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10. Why didn't the consultants use the Child Death Overview Panel?

10. Why didn't the consultants use the Child Death Overview Panel?

Update: 2024-04-21

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The RCPCH service review determines that staffing numbers and competencies at The Countess were inappropriate for the acuity of the babies being cared for. In this episode, Michael and Peter discuss this issue and possible reasons for the increased acuity in 2015 and 2016. However, the discussion soon turns to the bigger question of why the consultants did not use the Child Death Overview Panel to report deaths as early as June 2015, and their concerns about them, as they should have done.

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In Channel

20. Magic Eye

20. Magic Eye

2024-06-3053:55

19. Toytown

19. Toytown

2024-06-2350:25

18. Occam's Razor again and again. And again. And again.

18. Occam's Razor again and again. And again. And again.

2024-06-1652:10

17. Beyond baffling

17. Beyond baffling

2024-06-0950:32

15. New York, New York!

15. New York, New York!

2024-06-0757:05

16. Victorian plumbing, Victorian medical care

16. Victorian plumbing, Victorian medical care

2024-06-0255:21

14. Infighting

14. Infighting

2024-05-1942:50

13. Chaos

13. Chaos

2024-05-1248:59

12. Expected or unexpected? Which is it, docs?

12. Expected or unexpected? Which is it, docs?

2024-05-0544:13

11. Reluctance among doctors at The Countess to seek advice

11. Reluctance among doctors at The Countess to seek advice

2024-04-2841:00

10. Why didn't the consultants use the Child Death Overview Panel?

10. Why didn't the consultants use the Child Death Overview Panel?

2024-04-2124:26

9. Non compliance everywhere (but let's blame a nurse)

9. Non compliance everywhere (but let's blame a nurse)

2024-04-1131:46

8. Which came first? Mottling or resuscitation?

8. Which came first? Mottling or resuscitation?

2024-04-1130:59

7. Marking One's Own Homework

7. Marking One's Own Homework

2024-04-0552:31

6. The Countess Consultants Are Told There Is No Link With Lucy

6. The Countess Consultants Are Told There Is No Link With Lucy

2024-03-2429:30

5. The College of Paediatricians Finds No Evidence of Intentional Harm

5. The College of Paediatricians Finds No Evidence of Intentional Harm

2024-03-2437:17

4. The Many Failings On The Countess' Neonatal Unit

4. The Many Failings On The Countess' Neonatal Unit

2024-03-1932:55

3. The Not-So-Chilling Code In Lucy's Diaries

3. The Not-So-Chilling Code In Lucy's Diaries

2024-03-1949:32

2. Was Lucy Really On Duty At Every Event?

2. Was Lucy Really On Duty At Every Event?

2024-03-1945:02

1. Background To The Case

1. Background To The Case

2024-03-1945:49

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10. Why didn't the consultants use the Child Death Overview Panel?

10. Why didn't the consultants use the Child Death Overview Panel?