Carla London
PFD Report
All Responded
Ref: 2015-0003
All 1 response received
· Deadline: 3 Mar 2015
Coroner's Concerns (AI summary)
Concerns were raised about the need to consider NICE guidance on late-onset sepsis in premature babies and to research infection monitoring systems to improve early detection and treatment.
View full coroner's concerns
20th hrs day:
Her Majesty's Coroner for the Northern District of Greater London (Harrow, Brent; Barnet; Haringey and Enfield) That coroner shares the concerns expressed by the independent expert that consideration should be given to NICE guidance on late onset sepsis in under 1500 babies and that and for research in to HeRO or other infection monitoring systems,
Her Majesty's Coroner for the Northern District of Greater London (Harrow, Brent; Barnet; Haringey and Enfield) That coroner shares the concerns expressed by the independent expert that consideration should be given to NICE guidance on late onset sepsis in under 1500 babies and that and for research in to HeRO or other infection monitoring systems,
Responses
Action Planned
The Department of Health has shared the coroner's report with NICE, so NICE can take the concerns into account in the development of its guideline on sepsis. NICE expects to publish its final guidance on this topic in July 2016. (AI summary)
The Department of Health has shared the coroner's report with NICE, so NICE can take the concerns into account in the development of its guideline on sepsis. NICE expects to publish its final guidance on this topic in July 2016. (AI summary)
View full response
Dear They how sepsis during
Plans include an audit of practice in every GP surgery in England by March 2015,and a new tool for GPs to diagnose sepsis among children under 5. New diagnosis and incentivised treatment for hospitals are also designed to help raise standards. Further information is attached for your convenience and available at: WWW gQV uklgovernmentlnewsInew-action-to-reduce-sepsis We have shared your report with the Centre for Clinical Practice at NICE, so that NICE can take your concerns about this case into account in the development of its guidance in this important area. NICE'$ clinical guideline development process involves an assessment of the available evidence, and consultation with stakeholders NICE is currently developing clinical guideline on sepsis which will cover the recognition; diagnosis and management of severe sepsis in people of all ages. NICE will decide whether this should include an assessment of the HeRo heart rate monitoring system and other such systems. NICE currently expects to publish its final guidance on this topic in July 2016. The new guideline is intended to complement existing NICE guidance on antibiotics for early - onset neonatal infection. This was published in 2012 and outlines best practice for preventing and treating sepsis in infants during the neonatal period. Further information is available at: WWWnice_Org_uklguidancelindevelopmentlgid-cgwave0686 Local maternity and neonatal care providers determine how best to deliver services in their area. In doing so we would always expect them to give due regard to NICE guidance. that this information is helpful and I thank you for bringing the circumstances of Carla' $ death to our attention_ Best wishes, DR DAN POULTER goals key hope
Plans include an audit of practice in every GP surgery in England by March 2015,and a new tool for GPs to diagnose sepsis among children under 5. New diagnosis and incentivised treatment for hospitals are also designed to help raise standards. Further information is attached for your convenience and available at: WWW gQV uklgovernmentlnewsInew-action-to-reduce-sepsis We have shared your report with the Centre for Clinical Practice at NICE, so that NICE can take your concerns about this case into account in the development of its guidance in this important area. NICE'$ clinical guideline development process involves an assessment of the available evidence, and consultation with stakeholders NICE is currently developing clinical guideline on sepsis which will cover the recognition; diagnosis and management of severe sepsis in people of all ages. NICE will decide whether this should include an assessment of the HeRo heart rate monitoring system and other such systems. NICE currently expects to publish its final guidance on this topic in July 2016. The new guideline is intended to complement existing NICE guidance on antibiotics for early - onset neonatal infection. This was published in 2012 and outlines best practice for preventing and treating sepsis in infants during the neonatal period. Further information is available at: WWWnice_Org_uklguidancelindevelopmentlgid-cgwave0686 Local maternity and neonatal care providers determine how best to deliver services in their area. In doing so we would always expect them to give due regard to NICE guidance. that this information is helpful and I thank you for bringing the circumstances of Carla' $ death to our attention_ Best wishes, DR DAN POULTER goals key hope
Sent To
- Department of Health and Social Care
Response Status
Linked responses
1 of 1
56-Day Deadline
3 Mar 2015
All responses received
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Report Sections
Investigation and Inquest
On the 15 Day of April 2014 opened an investigation touching the death of Carla London 12 days old: The inquest concluded on the 21st November 2014_ The conclusion of the inquest was Natural Causes' the medical case of death was Ia E Coli septicaemia Ib Extreme Prematurity
Circumstances of the Death
Carla was born on the 14/h April 2011 weighing 970 gms in hospital. On the April Carla was given a course of antibiotics for a suspected sepsis_ The antibiotics were stopped on the 24th April 2011. During the afternoon of the 25lh April 2011 Carla was noticed to be unwell by her mother and was reassured by a nurse. Carla was recognised to be unwell by the staff on the morning of the 26th April 2011 and rapidly deteriorated and died in hospital at 14.30 on the same Expert evidence heard at the inquest suggested that there should be NICE guidance on late onset sepsis in under 1500 gms babies and that and for research in to HeRO or other infection monitoring systems.
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you [ANDIOR your organisation] have the power to take such action.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.