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Guernsey midwife apologises to parents of baby who died at PEH

Lisa Granville has apologised to the parents of a baby who died at the PEH Photo:

A midwife, who worked at the Princess Elizabeth Hospital in Guernsey, has apologised to the parents of a baby who died on the maternity ward.

Lisa Granville said she 'deeply regretted' her failure to follow up on the death of Baby A at the PEH in 2014.

Lisa Granville, who is facing misconduct charges, has been speaking for the first time at a Nursing and Midwifery Council Hearing - where she admitted she would have responded to the baby's death differently if a complete review had been conducted.

However, she was adamant that the death of Baby B in September 2012 was properly investigated and defended the culture at the hospital, tagged by workers as the 'Guernsey Way'.

Granville suggested severe budget cuts to the Guernsey's Health and Social Services Department (HSSD) following a £2.5million overspend had lead to austerity.

She is the first of three midwives on the ward to give evidence at the long running hearing.

I felt I made great improvements in the maternity clinical department. In October 2012 HSSD faced uncertainty and flux after an overspend of £2.5 million. This led to major austerity measures and the organisation never really regained stability. I have never heard of an obstetrician refusing to come. However some of the pediatricians were trying to reduce attendance to patients. The midwives would bleep an A and E doctor instead of them. This was totally unacceptable. The HSSD was not in a good financial situation. I believe this had a huge impact going forward affecting all aspects of the services. If the staff at that time had been given the same support as now I feel it reputation would be in a much better place.

– Lisa Granville
Granville (left) is one of three midwives faceing misconduct charges

Despite the strain on resources at the hospital, Granville said they performed to their best, and did not recognise a culture described in one report known as JP1.

'When I first read the report JP1, I did not recognise the place I had worked in for 20 years. I did not think it was fair or balanced.

Granville admits failing to identify inadequate midwifery care in relation to the administration of syntocinon and management of the CTG trace. She also admits her investigation into the death of Baby A was inadequate, but denies all other charges.

Meanwhile, fellow midwife Antonia Manousaki admits administering Syntocinon to Patient A without a written prescription and in the presence of mild fetal heart rate distress.

She also admits failing to appropriately question the rate at which Syntocinon was administered and failing to seek a review from a consultant after a 'suspicious' CTG trace.

But Manousaki denies administering it without patient consent and denies failing to challenge a culture of midwives acting outside the scope of their practice.

Tuija Roussel admits administering Syntocinon without a written prescription or medical review and admits those actions increased the risk of harm to Patient A and/or Baby A.

She also admits participating in inappropriate working practices, such as midwives accepting verbal orders and seeking to avoid contact with obstetricians at night, but denies all other charges.

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