'Gross failures' and 'neglect' played part in death of newborn baby
A Prevention of Future Deaths (PFD) report has been issued to Betsi Cadwaladr University Health Board after the death of a newborn baby girl
(Image: PA )
The death of a newborn baby girl was in part caused by "gross failures" in medical care and "neglect". A coroner said she was so concerned about the circumstances surrounding the death of Etta-Lili Stockwell-Parry in 2023 that she issued a Prevention of Future Deaths (PFD) report to the Betsi Cadwaladr University Health Board (BCUHB).
Her mother Laura Stockwell-Parry was induced and Etta-Lili was born "in poor condition" on July 3, 2023,at Ysbyty Gwynedd, Bangor having suffered oxygen starvation, according to a pathologist.
She was taken to Arrowe Park Hospital on the Wirral but died there four days later on July 7. At a two day inquest in Cernarfon Kate Robertson, senior coroner for north west Wales, found that neglect was a contributory factor in the little baby's death.
Staff had failed to notice problems early enough and a subsequent investigation wasn't thorough enough, the coroner said. Neither a community midwife before the birth, nor maternity unit staff at Ysbyty Gwynedd noticed the baby had stopped growing at about 40 weeks, the hearing was told. Sign up for our free daily briefing on the biggest issues facing the nation sign up to the Wales Matters newsletter here.
(Image: Daily Post Wales )
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North Wales Live reported that the health board said said "significant steps" had been taken to address the failures in this case, which it said was an "isolated incident".
Mrs Robertson found cause of death was hypoxic ischaemic encephalopathy. She recorded a narrative conclusion at this week's inquest. In a Prevention of Futue Deaths report statement, issued after the inquest the coroner said there were "several gross failures" identified in Etta's mother's care.
These failures resulted in opportunities not taken to deliver Etta before she became distressed. There were "many incidences of learning" relating to Etta's resuscitation at Ysbyty Gwynedd, she added.
Mrs Robertson found: "There were several opportunities not taken by those caring for Etta's mother.
"There were opportunities to identify concerns with Etta through her mother on the midwifery led unit on 2 July 2023 including properly conducting holistic assessments, properly completing partogram and manual palpation of maternal pulse which would also likely have resulted in earlier detection of distress and successful delivery. Etta's death was contributed to by neglect."
The coroner also found that Mrs Stockwell-Parry ought to have been referred to the labour ward for close monitoring, but instead, she was induced and received only intermittent monitoring. Her pulse was not always taken and recorded and there was no recognition that Etta Lili's mother's pulse was being recorded as opposed to the fetal heart rate.
Mrs Robertson also found the neonatal investigation was not thorough. The investigator neither obtained nor requested statements from the doctors directly involved in Etta's resuscitation, nor did they meet them to understand what had occurred.
Mrs Robertson said she is concerned that staff not involved in the incident will not learn enough from events where there is inadequate sharing of learning from an incident. She issued the Prevention of Future Deaths report about her concerns.
BCUHB has 56 days to respond with a timetable of how it will act on points raised.
Angela Wood, Executive Director of Nursing and Midwifery Services at Betsi Cadwaladr University Health Board, said "significant steps" have been taken to address the issues in this "isolated incident".
She said: "We would like to extend our deepest sympathies and heartfelt condolences to Mr and Mrs Stockwell-Parry following the tragic death of baby Etta. We recognise the profound impact this has had on the family, and we are truly sorry for the pain and loss they have endured.
"Since this tragic event in July 2023, we have carried out a thorough review of the care provided and taken significant steps to ensure that the issues identified have been addressed. We are committed to learning from this and have implemented a range of measures to strengthen our training and clinical oversight to ensure the safest possible care for mothers and babies."
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She added: "We want to reassure expectant mothers and families in our care that this was an isolated incident. Providing safe, compassionate care is our highest priority, and we remain committed to upholding the highest standards of care across our maternity services."
