Hospital admits negligence over failings in care leading to baby’s sepsis death



A hospital has admitted clinical negligence over maternity care failings that led to the potentially avoidable death of a 10-day-old baby, The Independent you have learned.

Kingsley Olasupo and his twin sister Princess were born on 8 April 2019 at Royal Bolton Hospital. Kingsley died 10 days later following a catalog of mistakes, which included failing to screen him for sepsis.

Following an investigation into his care, NHS trust, Bolton Foundation Trust (BFT), admitted Kingsley’s death could have been avoided if staff had administered antibiotics for an infection earlier, according to documents seen by The Independent.

Kingsley’s family said they had been “torn apart” by their son’s death and had pursued the trust to ensure a full independent investigation was carried out and lessons learned.

His father Tunde Olasupo told The Independent: “The family can never get over losing Kingsley and his twin sister will never have the joy of growing up with him physically with her.

“If there are any lessons that can be learned then we ask that this is done to help prevent other families from facing a similar tragedy. We will do everything that we can to push for changes, so that other families will not have to go through what we went through.”

The news comes following the publication of the Ockenden review, which made major recommendations for the improvement of maternity care across the NHS, after it found almost 300 babies died or were brain damaged at Shrewsbury and Telford Hospital Trust.

The NHS is also facing independent inquiries into maternity care at Nottinghamshire Healthcare Foundation Trust and East Kent Foundation Trust.

Kingsley’s father Thomas Olasupo says the family will never get over his death

(JMW)

Kingsley and his sister were born premature at 35 weeks. Three days later he was admitted to the special care unit due to a low temperature and “poor” feeding.

Despite being reviewed by two doctors he was not screened for an infection and not given antibiotics.

His condition deteriorated and on 12 April he was diagnosed with bacterial meningitis and sepsis. Days later scans revealed he had severe brain damage and would not survive.

Kingsley’s parents Tunde Olasupo and Nicola Daley were told there was nothing more doctors could do for him and if they wished for him to die peacefully they would have to agree to remove his life support.

In a release to The Independent, the couple’s lawyers said the pair were left with no choice but to agree after doctors said they would not intervene if their son suffered difficulties with his airways.

Nicola Daley, Kingsley’s mother

(JMW)

BFT launched an investigation into Kingsley’s care after Mr Olasupo and Ms Daley raised concerns about their son’s death.

According to the trust’s investigation report, seen by The Independent, failings in care included that Kingsley was not screened for sepsis despite several “red flags”. Had this been done he would have been given antibiotics.

When midwives first escalated concerns to the neonatal team no physical medical review of Kingsley took place.

The investigation also found neonatal staff did not carry out daily reviews, and reviews that were done were incomplete and contained “inaccurate” and “misleading” information.

Other failings included:

  • “Ineffective” assessment of Kingsley’s wellbeing on the postnatal ward
  • Poor communication between staff and poor handover processes
  • No consideration was given to the fact Kingsley was not feeding well
  • Inadequate recording of observations

The family’s solicitor Rachael Heyes, of law firm JMW, said: “Kingsley’s family has faced unimaginable pain in the wake of his death and have conducted themselves with great dignity throughout their search for answers.

“It is now three years since they lost Kingsley, in the most tragic of circumstances, and we hope they will be able to obtain further clarification via the inquest process about how this could have happened.”

The trust declined to comment.

A coroner’s inquest into Kingsley’s death is due to begin on 25 April.


www.independent.co.uk

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George Holan

George Holan is chief editor at Plainsmen Post and has articles published in many notable publications in the last decade.

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