Staff at Stoke Mandeville Hospital knew of 10 allegations against Jimmy Savile during the period when he was abusing patients and visitors, new reports have revealed.
Victims of the disgraced entertainer ranged in age from five to 75, and included patients, staff and visitors, found one report.
And it warned there was evidence many aspects of the Savile abuse scandal could be repeated in the future.
Health Secretary Jeremy Hunt said there should have been a stronger incentive on staff to report abuse claims.
He announced there would be a consultation on mandatory reporting of abuse against children and vulnerable adults.
A report into Savile's abuse at Stoke Mandeville said also said there was evidence to suggest Savile had unsupervised access to the mortuary at Stoke Mandeville Hospital in Buckinghamshire.
One report said: "Two witnesses gave evidence to the investigation that they had heard Savile was having sex with dead bodies in the mortuary."
While the inquiry found no evidence of this, it said it was not possible to investigate the allegations further.
But Savile had admitted spending a lot of time in the mortuary to a hospital electrician, telling him: "Actually, I often come here for a crafty smoke."
Those staff who complained about Savile's behaviour, were "severely reprimanded".
Dr Androulla Johnstone, who wrote the Stoke Mandeville report, told a press conference Savile was an "opportunistic predator who on occasion could also show a high degree of premeditation" when planning attacks.
She said: "The individuals to whom these incidents were reported failed in their duty to protect.
"Consequentially, no intelligence about Savile's behaviour was gathered over the years and no action was taken.
"Whilst witnesses told us it was an open secret within the hospital that Savile was a lecher and general nuisance, none stated that they knew about his sexual abuse activities."
Lawyer Liz Dux, who represents many of the Stoke Mandeville victims, said it "beggars belief" the report found no evidence of senior staff being aware of the abuse.
But Dr Johnstone rejected claims of a "cover-up" by staff, and said Savile's behaviour went unchallenged due to a "general disbelief".
Hattie Llewelyn-Davies, chairwoman of Buckinghamshire Healthcare NHS Trust which runs Stoke Mandeville, apologised to Savile's victims on behalf of the NHS.
She said: "Together these accounts paint a bleak story of a deeply flawed and repellent individual who used his role as a fundraiser, his celebrity status and his national contacts to conceal his wicked activities.
"For too long people were taken in by this controlling and manipulative man."
Savile, who received a knighthood in 1990, died in 2011 and so never faced justice for his crimes.
Sam Brown was one of scores of youngsters abused by Savile at Stoke Mandeville.
Aged 11 she was indecently assaulted by the star in a room adjacent to a chapel at the hospital where mass was being held.
She told Sky News: "He used to put his hand over my face as well quite a lot and sometimes his fingers into my mouth.
"That wasn't to keep me quiet, I know what that meant, that was to reinforce his power 100% over me, I get that.
"He knew he had the back-up from the hospital, I feel, he knew there that they were lenient on anything he had done."
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