email: paula.griffin1@nhs.net. So, by any standard and contrary to Midwife Oluwofobi’s statement that the department was ‘busy’ – there being 2 patients in the maternity department – indicate that it was extremely quiet and certainly not busy. If this is an option that you would like to consider please complete this homebirth enquiry form and the Homerton Homebirth team will contact you as soon as possible. Adult Mental Health Services - Newham Directorate . This vital information in relation to previously raised patient safety concerns about this midwife – was suppressed from the inquest. The inspection team acknowledged improvements made since the last inspection and  identified a number of good / outstanding practices. It’s a bit like exercising - they make your immune system stronger! I just want to be a good mother … But it will cause your body to create a defensive immune response that will be activated and protect you if you come into contact with the flu virus. email: ellahill1@nhs.net, Louisa Griffiths I will now provide you with the full details of the occurrences and circumstances leading to the death of this mother- in the early hours of the morning on 17th January 2015. The continuous fetal monitoring is to check how your baby is coping with labour. Prevent you passing on flu to your newborn. It is highly questionable as to why Midwife Oluwofobi was deemed  by Homerton as the ‘midwife with care’ when this was not the case – and what’s even more concerning is why the  genuine and correct ‘midwife with care’ was not mentioned in your verdict – neither did this particular midwife give evidence at the inquest. It is known from other respiratory infections (e.g. Royal College of Obstetricians and Gynecologists (RCOG): https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/. You can contact a midwife for advice or support via the Homerton Maternity Helpline on 0208510 5955 from 10am - 6pm each day or via email on huh-tr.maternityhelpline@nhs.net, Our midwives look after women at the hospital antenatal clinic, at local GP surgeries and children’s centres, Professional Midwifery Advocate & Practice Educator. Maternity - Covid 19 Looking After Yourself.pdf, During pregnancy, you will have time to think about your future as a parent and to consider some options for yourself and your baby, including decisions about the birth and about feeding your baby. tel: 020 8510 5768, Philippa Cox We are really keen to hear from women and families from all backgrounds. Matron for Delivery Suite, Emergency Obstetric Unit and Triage You can contact a midwife for advice or support via the Homerton Maternity Helpline on 0208510 5955 from 10am - 6pm each day or via email on huh-tr.maternityhelpline@nhs.net. Homerton MBU Website:https://www.elft.nhs.uk/service/182/Margaret-Oates-Mother-and- Baby-Unit. I’ve been made to understand that according to policy/protocol – a female midwife/assistant has to chaperone a male doctor during the examination of a female patient. Care Quality Commission inspection ratings. This 14 day period may be reduced as more information on how infected people are in recovery becomes available.If you have recovered from coronavirus and tested negative for the virus before you go into labour, where and how you give birth will not be affected by your previous illness. The adult accompanying you should wait downstairs in the glass corridor whilst you go to the scan unit to check in at reception. It is likely that any routine antenatal appointments will be delayed until isolation ends. She may have been physically present in the department – but only for the reasons stated above. Consultant Midwife, Public Health In order to minimise face-to-face contact we have conducted a risk assessment and cancelled some appointments and transferred some others into telephone only. The overall Homerton Hospital site rating is now rated as outstanding! Do not leave home if you or anyone in your household has symptoms. Your birth partner(s) will be able to stay with you throughout. If you live with others, they should stay at home for 14 days in case they develop symptoms. Pregnant persons are still required to attend dating scans (11-13 weeks) and late gestation scans alone. Following all social distancing advice from the UK Government closely. We were aware of this issue and had been working to address this prior to the inspection and will continue to work on this with our external providers. Please let your Doctor or Midwife know if you have any concerns about your mental health so that they can help you access support. (4) In short, Homerton Hospital considered Ms Caulker to be fit and well – so much so – that they discharged her from their care. We appreciate your cooperation and patience during this very strange time. email: huh-tr.maternity.clinicalgovernance@nhs.net If you cannot attend an appointment because you have symptoms or are self-isolating due to a household member then please call the Homerton Maternity Helpline on 0208 510 5955 10am - 8pm each day or email on: Flu