Bridget Marie Connell-Graham

Fom Jackie Doyle-Price MP Department Parliamanlary Undar Secrelary or Stale for Menlal Health, Inequalilles and Suicide Prevenlon of Health & Social Care 39 Victoria Street London Sw1h OEU 020 7210 4850 Your Ref: 9480/CLB PFD-[150539 Ms Alison Patricia Mutch HM Coroner's Court 1 Mount Tabor Street Stockport SKI 3AG K (9" November 2018 Da Mutay Thank you for your correspondence of 26 September to Matt Hancock about the death of baby Bridget Marie Connell-Graham; Iam replying as Minister with portfolio responsibility for maternity care. Ihave noted carefully the matter of concern in your report. It is essential that we look to make improvements where we can to ensure the safety of healthcare services and prevent future deaths and [ am grateful to you for bringing these matters to my attention. My officials have made enquiries with the National Institute for Health and Care Excellence (NICE): Iam advised that the guideline, Preterm labour and birth (NG2S)' , includes a 'Terms to use in the guideline' section (at the end of Recommendations) that contains definitions This currently does not include & definition of cervical trauma However; the full guideline document for NG2S does. The full guideline document contains the recommendations, the evidence they are based on and considerations of the guideline developers It also contains & glossary which defines cervical trauma as 'Physical injury to the cervix including surgery; for example, previous cone biopsy (cold knife or laser), large - excision of the transformation zone (LLETZ) any number) or radical diathermy" hltps: wunice QIg uklguidance ng25 key loop

NICE has advised that it will ensure this definition is added t0 the 'Terms used in this guideline' section as soon as possible, so it is easily accessible to those looking over the recommendations: I hope this response is helpful: JACKIE DOYLE-PRICE (Jcka