A medical college president who worked as the consultant director of medical services at Bacchus Marsh Hospital during the baby deaths scandal was only onsite for around 40 days over her six-year tenure, a tribunal has found. 

The doctor wrote various reports warning of poor care and governance, but failed to ensure any of her recommendations were put into practice, according to a judgment handed down this week.

This included a report on staffing from 2010, shortly after she took the role, which concluded: “The present situation would not support the future [anticipated increase in births], and there would be extreme risk to future service delivery and safety if appropriate changes were not made.” 

But despite her strong warnings, the doctor — who was president of the Royal Australasian College of Medical Administrators from 2012 to 2015 — never pursued the matter over the next six years she held the position, according to the Victorian Civil and Administrative Tribunal.