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Lost opportunities led to baby's death

Joshua died a few days after being born. Credit: ITV Anglia.

An inquest into the death of a baby born at Milton Keynes General Hospital has concluded that if he had been delivered sooner, it is highly liked he would have survived.

Joshua Burr's mother Nicola was induced in March 2014, but when that failed she was sent home. When Joshua was born a few days later he suffered a cardiac arrest and died.

The coroner said there were lost opportunities to assess the situation and do a Caesarean section in the days before the birth.

A lawyer for the family said that whilst the case was heartbreaking, it will hopefully prevent similar cases happening in the future.

“This is a truly heartbreaking case – Nicola and Neil were looking forward to being parents for the first-time to their twins.

“The findings of the Serious Untoward Incident report carried out by the NHS Trust and the independent report by a medical expert are extremely concerning as they highlight several issues with fetal monitoring and management of multiple gestations and Joshua is also one of five young babies who died at the hospital which are currently being investigated.

“We hope that the recommendations are taken into account by the NHS Trust and steps are taken to ensure lessons are learnt from this tragedy.”

– Kate Major, specialist medical negligence lawyer, Irwin Mitchell

The hospital says it has since made significant changes to improve how babies are monitored, and communication between staff.

Hospital reaction to inquest verdict

Denise Davies pictured with her husband Mark Credit: ITV News Anglia

The James Paget Hospital at Gorleston in Norfolk have given their reaction to a Coroner's findings at the inquest into the death of a patient who has just been transferred from a mental health unit.

A verdict of Natural Causes with a background of dehydration was recorded on 45 year old Denise Davies from Lowestoft.

Nick Oligbo, Medical Director at the James Paget University Hospitals NHS Foundation Trust, said:

“We offer our condolences to Mrs Davies’s family who have listened with great dignity to the circumstances which sadly led to her death in June 2013.

Our internal investigation identified lessons to be learned about the way that we care for patients who are both mentally and physically unwell.

The coroner acknowledged that doctors are right to take the issue of patient consent very seriously.

Our doctors did all they could to try to establish if Mrs Davies should be forcibly treated given her particular circumstances.

The coroner also noted we have been working closely with Norfolk and Suffolk NHS Foundation Trust to improve patient care.

We have done all that is possible to support the coroner in her work and will now consider carefully her detailed findings before taking appropriate action in the interests of our patients.”

– Nick Oligbo, James Paget Hospital



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