The Minister must apologise after a coronial inquest found the Canberra Hospital failed its patients who died by suicide.

It’s tragic that these four deaths occurred while they were in our care.

The Health Minister must apologise on behalf of the ACT Government for these failings, and explain what action they have taken to address them.

It is the moral duty of the elected government to take responsibility for these failures which occurred on their watch.

The coroner has highlighted chronic staff shortages and insufficient training, practices and procedures at the hospital, which has plagued our health system, particularly the Adult Mental Health Unit, for many years.

While the report indicates some improvements have been made since these incidents, I still have serious concerns about our health system.

The Minister needs to outline exactly what changes have and will be made so that this will never happen again.