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| Baby P clinic 'was understaffed' | Baby P clinic 'was understaffed' |
| (31 minutes later) | |
| Doctors at a clinic that failed to spot a broken back in Baby Peter two days before he died were under an "excessive workload", a report has said. | Doctors at a clinic that failed to spot a broken back in Baby Peter two days before he died were under an "excessive workload", a report has said. |
| Peter Connelly, killed in 2007 in Haringey, north London, was seen at St Ann's Hospital two days before he died. | Peter Connelly, killed in 2007 in Haringey, north London, was seen at St Ann's Hospital two days before he died. |
| Dr Kim Holt, who warned about the way the clinic was run in 2006, said the 17-month-old baby could have been saved if managers had listened to her. | Dr Kim Holt, who warned about the way the clinic was run in 2006, said the 17-month-old baby could have been saved if managers had listened to her. |
| But the report found "genuine attempts" were made to address her concerns. | But the report found "genuine attempts" were made to address her concerns. |
| Dr Kim Holt, a senior consultant paediatrician, had warned the clinic's appointment system was "chaotic". | Dr Kim Holt, a senior consultant paediatrician, had warned the clinic's appointment system was "chaotic". |
| She was one of four who wrote a letter detailing problems at the hospital's clinic a year before the failed diagnosis. | She was one of four who wrote a letter detailing problems at the hospital's clinic a year before the failed diagnosis. |
| They warned the clinic - run by Haringey Primary Care Trust and manned by Great Ormond Street Hospital doctors - was understaffed. | |
| There had once been four doctors at the clinic, but two posts were cut before Baby Peter's death. Since the case, the number has risen to nine. | There had once been four doctors at the clinic, but two posts were cut before Baby Peter's death. Since the case, the number has risen to nine. |
| We accept that more could have been done to support both clinical and managerial staff in delivering the services required NHS London | We accept that more could have been done to support both clinical and managerial staff in delivering the services required NHS London |
| The independent report found "delays in seeing children must have the potential to affect patient safety". | The independent report found "delays in seeing children must have the potential to affect patient safety". |
| It described Dr Holt as "highly intelligent" and committed, and added that communication between doctors and senior administrators needs to be managed "more effectively in the interests of patient care". | It described Dr Holt as "highly intelligent" and committed, and added that communication between doctors and senior administrators needs to be managed "more effectively in the interests of patient care". |
| But it also said "genuine attempts" had been made to improve the situation after Dr Holt's letter. | But it also said "genuine attempts" had been made to improve the situation after Dr Holt's letter. |
| The report's authors described the workload of consultants at the clinic between 2006 and May 2008 as "excessive" and said the consequences of cutting a consultant post "were not adequately considered" by management. | The report's authors described the workload of consultants at the clinic between 2006 and May 2008 as "excessive" and said the consequences of cutting a consultant post "were not adequately considered" by management. |
| They also noted complaints of a "very hostile environment" at the clinic with poor communication between staff and managers. | They also noted complaints of a "very hostile environment" at the clinic with poor communication between staff and managers. |
| But they concluded: "We do not consider, however, that this descended into a bullying regime." | But they concluded: "We do not consider, however, that this descended into a bullying regime." |
| Professor Trish Morris-Thompson, chief nurse at NHS London, said: "We accept in full the findings of this independent report, and we are working with NHS Haringey to make sure recommendations are put in place. | Professor Trish Morris-Thompson, chief nurse at NHS London, said: "We accept in full the findings of this independent report, and we are working with NHS Haringey to make sure recommendations are put in place. |
| "This report shows that Dr Holt's concerns were taken seriously. | "This report shows that Dr Holt's concerns were taken seriously. |
| Council criticised | Council criticised |
| "We accept that more could have been done to support both clinical and managerial staff in delivering the services required." | "We accept that more could have been done to support both clinical and managerial staff in delivering the services required." |
| In a statement Great Ormond Street Hospital said: "The Trust welcomes the report, accepts its recommendations and now wants to move to try to resolve outstanding issues swiftly and amicably. | |
| It added: "The Trust has apologised for its mistakes in the care of Baby Peter and has acted on all recommendations made." | |
| Dr Holt will now to return to work after a period of absence. | Dr Holt will now to return to work after a period of absence. |
| Baby Peter died from abuse despite 60 visits from the authorities. | Baby Peter died from abuse despite 60 visits from the authorities. |
| His mother Tracey Connelly, 28, her partner Steven Barker, 33, and Barker's brother Jason Owen, 37, were all jailed for their part in Peter's death. | His mother Tracey Connelly, 28, her partner Steven Barker, 33, and Barker's brother Jason Owen, 37, were all jailed for their part in Peter's death. |
| Haringey Council's social services department was heavily criticised following the killing. | Haringey Council's social services department was heavily criticised following the killing. |