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Thursday, 17 January 2019

Conclusion in Kingston baby death case is reached


An inquest has concluded there were "lamentable failures" by a team at Kingston Hospital during the delivery of a baby boy who later died.

Sebastian Clark lived for just four days after his birth in March 2017.

He suffered a “devastating” brain injury before being transferred to St George’s where his condition deteriorated and he died.

Having heard the evidence received from those involved in the events that led to the death of baby Sebastian Clark following his delivery, HM Coroner Dr Sean Cummings concluded that there were lamentable failures, inadequate and complacent management and a group and collective failure to appreciate the developing emergency until it was too late.

Parents Justin and Alison have implored the NHS to change, and improvements to be implemented to avoid the mistakes surrounding Sebastian’s birth being repeated, as well as providing greater support to grieving parents.

Speaking after the Inquest, Tim Deeming of family representatives Tees Law said the aim is to make sure this doesn’t happen again.



Ann Radmore, the Trust’s Chief Executive, wrote to the family on the 9th of January 2019 saying, “I would like to offer you my sincere apologies that the treatment and care provided by the Trust immediately prior to and during Sebastian’s delivery fell below a standard that you were entitled to expect. We recognise that this substandard care led to Sebastian’s poor condition at birth, and tragically, his death.”