STRENGTH IN NUMBERS

Strength in Numbers dedicated to my late mother Kay

No prosecution over death of nine-day-old baby Joshua at maternity unit where midwives failure’ to spot infection sparked inquiry into 18 other baby deaths

Police have confirmed that a prosecution will not take place over the death of a nine-day-old baby which sparked an inquiry into care at a maternity unit where 18 other infants died.

Joshua Titcombe, from Dalton-in-Furness, Cumbria, was born at Furness General Hospital in2008, but died days later after midwives repeatedly missed chances to spot and treat a serious infection.  His father James had argued for the inquest in 2011 after refusing to accept the initial explanations given for Joshua’s death and filing an official complaint about his treatment. It was uncovered that the infant’s observation chart had gone missing and was never found, while a coroner accused midwives of ‘colluding’ over mistakes made.

A police investigation into Joshua’s death was launched in March 2011 and later widened to include the deaths of 18 other babies and two mothers at the hospital.  But in 2012 detectives said no action would be taken in relation to the deaths, apart from Joshua’s case, which had been passed to the Health and Safety Executive (HSE) for its consideration. They also investigated 14 births which involved complications, but also recommended no action be taken in relation to them.

Today, (24th April 2015) Cumbria Constabulary announced the HSE had notified them that it would not be carrying out any further investigations and its four-year-long investigation into the cases of 35 people who suffered within the hospital maternity unit between 2004 and 2013 has now been closed. 

Click on the link to read more

http://www.dailymail.co.uk/news/article-3053590/No-prosecution-death-nine-day-old-baby-Joshua-maternity-unit-midwives-failure-spot-infection-sparked-inquiry-18-baby-deaths.html

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Tragic: Joshua Titcombe was born at Furness General Hospital in November 2008 but died nine days later

Filed under: NHS, NHS Blunders, , , ,

Morecambe Bay Investigation Report published

My heart and prayers go out to the parents and families of all the babies and the mother that died unnecessary due to the shocking errors made. Joanna

Independent investigation into maternity and neonatal services in Morecambe Bay makes far-reaching recommendations to prevent future unnecessary deaths.

The report makes 44 recommendations for the Trust and wider NHS, aimed at ensuring the failings are properly recognised and acted upon.

Announcing the report’s findings, Investigation Chairman Dr Bill Kirkup said:

All health care – everywhere – includes the possibility of error. The great majority of NHS staff know this and work hard to avoid it. They should not be blamed or criticised when errors occur despite their efforts.

But in return, all of us who work for the NHS owe the public a duty to be open and honest when things go wrong, most of all to those affected, and to learn from what has happened. This is the contract that was broken in Morecambe Bay.

The investigation report details 20 instances of significant failures of care in the FGH maternity unit which may have contributed to the deaths of 3 mothers and 16 babies. Different clinical care in these cases would have been expected to prevent the death of 1 mother and 11 babies. This is almost 4 times the frequency of such occurrences at the Trust’s other main maternity unit, at the Royal Lancaster Infirmary.

The report says the maternity department at FGH was dysfunctional with serious problems in 5 main areas:

Click on the Press Release link to read more 

https://www.gov.uk/government/news/morecambe-bay-investigation-report-published

Click on the link to read the Morecambe Bay Investigation Report

The Report of the Morecambe Bay Investigation

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Filed under: Hospital, NHS, NHS Blunders, Uncategorized, Whistleblowing, , ,

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