“| request that you ensure that training on CTG tracing interpretation is contained in the…”
Dated 9 Mar 2017, from the coroner for West Yorkshire (Eastern). 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 4 May 2017. 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 dated9 Mar 2017
- Deadline4 May 2017
- Published on judiciary.uk12 Mar 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Nursing and Midwifery Council | Response published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s. |
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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.
— (1) | request that you ensure that training on CTG tracing interpretation is contained in the Undergraduate Syllabus for all Midwifery Degree Courses throughout the country. (2) That this is compulsory and that it has to be assessed on a pass or fail basis, and that a student Midwife cannot seek registration until this vital etement in training is undertaken. (3) That Hospital Trusts should not recruit newly qualified Midwives until they can demonstrate their understanding and proficiency in CTG tracing interpretation. (4) There should be formal refresher training for all practising Midwives in CTG tracing and interpretation done on a yearly basis, and that this should be assessed on a pass or fail basis, and not merely left to the responsibility of the individual Midwife to complete an E-learning package without Management Review and assessment.
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, 2017-0061
- Added to Minute Book
- 8 Oct 2026
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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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