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Scottish Sun
a day ago
- Scottish Sun
Bizarre decision by hospital could PROVE killer nurse Lucy Letby was being used as scapegoat for failings, claims expert
A BIZARRE hospital decision could prove baby killer nurse Lucy Letby was being used as a scapegoat for overall failings, an expert has told The Sun. The neonatal ward at Countess of Chester Hospital (COCH) was experiencing a major spike in premature infant deaths in 2015, which tailed off dramatically when it was stopped from receiving the highest risk patients the following summer. 9 Lucy Letby was convicted of the murder of seven babies and the attempted murder of seven more Credit: PA 9 A grab from footage of the serial baby killer's arrest Credit: PA 9 The deaths occurred between 2015 and 2016 Credit: Getty Monster Letby, 35, is serving a whole life order in prison for the murder of seven infants and the attempted murder of seven more at COCH between June 2015 and June 2016. Professor Richard Gill, a statistical misrepresentation consultant who has helped overturn the murder convictions of two other nurses, is convinced convicted murderer Letby was an unlucky scapegoat. He is among an increasing number of supporters who believe Letby to be innocent, and has been pushing for a retrial - although many others, including the victims' families, have blasted the campaign to free her. He believes the failure to move such patients to more suitable hospitals could prove vital in any potentially successful appeal against her convictions. And thinks clinical audits being undertaken could be a reason why Liverpool Women's Hospital did not take them, despite its neonatal unit being graded much higher. COCH's Neonatal Intensive Care Unit was graded at level 2 at the time. Guidelines generally advise any such facility treating the most seriously ill babies should be at level 3. In fact, COCH's neonatal unit was downgraded again to level 1 by hospital management in July 2016, 'due to concerns about increasing neonatal mortality', ahead of an inquiry by the Royal College of Paediatrics and Child Health (RCPCH). The unit's lead neonatologist, Dr Stephen Brearey, had asked management to remove killer Letby from clinical duties the previous month, pending an investigation into her conduct. She wouldn't be arrested until 2018. Dr Breary was suspicious of the nurse in 2015 and accused the hospital of negligence for ignoring his concerns, according to reports in 2023. The downgrade limited the premature babies that it took into its care to those born at 32 weeks' gestation or over, an age where the medical complications and risks were much lower. How Dutch Lucy Letby who was CLEARED over murder of seven patients, including babies, is 'key to freeing jailed nurse' And, as a result, the spike in baby deaths also tailed off - pointing to overall inability to provide complex care properly being a reason for deaths and not a single nurse, claims Prof Gill. Seven of the babies Letby was convicted of murdering or attempting to murder were either a twin or a triplet, all extremely ill and at higher risk of complications, and so ideally in need of complex level 3 care. Speaking to The Sun, Prof Gill said the babies should have been 'transferred immediately' to a more specialised environment, including that at Liverpool Women's Hospital (LWH), where some had initially been monitored during pregnancy. 'It was hopeless,' he said. 'Chester was receiving babies that should have been born at a level 3 hospital. The doctors there did not have the experience.' Prof Gill said it is not clear why the babies were admitted to or remained at COCH. Two of the seven babies Letby was convicted of murdering - Child O and Child P - were from a brood of extremely rare identical triplets whose mum had received at least some antenatal care at LWH before giving birth at COCH. According to medical summaries, released post-trial as part of an independent expert review, some appeared to be developing issues that only multiple babies sharing a single placenta experience, in that the blood was not being shared evenly to each sibling during the pregnancy, called twin-to-twin transfusion syndrome (TTTS). 'It puts them at incredibly high risk,' said Prof Gill. He described LWH as 'one of the best places in the world to have twins and triplets', adding: 'Why did the doctors allow that mother to have those babies at Chester? They should not have been born there.' Last year, the Thirlwall Inquiry investigated issues at the hospital during the period of Letby's spree to determine if management could have done more to stop her crimes. In the lead up to the probe, reports of concerns about the alarming shortcomings at COCH included unusually high death rates on the neonatal unit, as well as understaffed and under skilled staff, and a unit "out of its depth", The Guardian reported as part of its own investigation. In a transcript from the Thirlwall Inquiry, led by senior court of appeal judge Lady Justice Thirlwall, a witness statement from the mum of triplets O and P, as well surviving brother R, said she was only told she was having triplets in the 12th week of her pregnancy. 