vaccinations are now available in the scan department and in Picton suite. You will be asked for your consent for the student to be present or participate in your care. I hope to have your prompt intervention into this serious matter of public concern. We follow Public Health England infection prevention and control guidance stringently, use appropriate PPE and have made significant changes to both the environment of the hospital and visiting arrangements promote social distancing. If anyone at home or in your support bubble develops symptoms, they should continue to self-isolate for 7 days from when their symptoms began. This means it does not contain live virus: the virus cells are “inactivated” (killed), so they cannot cause illness, in this case flu. We will encourage decision-making as a shared responsibility between the woman, her family and her care givers. Mr Ademola Kojeku Beadnell Mother and Baby Unit Northumberland,Tyne and Wear NHS Trust St Georges Hospital,Morpeth, Northumberland,NE61 2NU Tel: 01670 501869 Dr Andrew Cairns, Consultant Psychiatrist 6 BEDS. The Margaret Oates Mother and Baby Unit provides inpatient care to women who have moderate to severe mental health difficulties in pregnancy or within the first year after childbirth. They are especially concerned about the avoidable deaths of mothers and babies within their maternity unit. If you have mild symptoms, you will be encouraged to remain at home (self-isolating) in early labour, as per standard practice. Please see below for the link to a national survey: London women's experience survey: Pregnancy and giving birth during the pandemic. If you have an underlying condition, such as asthma or diabetes, you may become more unwell if you have coronavirus. Highlights from the maternity part of the report are that: I want to assure you that that the quality of care provided to you and your baby remains of the usual high standard. Print this page After 14 days, anyone you live with and those in your support bubble can end self-isolation provided they have no symptoms. We're inviting women to join us and share their views, experiences and to ask questions. The Perinatal Service and Margaret Oates Mother and Baby Unit is an Adult Mental Health Service working with women who have moderate to severe mental health difficulties in pregnancy or within the first year after child birth. Note: Questions marked by * are mandatory. I therefore call upon you as the Coroner in charge of deaths in Hackney and surrounding areas – to hold Homerton University Hospital to account in regards to their serious misconduct in relation to this death. Dr Gopinath Narayan, Consultant Psychiatrist 6 BEDS. GP REFERRAL VIA CONSULTANT Leeds Partnership NHS Foundation Trust Mother and Baby Unit The Mount, 44 Hyde Terrace,Leeds,LS2 9LN Tel: 0113 8555509 – NOT for General Public to call. Ms Caulker then stated that she was hungry and Midwife X gave her a yoghurt. I previously wrote to you on this matter on 7th July 2015 – however, having had no response – I feel compelled to write an open letter to you as this matter is in the public interest. tel: 020 8510 7350 To put into context – the maternity department is staffed with at least 12/13 midwives per shift – and there are 14 delivery rooms and 4 birthing centre rooms. If you go into labour, you should call your maternity unit for advice via Delivery suite on 020 8510 7351/7352, and inform them that you have suspected or confirmed coronavirus infection. email: shirley.peterson@nhs.net, Sarah Latham If your midwife or doctor advises that your appointment cannot wait, the necessary arrangements will be made for you to be seen. Once you are in established labour and move to the delivery suite for one to one care, your second birth partner will be able to join you. We will be gradually restarting visiting on the postnatal ward, starting with a single visitor, who must be your primary birth partner, between 2pm and 6pm daily. Women of BAME background should be advised that they may be at higher risk of complications of COVID-19; we advise they seek advice without delay if they are concerned about their health. Please see the link below to share with colleagues, local women and your social media platforms: https://forms.office.com/Pages/ResponsePage.aspx?id=kp4VA8ZyI0umSq9Q55Ctv8-cdBeVcUdGq0fmWAvPz8FUOEtIQUtENklNQzZJSEZEN0g5TDhLQUxIRiQlQCN0PWcu. They really helped me and I wish I lived closer to be able to attend. (2) Midwife Tayo Oluwofobi delayed for about 2 hours in referring the mother to the doctor and failed to progress the case urgently – despite the case being deemed as an urgent one by the triage midwife. If you are infected with Covid-19 you are still most likely to have no symptoms or a mild illness from which you will make a full recovery. Re:  Urging Action by the Coroner’s Court against Homerton Hospital for Suppression of Crucial Evidence and for Serious Misleading of the Coroner’s Court. This is available via remote services; both through self-help resources and through referral to the IAPTs