“6 The inquest heard that infants of low birth weight have a higher chance of dying in…”
Dated 27 Jan 2023, from the coroner for East London. Sent to 2 organisations or people.
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 24 Mar 2023. 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 Jan 2023
- Deadline24 Mar 2023
- Published on judiciary.uk30 Jan 2023
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| University College London Hospitals NHS Foundation TrustNamed in the report as “The University College London Hospitals NHS Foundation Trust” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 24 Mar 2023. A reply may have been sent and not yet published. |
| Department of Health and Social CareNamed in the report as “Department of Health & Social Care” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 24 Mar 2023. A reply may have been sent and not yet published. |
The coroner’s concerns
1. 6 The inquest heard that infants of low birth weight have a higher chance of dying in circumstances of Sudden Infant Death Syndrome ("SIDS"). Upon discharge from a maternity unit mother should receive advice and documentation upon a number of issues including (but not limited to) SIDS and recommended safe practices to reduce risk . Mr & Mrs Barwick did not receive this material at UCLH. UCLH could not provide clear evidence that the factors that led to th is omission had been successfully remedied .
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, 2023-0030
- 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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