Baby who died 23 minutes after birth ‘failed in most cruel way by NHS’’

The mother of a baby girl who died in hospital 23 minutes after she was born has said she was “failed in the most cruel way” by the NHS Trust.

Nottingham University Hospitals NHS Trust placed Winter Andrews and his mother Sarah Andrews at “significant risk of avoidable harm”, a court heard on Wednesday.

Ryan Donoghue, prosecuting, said the trust was short-staffed and failed to ensure staff at the Queen’s Medical Center in Nottingham were aware of their own guidelines, leading to Winter’s death on 15 September 2019.

The baby died in the arms of his mother and father, Gary Andrews, 23 minutes and 30 seconds after being born by emergency caesarean section.

During a hearing at Nottingham Magistrates’ Court on Wednesday, the trust pleaded guilty to two counts of being a registered person who failed to provide care and treatment in a safe manner, resulting in harm or loss.

Speaking outside court alongside the family’s lawyer, Mrs Andrews said: “As first time parents, we always wanted to bring our precious baby home.

,Management There were repeated warnings by the Trust staff about the safety in the unit, but they failed to act.

“They were repeatedly warned by the bereaved and victimized families, but failed to listen and learn.

Parents Sarah and Gary Andrews arrive at Nottingham Magistrates’ Court for the hearing

(PA Wire)

“They were repeatedly told by various investigative bodies over many years about maternity safety concerns at the Trust, yet they failed to make the significant changes required,” Mrs Andrews continued.

“We hope that this criminal prosecution against the Trust for its unsafe care will finally be the blow they need to make patient safety a priority and result in meaningful change.”

Mr Donoghue outlined a number of “serious” and “persistent” failings in Mrs Andrews’ care, which were exacerbated by staff shortages, which left the midwife looking after a patient in another ward.

Mrs Andrews was admitted to hospital on 14 September, her planned due date, following an “uncomplicated” pregnancy.

An induced labor planned for 7 September was canceled following a request from Mrs Andrews, but an investigation later found the order was signed by a midwife without consulting an obstetrician, and the decision in medical notes Limited arguments were given for.

Once Mrs Andrews was in labour, Winter’s heartbeat was described as “suspicious” by doctors, the decision was made to deliver her via caesarean section at 1.33pm on 15 September.



These failures collectively created a situation where Sarah Andrews and Winter Andrews were exposed to a significant risk of avoidable harm.

Ryan Donoghue

Following complications during surgery, she was delivered at 2.05 pm in “poor” condition and later died.

Mr Donoghue told the court that the trust “failed to ensure that staff were properly sensitized and trained” when it came to consulting more senior colleagues and prescribing medicines, including the care and physical examinations of expectant mothers Involved in giving birth to babies.

cqcOne who monitors and inspects health services englandsaid last July it would sue the trust.

Bernard Thorogood relented, telling the court that the trust had made a full and frank admission of the failings from the start of the investigation into the matter by the CQC and the Healthcare Safety Investigation Branch.

Mr Thorogood said “the Trust’s heart was in the right place” and that the Trust was responsible for around 8,000 births a year, which often passed without incident, and that staffing shortages were not unique to the Trust .

He added: “Training, we acknowledge, was not always what it should have been.

“There were guidelines and well-motivated, well-trained staff, not always as trained as they should have been and not always sufficient in numbers at the moment, but these are the makings of a system that is working very safely.” Can

“It wasn’t here, and it’s a sadness beyond any words I can express.

“But it could have worked safely, and it had worked safely.”

The maternity unit at QMC was rated as inadequate by the CQC, while the hospital overall was assessed as needing improvement, when a site inspection was carried out last March.

After the hearing, Anthony May, chief executive of the trust, said: “We are really sorry for the pain and grief caused by the failures in the maternity care we provided to Mr and Mrs Andrews.

“We let them down in what should have been a happy time in their lives.

“Today, we pleaded guilty and will fully accept the court’s findings.

“While words will never be enough, I can assure our communities that NUH staff are committed to providing good quality care every day and we are working hard to make necessary improvements for our local communities.” , which includes engaging fully and openly. Donna Ockenden and their team on the ongoing independent review of our maternity services.

District Judge Grace Leong told the court she would pass sentence at 10am on Friday – which could be a maximum of an unlimited fine.