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Found 154 results
  1. News Article
    The government has announced an independent review into maternity services at an NHS trust where a number of babies have died. “Immediate actions” have also been promised and an independent clinical team has been placed “at the heart” of East Kent Hospitals University NHS Foundation Trust. It comes amid reports that at least seven preventable baby deaths may have occurred at the trust since 2016, including that of Harry Richford. Harry died seven days after his emergency delivery in a “wholly avoidable” tragedy, contributed to by neglect, in November 2017, an inquest found. Spea
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    Ah – a new year. A new decade. People around the world celebrate such affairs with fireworks, noisemakers, champagne and resolutions they’ll never keep. In America, we revel with all those things and ... the ’Granddaddy of them all‘... The Rose Bowl. The Rose Bowl is an annual college football face-off between two champion teams held in Pasadena, California. The event is huge, complicated, prestigious and widely anticipated. This musing on Rose Bowl activities and how they might highlight safety concepts ‘kicks off’ my 2020 Letter from America series. A renowned part of the franchise is t
  5. Content Article
    The PSHO found that the Trust failed to: act on the results of the ECG and chest X-ray consider Baby K’s history and symptoms ask for input from specialist staff escalate his care when his condition was getting worse. If these failings had not occurred, it is likely that the Trust would have recognised that Baby K had a problem with his heart. In these circumstances he would have received the correct treatment instead of being treated for suspected pneumonia. The PSHO found that on the balance of probabilities, his cardiac arrest would not have occurred and it is mo
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    The resources include peer-reviewed content on identifying and managing sepsis in the community, in older people and in children from Emergency Nurse, Nursing Children and Young People, Nursing Older People and Primary Health Care.
  7. Content Article
    MEs are a key element of the death certification reforms, which, once in place, will deliver a more comprehensive system of assurances for all non-coronial deaths, regardless of whether the deceased is buried or cremated. MEs will be employed in the NHS system, ensuring lines of accountability are separate from NHS Acute Trusts but allowing for access to information in the sensitive and urgent timescales to register a death. This case study outlines the approach of South Tees Hospitals NHS Foundation Trust as one of the early adopter sites. To date, the following learning points have
  8. Content Article
    In the UK, each year over 1000 babies die or are left with severe brain injury – not because they are born too soon or too small, or have a congenital abnormality, but because something goes wrong during labour. The RCOG does not accept that all of these are unavoidable tragedies, and with the Each Baby Counts project they are committed to reducing this unnecessary suffering and loss of life by 50% by 2020.
  9. Content Article
    What can I learn? The role and responsibilities of maternity safety champions. How to build relationships at board-level and with stakeholders. Suggested activities to promote best practice. Signposting to existing safety initiatives and improvements that can offer support. Are you a maternity safety champion? Share your experience and discuss your work with other maternity safety champions on the hub.
  10. Content Article
    What will I learn? Women's wishlists at instrumental births. Examples of how visual information can be used by patients, families and staff on the maternity ward. Redesign of antenatal handheld notes. Introduction of carbon monoxide screening pilot for pregnant women. Establishing a Maternity Services Liaison Committee (MSLC) in a hospital.
