Lack of antenatal screening for group B streptococcus
Department of Health and Social Care received 2 coroners' reports about this hazard between 7 May 2015 and 30 Jun 2016.
They came from 1 coroner. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 3 specific actions.
The story, report by report
Spacing grows with the time between reports.
“That antenatal screening for GBS is not routinely offered by the NHS, to all pregnant women, during the final weeks of pregnancy.”
Original on judiciary.uk ↗ Department of Health and Social Care responded, stating 2 specific actions.Response (PDF) ↗Response (PDF) ↗
“The UK NSC will be reviewing the evidence for antenatal screening for GBS again in 2015/16 as part of its routine evidence review process.”
Stated timescale: 2015/16
Web search (Tavily): No evidence found either way
Antenatal care for healthy pregnant women: a mapping of interventions from existing guidelines to inform the development of new WHO guidance on antenatal care ↗“we will keep our recommendations under review, pending new evidence emerging.”
Stated timescale: 2015/16
- 1 year 2 months laterIdentical hazardConfidence 0.95 · high
“That antenatal screening for GBS was not being routinely offered by the NHS to all pregnant - women during the final weeks of pregnancy”
Original on judiciary.uk ↗ Repeated from the earlier report:antenatalscreeningroutinelyofferedpregnantwomen
Department of Health and Social Care responded, stating 1 specific action.Response (PDF) ↗
“the RCPCH is unable to comment on the specifics of the case and the Pennine Acute Hospitals NHS Trust has been asked to respond directly on local communication, record keeping and policies and procedures.”
- All reports to Department of Health and Social Care
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2015 → 2016Dominic Smith1 year 2 months after Baby Olsberg · same coronerIdentical hazardConfidence 0.95 · high
Identical hazardConfidence 0.95 · highBoth reports highlight that antenatal screening for group B streptococcus (GBS) is not routinely offered to all pregnant women during the final weeks of pregnancy. They describe the same specific hazard and the same mechanism of potential harm to babies.
Baby Olsberg · 7 May 2015
“That antenatal screening for GBS is not routinely offered by the NHS, to all pregnant women, during the final weeks of pregnancy.”
Original on judiciary.uk ↗ Dominic Smith · 30 Jun 2016
“That antenatal screening for GBS was not being routinely offered by the NHS to all pregnant - women during the final weeks of pregnancy”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“The UK NSC will be reviewing the evidence for antenatal screening for GBS again in 2015/16 as part of its routine evidence review process.”
Stated action · timescale: 2015/16
“The UK NSC will be reviewing the evidence for antenatal screening for GBS again in 2015/16 as part of its routine evidence review process.”
What happened next: No evidence found either way
The Department of Health and Social Care did not state that the UK NSC would review antenatal screening for GBS in 2015/16.
“Antenatal care for healthy pregnant women: a mapping of interventions from existing guidelines to inform the development of new WHO guidance on antenatal care”
“WHO recommendations on antenatal care for a positive pregnancy experience”
“Australian Pregnancy Care Guidelines Main editor Living Evidence for Australian Pregnancy and Postnatal Care (LEAPP) 2.0 published on 22.03.2024”
No evidence found does not mean the action did not happen.
Stated action · timescale: 2015/16
“we will keep our recommendations under review, pending new evidence emerging.”
Stated action
“the RCPCH is unable to comment on the specifics of the case and the Pennine Acute Hospitals NHS Trust has been asked to respond directly on local communication, record keeping and policies and procedures.”
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Department of Health and Social Care at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2015 → 2016 | 0.90 | 0.86 | Identical · 0.95 | same |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for Department of Health and Social Care
This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.