Peter Saint

“The Trust has confirmed that a Serious Incident Investigation Report has been carried out. They concluded that: 'endotracheal tubes 1 and 2 were incorrectly placed in the oesophagus rather than the trachea. Contributing High quality care for all, now and for future generations to this was the failure to recognise this resulted in prolonged loss of the airway, oxygenation and subsequent cardiorespiratory arrest and hypoxic brain injuiry.”

“All members of the anaesthetic department at Hinchingbrooke are to participate in an airway simulation course at a high fidelity simulation centre. We have identified a suitable course and are in the process of planning training with the course provider.”

“A consultant obstetrician with expertise in Human Factors has been commissioned to provide training to anaesthetists and theatre staff. Multidisciplinary teams, consisting of consultant anaesthetists, operating department practitioners and theatre nurses, are being recruited. These teams will be trained to train, following which they will deliver training to other staff on a rolling basis throughout the year. A steering group, composed of the Associate Divisional Director (consultant anaesthetist”

“SCORE cultural survey (Safety, Communication, Operational Reliability & Engagement) This survey has been undertaken among six teams at Hinchingbrooke, including anaesthetists and theatre staff. Feedback occurs in a controlled environment that provides a safe forum for staff to discuss issues, in the absence of managers and management grade Clinicians. The feedback session for anaesthetists took place on 12 December 2017. The process for collating comments is currently underway. When this is complete”