Sophia Evangeline Smith
Scotland — FAI
Health
2 recommendations
Determination
| Reference | [2025] FAI 41 |
| Published | 15 October 2025 |
| Sheriff | Sheriff Joanna McDonald |
| Sheriffdom | Glasgow and Strathkelvin |
| Date of death | 11 April 2017 |
| Location | Royal Hospital for Children Glasgow |
| Cause of death | PVL-MSSA infection |
Recommendations 2
PDF
Addressed to:
NHSGGC
Public Health Scotland
Recommendation 1: Weekly screening of vulnerable neonates in intensive care is a useful early warning of Staphylococcus aureus colonisation. This can inform clinical decisions with regard to possible infection and antibiotic therapy. NHSGGC should review the existing protocol in order to ensure that it is properly complied with at all times. Other Health Boards should consider adopting a similar screening process. Recommendation 2: Public Health Scotland should disseminate information on; (a) the risks associated with PVL-MSSA; (b) the difficulties of diagnosis; (c) the advantages of early antibiotic and anti-toxin therapy, and; (d) the learning described by Dr Jonathan Coutts in his evidence, to other neonatal clinical teams throughout Scotland.
No mandatory response mechanism — unlike PFD reports (England & Wales), recipients are not required to respond.
About FAIs
Fatal Accident Inquiries are held under the 2016 Act before a sheriff. They are mandatory for deaths in custody and at work. The sheriff may make recommendations under s.26(1)(b) but there is no enforcement mechanism.