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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

Final week the Ockenden report was lastly revealed. A crew 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 might in any other case have been saved, leaving others with life altering accidents, such a mind harm attributable to hypoxic ischaemic encephalopathy (HIE) and kids later recognized with cerebral palsy.  

Of the HIE circumstances investigated, the report discovered that in 69.5% of circumstances there have been important and main issues in regards to the maternity care that was given. Had that care been acceptable, the result for these infants, and by extension, their households, may properly have been completely 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 advanced 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 did not be taught from its personal investigations, which the report discovered have been usually insufficient and didn’t determine systemic and repair broad failings to comply with acceptable 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 price range for maternity companies to be elevated by £200 – £350 million a yr with quick impact and factors out that extra must be achieved round workforce planning when it comes to recruiting and retaining each obstetricians and midwives.

We hear usually from shoppers that one among their predominant causes for investigating a declare is to keep away from the identical factor taking place to anybody else. Sadly, it appears that evidently 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 remaining weeks earlier than publication out of concern of being recognized. Kingsley Napley have lengthy campaigned for the Obligation of Candour, and for a tradition of openness as being the one means to make sure that errors aren’t repeated. 


If you want any additional data or recommendation in regards to the matter mentioned on this weblog, please contact Kirsty Allen or our Medical Negligence and Private Damage crew.



Kirsty Allen has a diversified caseload of medical negligence and private damage issues. Her medical negligence work consists of youngster cerebral palsy and grownup mind damage 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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