Prevention of Future Deaths reports · 2018

Louie Bradley

Regulation 28 report to prevent future deaths, reference 2018-0261, written 21 Aug 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report21 Aug 2018
Reference2018-0261
DeceasedLouie Bradley
CoronerJohn Pollard
Coroner areaManchester (West)
CategoryHospital Death (Clinical Procedures and medical management) related deaths · Child Death (from 2015)
Organisation namedBolton NHS Foundation Trust
Sourcejudiciary.uk record · original PDF
Responses published2

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

REGULATION 28:  REPORT TO PREVENT FUTURE DEATHS (1) 

NOTE: This form is to be used after an inquest. 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO: 

1.  Jackie Bene, Chief Executive, Royal Bolton Hospitals NHS Trust, Minerva 

Road, Farnworth, Bolton  BL4 0JR 

2. 

1  CORONER 

I  am  John  S  Pollard,  Assistant  Coroner  for  the  Coroner  Area  of  Manchester 
West. 

2  CORONER’S LEGAL POWERS 

I make this report under paragraph 7, Schedule 5, of the Coroners and Justice 
Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 
2013. 

3 

INVESTIGATION and INQUEST 

On the 31st August 2017 I commenced an investigation into the death of Louie 
Francis  Bradley,  aged  1  day.    The  investigation  concluded  at  the  end  of  the 
inquest  on  the  15th  August  2018.    The  conclusion  of  the  inquest  was  that  he 
died  from  Sudden  and  Unexpected  Neo-Natal  Death  of  an  Infant  born  at  42 
weeks with widespread pneumonia.  The narrative conclusion was as follows:- 

On the 27th August 2017 Louis Francis Bradley died as a result of a combination 
of  Natural  Disease  (undiagnosed  Bronchopneumonia  and  the  symptoms  of  the 
common  cold)  and  an  accidental  obstruction  of  his  airways  whilst  in  bed 
following a breastfeed. 

4  CIRCUMSTANCES OF THE DEATH 

He  died  following  breast  feeding  in  bed  with  his  mother  when  mother  fell 
asleep. 

5  CORONER’S CONCERNS 

During  the  course  of  the  Inquest  the  evidence  revealed  matters  giving  rise  to 
concern. In my opinion there is a risk that future deaths will occur unless action 
is taken. In the circumstances it is my statutory duty to report to you. 

The MATTERS OF CONCERN are as follows:   

1.  The  midwives  at  your  Hospital  gave  evidence  that  they  still  advise 
breastfeeding in bed whilst lying side-by-side with the baby even if no-one 
else  is  present  and  the  mother  is  obviously  fatigued,  this  leads  to 

1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 inadvertent co-sleeping and as in this case can lead to death. 

2.  The standard Trust issue documentation was not (properly) completed with 
the  omission  of  vital  information  such  as  mother’s  name,  GP  Practice, 
address  etc.;  similarly  advice  allegedly  given 
to  patient  was  not 
documented. 

6  ACTION SHOULD BE TAKEN 

In  my  opinion  urgent  action  should  be  taken  to  prevent  future  deaths  and  I 
believe that you have the power to take such action. 

7  YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date of this 
report, namely by 17th October 2018.  I, the Coroner, may extend the period. 

Your  response  must  contain  details  of  action  taken  or  proposed  to  be  taken, 
setting out the timetable for action. Otherwise you must explain why no action 
is proposed. 

8  COPIES and PUBLICATION 

I have sent a copy of my report to the Chief Coroner and to the following 
Interested Persons:- 

1. 

I am also under a duty to send the Chief Coroner a copy of your response.  

The  Chief  Coroner  may  publish  either  or  both  in  a  complete  or  redacted  or 
summary form.  

He  may  send  a  copy  of  this  report  to  any  person  who  he  believes  may  find  it 
useful or of interest. You may make representations to me, the coroner, at the  
time of your response, about the release or the publication of your response by 
the Chief Coroner. 

