Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Baby Olsberg · 7 May 2015 · Lisa Hashmi, Manchester (North)
“That antenatal screening for GBS is not routinely offered by the NHS, to all pregnant women, during the final weeks of pregnancy.”
judiciary.uk/prevention-of-future-death-reports/baby-olsberg
What was promised
Stated action 1 · response to Baby Olsberg (7 May 2015) · stated timescale: 2015/16
“The UK NSC will be reviewing the evidence for antenatal screening for GBS again in 2015/16 as part of its routine evidence review process.”
judiciary.uk/…/2015-0177-Response-by-Department-of-Health.pdf
Stated action 2 · response to Baby Olsberg (7 May 2015) · stated timescale: 2015/16
“we will keep our recommendations under review, pending new evidence emerging.”
What recurred
- 30 Jun 2016 · Dominic Smith · Lisa Hashmi · Identical hazard · confidence 0.95 (high)
The clearest link, quoted from both reports:
Earlier · Baby Olsberg · 7 May 2015
“That antenatal screening for GBS is not routinely offered by the NHS, to all pregnant women, during the final weeks of pregnancy.”
Later · Dominic Smith · 30 Jun 2016
“That antenatal screening for GBS was not being routinely offered by the NHS to all pregnant - women during the final weeks of pregnancy”
What happened next
No evidence found either way · stated action 1
“Antenatal care for healthy pregnant women: a mapping of interventions from existing guidelines to inform the development of new WHO guidance on antenatal care”
Antenatal care for healthy pregnant women: a mapping of interventions from existing guidelines to inform the development of new WHO guidance on antenatal care · pmc.ncbi.nlm.nih.gov/articles/PMC5019265
“WHO recommendations on antenatal care for a positive pregnancy experience”
WHO recommendations on antenatal care for a positive pregnancy experience · who.int/publications/i/item/9789241549912
“Australian Pregnancy Care Guidelines Main editor Living Evidence for Australian Pregnancy and Postnatal Care (LEAPP) 2.0 published on 22.03.2024”
Australian Pregnancy Care Guidelines · files.magicapp.org/…/published_guideline_7933-2_0.pdf
No evidence found does not mean the action did not happen.