THE CLUSTER OF INFANT DEATHS AT DJERRIWARRH HEALTH SERVICE:
2006-2013 - Births at Djerriwarrh Health Service almost double
FEBRUARY 2013 - Doctor complains about Surinder Parhar after his patient loses a baby. Investigation starts. The health department is advised
2013 - Seven babies die, five deaths avoidable
2014 - Three babies die, two deaths avoidable
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JANUARY 2014 - Australian Nursing and Midwifery Federation take concerns about clinical risk, understaffing and the lack of policies to Djerriwarrh maternity service's director and the Department of Health
2015 - One unavoidable death
MARCH 2015 - The health department learns of the cluster of baby deaths, and orders review
JUNE 2015 - Investigation into Dr Parhar finishes and conditions are put on his licence
JULY 2015 - Dr Parhar retires
AUGUST 2015 - New interim chief executive appointed to Djerriwarrh
OCTOBER 2015 - Djerriwarrh loses confidence of health minister and is to be replaced
OCTOBER 2015 - Family of child born with hypoxic brain injury to launch legal action, others who lost children also considering options