service (Improving Access to Psychological Services) as well as through professionals at Homerton Hospital if appropriate. In these circumstances – the safety of the public is paramount and intervention is required urgently into the state of affairs at Homerton Hospital Maternity Unit. Address:City and hackney centre for mental health, Homerton Row, London, E9 6RS. We would welcome hearing your views on maternity care and how Homerton can provide the best care to women of BAME backgrounds, both during the pandemic and in the future. In order to promote social distancing we have put into place new measures to reduce the number of face-to-face appointments during pregnancy and the postnatal period. A adult of your choice will be able to attend both the 12 week (dating) and the 20 week (anomaly) scans, provided they do not have any COVID-19 symptoms. If you choose to breastfeed your baby, the following precautions are recommended: If you choose to feed your baby with formula or expressed milk, it is recommended that you follow strict adherence to sterilisation guidelines. Pregnancy and birth are very significant events in a woman’s life and that of her family. Which begs the question – what were these members of staff told at this private meeting? Vaccines can’t overload your immune system. The flu jab cannot give you flu because it is not a “live” vaccine. email: tamsinbicknell@nhs.net, Paula Griffin RCOG Information for pregnant women and their families: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/covid-19-virus-infection-and-pregnancy/, https://www.gov.uk/government/collections/coronavirus-covid-19-list-of-guidance. You may be affected by concerns about the virus itself, by reduced social interaction, support and interaction with family and friends as well as by financial, career and housing concerns, bereavement or circumstances within your home environment. The MVP wants to hear your views and experiences and provides direct feedback to the Homerton and East London Local Maternity Systems. Associate medical director, Consultant Cbstetrician/Gynaecologist and lead consultant for fetal medicine However, this crucial piece of evidence was suppressed by Homerton Hospital. (4) There is evidence that as far back as 2012 – serious patient safety concerns were raised by a former Senior Labour Ward Sister – about Midwife Tayo Oluwofobi, regarding her (Tayo’s) failure to recognise and refer an urgent clinical situation to a doctor – whilst caring for a pregnant mother. The Other Side of Waiting’ is a series of six interconnected artworks for a range of spaces in the new Mother and Baby Unit being built at Homerton Hospital in East London. If you are travelling home from a hospital admission we will provide you with a mask which should be used when travelling home. We cannot accommodate more than one visitor, including any children, on the ward at present. Not attending antenatal care risks potential harm to you and your baby. Regularly auditing our outcomes via ethnicity so that we can identify areas for increased focus and service development. Breastfeeding and Coronavirus What effect does coronavirus have on pregnant women? If you have suspected or confirmed coronavirus at the time your baby is born, your baby will be tested for coronavirus. Topic: Coronavirus - What are your thoughts and feelings with regards to maternity care? The Trust has now received its CQC report following an inspection earlier … tel: 07747 457 354 At the time we took the decision, the impact of the COVID 19 on our maternity service was significant, seeing the numbers of midwives available to work reduce by 25% and notification from the London Ambulance service that they were likely to be delayed in responding to emergency calls due to increased demands on their service. City and Hackney Centre for Mental Health, Homerton Row. The above events differ from what was disclosed to the coroner’s court – and this is a matter of great concern – especially in regards to the credibility of the information and evidence provided by Homerton Hospital. If you have confirmed coronavirus infection, as a precautionary approach, an ultrasound scan will be arranged 14 days after your recovery, to check that your baby is well. (8) During the early hours, a senior Consultant in Obstetrics & Gynaecology, the Head of Midwifery and others came in from home following the serious incident –  and were present in the maternity unit. The restrictions have been very challenging for us all, and we recognise that this has been a particularly difficult aspect of the temporary changes to care provision for our families. In order to restrict the spread of the virus and protect the health of all our women we have made some changes to our visiting arrangements in Maternity. The following is a summary of these changes, for more detail please see the  "Visiting Homerton during Covid-19" drop down section. After Midwife Oluwofobi failed to treat the case as urgent – the doctor who reviewed Ms Caulker that night – actually asked another midwife who