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Neglect at Milton Keynes Hospital led to death of boy, five | Neglect at Milton Keynes Hospital led to death of boy, five |
(40 minutes later) | |
"Gross failures" by a hospital contributed to the death of a five-year-old boy, a coroner has ruled. | "Gross failures" by a hospital contributed to the death of a five-year-old boy, a coroner has ruled. |
Harry Mould, of Buckinghamshire, was admitted to Milton Keynes Hospital after an asthma attack in March 2009. | Harry Mould, of Buckinghamshire, was admitted to Milton Keynes Hospital after an asthma attack in March 2009. |
He was transferred to Leicester Royal Infirmary the next day, and died there four days later. | He was transferred to Leicester Royal Infirmary the next day, and died there four days later. |
Deputy Leicester coroner Donald Coutts-Wood recorded a narrative verdict and said Harry had died of natural causes, contributed to by neglect. | Deputy Leicester coroner Donald Coutts-Wood recorded a narrative verdict and said Harry had died of natural causes, contributed to by neglect. |
An investigation began two years ago after a whistle-blower raised concerns about Harry's care. | An investigation began two years ago after a whistle-blower raised concerns about Harry's care. |
'Missed opportunities' | 'Missed opportunities' |
His family, from Greenleys, had waited since 2009 for the inquest to resume and claimed he was not checked regularly by staff at Milton Keynes. | His family, from Greenleys, had waited since 2009 for the inquest to resume and claimed he was not checked regularly by staff at Milton Keynes. |
The two-week inquest had heard there were missed opportunities to monitor Harry after his admission on 26 March, and to detect that his condition was deteriorating. | The two-week inquest had heard there were missed opportunities to monitor Harry after his admission on 26 March, and to detect that his condition was deteriorating. |
There was a critical period between 20:30 and 21:35 GMT on 27 March when he was not receiving the required observations, Mr Coutts-Wood heard. | There was a critical period between 20:30 and 21:35 GMT on 27 March when he was not receiving the required observations, Mr Coutts-Wood heard. |
The coroner said that amounted to a "gross failure" to provide Harry with the basic medical attention he required. | The coroner said that amounted to a "gross failure" to provide Harry with the basic medical attention he required. |
He said the failures had a clear and direct connection to the death, and that Harry would probably have survived had he been monitored more closely. | He said the failures had a clear and direct connection to the death, and that Harry would probably have survived had he been monitored more closely. |
'Failed to listen' | 'Failed to listen' |
Harry was transferred for specialist treatment but died of a lack of oxygen on 31 March. | Harry was transferred for specialist treatment but died of a lack of oxygen on 31 March. |
Martin Wetherill, the hospital's medical director, apologised to Harry's parents and said staff had "failed to listen" to their concerns while Harry was in their care. | Martin Wetherill, the hospital's medical director, apologised to Harry's parents and said staff had "failed to listen" to their concerns while Harry was in their care. |
"We have learned from this that we must listen to families and we will be concentrating now on improving our communications with our patients," he said. | "We have learned from this that we must listen to families and we will be concentrating now on improving our communications with our patients," he said. |
The hospital now has two fully-staffed high dependency beds, expanding to four in February, to give very ill children "increased clinical attention at all times", he said. | The hospital now has two fully-staffed high dependency beds, expanding to four in February, to give very ill children "increased clinical attention at all times", he said. |
It has also "substantially improved its paediatric early warning system", which aims to alert staff if there is cause for concern. | It has also "substantially improved its paediatric early warning system", which aims to alert staff if there is cause for concern. |
Harry's mother, Odette Mould, told the BBC: "I just want them [the hospital] to change and use this as a learning curve, and for Harry to have made a difference. | |
She added: "I did take the apology on oath as sincere, but I think it came from the wrong person, and very late. | |
"We weren't listened to. Our main aim is to get Jessica [Harry's twin] the support she needs." |