9 Letby tried to get an inquiry into the circumstances around the baby deaths suspended 9 The killer nurse has twice failed to appeal her convictions Credit: SWNS 9 A court sketch of Letby during her trial at Manchester Crown Court last year Credit: PA She was scanned at COCH as it was "more convenient" for her, but was then referred to LWH by her consultant for a second scan - though they were happy to care for her at COCH long-term, adding: "They could refer back to LWH if there were any problems along the way." The mum went on say: "At LWH I was told that one of the triplets was a little smaller than the other two, and as all three triplets were sharing one placenta. "I was given the option of having the smaller triplet's heartbeat stopped to give the two others a better chance of survival. We decided against this and to let things be." She added: "I did not actually expect our babies to be born at COCH, I was explicitly told throughout my pregnancy that they would be born there only if there was a nurse and a bed for each baby. "I was told that for this reason, it was very unlikely that I would actually have them at the COCH. I was warned by consultants that it was likely that we would have to travel to another hospital. "We were told that this could be Birmingham or London, but we had to be ready to go anywhere." However, the mum said it was only when she went into labour that she was told she would be giving birth at COCH, being assured "there were enough nurses and beds" to deliver her babies. She said consultant obstetrician and gynaecologist Jim McCormack assured her she would be able to look around the hospital's neonatal unit, but "in the event" this was "put off and I was not given the opportunity to look around and see the unit". "We were told that the probability of us being there would be low. "That said, we had not experienced a Neonatal Unit before so we had nothing to compare it with anyway. The charges Letby has been convicted of in full Child A, allegation of murder. The Crown said Letby injected air intravenously into the bloodstream of the baby boy. COUNT 1 GUILTY. Child B, allegation of attempted murder. The Crown said Letby attempted to murder the baby girl, the twin sister of Child A, by injecting air into her bloodstream. COUNT 2 GUILTY. Child C, allegation of murder. Prosecutors said Letby forced air down a feeding tube and into the stomach of the baby boy. COUNT 3 GUILTY. Child D, allegation of murder. The Crown said air was injected intravenously into the baby girl. COUNT 4 GUILTY. Child E, allegation of murder. The Crown said Letby murdered the twin baby boy with an injection of air into the bloodstream and also deliberately caused bleeding to the infant. COUNT 5 GUILTY. Child F, allegation of attempted murder. Letby was said by prosecutors to have poisoned the twin brother of Child E with insulin. COUNT 6 GUILTY. Child I, allegation of murder. The prosecution said Letby killed the baby girl at the fourth attempt and had given her air and overfed her with milk. COUNT 12 GUILTY. Child K, allegation of attempted murder. The prosecution said Letby compromised the baby girl as she deliberately dislodged a breathing tube. COUNT 14 JURY COULD NOT REACH VERDICT AT ORIGINAL TRIAL, NOW GUILTY AFTER RETRIAL Child L, allegation of attempted murder. The Crown said the nurse poisoned the twin baby boy with insulin. COUNT 15 GUILTY. Child M, allegation of attempted murder. Prosecutors said Letby injected air into the bloodstream of Child L's twin brother. COUNT 16 GUILTY. Child N, three allegations of attempted murder. The Crown said Letby inflicted trauma in the baby boy's throat and also injected him with air in the bloodstream. COUNT 17 GUILTY, COUNT 18 JURY COULD NOT REACH VERDICT, COUNT 19 JURY COULD NOT REACH VERDICT. Child O, allegation of murder. Prosecutors say Letby attacked the triplet boy by injecting him with air, overfeeding him with milk and inflicting trauma to his liver with "severe force". COUNT 20 GUILTY. Child P, allegation of murder. Prosecutors said the nurse targeted the triplet brother of Child O by overfeeding him with milk, injecting air and dislodging his breathing tube. COUNT 21 GUILTY. Child Q, allegation of attempted murder. The Crown said Letby injected the baby boy with liquid, and possibly air, down his feeding tube. COUNT 22 JURY COULD NOT REACH VERDICT "I was given to understand throughout my pregnancy that on delivery the babies would need to go to the Neonatal Unit as a precaution due to the risk factors that come with a triplet pregnancy and them having to be born at 34 weeks." When she started having contractions at home she was rushed to COCH but described how, despite her condition, she had to walk from the observation room to the labour ward to theatre to undergo a cesarean section - even asked to climb into bed herself. The mum added it was "very disappointing" that Dr McCormack, who had performed all of her scans, was on holiday and unable to deliver her babies. She was awake during the delivery, which she described as feeling "very rushed", and at one stage, after being cut open, she could feel pain. She described how "blood and fluid splattered up" onto the screen, the wall behind her and "onto my face". At one stage, she said it was hurting but was told "I don't think that is hurting, it's pulling". Later in her statement, the mum described doctors initially had "no concerns" about the babies, despite being so premature, and recalls Letby looking after two of them and showing her partner how to feed all three triplets. "She told us how lucky we were and that their weights were great," she added. Letby also showed the mum how to "express milk", and added her babies were separated as there was a shortage of beds in the neonatal unit. While staying in the maternity ward, the mum was told by a doctor Child O needed breathing support and she was taken to neonatal unit to see him. "We were confronted with a scene of complete chaos. It was madness," she said. "Nurses were running around left and right grabbing medicines and IVs. 9 Lady Justice Thirlwall, who led an inquiry into possible failings at Countess of Chester last year Credit: PA 9 Letby during her police interview in 2018 Credit: Derbyshire Constabulary 9 Prof Richard Gill is convinced Letby is innocent "As soon as I went in, I knew it was an issue with one of the boys. When Doctor U saw what was going on, it was obvious he didn't have any idea what was happening and I could see in his face that he was panicked and shocked." She added: "It was clear Child O's collapse was a complete shock to them." The mum said Letby was on the ward at the time and was handing doctors medicine. Child O died later that evening, and his brother Child P, died the following afternoon. During Letby's trial, it was heard the father of the triplets "begged" doctors to transfer his surviving son to LWH and they eventually agreed, and his health quickly recovered. Earlier this year, an international panel of neonatologists and paediatric specialists said Letby's convictions were "unsafe" and told reporters bad medical care and natural causes were the reasons for the collapses and deaths. Their evidence has been passed to the Criminal Cases Review Commission (CCRC), which investigates potential miscarriages of justice, and Letby's legal team hopes her case will be referred back to the Court of Appeal. Neena Modi, Professor of neonatal medicine at Imperial College London, was part of the panel and told The Guardian in February Chester's neonatal unit was 'not staffed or equipped to deal with the most seriously ill babies'. She went on to say: 'What transpired was that the consultants and other neonatal staff were faced with having to provide care for complex neonatal cases outside their experience. I watched arrogant Lucy Letby as she simmered in the dock & saw chilling evidence that proves she IS an evil baby killer By Nigel Bunyan IN the eyes of the law she's a cold-blooded serial killer who murdered seven babies and tried to kill seven others at the hospital where she worked during a year-long reign of terror. But doubts over Lucy Letby's guilt have been slowly gaining traction, with her supporters - who include prominent politicians - expressing growing fears she was the victim of a miscarriage of justice. The killer nurse, 35, is serving 15 whole-life orders in prison for the murder of seven babies between 2015 and 2016 at Countess of Chester hospital. She was also found guilty in 2023 of trying to kill seven others, but has always maintained her innocence. Last week Reform leader Nigel Farage said there were 'serious questions' about the case which have left him with a 'horrible feeling' Letby might have been a 'very convenient scapegoat' and should be retried. Meanwhile Conservative MP David Davis is convinced her conviction is a 'clear miscarriage of justice'. But earlier this month it emerged Letby could be facing more charges over the deaths of babies at hospitals she worked in. Nigel Bunyan has been a journalist for more than four decades and covered the trials of GP Harold Shipman, the child killers of James Bulger, and the Rochdale grooming gang. He attended Lucy Letby's main trial and the retrial that followed. As her case attracts more scrutiny than ever before, here Nigel details why he believes "beyond doubt" that she IS guilty, and that justice prevailed... IN the make-believe, boxset world of Netflix, Disney+ and the like, Lucy Letby just HAS to be innocent! A prominent Tory MP has said so. So too has Letby's shiny new defence barrister and a group of international experts who've rallied, unbidden, to her cause, without having been anywhere near either trial. The only catch is that in the real world – the one not liberally sprinkled with fairy dust theories of perceived innocence – Letby is the real deal. She actually IS a nailed-on serial killer of tiny, defenceless babies. After attending her trial - and the retrial that followed it - I have no doubt whatsoever of her guilt. She is serving a whole life term for seven murders and seven attempted murders after being found guilty not just by one jury – but by TWO. Sadly, serial