“e That a child as ill as James will again be moved from the Emergency Department to the…”

The coroner’s concerns

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e That a child as ill as James will again be moved from the Emergency Department to the ward or Assessment Unit at the Hospital, rather than being transferred out for ongoing care — there is no reassurance that a sick child will be seen by a Consultant Paediatrician in the Emergency Department to assist with this decision e That the ‘red fiag’ signs of sepsis will not be recognized and acted upon by the Paediatric team unless there is further training and awareness raising. | suggest The Paediatric Consultant team access external training and mentoring by senior colleagues ideally within their Critical Care network. that there is still no protocol for face to face medical handover that the Consultant team have rejected a model of care that encourages frank discussion with nursing and other staff on the ward, aimed at helping all staff speak up when worried about a deteriorating child (the RCPCH SAFE model) — e the level of Paediatric staffing at Bassetlaw Hospital. | understand there is often only one junior doctor available, and that the middle grade doctor is on duty for 24 hours.

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, 2017-0336

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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