report

31/07/2012 Jane Garrad N

Item 13 (a)21 As above Email from Jane Garrad to Jane Garrad Subject: FW: RE: eviQ - final deliverables a minor typo an...

24/07/2012 Jane Garrad N

Item 13 (a)22 As above Email from Jane Garrad to Kim FAULKNER Subject: HP TRIM Electronic Document with Revisions : E12/...

08/07/2012 Jane Garrad N

Item 13 (a)23 As above Email from Jane Garrad to Lisa King Subject: HP TRIM Electronic Document with Revisions : E12/...

03/07/2012 Jane Garrad N

Item 13 (a)24 As above Email from Shelley RUSHTON to [email protected] Subject: HP TRIM Electronic Document with Revisions : E12/...

21/06/2012 Shelley RUSHTON N

Item 13 (a)25 As above Email from Kim FAULKNER to Andrew [email protected]... Subject: RE: F/U from eviQ Upper GI and Colorectal RCM mee...

06/06/2012 Kim FAULKNER N

Item 13 (a)26 As above Email from Andrew Kneebone to Kim [email protected]; ... Subject: RE: F/U from eviQ Upper GI and Colorectal RCM mee...

05/06/2012 Andrew Kneebone N

Item 13 (a)27 As above Email from Stephen Thompson [RadONC] to Kim FAULKNERKim FAULKNER; Andrew Kneebone-NSCCAHS... Subject: RE: F/U from eviQ Upper GI and Colorectal RCM mee...

04/06/2012 Stephen Thompson [RadONC]

N

Item 13 (a)28 As above Email from Dr. Jacquie Chirgwin to Jane Garrad Subject: EBCC-8 2012 Conference Review

14/05/2012 Dr. Jacquie Chirgwin N

Item 13 (a)29 As above Email from APS Member Groups - Lina Ricciardelli to Megan Varlow Subject: Australian Centre for Behavioural Research in Dia...

05/05/2012 APS Member Groups - Lina Ricciardelli

N

Page 84: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 77 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 13 (a)30 As above Email from Jane Garrad to Kimberly StrongCatherine BULLIVANT; KendeII Fergu... Subject: Act: Final reports from HealthConsult, please rev...

29/03/2012 Jane Garrad N

Item 13 (a)31 As above Email from Lisa Fodero to Jane Garrad Subject: RE: eviQ - final deliverables a minor typo and so...

29/03/2012 Lisa Fodero N

Item 13 (a)32 As above Email from Jane Garrad to Kimberly Strong Subject: Act: eviQ - final deliverables

28/03/2012 Jane Garrad N

Item 13 (a)33 As above Email from Jane Garrard to Catherien Bullivant Subject: eviQ — final deliverables

28/03/2012 Jane Garrad N

Item 13 (a)34 As above Email: Lisa Fodero to Jane Garrad Subject: eviQ — Final deliverables

28/03/2012 Lisa Fodero N

Item 13 (a)35 As above Email from Simon Sutcliffe to David Currow Subject: ICCC5 Australia

23/03/2012 Simon Sutcliffe N

Item 14(a)(1) All documents and emails relating to the under-dosing of patients undergoing chemotherapy in New South Wales, including investigations and reports into the matter

Email from Jane Garrad to Lisa FoderoAshleigh O'Mahony; Subject: eviQ Evaluation Draft summary report and draft fi…

22/03/2012 Jane Garrad N

Item 14(a)(2) As Above Email from Simon Sutcliffe to David Currow Subject: ICCC5 Australia

20/03/2012 Simon Sutcliffe N

Item 14(a)(3) As Above Email from Jane Garrad to [email protected] Subject: HP TRIM Electronic Document with Revisions : E12/...

15/03/2012 Jane Garrad N

Item 14(a)(4) As Above Email from Shelley RUSHTON to Frances Ehrlich Subject: FW: eviQ evaluation - draft final report - withou...

14/03/2012 Shelley RUSHTON N

Page 85: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 78 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 14(a)(5) As Above Email from Shelley RUSHTON to Lisa Fodero Subject: FW: eviQ evaluation - draft final report - withou...

08/03/2012 Shelley RUSHTON

N

Item 14(a)(6) As Above Email from Jane Garrad to Natalie COOKDanielle Peterman; Patricia Ryan; Lis... Subject: FW: Please find attached the draft eviQ final eva...

07/03/2012 Jane Garrad N

Item 14(a)(7) As Above Email from Jane Garrad to David Currow FW: Your input sought on draft eviQ final evaluat...

07/03/2012 Jane Garrad N

Item 14(a)(8) As Above Email from Jane Garrad to Sanchia Aranda Subject: Your input sought on draft eviQ final evaluation ...

07/03/2012 Jane Garrad N

Item 14(a)(9) As Above Email from Jane Garrad to Kimberly StrongAisling KELLY; Chris Sargeant; Cyn... Subject: FW: Please review draft eviQ final evaluation rep...

07/03/2012 Jane Garrad N

Item 14(a)(10) As Above Email from Lisa Fodero to Jane Garrad Subject: eviQ evaluation - draft final report - without su...

06/03/2012 Lisa Fodero N

Item 14(a)(11) As Above Email from Lisa Fodero to Jane Garrad CC: Cynthia Lean; Shelley Rushton; [email protected]; [email protected] Subject: eviQ evaluation - draft final report - without su...

06/03/2012 Lisa Fodero N

Item 14(a)(12) As Above Email from [email protected] to Aisling KELLY Subject: palliativedrugs.com bulletin board digest 4th Mar...

04/03/2012 [email protected]

N

Item 14(a)(13) As Above Email from Kim FAULKNER to Shalini Vinod Subject: Draft eviQ Endometrial brachy protocol

16/02/2012 Kim FAULKNER N

Item 14(a)(14) As Above Email from Govindarajulu, Geetha to Kim FAULKNER Subject: Draft

15/02/2012 Govindarajulu, Geetha

N

Page 86: Unposted Incident - Edit 1 - Parliament of NSW...Unposted Incident - Edit 1 St Vincents Mater Health Incident ID: 151838 This is a confidential report, please dispose of in an appropriate

Order for Papers – Under-dosing of Chemotherapy Patients – Annexure B

NSW Ministry of Health Page 79 of 79

Doc Number

Item Document Type Date of Creation

Author Privilege Claim Y/N

Reason for Claim

Item 14(a)(15) As Above Email from Aisling KELLY to Adriana COOKE Subject: FW: eviQ GI Meeting Minutes 25 Nov 2011

02/02/2012 Aisling KELLY N

Item 14(a)(16) As Above Email from Suyen Moncada to ETHICS Subject: CINSW Ref:2007C/09/019 Protocol Amendment submis...

25/01/2012 Suyen Moncada N