killers don't come with an identifying mark on their foreheads. And they don't always confess. But I watched every moment of her evidence at Manchester Crown Court, looking for some spark of authenticity, of humanity; something to make me doubt the prosecution case. I looked in vain. All I could see was a defendant standing behind a blank, unyielding wall of denials. She was a woman shielding herself with simmering resentment, sullen in the dock and equally so when giving evidence. Dr Harold Shipman had something of the same aura – arrogant to the end, content to simply deny all charges. By the time Letby was called to give evidence we'd already seen the now-infamous Post-it notes she scribbled in the bedroom of her house around the corner from the Countess of Chester hospital where she committed her crimes. 'I am evil. I did this,' she'd written. 'I killed them on purpose because I'm not good enough to care for them (and) I am a horrible person.' Her supporters looked to other lines that could be interpreted as indicators of innocence. 'I haven't done anything wrong,' for example. And, 'Why me?' For all that the evidence against Letby was largely – and inevitably - circumstantial, taken as a whole it was totally convincing on all but a few of the charges. It's one thing to be in the wrong place at the wrong time, but in her case that happened far too many times. Her colleagues who saw her as a friend didn't want to 'think the unthinkable' - that she was the enemy within - but eventually they had no option. It wasn't just the statistical oddities about her presence; it was an innate feeling of unease among those who had once trusted her without question. Far too many babies were collapsing on the unit for there to be any other explanation than sabotage by a member of staff. And there were no other suspects. For me, the case finally fell into place as I spent long nights compiling a 17,000-word timeline. Suddenly, for all the woolliness of the case as it unfolded in court, I could see how Letby had moved so deftly in the shadows, aided by her colleagues' understandable reluctance to believe ill of her. Many of them counted her as a friend, and when she broke down in apparent distress over the infants dying on her watch, they instinctively reached out in support. Letby's cynical manipulation is typified by the very first of her killings: one day volunteering to take group selfies during a colleague's hen-do in York, the next injecting Baby A with air 90 minutes after coming back on duty in Chester. Before the jury reached their verdict I knew what it should be. And the court of social media who protest her innocence may have taken a different view if they had seen all the evidence, as I have. During the trial a chilling image was shown to the jury: the X-ray of one of the dead babies, showing a line of what could only be air running parallel to his spine. And the only explanation for that air was for it to have been forced into the infant's system. Which is how Lucy Letby achieved something that the reviewing paediatrician Sandie Bohin had never previously seen in neonates – she made some of them scream. Had the prosecution found the courage to release that image some doubters may be silenced. But the CPS refused, saying it formed part of an individual's medical records. Medical expertise Much has been made of the international panel of medical experts drawn together by Letby's new barrister, Mark McDonald. But it is hugely significant that Ben Myers, the lawyer who led her defence in both trials, made the very deliberate decision NOT to call ANY of the medical experts he had briefed on the case. In fact, the only defence witness aside from Letby was Lorenzo Mansutti, a plumber, who spoke briefly about drainage problems at the Countess. Myers' reasoning was clearly tactical, perhaps made because he doubted the ability of those potential witnesses to counter the allegations that Letby harmed babies mostly with injections of air or insulin. Any future appeal is likely to fall short unless McDonald can come up with a satisfactory answer to Myers' decision. Ultimately the jury was swayed by the assertion of Nick Johnson KC, the lead prosecutor, that Letby had been caught out by 'a constellation of coincidences' that had no other plausible explanation. For all the protests to the contrary, I don't believe for one second that Letby was set up as a scapegoat. She was simply found out by colleagues who finally realised she was the killer in their midst. Almost two years on, we now have the prospect of Letby facing a third trial. On top of that three members of the leadership team at the Countess were arrested last week on suspicion of gross negligence manslaughter and may yet face trial themselves. And then there is the Thirlwall Inquiry into the killer's activities and the conduct of NHS personnel at the time. It's due to report next year. So all in all, overwhelmingly bad news for those wearing yellow butterfly emblems in support of their fake heroine. Genuine miscarriages of justice do occur. Of course they do. But they're extremely rare. Years ago, for example, I wrote about Stefan Kiszko, who was exonerated over a murder he couldn't possibly have committed. But Letby? I just don't see it. More than that, I abhor the white noise repeatedly being drummed up in her name - often by people who should know better - while Letby herself remains silent; brooding in HMP Prison Bronzefield, Surrey. For me, as for the families, hers is a name that speaks only of sickening cruelty and betrayal. As one of the mums said recently: 'You don't want to see her face, you don't want to hear her name, you don't want to hear people shouting that she's innocent. "She's not innocent, she was found guilty in a court of law." 