The Ministry of Health’s investigative committee has released its findings on the alleged assault incident at the Greater Accra Regional Hospital (Ridge) on August 17, 2025.
The report highlights systemic failings in security, staffing, and infrastructure at the facility’s Emergency Department.
Key Findings:
No Delay in Emergency Care
The committee established that there was no delay in attending to the accident victim who sparked the altercation. However, all imaging equipment, X-ray, CT scan, and MRI, were non-functional, forcing tests to be conducted outside the hospital. This contributed to treatment delays and heightened public frustration.
No Evidence of Physical Assault
While video evidence confirmed a heated verbal altercation between Mr. Ralph St. Williams, some riders, and hospital staff, there was no confirmed video or eyewitness evidence of physical assault. The nurse at the center of the claim, Ms. Rejoice Tsotso Bortei, later reported pain in her hand, but medical records showed no fractures or dislocations. She received pain relief and psychological support.
Inadequate Security
Security at the Emergency Department was described as “grossly inadequate.” Only one private security guard was on duty per 12-hour shift despite the department’s heavy traffic. The hospital’s police post is located far from the Emergency Department, often causing delays in responding to incidents.
Severe Staff Shortages
In August 2025, only one medical officer per shift was stationed at the Emergency Department. A total of just seven medical officers and two specialists were available for the entire month. Out of 88 nursing staff, only 54 were present, with 34 having vacated their posts without replacement.
Emergency Department Overstretched
The hospital’s Emergency Department operates at almost 100% bed occupancy at all times and is the primary destination for trauma and acute medical cases across Greater Accra. The closure of facilities in La has worsened the pressure on Ridge.
Mr. Ralph St. Williams’ Position
Mr. St. Williams denied physically attacking staff. He admitted being provoked by a nurse’s remarks and explained that his video recordings, including Facebook Live footage, were intended to highlight systemic delays and not to target patients.
Recommendations:
The committee proposed urgent reforms, including:
- Increasing security and CCTV coverage at the Emergency Department.
- Recruiting additional doctors, nurses, and administrative officers dedicated to emergency care.
- Restoring critical imaging services (X-ray, CT scan, MRI) at Ridge.
- Nationwide reforms to strengthen emergency care, expand secondary-level hospitals, and improve public education on emergency department operations.
Conclusion:
The committee stressed that unless urgent steps are taken to improve security, staffing, and infrastructure, similar incidents could recur at Ridge and other hospitals nationwide
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