PFD report

Luna Lesko · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 23 Aug 2013•Inner South London

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

View original report
Concerns
1

Raised in this report

Recipients
3

Named on the report

Responses found
2

Of 3 recipients

Stated actions
7

Described in responses

Source document

Full report text

This is the full text from the original published report.

Open published report

Concerns and recipient responses

Select any concern, action or position to view the source wording.

Report evidence summary

Concerns raised1

  1. Insufficient out-of-hours obstetric theatre capacity
    Part of recurring concern: Unreliable out-of-hours access to hospital theatres
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.3

  1. Action

    Develop a business case for additional operating department practitioner and nursing staff, then submit it for executive review and CCG discussion.

    Stated by Lewisham and Greenwich NHS Trust and NHS Lewisham’s Clinical Commissioning GroupStated in progressThe respondent said that this action was in progress when they made their response on 23 August 2013.
  2. Action

    Increase elective Caesarean section lists in main theatres from weekly to three times weekly by the end of January 2014, with additional staffing planned.

    Stated by Lewisham and Greenwich NHS Trust and NHS Lewisham’s Clinical Commissioning GroupStated in progressThe respondent said that this action was in progress when they made their response on 23 August 2013.
  3. Action

    Convert the labour-ward obstetric theatre to a 24-hour emergency obstetric theatre by the end of March 2014.

    Stated by Lewisham and Greenwich NHS Trust and NHS Lewisham’s Clinical Commissioning GroupStated plannedThe respondent said that this action was planned when they made their response on 23 August 2013.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

    Existing out-of-hours access to a second theatre is considered sufficient while additional normal-hours capacity is assessed.

    Stated by Lewisham and Greenwich NHS Trust and NHS Lewisham’s Clinical Commissioning GroupExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Insufficient out-of-hours obstetric theatre capacity

Wider context from the report

“(2) LSCS was required for the baby, due to lack of progression despite augmentation, adverse position and prolonged rupture of membranes with meconium. The decision was taken at 20.00 hours, but delivery was not possible until 21.40 hours, as theatres were busy. This delay of 1 hour 40 minutes for a category 2 section was 40 minutes outside the Trust’s own guidelines. (3) The consultant obstetrician reported that this delay, which occurred out of hours, in a unit with over 4000 births per year was unacceptable. It worsens the potential impact, carrying a higher risk of brain damage or death of babies, if there were several emergencies at one time. Staff were reluctant to use the second out of hours (non obstetric) theatre as they cannot then respond to a category 1 emergency. My expert obstetric witness, ████████ of Kings College Hospital, gave an opinion that the out of hours theatre access created a real risk of preventable death, especially with the increasing rate of performing LSCS. He advised me that I should be concerned and bring the matter to the attention of the Trust. (4) Whilst the Head of Midwifery reported management changes and compliance with CNST assessment, she did not provide assurance that the theatre capacity had been increased out of hours. Furthermore it was reported that the Trust is shortly to be disbanded and a new Trust is being formed by merger with another. This may lead to service configuration changes. She reported that the future obstetric services were under review. (5) I concluded that a real risk existed that I should report to the Trust and the commissioning body, to ensure that it was fully appreciated and given appropriate priority in the service reconfiguration planning. ”

Is this part of a recurring concern?

Yes — Unreliable out-of-hours access to hospital theatres.

Open source report

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Develop a business case for additional operating department practitioner and nursing staff, then submit it for executive review and CCG discussion.

Verbatim wording from the response

“An additional theatre team would be required to ensure that two emergency theatres were guaranteed for the maternity unit. This would include an Operating Department Practitioner and nursing staff. The Women’s and Surgery Clinical Divisions are developing a business case for this additional resource, which will be reviewed at Executive Director level within the Trust and discussed with Lewisham CCG. The timescale for this is 3 to 6 months.”

Source location

2013-0214-Response-by-Lewisham-Greenwich-NHS-Trust
Page 2 · response
Published 23 August 2013

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Increase elective Caesarean section lists in main theatres from weekly to three times weekly by the end of January 2014, with additional staffing planned.

Verbatim wording from the response

“The maternity unit currently has an elective Caesarean section list once a week during normal working hours, which is scheduled in main theatres. Our plan is to increase this to three times a week within the main theatre unit by the end of January 2014, as this would release the obstetric unit theatre for emergencies. Theatre allocation has already been identified and planning of additional staffing resource is underway. The additional elective lists in main theatres would also enable midwives and on call doctors to be freed up to focus on labouring women. At present, elective procedures sometimes have to be cancelled to make way for emergency cases; the former may then become urgent or emergency situations requiring out of hours theatre time.”

Source location

2013-0214-Response-by-Lewisham-Greenwich-NHS-Trust
Page 2 · response
Published 23 August 2013

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Convert the labour-ward obstetric theatre to a 24-hour emergency obstetric theatre by the end of March 2014.