'Their contemporaneous notes in the babies' case records reveal errors in the recognition of problems and their management.' Around the time of the Letby crimes, Prof Gill told The Sun some mothers going through high-risk pregnancies would have also been part of clinical audits and trials at various hospitals, including testing the now-standard usage of laser treatment 'to fix the blood flow' in a uterus carrying multiple babies at risk of TTTS. In LWH's Quality Report 2015-2016, it states: "During 2015-16 Liverpool Women's NHS Foundation Trust participated in 100% of national clinical audits and 100% of national confidential enquiries of the national clinical audits and national confidential enquiries which it was eligible to participate in." It added: 'The total monetary value of the income in 2015-16 conditional upon achieving quality improvement and innovation goals was £1,977,598. The monetary total for the associated payment in 2014-15 was £1,955,007.' It is unclear if any of the triplets, or Letby's other victims, saw their treatment directly impacted due to any kind of clinical audit or procedures, which would include the much-publicised National Maternity and Perinatal Audit. But it's possible that, any one of these may have impacted how many high risk pregnancies were dealt with at Liverpool, claims Prof Gill. In June 2015, the same month as the first deaths in Letby's rampage, MBRRACE-UK, the national body which collects data on perinatal mortality, showed LWH had made significant strides in reducing stillbirth and neonatal mortality rates. Specifically, their stillbirth rate was rated 10% below the national average. Prof Gill went on to say: 'If you have twins or triplets who have a very poor outlook then you might prefer that they died somewhere else. 'Now that's a very serious allegation, I don't think that. I mention it, and one might think that. 'I would rather think that out of some rules in their protocol that they were reserving beds for patients they could treat because that would give them good results. 'As a consequence, more babies got treated elsewhere than usual. I'm sure there is an honest explanation for that. But it is really weird.' He added: 'My feeling is this would all need to be looked into if Lucy Letby is ever exonerated and there is an inquiry into what went wrong.' A spokesperson at the Countess of Chester Hospital NHS Foundation Trust said: 'Due to the Thirlwall Inquiry and the ongoing police investigations, it would not be appropriate to comment further at this time.' NHS England did not wish to comment when approached. The Sun has also contacted Liverpool Womens NHS Foundation Trust but had not received a response before publication. Do you know more? Email
Rhyl Journal
2 days ago
- Rhyl Journal
Striking doctors tell of ‘poor pay' and difficult working conditions
Resident doctor Kelly Johnson said Health Secretary Wes Streeting's opposition to the strikes felt like 'a slap in the face'. Speaking outside St Thomas' Hospital in London, where she works, she told the PA news agency: 'Every union has the right to strike. It feels like a slap in the face to say that we are doing something that is unjust. 'Just because we're doctors doesn't mean we can't come out and strike and protest for what we think is right. 'When doctors decide to take strike action it's always portrayed as though we're being selfish, but we're here as a body to help the public day in, day out, to work hours that don't even end sometimes. 'Here we are just trying to get what's right for us so we can do our best to serve the public.' Around 30 doctors and supporters gathered outside Leeds General Infirmary (LGI) on Friday morning, waving placards and cheering as passing cars beeped horns in support. Cristina Costache, who is a paediatrics registrar at LGI and a PhD student, said: 'It's a very difficult decision to make always, because I love my job and that's the reason I went into it. I get depressed if I'm not in work. My heart is always at work. 'But I also care about my colleagues and my profession. 'I'm seeing more and more gaps as registrars. There's always a gap on the paediatric registrar rota. We end up having to cover the job of another paediatric registrar, of even two other paediatric registrars. 'My SHOs (senior house officers) also have gaps, so I sometimes have to cover their job as well as my registrar job. That's not safe and that's not okay. 