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recurance

Luca Yates

9 Nov 2023 · Coroner Chris Morris · Manchester South

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. reduced practical experience in resuscitation of neonates born in poor condition

    “It is a matter of concern that paediatric middle grades may have reduced practical experience in resuscitation of neonates born in poor condition, that will increase the reliance on Consultants (who in some clinical settings may be non-resident on call depending when delivery takes place)”
  2. 2. lower level of experience of complex neonatal resuscitation

    “It is a matter of concern that Consultant general paediatricians of the future will have a lower level of experience than is currently the case of complex neonatal resuscitation”

Linked reports

Raised again laterYahya Hayat10 Feb 2025 · 1 year 3 months later
Identical hazardConfidence 0.96 · high

This report

“It is a matter of concern that Consultant general paediatricians of the future will have a lower level of experience than is currently the case of complex neonatal resuscitation”

Later report

“Consultant general paediatricians of the future will have a lower level of experience than is currently the case of complex neonatal resuscitation”
Original on judiciary.uk ↗
Full chain: Insufficient complex neonatal resuscitation training

Responses

2023-0437-Response-from-Royal-College-of-Paediatrics-and-Child-Health.pdf ↗· Royal College of Paediatrics and Child Health

Stated action

“introduced a formal supervisor assessment that the trainee is ready to be on the tier 2 rota with remote supervision (i.e., a consultant on call from home). To agree that a trainee is ready for this step there needs to be agreement that there is evidence of: - Neonatal capabilities. - General paediatric capabilities. - Neonatal Life Support & Advanced Paediatric Life Support course, or equivalent. - Mandatory procedures (including airway maintenance”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error

Luca Yates · Recurance