{"id":22057,"date":"2025-02-12T14:26:18","date_gmt":"2025-02-12T15:26:18","guid":{"rendered":"https:\/\/medexperts.pro\/?p=22057"},"modified":"2025-02-12T15:42:40","modified_gmt":"2025-02-12T15:42:40","slug":"nhs-trust-fined-1-6m-over-failings-in-baby-deaths","status":"publish","type":"post","link":"https:\/\/medexperts.pro\/?p=22057","title":{"rendered":"NHS trust fined \u00a31.6m over failings in baby deaths"},"content":{"rendered":"<div data-component=\"byline-block\" class=\"sc-18fde0d6-0 dlWCEZ\">\n<div data-testid=\"byline-new\" class=\"sc-b42e7a8f-0 haItSe\">\n<div class=\"sc-b42e7a8f-1 cjDa-dM\">16 minutes ago<\/div>\n<div data-testid=\"byline-new-contributors\" class=\"sc-b42e7a8f-12 fcCDwR\">\n<div class=\"sc-b42e7a8f-5 evAEAB\">\n<div><span class=\"sc-b42e7a8f-7 khDNZq\">Asha Patel<\/span><\/p>\n<p><span>BBC News, Nottingham<!-- --><\/span><\/p>\n<p><span class=\"sc-b42e7a8f-11 gcyJyk\">Reporting from<!-- -->Nottingham Magistrates&#8217; Court<!-- --><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<figure>\n<div data-component=\"image-block\" class=\"sc-18fde0d6-0 ejjhCR\">\n<div data-testid=\"hero-image\" class=\"sc-a34861b-1 jxzoZC\"><img decoding=\"async\" src=\"https:\/\/medexperts.pro\/wp-content\/uploads\/2025\/02\/42ab53e0-e94e-11ef-bd1b-d536627785f2.jpg.webp\" alt=\"Ryan Parker\/Emmie Studencki Quinn Parker&#039;s parents holding the baby. It&#039;s a black and white picture.\" class=\"sc-a34861b-0 efFcac\" \/><span class=\"sc-a34861b-2 fxQYxK\">Ryan Parker\/Emmie Studencki<\/span><\/div>\n<\/div>\n<\/figure>\n<div data-component=\"text-block\" class=\"sc-18fde0d6-0 dlWCEZ\">\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">An NHS trust has been fined \u00a31.6m for &#8220;avoidable failings&#8221; connected to the deaths of three babies in 2021.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">Adele O&#8217;Sullivan, Kahlani Rawson and Quinn Parker died shortly after they were born &#8211; all within 14 weeks of each other &#8211; while under the care of Nottingham University Hospitals (NUH) NHS Trust. <!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">The trust <!-- --><a target=\"_self\" href=\"https:\/\/www.bbc.co.uk\/news\/articles\/cx2ylngp7r5o\" class=\"sc-c9299ecf-0 bZUiKB\">admitted six counts<!-- --><\/a> of failing to provide safe care and treatment to the babies and their mothers on Monday, following a prosecution brought by the healthcare watchdog, the Care Quality Commission (CQC). <!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">On Wednesday, family members cried in the courtroom as district judge Grace Leong expressed her &#8220;deepest sympathy&#8221; to each of them, and said the trust they put in NUH to deliver their babies safely had been broken.<!-- --><\/p>\n<\/div>\n<div data-component=\"text-block\" class=\"sc-18fde0d6-0 dlWCEZ\">\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">Adele died at just 26 minutes old on 7 April 2021, Kahlani died aged four days old on 15 June, and Quinn was two days old when he died on 16 July.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">In a statement read out on behalf of Quinn&#8217;s parents outside Nottingham Magistrates&#8217; Court, lawyer Natalie Cosgrove said the prosecution would not bring him back &#8220;but although he never spoke, he has a voice, and it has been firmly heard&#8221;. <!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">&#8220;Quinn died from a long list of failings and Emmie&#8217;s life was put at risk,&#8221; she said.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">&#8220;Some failings so basic, that a passing stranger on the street would have provided better attention to, and quality of care.&#8221;<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">Sadie Simpson, on behalf of the families of Adele and Kahlani, added the prosecution &#8220;must act as a turning point&#8221;, adding it was &#8220;yet another acknowledgement of serious failures&#8221;. <!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">The fine is the largest ever for an NHS trust for maternity care, the CQC said, and the fifth maternity prosecution it has brought overall.<!