Mothers were to blame for the death of their babies during fatal questions with care has gone unnoticed over decades, damning report on the biggest motherhood scandal in concluded the National Health Service.
That review in failure at Shrewsbury and Telford Hospital Trust found that 300 babies died or were injured injury how result of bad care.
Motherhood expert Donna Okenden, who led the investigation, warned that mistreatment continued issue in trust, despite the appeal for immediate action to be taken out after initial findings in 2020.
The systemic problems of the trust were noted by Ms. Okkendenas back in November 2019. in her interim report, disclosed Independent. But she said staff at the maternity hospital told her they still had concerns. over level of care today.
Families said they were subjected to “incomprehensible brutality” as their concerns were not addressed and some deaths were not investigated.
Health secretary Sajid Javid told the House of Commons on Wednesday what in one important clinical case information was saved on Stickers that were then thrown away by the cleaners.
Investigation of 1486 families launched in 2017, found:
- Trust “placed the blame” on family after death of them children
- failures in departure was repeated from one incident with next
- Delivery of traumatic forceps caused skull fractures, broken bones or development of cerebral paralysis in children
- External bodies failed hold the trust to account, and internally the trust did not learn from the reviews
- Babies died after women denied a caesarean section because of a culture that desired the natural births
Ms. Okenden, Chairman of in review said Independent said that she had staff as recently as Tuesday, out to say that they were “afraid to speak out”and” scary of their work”.
Chair made clear there were constant fears over take care of trusts despite the initial review in 2020 is calling for improvement actions.
Ms Okenden said it was “amazing” that for more for more than two decades, the trust has not challenged internal shortcomings and has not been held accountable by outside health authorities.
She made clear there were constant fears over take care of the trust, despite the initial review in 2020 needs improvement and also warned that the failures at Shrewsbury “could potentially be repeated elsewhere”. outside of maternity hospital services.
Investigations identified more over 200 preventable deaths, including 131 stillbirths and 70 neonatal deaths. there were 29 more cases of severe brain damage and 65 cases of cerebral paralysis. nine women we also found die due to mistakes.
Parents failed said in confidence Independent they suffered “inhumanity” and “inconceivable cruelty” as they were accused for of death of their kids.
Families say they weren’t listened to or called for independent board control the work of hospitals of recommendations.
Health secretary Sajid Javid said the report was “a devastating report”. of bedrooms that are empty, families that have lost, and loved ones taken prematurely.”
Mr Javid said action set out Ms. Okenden will be accepted and assurances that persons who we responsible for “serious and repeated failures” will be held accountable.
Okenden review It was first by order former health secretary Jeremy Hunt in 2017 and initially covered 23 families.
In 2019 Independent revealed initial findings of in review defined more than a dozen women as well as more more than 40 babies died during childbirth.
That review has several reports from parents who said women were “charged” or “withheld responsible” after women and children were hurt or died.
Richard Stanton and Rhiannon Davis, whose daughter Kate died in March 2009 were one of in key families leading in campaign for justice.
According to final Okenden reports death of two babies in similar circumstances in year to Kate death.
Rhiannon Davis said there should be an independent whistleblower line for staff talk out And panel to review every year progress against recommendations of the Okkenden report.
Kaylee and Colin Griffiths who have also was at the forefront of in review have lost their daughter pippa in 2016.
Speaking with Independent they said: “They didn’t listen to us and didn’t listen to us in the trust, but they keep repeating us what they learned and showed today us that even if they say us they have carried out all the activities and the employees are still coming forward. They haven’t learned anything, and until they do, we won’t be satisfied.”
Despite warnings from review chair of continuous problems and that it had failed to comply with all previous recommendations, Louise Barnett, chief executive of the trust, said. on On Wednesday he delivered everything of requested action of this is after the 2020 interim report.
“We know that we still have a lot more do to ensure we deliver highest possible standard of take care of women and the families we care about for”.
Former health secretary Jeremy Hunt said that because “the culture of fear in NHS” it was left families to fight for justice.
Mr Hunt told the Commons: “Today’s report goes beyond my darkest apprehensions when I ordered it as health secretary in 2016”.
That final Okenden review identifies at least eight regulators and external health authorities that have investigated or identified concerns about treatment at Shrewsbury and Telford Hospitals Trust over 20 years.
In 2021 senior Staff commissioning the NHS told reviewers they knew of problems within the service from 2013 to 2020, but were assured by the trust of changes and said they were “limited in them power make a difference for better”.
Healthwatch England, of which Sir Robert Francis chaired public investigation of failures in Middle Staffordshire, said that the Okenden report was “another scandal in which clear what lessons from past failures are not studied.
That bodyx national director Louise Ansari added: “We also know in problems in childbirth doesn’t stop at Shrewsbury Hospital, with investigations into the failure to provide safe care for mothers and newborn babies out in other parts of the country.”
Source: Shrewsbury families suffered ‘incomprehensible cruelty’
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