just happened to be passing by – to chaperone him during the examination of the mother. However, maternity care will not be refused or delayed for any woman, whether or not you are able to pay for your care. Hackney's Local Offer website is a free and impartial service provided by the London Borough of Hackney in partnership with the NHS, local education, health and community services. It is very important to ensure that the Midwife has the correct phone number for you and that you answer all calls, especially those from a withheld number. Pregnant persons are still required to attend face to face antenatal appointments alone, You can bring one adult with you to attend the 12 and 20 week scans. Further coverage on the reporting on the inquest into this death – is available via the link below: https://rosslydall.wordpress.com/2015/06/22/pregnant-woman-would-probably-have-survived-if-she-had-been-taken-to-ae-rather-than-maternity-hospital-10-miles-away/, ANOTHER MATERNAL DEATH AT HOMERTON HOSPITAL MATERNITY DEPARTMENT, CQC’S FAILURES AT HOMERTON HOSPITAL’S MATERNITY UNIT, OPEN LETTER TO CORONER MARY HASSELL: URGING FOR ACTION AGAINST HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST FOR MISLEADING THE CORONER’S COURT, Homerton maternity mothers babies hospital NHS doctors midwives midwife maternal deaths, https://homertonnhsmaternity.wordpress.com, The Truth About Homerton Hospital Maternity Unit. There is also a weekly Zoom call taking place at 11am on Wednesdays during Covid-19, which is chaired by the Head of Maternity for East London along with the local commissioners and MVPs. If you have symptoms of potential Covid-19 such as a high temperature, a new, continuous cough or a loss or change to your sense of smell or taste you must: Use the 111 online services on 111.nhs.uk. The main risk of breastfeeding is close contact between you and your baby, as you may share infective airborne droplets, leading to infection of the baby after birth. The exact period of these deaths are now under scrutiny – as there have been seriously conflicting information provided by Homerton Trust regarding these deaths. Babies and children under two should not wear masks or other face coverings, as they may risk suffocation. The appointments and scans which remain face-to-face are vitally important for us to be able to ensure the health of you and your baby so please continue to attend them if you are well. I am writing to you regarding Homerton Hospital’s suppression of crucial evidence/information and their serious misleading of the coroner’s court – at an inquest into a maternal death which occurred at Homerton on 17 th January 2015 – in which you were the presiding coroner. Please click the following link for details, https://www.homerton.nhs.uk/parentcraft-sessions. We appreciate that this is challenging time and that you may be anxious about attending Homerton or about the care you will receive when you are with us. In Homerton’s July 2015 Board Papers – it was reported that the coroner “did not provide a Prevent Future Deaths (PFD) notice against the Trust” in relation to this maternal death in January 2015. Coronavirus (Covid-19) infection and pregnancy – Information and Frequently Asked Questions. From these details – the depth of the cover-ups, suppression and omissions by Homerton Hospital will become clear. We will continue to assess the service constantly depending on whether we have midwives available and communications from the London Ambulance service as to their ability to respond to a category 1 call: this is where we have concerns regarding the mother or baby’s condition that warrants an urgent transfer to hospital. It is particularly important that you do not delay seeking help if you notice any emergency signs, such as significant changes in the baby’s movement, pain, swelling, redness, ache or tenderness in one leg, and fluid leakage or bleeding, significant itching, heart palpitations, persistent headache, blurred vision, flashing lights or pain under the ribs. Review titled Made to feel like an inconvenience ★★★ out of 5 Rated 3 stars out of 5. by Anonymous - Posted on 15 July 2020 Going through a miscarriage, never told the results on time, when calling up to ask for results, made to feel like an inconvenience for daring to ask - I know the nhs is busy but I also work in healthcare and know the importance of giving upsetting results on time. If you have an appointment to see a consultant, you will get a phone call about rescheduling as we want to ensure that all face to face appointments are needed at this time. There is currently no evidence to suggest you cannot give birth vaginally or that you would be safer having a caesarean birth if you have suspected or confirmed coronavirus, so your birth plan should be followed as closely as possible based on your wishes. It is clear that Homerton’s management of this case was far worse than London Ambulance – as at least LAS paramedics recognised that this mother was not well. 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