Thursday, July 11, 2024
HomeHealth LawOckenden Report: insufficient investigations into deaths of moms and infants and a...

Ockenden Report: insufficient investigations into deaths of moms and infants and a tradition of silence | Medical Negligence and Private Damage Weblog | Kingsley Napley


Final week the Ockenden report was lastly printed. A workforce of Midwives and Medical doctors, headed by Midwife, Donna Ockenden reviewed the maternity care given to 1,148 households between 2000 – 2019. The report made for stunning studying.

The media extensively reported the findings, that repeated failures at Shrewsbury and Telford NHS Belief result in the deaths of 201 infants and 9 moms who may in any other case have been saved, leaving others with life altering accidents, such a mind harm attributable to hypoxic ischaemic encephalopathy (HIE) and youngsters later recognized with cerebral palsy.  

Of the HIE circumstances investigated, the report discovered that in 69.5% of circumstances there have been vital and main considerations in regards to the maternity care that was given. Had that care been applicable, the result for these infants, and by extension, their households, would possibly nicely have been totally different.   

The report finds that there was a poisonous office tradition at Shrewsbury and Telford NHS Belief, an over-confidence in workers of their potential to handle complicated pregnancies and a robust desire for vaginal delivery over caesarean sections. Certainly, the Belief’s low charge of caesarean part delivery was held up as a nationwide instance.

Sadly, the Belief didn’t be taught from its personal investigations, which the report discovered had been usually insufficient and didn’t establish systemic and repair vast failings to observe applicable procedures and nationwide tips. This meant that there have been many misplaced alternatives to be taught and make enhancements to the care given to ladies and their infants.

The report rightly identifies that the NHS workers who’ve labored all through the pandemic are exhausted. It pushes for the finances for maternity companies to be elevated by £200 – £350 million a 12 months with speedy impact and factors out that extra must be finished round workforce planning when it comes to recruiting and retaining each obstetricians and midwives.

We hear usually from purchasers that one among their essential causes for investigating a declare is to keep away from the identical factor occurring to anybody else. Sadly, plainly a tradition of silence persists on the Belief, with the report describing what number of workers members withdrew their cooperation with the investigation within the last weeks earlier than publication out of concern of being recognized. Kingsley Napley have lengthy campaigned for the Responsibility of Candour, and for a tradition of openness as being the one manner to make sure that errors should not repeated. 


If you need any additional info or recommendation in regards to the subject mentioned on this weblog, please contact Kirsty Allen or our Medical Negligence and Private Damage workforce.



Kirsty Allen has a assorted caseload of medical negligence and private harm issues. Her medical negligence work consists of baby cerebral palsy and grownup mind harm circumstances, in addition to deadly claims (together with inquests), lack of sight circumstances, in addition to failure to diagnose most cancers and gynaecological claims.





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