  11. News Article
    As part of the NHS Digital Child Health programme, Personal Child Health Records or “Redbook” will receive a digital makeover. NHS Digital has considered the limitations of the physical Redbook and decided that digitalisation is the way forward for parents to easily access important health and development information. Nurturey has been evolving its product to align with NHS' Digital Child Health programme. It aims to be an app that can make the digital Redbook vision a reality and currently in the process of completing all the necessary integrations and assurances. It is hoped that by
  12. News Article
    A three-month-old boy died from sepsis after ‘gross failures’ by medics to give him antibiotics until it was too late, an inquest ruled. Lewys Crawford died a day after he was admitted to the University Hospital of Wales in Cardiff with a high temperature last March. Jurors at Pontypridd Coroner’s Court said the failure of doctors to treat his illness with antibiotics until seven hours after his arrival had ‘significantly contributed’ to his death. They found the little boy died from natural causes contributed to by neglect in his care. Read full story Source: The Metro, 15 February
  13. News Article
    Critically ill children are being rushed from one part of England to another because NHS hospitals are running short of intensive care beds in which to treat them, the Guardian has revealed. An increase in severe breathing problems in children driven by winter viruses and infections, including flu, means some are having to be transferred sometimes many miles from their home area because there are not enough paediatric intensive care (PICU) beds locally. Specialist doctors who staff the units say the situation is “dangerous and rotten for the families” involved and that staff are fire
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    Home births: a woman’s choice? Maternity services are rapidly adapting the way they work in light of the pandemic. Pregnant women are being asked to attend antenatal appointments alone or remotely in order to reduce risk of infection. In some areas, the option to have a midwife-led home birth has been suspended.[2] A recent report from the BBC suggests that as many as one third of Trusts could have removed home birth as an option.[3] For those who are not considered high-risk and have given birth before, home birth is often a very positive experience and clinical outcomes are good, w
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    The report suggests strategies to prevent newborn falls in the hospital, whichl include: focusing efforts on providing support for exhausted parents during the critical time following the birth offering periods of rest for new parents whenever they are tired increasing the frequency of rounding when new mothers are breastfeeding promoting a midday break in visiting hours. In cases where a newborn fall event does occur, facilities should provide support to both injured newborns and any caregivers involved. In many cases, parents and other caregivers may benefit from
  18. Content Article
    Recommendations include: assess patients for venous thromboembolism (VTE) risk with an easy to use automated scoring system provide the recommended prophylaxis regimen, depending on whether the mother is antepartum or postpartum reassesses the patient every 24 hours or upon the occurrence of a significant event, like surgery ensure that the mother is provided with appropriate VTE prevention education upon hospital discharge.
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    The investigation set out to investigate the removal, retention, and disposal of human tissue and organs at Alder Hey Children’s hospital following hospital post-mortem examinations and, the extent to which the Human Tissue Act 1961 (HTA) had been complied with. It involved examination of the professional practice and management action and systems, including what information, if any, was given to the parents of deceased children relating to organ or tissue removal, retention and disposal.
  22. News Article
    Concerns for the wellbeing of babies born in lockdown are being raised, as parents struggle to access regular support services. England's children's commissioner is highlighting pressures facing mothers caring for babies without the usual family and state support networks. Playgroups are closed and health visitor "visits" are being carried out remotely in most cases. The NHS said adaptations had been made to keep new mothers and babies safe. The briefing paper from Anne Longfield's office says an estimated 76,000 babies will have been born in England under lockdown so far. But b
  23. News Article
    Experts have raised fears that high-risk pregnancies may be missed due to the coronavirus pandemic, leading to a potential rise in stillbirths and neonatal deaths. During a session of Westminster’s Health and Social Care Committee, Gill Walton, the Chief Executive of the Royal College of Midwives, said there was a “fear” among pregnant women presenting themselves to maternity services during the COVID-19 outbreak. Former health secretary Jeremy Hunt, who chairs the committee, said one of the most important elements of maternity safety was to identify higher-risk pregnancies early “so
  24. News Article
    A campaign to reduce stillbirths, brain injury, and avoidable deaths in babies has failed to have any effect in the past three years, findings from the Royal College of Obstetricians and Gynaecologists show. The president of the college, Edward Morris, has urged maternity units across the UK to learn from the latest report and act on its recommendations. “We owe it to each and every person affected to find out why these deaths and harms occur in order to prevent future cases where possible,” he said. Read full story (paywalled) Source: BMJ, 19 March 2020
  25. News Article
    The parents of a baby who nearly died after a series of failings during his birth said they were "heartbroken" mistakes continued to be made East Kent Hospitals told Harry Halligan's parents they would learn lessons from his delivery in 2012. But similar failings recently came to light after the death of Harry Richford in 2017 and the trust is now being probed over up to 15 baby deaths. The trust said it made "many changes to the maternity service" after 2012. Parents Dan and Alison Halligan, from New Romney, said watching news coverage of an inquest into Harry Richford's death
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