'The reason that happens is that they're poorly paid. If you're poorly paid, why would you want to come in on your free time when you know you're going to be on nights the next day and then so three or four nights in a row?' Dr Costache said she left Romania due to the poor health infrastructure and lack of investment. She said: 'It's really sad to have seen in the last nine years, since being here, how the NHS is heading that way. Hence, I'm a trade unionist because I feel like I want to tell people, please don't do what has happened there. 'It can be really scary and really bad, and you don't want to be in that place.' Dave Bell, a retired nurse and member of the campaign group Keep Our NHS Public, stood in solidarity with striking doctors outside St Thomas' Hospital. 'Britain's doctors are the backbone of our NHS,' he said. 'If you ask anyone who's been to a hospital, they'll tell you those staff work their socks off.' He called for urgent 'pay restoration', adding: 'We need to value those doctors and restore their pay to what it was 15 years ago.' But he acknowledged the difficulty of strike action within NHS teams. 'I took strike action once when I was a nurse – of course it causes tensions. You're working hard, and if medical staff walk out, it gets even harder for those still in.' Despite this, he said unity is crucial, adding: 'In the long run, people have got to work together – the unions too. It can be overcome.' Some patients at St Thomas' Hospital voiced their support for the doctors. Jo Irwin, 72, who was attending the London hospital for a blood test before surgery for a hernia, said she had 'no hesitation' in backing the walkout. 'I am fully behind the strikes and the public should be as well,' she said. 'Without these doctors I would be dead. They are looking after sick people. I am very angry about it. 'They should get all the money they want and more than (Prime Minister Sir) Keir Starmer and his cronies.' Mohammed Dinee, 42, from Brixton, also backed the industrial action after being admitted recently with back pain. 'Today I had a physiotherapy appointment, it was fine, no complaints,' he said. 'But I got admitted the other day for back pain – you could feel it. It was difficult to get an MRI scan. 'They're strained, being inside St Thomas' you can see it. I fully support them.' Speaking outside the Bristol Royal Infirmary, Dr Fareed Al-Qusous, 26, a year three academic foundation doctor, said resident doctors had 'the most severe pay erosion compared to all the other sectors'. 'The private sector's pay has caught up with 2008 levels, the finance sector has gone up by 4%, whereas doctors' pay has gone down by 21%,' he said. 'We want to be realistic about things, we want to be pragmatic, we don't want it all in one year, we don't want it over two years. 'We want a multi-year pay deal, a guarantee that pay will be restored.'
Glasgow Times
2 days ago
- Glasgow Times
Streeting: We are doing everything we can to minimise patient harm during strike
A five-day walkout by resident doctors in England is under way, with members of the British Medical Association (BMA) manning picket lines across the country. The Health Secretary condemned the strike as 'reckless' and said the Government would not allow the BMA to 'hold the country to ransom'. Asked about the risk of patient harm, he told the PA news agency on Friday: 'I'm really proud of the way that NHS leaders and frontline staff have prepared and mobilised to minimise the disruption and minimise the risk of harm to patients. 'We've seen an extraordinary response, including people cancelling their leave, turning up for work, and resident doctors themselves ignoring their union to be there for patients. I'm extremely grateful to all of them. Resident doctors are beginning a five-day strike (James Manning/PA) 'What I can't do today is guarantee that there will be no disruption and that there is no risk of harm to patients. 'We are doing everything we can to minimise it, but the risk is there, and that is why the BMA's action is so irresponsible. 'They had a 28.9% pay award from this Government in our first year, there was also an offer to work with them on other things that affect resident doctors – working lives – and that's why I think this is such reckless action. 'This Government will not allow the BMA to hold the country to ransom, and we will continue to make progress on NHS improvement, as we've done in our first year.' Asked about next steps and the continued threat of doctor strikes, given the BMA has a six-month mandate to call more industrial action, Mr Streeting said: 'When the BMA asks, 'what's the difference between a Labour government and a Conservative government?', I would say a 28.9% pay rise and a willingness to work together to improve the working conditions and lives of doctors. 'That is why the public and other NHS staff cannot understand why the BMA have chosen to embark on this totally unnecessary, reckless strike action..' It comes as NHS chief executive Sir Jim Mackey told broadcasters on Friday about his different approach to managing the strike, including keeping as much pre-planned care going as possible rather than just focusing on emergency care. 