The inquiry was headed by The Honourable Geoffrey Davies AO QC, a former Supreme Court judge of appeal.
The commission was established by the Queensland Governor-In-Council in 2005 to investigate, among other things, the conduct of Dr Jayant Patel, a former surgeon of Bundaberg Base Hospital.
Bundaberg Hospital administrators Darren Keating and Peter Leck undertook a court case against Morris.
The commission found gross negligence in Patel's conduct, as well as systematic failures of management to deal with the problem.
[4] The state chief health officer at the time, Dr Gerry FitzGerald was criticised for his own investigation into Patel, describing it as too positive.