Eclipse Morrison

1. 1. failure to consider elective caesarean section

   “failure to consider an elective Caesarean Section (CS)”

2. 2. incomplete Badgernet portal access

   “Badgernet maternity system implemented in October 2021 will resolve the problems relating to mode and timing of birth”

3. 3. insufficient quality assurance

   “quality checks are made on ten sets of notes per month out of an estimated 3,000 records”

4. 4. delayed escalation of USS concerns

   “procedure for escalating concerns arising out of a USS where it is not possible to obtain an accurate measurement in a high-risk pregnancy is currently under review.”

5. 5. lack of counselling for shoulder dystocia risk

   “all mothers identified to have an increased chance of shoulder dystocia now receive counselling regarding the risks and benefits associated with vaginal birth or CS”

6. 6. ambiguous Montgomery interpretation

   “lack of clarity as to the way in which Montgomery guidelines are interpreted”

No published response was found on judiciary.uk.