Gloucestershire coroner calls for neonatal care probe

A coroner has called for an inquiry into the quality of neonatal care in Gloucestershire's hospitals after a 15-hour-old baby's death.

Fleur Day was delivered by Caesarean section at Cheltenham General Hospital on 9 December 2010.

The inquest found there were "missed opportunities" to save her life. A narrative verdict was recorded.

The NHS has accepted the findings and admitted its care fell below the required standards.

Fleur was born weighing 2.66kg (5lb 14oz) and was very cold.

Assistant deputy coroner Tom Osborne told Gloucestershire Coroner's Court: "She was not recognised as small for her gestational age and at high risk of hypothermia and hypoglycaemia - or that she had signs indicating she was unwell after delivery.

"These would have warranted an early paediatric review and admission to the special care baby unit for monitoring and investigation."

'Sincere apologies'

The "missed opportunities" to save Fleur included delays in bringing in the obstetrics registrar and consultant paediatrician to treat Mrs Day when she was first admitted as an emergency.

Mr Osborne has called on the health watchdog the Care Quality Commission (CQC) to look into the case.

A spokesman for Gloucestershire Hospitals NHS Foundation Trust said: "We accept the coroner's verdict and acknowledge that aspects of the care provided to Fleur fell below the standard that we would expect.

"We would like to offer our sincere apologies to her family for the distress caused."

The spokesman added: "We will be happy to work alongside the CQC and will further reflect on the coroner's findings within the trust and take into account any CQC recommendations to ensure our services meet the highest standards."

A post-mortem examination could not find a cause of death.

More on This Story

The BBC is not responsible for the content of external Internet sites

BBC Gloucestershire

Weather

Gloucester

18 °C 13 °C

Features & Analysis

  • Cerro RicoSatanic mines

    Devil worship in the tunnels of the man-eating mountain


  • Nefertiti MenoeWar of words

    The woman who sparked a row over 'speaking white'


  • Oil pumpPump change

    What would ending the US oil export ban do to petrol prices?


  • Brazilian Scene, Ceara, in 1893Sir Snapshot

    19th Century Brazil seen through the eyes of an Englishman


Elsewhere on the BBC

  • SailingGame on

    BBC Capital discovers why certain sports seem to have a special appeal for those with deep pockets

Programmes

  • European Union's anti-terrorism chief Gilles de KerchoveHARDtalk Watch

    Anti-terrorism chief Gilles de Kerchove on the threat from returning Islamic State fighters

BBC © 2014 The BBC is not responsible for the content of external sites. Read more.

This page is best viewed in an up-to-date web browser with style sheets (CSS) enabled. While you will be able to view the content of this page in your current browser, you will not be able to get the full visual experience. Please consider upgrading your browser software or enabling style sheets (CSS) if you are able to do so.