We offer our sincerest condolences to the parents of Oliver Hull and we cannot imagine the pain his family must still feel.
The Coroner commented that Oliver died from natural causes in circumstances where there was a missed opportunity to undertake further assessment and investigations. For this we are deeply sorry.
Following Oliver’s death we carried out an investigation into his care and identified areas where improvements could be made. As a result, we have implemented changes to improve the care we provide.
These include the recruitment of additional paediatric nurses who are specifically trained in the care and treatment of very young children and their families, and ensuring full compliance in the use of a nationally recognised children’s early warning and severity tool. A further safeguard is a new clinical protocol that means all babies under one year should be seen personally by a specialist paediatric doctor before discharges between 10pm and before 8am in the morning.
We note the evidence given of this complex case by the Coroner’s expert that Oliver initially presented to us with what appeared to be a viral infection, sadly with no clues that he would later succumb to such a serious illness.