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Surgery halted after child deaths Surgery halted after child deaths
(10 minutes later)
A hospital in Oxford has suspended children's heart surgery after four recent deaths during operations. An investigation has begun at an Oxford hospital where children's heart surgery was suspended after four recent deaths.
The John Radcliffe Hospital said the fatalities involved some "very sick children" and happened in procedures during the past three to four months.The John Radcliffe Hospital said the fatalities involved some "very sick children" and happened in procedures during the past three to four months.
A spokesman said patients' families were being told and urgent cases were being transferred to other hospitals.A spokesman said patients' families were being told and urgent cases were being transferred to other hospitals.
He said a review of each of the deaths would be carried out but other patients would not be put at risk by any delay. He said each death would be reviewed but other patients would not be put at risk by any delay.
Independent health regulator The Care Quality Commission (CQC) said it was not investigating the trust, but would monitor the trust's own review.Independent health regulator The Care Quality Commission (CQC) said it was not investigating the trust, but would monitor the trust's own review.
The hospital said the patients involved all had congenital heart problems, a general term for birth defects that affect the heart.The hospital said the patients involved all had congenital heart problems, a general term for birth defects that affect the heart.
Any hospital might, at some time, have a run of deaths in a service that provides treatment for patients who are very unwell Oxford Radcliffe Hospitals NHS Trust Other cardiology procedures at the hospital will continue as usual.
Other cardiology care of patients at the hospital will continue as usual. Managers at the John Radcliffe are now contacting the families of 26 patients who were expecting to have surgery in the near future.
The hospital is now in the process of contacting the families of 26 patients who were expecting to have surgery at the hospital in the near future.
In a statement, the Oxford Radcliffe Hospitals NHS Trust said: "We have temporarily suspended the paediatric cardiac surgery service while we investigate concerns that have been raised.In a statement, the Oxford Radcliffe Hospitals NHS Trust said: "We have temporarily suspended the paediatric cardiac surgery service while we investigate concerns that have been raised.
"Our investigations are likely to include an external review of the deaths of some very sick children [four children] who underwent surgery at the John Radcliffe Hospital in the last three to four months."Our investigations are likely to include an external review of the deaths of some very sick children [four children] who underwent surgery at the John Radcliffe Hospital in the last three to four months.
"The families of children awaiting cardiac surgery are being contacted and we will be placing those patients who need to be seen urgently with other hospitals."The families of children awaiting cardiac surgery are being contacted and we will be placing those patients who need to be seen urgently with other hospitals.
"This is high-risk surgery and the trust is taking the right steps in conducting this review." Any hospital might, at some time, have a run of deaths in a service that provides treatment for patients who are very unwell Oxford Radcliffe Hospitals NHS Trust
'Take a pause' "This is high-risk surgery and the trust is taking the right steps in conducting this review.
"We are reviewing each of these patients to ensure that they are not put at risk by any delay in their treatment.""We are reviewing each of these patients to ensure that they are not put at risk by any delay in their treatment."
Roger Davidson, of the CQC, said: "We will monitor the situation extremely closely.Roger Davidson, of the CQC, said: "We will monitor the situation extremely closely.
"It is reassuring that the trust has taken action to ensure the immediate safety of patients.""It is reassuring that the trust has taken action to ensure the immediate safety of patients."
The hospital said surgery outcomes are "nationally validated" and Oxford had been "within normal outcome ranges".The hospital said surgery outcomes are "nationally validated" and Oxford had been "within normal outcome ranges".
The statement added: "This is one of the reasons why we felt it was necessary to take a close look at our service to ensure we continue to provide a high quality safe service for our children.The statement added: "This is one of the reasons why we felt it was necessary to take a close look at our service to ensure we continue to provide a high quality safe service for our children.
"Any hospital might, at some time, have a run of deaths in a service that provides treatment for patients who are very unwell."Any hospital might, at some time, have a run of deaths in a service that provides treatment for patients who are very unwell.
Adult heart patients
"However, it is right that we take a pause while we look in to the individual cases, to see if there is anything to learn from them.""However, it is right that we take a pause while we look in to the individual cases, to see if there is anything to learn from them."
It is not known how long the investigation will take but the entire treatment process for the patients will be examined, not just the surgery, the trust said. 'Urgently needed improvement'
It is not known how long the investigation will take but the entire treatment process for patients will be examined, not just the surgery, the trust said.
The president of the Society of Cardiothoracic Surgery, Leslie Hamilton, said children needing heart surgery would be sent to one of the country's 10 other specialist units while the Oxford service is suspended.
He told BBC Radio 4's Today programme: "They will look at the whole package of care.
"It will take a period of time to set up a review because they will want people from outside to come in and look at things, and that will be practising surgeons and cardiologists from other units."
In 2007 the hospital was criticised for its death rates among adult heart patients.In 2007 the hospital was criticised for its death rates among adult heart patients.
The Healthcare Commission began an investigation in November 2005 after it emerged that the number of trust patients who died between April 2002 and March 2005 after their first coronary artery bypass graft was more than double the national average - 4.01% compared with 1.83%. Two years earlier the Healthcare Commission began an investigation after it emerged that the number of trust patients who died between April 2002 and March 2005 after their first coronary artery bypass graft was more than double the national average - 4.01% compared with 1.83%.
Its report said that while rates at the John Radcliffe's cardiac surgery unit were "acceptable" improvements were urgently needed.Its report said that while rates at the John Radcliffe's cardiac surgery unit were "acceptable" improvements were urgently needed.
The hospital, opened in the 1970s, is Oxford's main accident and emergency site and also provides acute medical and surgical services. The hospital, which opened in the 1970s, is Oxford's main accident and emergency site and also provides acute medical and surgical services.
It is situated in Headington, about three miles east of Oxford city centre, and is the largest of the Oxford Radcliffe Hospitals NHS Trust's sites.