Zakariyya Clark

On 25/07/2013 commenced an investigation into the death of Zakariyya Thomas Clark: The investigation concluded at the end Of the inquest on 6 October 2014. The conclusion of the inquest was Natural causes

On the 11th July 2013 Zakariyya Clark's mother was getting Up from a mattress on the floor when she slipped and dropped He landed on his head and sustained bi-lateral skull fractures and two minor bleeds in the brain. The neuropathologist said none of injuries were life threatening: Zakariyya was taken to the Doncaster Royal Infirmary where he was examined and discharged with no CT scan being undertaken as he did not satisfy the NICE Guidance for doing so and there were no clinical indications , according to the assessing doctor. There was no evidence that any observations were undertaken with regard to heart rate, temperature etc . Thereafter, apart from being a little bit grizzly due to teething, Zakariyya seemed to be well and his usual self and his family had no concerns whatsoever On the evening of 15th/16th of July 2013 Zakariyya was given his night time feed which he took in full before he was settled and he_went to sleep. The following morning when his parents awoke (all three shared the same bed) Zakariyya was unresponsive and the emergency services rapidly attended but declared life extinct A number of pathological experts were involved in the autopsy examination and ancillary investigations, two of whom attended court to give evidence namely the Home Office Pathologist and the Neuropathologist The cause of death offered was Unascertained with a number of possibilities being postulated These included death from infection , overlay, traumatic head injury or Sudden infant Death Sydrome: After hearing the evidence; the conclusion was that this was Sudden Infant Death Syndrome and Naturai Causes recorded as the conclusion:

In my opinion action should be taken to prevent future deaths and believe you The Medical Director Chief Executive have the power to take such action.