Source · Scotland · Fatal Accident Inquiry
Leo Lamont; Ellie McCormick; Mira-Belle Bosch
Scotland — FAI
Health
11 recommendations
Reference [2025] FAI 15
Published 18 March 2025
Determination
| Reference | [2025] FAI 15 |
| Published | 18 March 2025 |
| Sheriff | Sheriff Principal Aisha Anwar KC |
| Sheriffdom | Glasgow and Strathkelvin |
| Date of death | 15 February 2019 |
| Location | University Hospital Monklands; Wishaw General Hospital |
| Cause of death | Perinatal hypoxia and extreme prematurity |
Recommendations 11
PDF
NHS Lanarkshire
Scottish Ambulance Service
Preterm labour identification protocols; enhanced electronic record-keeping for pregnancy complications; midwife handover procedures; handheld ultrasound scanners for fetal presentation detection; dedicated ambulance service telephone lines to maternity units; clearer communication guidelines for reassessment
No mandatory response mechanism — unlike PFD reports (England & Wales), recipients are not required to respond.
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About FAIs
Fatal Accident Inquiries are held under the
2016 Act
before a sheriff. They are mandatory for deaths in custody and at work.
The sheriff may make recommendations under s.26(1)(b) but there is no enforcement mechanism.