Necrophile David Fuller dubbed "morgue monster" abused deceased women for 15 years without being apprehended or raising any red flags because of "serious failings" at the hospitals he worked at — research discovered that because of "serious failings" at the hospitals where he worked.
At least 101 women were assaulted by the double murderer when he was employed at the mortuaries of the old Kent and Sussex Hospital and Tunbridge Wells Hospital.
According to a study, there were "missed opportunities" to halt the 15-year spree by the necrophiliac.
As well as failures of management at Maidstone and Tunbridge Wells NHS Trust, inquiry chairman Sir Jonathan said there had been a "failure to follow standard policies and procedures, together with a persistent lack of curiosity".
Inquiry chairman Sir Jonathan Michael said, "Failures of management, of governance, of regulation, failure to follow standard policies and procedures, together with a persistent lack of curiosity, all contributed to the creation of the environment in which he was able to offend and to do so for 15 years without ever being suspected or caught."
"Over the years, there were missed opportunities to question Fuller's working practices."
"Had his colleagues, managers and senior leaders been more curious, it is likely that he would have had less opportunity to offend."
Dead individuals were also discovered to have been placed outside of refrigerators at Tunbridge Wells Hospital both overnight and during business hours.
Fuller further made 444 "unnoticed and unchecked" entries into a mortuary over the course of a year.
As of right now, the investigation has produced 17 suggestions to stop "similar atrocities," such as putting in CCTV and making sure non-mortuary employees are constantly accompanied.
The electrician, dubbed the "Bedsit Killer," was apprehended 33 years following the 1987 beating and strangling deaths of Wendy Knell, 25, and Caroline Pierce, 20.
When police searched his house, they discovered several gruesome films showing him mistreating dead women's bodies for more than ten years.
Two additional victims were sixteen years old, and the youngest was a nine-year-old female.
Fuller occasionally violated the bodies more than once; the oldest victim was one hundred years old.
For the killings, Fuller received two sentences of life in prison.
In addition, he entered guilty pleas to 51 more counts, 44 of which had to do with 78 deceased women.
Once the villain admitted to molesting 23 more women, he was sentenced to an additional four years in jail.
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