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| Kate Stanton-Davies death: Trust 'failed to establish facts' around death | Kate Stanton-Davies death: Trust 'failed to establish facts' around death |
| (about 14 hours later) | |
| A hospital trust "abdicated its responsibility" in finding out why a baby died six hours after her birth, an independent review has found. | A hospital trust "abdicated its responsibility" in finding out why a baby died six hours after her birth, an independent review has found. |
| Kate Stanton-Davies died after delays transferring her from Ludlow Community Hospital, in Shropshire, to a doctor-led maternity unit in March 2009. | Kate Stanton-Davies died after delays transferring her from Ludlow Community Hospital, in Shropshire, to a doctor-led maternity unit in March 2009. |
| Shrewsbury and Telford Hospital Trust (SaTH) "failed to establish facts and accountability", the review said. | Shrewsbury and Telford Hospital Trust (SaTH) "failed to establish facts and accountability", the review said. |
| Chief executive Simon Wright apologised "unreservedly" for the shortcomings. | Chief executive Simon Wright apologised "unreservedly" for the shortcomings. |
| Kate, who had anaemia, was born "pale and floppy" and died after being taken by air ambulance to Birmingham's Heartlands Hospital. | Kate, who had anaemia, was born "pale and floppy" and died after being taken by air ambulance to Birmingham's Heartlands Hospital. |
| Parents' 'tenacity' | Parents' 'tenacity' |
| Repeated signs the pregnancy was not low-risk were not picked up and her death was avoidable, an earlier nNHS England-led review found. | |
| Serious concerns about the fitness to practise of two midwives were also raised. | Serious concerns about the fitness to practise of two midwives were also raised. |
| The purpose of the current review was to determine whether the trust fulfilled its responsibility to establish the facts about why the death occurred. | |
| In conclusion, it stated the trust had not carried out a "robust managerial investigation", failed to hold staff to account and failed to address concerns raised by Kate's parents, Richard Stanton and Rhiannon Davies. | In conclusion, it stated the trust had not carried out a "robust managerial investigation", failed to hold staff to account and failed to address concerns raised by Kate's parents, Richard Stanton and Rhiannon Davies. |
| Without the couple's tenacity in seeking the truth of the circumstances, vital lessons would not have been learnt, the report said. | Without the couple's tenacity in seeking the truth of the circumstances, vital lessons would not have been learnt, the report said. |
| "For this, the trust is indebted to Ms Davies and Mr Stanton," it stated. | "For this, the trust is indebted to Ms Davies and Mr Stanton," it stated. |
| "The trust should work in partnership with Kate's parents to establish a fitting acknowledgement of the contribution they have made to the safety and quality of maternity services at SaTH." | "The trust should work in partnership with Kate's parents to establish a fitting acknowledgement of the contribution they have made to the safety and quality of maternity services at SaTH." |
| Mr Wright from the trust said: "We fully acknowledge the failings identified in this report and the harm they have caused to Richard and Rhiannon." | Mr Wright from the trust said: "We fully acknowledge the failings identified in this report and the harm they have caused to Richard and Rhiannon." |
| Ms Davies told BBC News they felt they have had the answers for "a long time", but have been battling to get the hospital to accept them. | Ms Davies told BBC News they felt they have had the answers for "a long time", but have been battling to get the hospital to accept them. |
| "Over the years, they have constantly been telling us to go away and that our concerns were unfounded," she said. | "Over the years, they have constantly been telling us to go away and that our concerns were unfounded," she said. |