“During the inquest evidence was given from the Consultant Locum Neonatologist at Oxford…”
Dated 3 Feb 2014, from the coroner for Avon. Sent to 1 organisation or person.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Deadline passedReplies were due by 31 Mar 2014. A reply may have been sent and not yet published.
Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.
- Report dated3 Feb 2014
- Deadline31 Mar 2014
- Published on judiciary.uk3 Feb 2014
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Oxford University Hospitals NHS Foundation TrustNamed in the report as “Oxford University Hospitals NHS Trust” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 31 Mar 2014. A reply may have been sent and not yet published. |
The coroner’s concerns
This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.
— During the inquest evidence was given from the Consultant Locum Neonatologist at Oxford as to how a baby is assessed as being suitable for transfer to another neonatal unit. | also heard evidence from a Consultant Neonatologist from Bristol who confirmed that the assessment of suilability for transfer from the United Hospitals Bristol] NHS Foundation Trust means that a baby is not transferred to another neonatal unit until they are in a much more stable condition. | would therefore ask that you review your policy for assessing a babies weliness, stability and indeed suitability prior to approving that baby fit for transfer between neonatal units
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2014-0059
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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