After a transfer from Leicester Royal Infirmary to Leicester General Hospital, staff failed to monitor Baby B in line with her care plan.
What happened
Baby B was born with Down's syndrome and after her birth, she was transferred to Leicester Royal Infirmary. She was later transferred to Leicester General Hospital but when her condition deteriorated she returned to Leicester Royal Infirmary. Baby B was diagnosed with a serious disease affecting the bowel during the first three weeks of life, and died when she was seven days old.
What we found
Staff failed to carry out planned six-hourly monitoring of Baby B when she was transferred to Leicester General Hospital. However, this failing did not result in a missed opportunity to treat Baby B and her death was unavoidable.
Putting it right
The Trust has apologised to Ms A, Baby B's mother, and has put together an action plan that shows how it has learnt from its mistake so that this will not happen again.
University Hospitals Of Leicester NHS Trust
Leicester
Not applicable
Apology
Recommendation to learn lessons or draw up an action plan