'So the difference this time is the NHS has put a huge effort in to try and get back on its feet,' he said. 'As everybody's been aware, we've had a really tough period, and you really feel colleagues on the ground, local clinical leaders, clinical operational colleagues etc, really pulling together to try and get the NHS back on its feet. 'And we also learned from the last few rounds of industrial action that harm to patients and disruption to patients was much broader than the original definitions. So we've decided to say it needs to be a broader definition. We can't just focus on that small subset of care. 'Colleagues in the service have tried to keep as much going as humanly possible as well, and the early signs are that that's been achieved so far, but it is early doors. 'In the end, capacity will have to be constrained by the numbers of people we've actually got who do just turn up for work, and what that means in terms of safe provision, because the thing that colleagues won't compromise is safety in the actual delivery. But it does look like people have really heard that. 'They're really pulling together to maximise the range of services possible.' Asked about further strikes, he said: 'It is possible. I would hope not. I would hope after this, we'll be able to get people in a room and resolve the issue. 'But if we are in this with a six month mandate, we could be doing this once a month for the next next six months, but we've got to organise ourselves accordingly.' The Prime Minister has said the strikes will 'cause real damage' (PA) Asked why he was not willing to bump pay from what the BMA calculates is £18 an hour to £22 per hour, Mr Streeting told broadcasters: 'I think the public can see, and other NHS staff can see the willingness this Government showed from day one coming into office to try and deal with what had been over a decade of failure on behalf of the previous government, working with resident doctors to improve their pay and to improve the NHS. 'That's why resident doctors had a 28.9% pay award, and that's why the disruption they are inflicting on the country is so unnecessary and so irresponsible.' He said patients, particularly those who end up waiting a long time for care due to strikes, 'do come to harm, and however much the BMA try and sugarcoat it, what they are fundamentally doing today is forgetting the three words that should be at the forefront of every doctor's minds every day, which is, 'do no harm'.' On whether strikes are going to become the 'new normal', he added: 'As I've said before, the BMA have had a 28.9% pay award from this Government, and we were willing to go further to help on some of the working conditions that doctors face. 'That offer of joint working, that partnership approach, that hasn't gone away, but it does take two to tango, and I hope that the BMA will reflect very carefully on the disruption they are inflicting on patients, the pressures they're putting on their colleagues, and the circumstances in which they are doing so – a 28.9% pay rise and a government that was willing to work with them. 'Those are not grounds for strike action.' It comes after Sir Keir Starmer made a last-minute appeal to resident doctors, saying the strikes would 'cause real damage'. He added: 'Most people do not support these strikes. They know they will cause real damage… 'These strikes threaten to turn back the clock on progress we have made in rebuilding the NHS over the last year, choking off the recovery.' The BMA has argued that real-terms pay has fallen by around 20% since 2008, and is pushing for full 'pay restoration'. The union took out national newspaper adverts on Friday, saying it wanted to 'make clear that while a newly qualified doctor's assistant is taking home over £24 per hour, a newly qualified doctor with years of medical school experience is on just £18.62 per hour'. BMA council chairman Dr Tom Dolphin told BBC Radio 4's Today programme the union had been expecting more pay for doctors. He said: 'Where we were last year when we started the pay campaign, we were down a third on our pay compared to 2008. 'So you've got last year's pay offer which did indeed move us towards (pay restoration), but Wes Streeting himself said that pay restoration is a journey, not an event, implying that there would be further pay restoration to come, and we were expecting our pay to be restored in full – that's our campaign's goal. 'We got part way there, but then that came to a halt this year – we've only had an offer that brings us up, just to catch up with inflation.' Asked what it would take for doctors to go back to work, he said the BMA needed to see 'a clear, guaranteed pathway' to pay restoration. He added that 'it's very disappointing to see a Labour Government taking such a hard line against trade unions'. Resident doctors are qualified doctors in clinical training. They have completed a medical degree and can have up to nine years of working experience as a hospital doctor, depending on their specialty, or up to five years of working and gaining experience to become a GP.
