Discover and read the best of Twitter Threads about #ockendenreport
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🚨BREAKING: Repeated care and governance failures were routinely ignored by a hospital trust where poor maternity care resulted in 295 avoidable baby deaths or brain damage cases, final @DOckendenLtd report into maternity at Shrewsbury and Telford Hospital Trust finds
Nine mothers also died as a result of avoidable poor care and there were concerns for an additional three mothers’ but #ockendenreview found outcome would have been the same
Review of 1,600 clinical incidents identifies repeated care and governance failures over decades. @DOckendenLtd says both @sathNHS and multiple external bodies failed to listen to families’ concerns and effectively monitor poor care including “false assurances” by regs inc. CQC
BREAKING: Shrewsbury maternity inquiry report confirms at least 295 babies died or suffered brain damage as a result of avoidable poor care at Shrewsbury Hospital trust. 9 mothers died as a result of avoidable care. 1,486 families affected, 1,592 incidents. 
Inquiry chair @DOckendenLtd concludes: “What is astounding is that for more than two decades these issues have not been
challenged internally and the Trust was not held to account by external bodies. This highlights that systemic change is needed locally, and nationally."
challenged internally and the Trust was not held to account by external bodies. This highlights that systemic change is needed locally, and nationally."
She highlights widespread failings including "...a culture of reluctance to perform caesarean sections resulted in many babies dying during birth or shortly after their
birth."
birth."
