Scarlett Sinclair

On 15th February 2013 commenced an investigation into the death of Scarlett Lucie SINCLAIR, Aged 25 days. The investigation concluded at the end of the inquest on 31st January 2014. The conclusion of the inquest was la Fulminant necrotising enterocolitis Hypoxic ischaemic encephalopathy and chronic lung disease and history of Twin to Twin transfusion CONCLUSION: Natural Causes

Scarlett was born at 28 weeks gestation she one of twin girls who were both initially managed in Oxford_ The plan was to transfer Scarlett to Bristol as this was nearer to her home and am told that this is standard practice. She was therefore transferred to the neonatal unit at Southmead Hospital at the age of 23 days on 6"h February: Within hours of transferred she became unwell: was told that around 3-4 a.m. she became more pale and her abdomen was distended. Medical management was commenced with a view to treating necrotising enterocolitis, again was told during the inquest that this was standard management and an X-ray was taken. At Zam there was an acute deterioration which necessitated surgical involvement and Scarlett was transferred for surgical management to another hospital close by: Sadly the surgeon confirmed that there was nothing that could be done to the extent of the necrosis and Scarlett died a few hours later:

In my opinion action should be taken to prevent future deaths and believe you have the power to take such action: