The Council of Nurses and Midwives (NMC) hearing examined the conduct of Claire Roberts and Joanna Young in the care of Pippa Griffiths, who died one day old on April 27, 2016, of an infection Group B strep – the most common cause of meningitis in newborns.
Pippa’s mother Kayleigh had given birth at Myddle’s family home and spoke with the midwives, who at the time worked for Shrewsbury & Telford Hospital NHS Trust (SaTH), to voice concerns that her daughter was not feeding and had high brown mucus.
Pippa and her mother were eventually airlifted to Princess Royal Hospital in Telford, where her death was confirmed.
The charges examined by the NMC concerned two separate conversations the midwives had with Ms Griffiths on April 27.
It was found that the two did not recognize the urgent need for medical or obstetric care for Pippa.
In Ms Roberts’ case, the panel found that she did attempt to cover up her actions during a 2 a.m. call with Ms Griffiths.
He concluded that she had not recorded her conversation with her at the time, and had made an “inaccurate recording” at that time.
The panel agreed that his conduct was “dishonest in the sense that you knowingly intended to create a misleading impression of Ms Griffiths’ concerns about Pippa during the phone call”.
The panel also said charges had been proven regarding the failure to perform a full triage assessment of Pippa’s condition – by not asking questions about her breathing or temperature.
Charges of failing to follow newborn feeding guidelines or the midwife’s postnatal notes have been proven, as well as failing to advise Ms Griffiths to go “immediately” to the unit headed by the midwife for a face-to-face assessment.
In Ms Young’s case, the panel concluded that she had not followed the instructions of a senior midwife to visit Pippa in the morning – and to prioritize the visit as “extremely important” or calling 999, as well as not referring Mrs. Griffiths to newborn feeding guidelines.
The panel also found that speaking to Ms Griffiths, she did not conduct a full triage assessment of Pippa’s condition – without asking about her alertness, color, breathing or diet.
One charge of failing to take a note contemporaneous with the phone call has been proven, but four charges relating to dishonesty and attempted cover-up have not been proven.
A hearing will be held on March 7 during which the NMC will consider any possible sanctions against Ms Young and Ms Roberts – neither of whom are still working for SaTH.
The tragedy is one of those that led to the establishment of the Ockenden survey on maternity care at SaTH.
Ms Griffiths and her husband Colin had written to then Secretary of State for Health Jeremy Hunt, along with other parents Rhiannon Davies and Richard Stanton whose baby Kate preventably died while under care. safekeeping of SaTH.
Speaking after the conclusion, Mr Griffiths welcomed the findings, but said the family had endured five years of torture to get there.
She said: “We wanted to learn lessons and that’s what we wanted from the start. It should always have been an open, honest and transparent process to learn lessons – it shouldn’t end five years later.
“We are happy with the result but nothing changes the fact that we are still facing our fifth Christmas with an empty seat at the table.”
Hayley Flavell, Director of Nursing at Shrewsbury and Telford Hospital NHS Trust, said: “We take note of the panel’s findings at this point in the process and once again offer our sincere condolences to the family on the loss of their daughter.
“We recognize our previous failures in the quality of care offered to mothers and babies, for which we apologize wholeheartedly, and we are committed to taking all necessary measures to improve the safety and quality of care we provide to mothers and babies. women and families we serve.