“S are as follows: During the course of the inquest I was referred to the HSIB report…”
Dated 27 Oct 2020, from the coroner for Milton Keynes. 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 22 Dec 2020. 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 dated27 Oct 2020
- Deadline22 Dec 2020
- Published on judiciary.uk8 Dec 2020
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Milton Keynes University Hospital NHS Foundation TrustNamed in the report as “Milton Keynes University Hospital” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 22 Dec 2020. A reply may have been sent and not yet published. |
The coroner’s concerns
S are as follows: During the course of the inquest I was referred to the HSIB report relating to Group B strep. It appears that GBS was never discussed with Miss at any time during her pregnancy. She was certainly not made aware of the dangers of this infection to her new baby. It would seem that had Miss been screened for GBS infection and the screen had proved positive she would have been offered antibiotics during labour and the death of baby Reggie Jay may have been avoided. At least 60 countries have a national policy for a form of microbiological screening and antibiotics use during pregnancy to prevent newborn GBS disease. I consider that for the safety of babies born in Milton Keynes, the trust should consider the introduction of a screening program for all pregnant mothers delivering in Milton Keynes. If the screening process proves positive, then antibiotic cover should be offered. This is an area where Milton Keynes could lead the rest of the country and save the lives of many babies. 6 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you (and/or your organisation) have the power to take such action. 7 YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 22nd December 2020. I, the coroner, may extend the period.
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, 2020-0218
- Added to Minute Book
- 8 Oct 2026
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- 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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