Dated 

Signed 

21st August 2018 

John S Pollard 
HM Assistant Coroner, Manchester West 

2

Responses

2 responses published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.

Response from Bolton NHS Trust Action Plan (PDF)
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Following birth with the first feed — CDS /
Birth suite

Orientation ton postnatal ward - Welcome
Pack.

Each feed on postnatal ward.

At discharge

September 2018 | September q

Safe Sleeping
Infant Feeding advice

4

Safe Sleeping
Infant Feeding advice

Review current advice provided at each touchpoint

safe sleeping advice
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September 2018 Agreed at meeting of 26.9.18

} CDS
Red books to be held on CDS / Birthsuite to aid Matron / @)

initial safe sleeping discussions. Birth Suite Manager
Safe Sleep - huddle
red books.docx

Training for staff on CDS / Birthsuite re initial safe October 2018 In progress Training schedule in progress.
sleeping discussions using the red book. Educator.

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To explore the possibility of adding safety advice to December 2018 In process
the overhead TV's.

Ward Managers September 2018 | September Review of Stockports postnatal notes
Contact other Maternity units to request a sample 2018 — they use the same sticker from the
of their postnatal notes to improve documentation. Perinatal institute.

Agreed to design our own sticker for
| Bolton use.

Safer Sleeping Working ‘October 2018 In process

Development of an observations sticker to replace Group
the current Perinatal Institute sticker to record | , |

observations and confirm that Safe Sleeping advice

has been delivered. postnatal stickers

Regular documentation audits to be carried out in mB; Clinical October 2018 | Complete for
Standards Midwife October 18

all maternity areas — to include Safe Sleeping and erdlenecine

infant feeding advice. Safe Sleeping
documentation audit -

Ward Managers September 2018 | Complete ’
Add timely safe sleeping advice of Postnatal KPI’s :
KPI - safe sleep.docx

Inform the Safeguarding Board regarding actions November 2018 Action plan to be submitted to
around safer sleeping following the Regulation 28 November Safeguarding Board
Explore clip on cots for beds on post-natal ward HE Head of September 2018 | September Explored and there are no cots that
(awaiting costings) Midwifery will fit the current configuration of

beds on the ward due to the
mechanism of the bed safety sides
Response from Bolton NHS Trust (PDF)
Telephone: (01204) 390390 ext 5912 NHS |

Our Ref: 1.002245
Your Ref: JSP/YD/2815-2017 Bolton

NHS Foundation Trust

16 October 2018
Mr J $ Pollard RECEIVED
HM Assistant Coroner 22 OCT 2018

Coronial Area of Manchester West
Paderborn House, Civic Centre
BOLTON

BL1 1JW

Dear Mr Pollard

Re: Louie Francis Bradley

Re: Regulation 28 Report to Prevent Future Deaths

| am writing in response to your Regulation 28 Report to Prevent Future Deaths, issued
following the Inquest touching the death of Louis Francis Bradley on 15 August 2018.

May | take this opportunity to extend my deepest sympathy to Mr & Mrs Bradley for their loss
and appreciate this will remain a very difficult time for them and their family.

| am now in a position to respond to your concerns as outlined in Section 5 of your report.
Section 5 (1) and (2)

| am aware that during the course of establishing how Louise came about his death you raised
concerns about mothers choosing to bed share with their babies while breastfeeding.

Following receipt of the Regulation 28 Report, | requested that the Head of Midwifery/Divisional
Nurse Director and the Governance Lead for the Families Division review your concerns and
would like to assure you that further actions in addition to the actions identified in the Serious
Incident Report have been taken.

| have attached an Action Plan which details a number of improvements together with the
relevant documentation which is in now place for your reference. | hope that my response has
provided you and the family with the assurance that the Trust has taken appropriate action
regarding safe sleeping advice and documentation.

Please do not hesitate to contact me in the event you require any further assistance

Yours T.
&

Dr Jackie Bene
Chief Executive

Encl. Action Plan with supporting documentation

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