Source · Prevention of Future Deaths

Reggie-Jay Payne

Ref: 2020-0218 Date: 27 Oct 2020 Coroner: Tom Osborne Area: Milton Keynes Responses identified: 0 / 1 View PDF

Group B Strep infection risks were not discussed during pregnancy, screening was not offered, and antibiotics were not administered, potentially contributing to the baby's death.

Date 27 Oct 2020
56-day deadline 22 Dec 2020
Responses identified 0 of 1
Child Death (from 2015) Community health care and emergency services related deaths

Coroner's concerns

AI summary
Group B Strep infection risks were not discussed during pregnancy, screening was not offered, and antibiotics were not administered, potentially contributing to the baby's death.
View full coroner's concerns
The MATTERS OF CONCERNS are as follows: During the course of the inquest I was referred to the HSIB report relating to Group B strep. It appears that GBS was never discussed with Miss at any time during her pregnancy. She was certainly not made aware of the dangers of this infection to her new baby. It would seem that had Miss been screened for GBS infection and the screen had proved positive she would have been offered antibiotics during labour and the death of baby Reggie Jay may have been avoided. At least 60 countries have a national policy for a form of microbiological screening and antibiotics use during pregnancy to prevent newborn GBS disease. I consider that for the safety of babies born in Milton Keynes, the trust should consider the introduction of a screening program for all pregnant mothers delivering in Milton Keynes. If the screening process proves positive, then antibiotic cover should be offered. This is an area where Milton Keynes could lead the rest of the country and save the lives of many babies.

Report sections

Investigation and inquest
On 23/12/2019 I commenced an investigation into the death of Reggie -Jay John PAYNE aged 1 Months. The investigation concluded at the end of the inquest on 07 October 2020. The conclusion of the inquest was: I a Late onset Group B streptoccocal infection I b I c
Copies sent to
Jay Payne2) The Chief Executive, The Care Quality Commission3) The Chairman of the House of Commons Health Select Committee, The Rt Hon. Jeremy Hunt MP5) MP Milton Keynes South6) MP Milton Keynes North7) Group B Strep Support Group

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Report details

Reference
2020-0218
Date of report
27 October 2020
Coroner
Tom Osborne
Coroner area
Milton Keynes

Responses identified

Responses identified 0 of 1
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 22 Dec 2020.

Sent to

Milton Keynes University Hospital

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