Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of national guidance for antenatal fetal monitoring
The earlier warning
Mohammed Yousaf · 16 Feb 2015 · Lisa Hashmi, Manchester (North)
“Whilst Pennine Acute Hospitals NHS Trust has now established its own local guidelines based upon recent research conducted in Bristol, there are no national guidelines on how to interpret and/or classify antenatal (as opposed to intra-partum) CTG tracings.”
judiciary.uk/prevention-of-future-death-reports/mohammed-yousaf
What was promised
No published response from Royal College of Obstetricians and Gynaecologists was found for the earlier reports.
What recurred
- 24 Jun 2026 · Nola-Reign Morgan · Martin Lanchester · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Mohammed Yousaf · 16 Feb 2015
“Whilst Pennine Acute Hospitals NHS Trust has now established its own local guidelines based upon recent research conducted in Bristol, there are no national guidelines on how to interpret and/or classify antenatal (as opposed to intra-partum) CTG tracings.”
Later · Nola-Reign Morgan · 24 Jun 2026
“National Guidance. There is no national guidance in the antenatal setting to establish when and in what circumstances fetal monitoring should be used especially when chorioamnionitis is suspected.”
What happened next
No web check of the stated actions has been published for this chain.