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recurance

Jared William McDowall

27 Sept 2013 · Coroner Maria Voisin · Avon

The coroner's concerns

  1. 1. babies not receiving appropriate monitoring due to weight cut off

    “During the inquest | heard evidence of a cut off weight for babies to go into a transitional area where they will receive more careful monitorin he guideline is babies weighing over 2.5kg do not need to go into this”
  2. 2. lack of joint training for doctors and midwives on hypoglycaemia and unwell baby recognition

    “synthesize joint working with doctors and midwives. That there should be educational packages for hypoglycaemia and for recognising an unwell baby for both doctors and midwives with a measurement of competency”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Jared William McDowall · Recurance