A review of the incident highlighted failures in triage processes and an inadequate response to serious health concerns raised by both clinicians and Joe's parents.

Health Minister Ryan Park emphasized that this tragedy raises serious questions about the effectiveness of public-private partnerships in healthcare.

The Northern Beaches Hospital was established under a controversial public-private partnership with Healthscope, which has faced criticism for prioritizing profits over patient care.

NSW Premier Chris Minns expressed sympathy for the Massa family and indicated that the government would consider further inquiries into the hospital's operations.

It is essential to restore public confidence in healthcare to prevent similar tragedies in the future.

The tragic death of two-year-old Joe Massa at Northern Beaches Hospital has sparked serious concerns regarding the facility's management and its history of incidents since its opening in 2018.

Joe's parents brought him to the hospital after he had been violently vomiting at home, but despite a heart rate of 182 beats per minute and appearing pale, he was triaged as a lower priority.

He was not given a bed for two-and-a-half hours, during which his condition deteriorated, ultimately leading to cardiac arrest.

Joe experienced cardiac arrest three hours after arriving at the emergency department, and despite 29 minutes of CPR, he suffered irreversible brain damage and was taken off life support two days later.

The inquiry revealed alarming practices, including reports that ambulances were directed away from the hospital for patients experiencing heart attacks, raising questions about its capabilities.

This incident is not isolated; a parliamentary inquiry was initiated in 2019 following several high-profile medical errors at the hospital.

In response to these ongoing issues, advocates are calling for an upgrade of the hospital's electronic medical record system and the introduction of a protocol similar to Queensland's Ryan's Rule to empower parents.