-- --><\/p>\n<\/div>\n<figure>\n<div data-component=\"image-block\" class=\"sc-18fde0d6-0 jFCfG\">\n<div data-testid=\"image\" class=\"sc-a34861b-1 jxzoZC\"><img decoding=\"async\" src=\"https:\/\/medexperts.pro\/wp-content\/uploads\/2023\/10\/grey-placeholder.png\" class=\"sc-a34861b-0 cOpVbP hide-when-no-script\" \/><img decoding=\"async\" src=\"https:\/\/medexperts.pro\/wp-content\/uploads\/2025\/02\/c7e8c460-e954-11ef-80e0-a5172a55ed51.jpg.webp\" alt=\"Lawyer Sadie Simpson outside Nottingham Magistrate&#039;s Court\" class=\"sc-a34861b-0 efFcac\" \/><\/div>\n<\/div>\n<\/figure>\n<div data-component=\"text-block\" class=\"sc-18fde0d6-0 dlWCEZ\">\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">It was reduced from \u00a35.5m, taking into account the trust&#8217;s financial position and guilty pleas, the court heard.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">The judge said there were similarities among the &#8220;catalogue of failures&#8221; across the cases, in which all the mothers suffered a placental abruption, a serious condition in which the placenta starts to come away from the wall of the womb.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">She told the hearing, which was attended by NUH chief executive Anthony May, that the &#8220;catalogue of failures&#8221; in the trust&#8217;s maternity unit were &#8220;avoidable and should never have happened&#8221;.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">Of the babies&#8217; families, the judge added: &#8220;They placed their trust in a system meant to protect expectant mothers and keep babies safe &#8211; and that trust was broken.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">&#8220;Three and a half years have gone by, yet for the families no doubt their grief remains as raw as ever and a constant presence in their lives that is woven into every moment.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">&#8220;It is very difficult, if not impossible, to move on from the failures of the trust and its maternity unit.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">&#8220;The weight of what should have been done different will linger indefinitely.&#8221;<!-- --><\/p>\n<\/div>\n<figure>\n<div data-component=\"image-block\" class=\"sc-18fde0d6-0 jFCfG\">\n<div data-testid=\"image\" class=\"sc-a34861b-1 jxzoZC\"><img decoding=\"async\" src=\"https:\/\/medexperts.pro\/wp-content\/uploads\/2023\/10\/grey-placeholder.png\" class=\"sc-a34861b-0 cOpVbP hide-when-no-script\" \/><img decoding=\"async\" src=\"https:\/\/medexperts.pro\/wp-content\/uploads\/2025\/02\/10a8e2d0-e94a-11ef-a319-fb4e7360c4ec.png.webp\" alt=\"An aerial image of Nottingham City Hospital\" class=\"sc-a34861b-0 efFcac\" \/><\/div>\n<\/div>\n<\/figure>\n<div data-component=\"text-block\" class=\"sc-18fde0d6-0 dlWCEZ\">\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">Adele was born prematurely following an emergency Caesarean after her mother, Daniela O&#8217;Sullivan, noticed bleeding and suffered abdominal pains.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">However, no vaginal examination was carried out and the court previously heard there was a delay in identifying that she was in labour.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">An inquest into Adele&#8217;s death found <!-- --><a target=\"_self\" href=\"https:\/\/www.bbc.co.uk\/news\/uk-england-nottinghamshire-60319780\" class=\"sc-c9299ecf-0 bZUiKB\">a series of &#8220;missed opportunities&#8221;<!-- --><\/a> in her mother&#8217;s treatment, but could not say whether or not they led to the baby&#8217;s death.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">In Kahlani&#8217;s case, his mother Ellise Rawson had complained of a lack of foetal movement days before she had to undergo an emergency Caesarean.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">The trust said in an interview under caution that it accepted the monitoring in her case was poor &#8220;from the outset&#8221; and that key information about her condition had not been passed on to consultants.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">A coroner said <!-- --><a target=\"_self\" href=\"https:\/\/www.bbc.co.uk\/news\/uk-england-nottinghamshire-62851423\" class=\"sc-c9299ecf-0 bZUiKB\">&#8220;failings in care&#8221;<!-- --><\/a> led to a 20-minute delay in carrying out an emergency Caesarean section.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">The court heard Emmie Studencki went to hospital four times before her son Quinn was born in July 2021 after suffering bleeding.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">On the final occasion, she called an ambulance after having a major antepartum haemorrhage.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">Prosecuting on behalf of the CQC, Ryan Donaghue told the court it was recorded by a paramedic that she lost about 1,200ml of blood but &#8220;those records did not find their way to the hospital notes&#8221;.