Saturday, June 10, 2023

Ockenden Document: insufficient investigations into deaths of moms and young children and a tradition of silence | Clinical Negligence and Non-public Damage Weblog | Kingsley Napley


Closing week the Ockenden file was once in spite of everything printed. A crew of Midwives and Medical doctors, headed via Midwife, Donna Ockenden reviewed the maternity care given to one,148 households between 2000 – 2019. The file made for surprising studying.

The media extensively reported the findings, that repeated screw ups at Shrewsbury and Telford NHS Accept as true with result in the deaths of 201 young children and 9 moms who may differently had been stored, leaving others with lifestyles converting accidents, this kind of mind injury brought about via hypoxic ischaemic encephalopathy (HIE) and youngsters later recognized with cerebral palsy.  

Of the HIE circumstances investigated, the file discovered that during 69.5% of circumstances there have been vital and main issues concerning the maternity care that was once given. Had that care been suitable, the result for the ones young children, and via extension, their households, would possibly neatly had been other.   

The file unearths that there was once a poisonous place of business tradition at Shrewsbury and Telford NHS Accept as true with, an over-confidence in team of workers in their skill to control complicated pregnancies and a powerful desire for vaginal delivery over caesarean sections. Certainly, the Accept as true with’s low charge of caesarean segment delivery was once held up as a countrywide instance.

Unfortunately, the Accept as true with failed to be informed from its personal investigations, which the file discovered have been frequently insufficient and didn’t determine systemic and repair broad failings to practice suitable procedures and nationwide pointers. This supposed that there have been many misplaced alternatives to be informed and make enhancements to the care given to girls and their young children.

The file rightly identifies that the NHS team of workers who’ve labored all over the pandemic are exhausted. It pushes for the price range for maternity products and services to be greater via £200 – £350 million a 12 months with speedy impact and issues out that extra must be accomplished round group of workers making plans in relation to recruiting and holding each obstetricians and midwives.

We pay attention frequently from shoppers that considered one of their primary causes for investigating a declare is to steer clear of the similar factor taking place to somebody else. Unfortunately, it kind of feels {that a} tradition of silence persists on the Accept as true with, with the file describing what number of team of workers contributors withdrew their cooperation with the investigation within the ultimate weeks ahead of newsletter out of worry of being recognized. Kingsley Napley have lengthy campaigned for the Responsibility of Candour, and for a tradition of openness as being the one strategy to be sure that errors aren’t repeated. 


If you need any more data or recommendation concerning the matter mentioned on this weblog, please touch Kirsty Allen or our Clinical Negligence and Non-public Damage crew.



Kirsty Allen has a various caseload of scientific negligence and private damage issues. Her scientific negligence paintings contains kid 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.



Please enter your comment!
Please enter your name here

Related Stories