Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of interpreter framework in healthcare settings
The earlier warning
Andre Matei · 25 Feb 2014 · Andrew Walker, London (North)
“(1) There was no national guidance on the role of interpreters during labour in particular when the interpreter is required in theatre.”
What was promised
Stated action 1 · response to Andre Matei (25 Feb 2014) · stated timescale: none stated
“Commissioners and providers of maternity services should therefore ensure that professional and independent interpretation services are available in both primary- care and secondary-care settings, to ensure that all women can be confident that they can speak freely and in confidence to their maternity-care providers”
judiciary.uk/wp-content/uploads/2014/02/2014-0089-Response.pdf
What recurred
- 8 Oct 2014 · Chloe Siokos · Andrew Walker · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Andre Matei · 25 Feb 2014
“(1) There was no national guidance on the role of interpreters during labour in particular when the interpreter is required in theatre.”
Later · Chloe Siokos · 8 Oct 2014
“That there was no framework for primary care staff to make a decision when an interpreter is required.”
What happened next
No web check of the stated actions has been published for this chain.