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">Quinn was &#8220;pale and floppy&#8221; when he was delivered by emergency Caesarean section, the court heard. <!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">An inquest found <!-- --><a target=\"_self\" href=\"https:\/\/www.bbc.co.uk\/news\/uk-england-nottinghamshire-61411990\" class=\"sc-c9299ecf-0 bZUiKB\">a series of errors<!-- --><\/a> contributed to his death.<!-- --><\/p>\n<\/div>\n<h2 class=\"sc-518485e5-0 kRvAla\">&#8216;Significant financial penalty&#8217;<!-- --><\/h2>\n<div data-component=\"text-block\" class=\"sc-18fde0d6-0 dlWCEZ\">\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">The trust is currently subject of the the <!-- --><a target=\"_self\" href=\"https:\/\/www.bbc.co.uk\/news\/articles\/cyr7em4323mo\" class=\"sc-c9299ecf-0 bZUiKB\">largest maternity review<!-- --><\/a> of its kind in NHS history, with about <!-- --><a target=\"_self\" href=\"https:\/\/www.bbc.co.uk\/news\/articles\/cz0lplkg2lpo\" class=\"sc-c9299ecf-0 bZUiKB\">2,500 cases being looked at<!-- --><\/a>.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">It is the first trust to be prosecuted by the CQC more than once, after it was fined \u00a3800,000 in 2023 for failures in the care of <!-- --><a target=\"_self\" href=\"https:\/\/www.bbc.co.uk\/news\/uk-england-nottinghamshire-64422598\" class=\"sc-c9299ecf-0 bZUiKB\">Wynter Andrews<!-- --><\/a>, who died 23 minutes after being born at the Queen&#8217;s Medical Centre in Nottingham in September 2019.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">The court heard the trust has an average turnover of \u00a3612m, and the judge said she was &#8220;acutely aware&#8221; that all its funds as a publicly-funded body were accounted for and that the trust was currently operating at a deficit of about \u00a3100m.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">She said: &#8220;I can&#8217;t ignore the negative impact this will have&#8230; but the significant financial penalty has to be fixed to mark the gravity of these offences and hold the trust to account for their failings.&#8221;<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">At sentencing on Wednesday, the trust was also told to cover prosecution costs of \u00a367,755.23 and ordered to pay a surcharge of \u00a3190.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">Following the hearing, NUH chief executive Anthony May said: &#8220;The mothers and families of these babies have had to endure things that no family should after the care provided by our hospitals failed them, and for that I am truly sorry.<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">&#8220;Today&#8217;s judgement is against the trust, and I also apologise to staff who we let down when it came to providing the right environment and processes to enable them to do their jobs safely.&#8221;<!-- --><\/p>\n<p class=\"sc-eb7bd5f6-0 fYAfXe\">He said the trust believed it now had a &#8220;safer and more effective maternity service&#8221;, and hearing the families in court gave the trust more &#8220;incentive&#8221; to improve.<!-- --><\/p>\n<\/div>\n<p><!--$!--><!--\/$--><\/p>\n<div data-component=\"links-block\" class=\"sc-18fde0d6-0 jVHuOl\">\n<div class=\"sc-93223220-0 sc-46222299-0 ctbOlq eluqFz\"><span data-testid=\"links-title\" class=\"sc-46222299-2 gdGcRT\">More on this story<\/span><\/div>\n<\/div>\n<div data-component=\"links-block\" class=\"sc-18fde0d6-0 jVHuOl\">\n<div class=\"sc-93223220-0 sc-46222299-0 ctbOlq hmFIuq\"><span data-testid=\"links-title\" class=\"sc-46222299-2 gdGcRT\">Related internet links<\/span><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>16 minutes agoAsha PatelBBC News, Nottingham<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"close","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[],"class_list":["post-22057","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/22057","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=22057"}],"version-history":[{"count":3,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/22057\/revisions"}],"predecessor-version":[{"id":22063,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/22057\/revisions\/22063"}],"wp:attachment":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22057"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22057"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22057"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}