On the 10^th March 2005, Mr. Ronald Ntintili - who was working at D3 Section where Lunga Luke was incarcerated - took him to the Hospital Unit (inside the Centre). Mr. Ntintili asked inmate Cecil Viljee alias Brandon Brown, who was performing administrative tasks at the Hospital Unit, what the next appointment date of inmate Lunga Luke was. Mr. Ntintili was informed by inmate Viljee that Luke's next appointment date was on the 14^th March 2005. Mr. Ntintili and inmate Lunga Luke then left the Hospital Section to D3 Section.

Mr. Faku was assigned by Mr. Peters to do the escort of inmate Lunga Luke to Groote Schuur Hospital on the 14^th March 2005. It needs to be mentioned that Sr. Kleinhans completed the referral letter for Groote Schuur already on the 12^th March 2005 (over the weekend). Inmate Lunga Luke was not sent to Groote Schuur for emergency treatment, but it was a follow-up appointment. Mr. Faku was cautioned by Messrs. Molefi, Kasper and Mpumelelo not to escort inmate Lunga Luke alone to Groote Schuur Hospital, because he was known to them as a "high profile" inmate.

The Emergency Support Team (EST) was requested to do it. Messrs. Abba, Le Roux, Hendricks and the late Mr. Horn escorted inmate Lunga Luke to the hospital. Horn was issued with an R4-rifle whilst the other members had 9mm pistols in their possession. The members did not wear their bullet- proof jackets on that particular day.

On their arrival at the hospital, Mr. Abba went to the counter to collect the inmate's file, while Mr. Horn walked the inmate to the back of the hospital. Mr. Abba informed the clerk at the registration desk that they were escorting a "high profile" inmate and that they cannot sit amongst the members of the public. The clerk refused to help him. During the investigation the Hospital Personnel was not prepared to give any affidavits to state their side of the incident. A shooting incident occurred whereby unknown gunmen were shooting at Messrs. Horn and Hendricks. They also fired at the gunmen, but Horn was gunned down and they took the R4- rifle from him. The unknown gunmen tried to flee with inmate Lunga Luke and Mr. Hendricks fired at them. Inmate Lunga Luke got shot in the process as well as Mr. Hendricks. Mr. Horn later died in the Trauma Unit of the Hospital.

From our investigation it is very dear that on their arrival at Groote Schuur Hospital, the unknown gunmen were already inside the waiting area in the hospital. There were approximately 500 members of the public in the waiting area. It was also noticed that there were no walk- through metal detectors or X-ray scanners at the entrance to the Hospital.

Meetings already took place between the Management of Groote Schuur (Admin. and Security divisions) and the DCS Management on the 5^th April 2005 and 20^th May 2005 respectively.

The decision was taken that Groote Schuur will inform the Hospital Nursing Personnel (DCS) on the next appointment date of inmates. The security at Groote Schuur will be informed when "high profile" inmates will attend the hospital. The hospital will be informed a day prior to the appointment, so that the DCS member can only pick up the file and escort the inmate directly to the division where the inmate will be examined.

A matter that is still under discussion is the admission of an inmate into the hospital for more than one (1) day. The suggestion to Prof. Househam was that a specific ward be allocated for the admission of inmates to ensure that DCS members do not move amongst the patients / public with fire- arms. A task team, consisting of both Departments will draft a protocol that will manage the relationship between the two departments.