Verbatim wording from the response

“The College recommends that an operating theatre dedicated for obstetrics should be close to the labour ward, or preferably within it. Lewisham’s obstetricians have requested that the obstetric theatre located on labour ward be changed from being primarily used for elective Caesarean sections to being the emergency obstetric theatre 24 hours a day. We have reviewed whether there are any reasons why this cannot be the case and propose to implement the change by the end of March 2014. As mentioned above, the obstetric team already has access to a second theatre out of hours and at weekends. In addition, we are assessing whether access to a second theatre can also be provided during normal working hours whilst at the same time minimising the impact on the Trust’s other surgical activity and clinical priorities.”

Source location

2013-0214-Response-by-Lewisham-Greenwich-NHS-Trust
Page 2 · response
Published 23 August 2013

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Existing out-of-hours access to a second theatre is considered sufficient while additional normal-hours capacity is assessed.

Verbatim wording from the response

“The College recommends that an operating theatre dedicated for obstetrics should be close to the labour ward, or preferably within it. Lewisham’s obstetricians have requested that the obstetric theatre located on labour ward be changed from being primarily used for elective Caesarean sections to being the emergency obstetric theatre 24 hours a day. We have reviewed whether there are any reasons why this cannot be the case and propose to implement the change by the end of March 2014. As mentioned above, the obstetric team already has access to a second theatre out of hours and at weekends. In addition, we are assessing whether access to a second theatre can also be provided during normal working hours whilst at the same time minimising the impact on the Trust’s other surgical activity and clinical priorities.”

Source location

2013-0214-Response-by-Lewisham-Greenwich-NHS-Trust
Page 2 · response
Published 23 August 2013

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.4

  1. 1

    Monitor delivery of the specified maternity theatre and staffing actions through the Clinical Quality and Risk Group.

    Stated by Lewisham and Greenwich NHS Trust and NHS Lewisham’s Clinical Commissioning GroupStated plannedThe respondent said that this action was planned when they made their response on 23 August 2013.
  2. 2

    Maintain middle-grade obstetrician cover sufficient to perform multiple emergency Caesarean sections 24 hours a day.

    Stated by Lewisham and Greenwich NHS Trust and NHS Lewisham’s Clinical Commissioning GroupStated completedThe respondent said that this action was complete when they made their response on 23 August 2013.
  3. 3

    Assess provision of a second emergency theatre during normal working hours, including review of Women’s Division theatre utilisation.

    Stated by Lewisham and Greenwich NHS Trust and NHS Lewisham’s Clinical Commissioning GroupStated in progressThe respondent said that this action was in progress when they made their response on 23 August 2013.
  4. 4

    Maintain middle-grade anaesthetic cover, including dedicated specialist registrar availability and additional cover for multiple emergency Caesarean sections.

    Stated by Lewisham and Greenwich NHS Trust and NHS Lewisham’s Clinical Commissioning GroupStated completedThe respondent said that this action was complete when they made their response on 23 August 2013.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.1

  1. 1

    Existing obstetric and anaesthetic staffing is considered adequate to perform multiple emergency Caesarean sections at any time.

    Stated by Lewisham and Greenwich NHS Trust and NHS Lewisham’s Clinical Commissioning GroupExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Monitor delivery of the specified maternity theatre and staffing actions through the Clinical Quality and Risk Group.

Verbatim wording from the response

“Going forward, the delivery of the above actions will be monitored via the Clinical Quality and Risk Group chaired by the ████████ Nurse Director at Lewisham CCG.”

Source location

2013-0214-Response-by-Lewisham-Greenwich-NHS-Trust
Page 3 · response
Published 23 August 2013

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Maintain middle-grade obstetrician cover sufficient to perform multiple emergency Caesarean sections 24 hours a day.

Verbatim wording from the response

“With the introduction of middle grade obstetricians to the obstetric rota from 2012, there has been and continues to be adequate cover by the obstetricians to perform multiple emergency caesarean sections 24 hours a day if required. The same applies to the anaesthetic team with the introduction of middle grade anaesthetic cover. This allows a Specialist Registrar for anaesthetics to be fully available for an obstetric emergency and a middle grade anaesthetist to be available in case of multiple emergency caesarean sections. In addition to these, there are two consultant anaesthetists on call with one available to cover if required.”

Source location

2013-0214-Response-by-Lewisham-Greenwich-NHS-Trust
Page 2 · response
Published 23 August 2013

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Assess provision of a second emergency theatre during normal working hours, including review of Women’s Division theatre utilisation.

Verbatim wording from the response

“The College recommends that an operating theatre dedicated for obstetrics should be close to the labour ward, or preferably within it. Lewisham’s obstetricians have requested that the obstetric theatre located on labour ward be changed from being primarily used for elective Caesarean sections to being the emergency obstetric theatre 24 hours a day. We have reviewed whether there are any reasons why this cannot be the case and propose to implement the change by the end of March 2014. As mentioned above, the obstetric team already has access to a second theatre out of hours and at weekends. In addition, we are assessing whether access to a second theatre can also be provided during normal working hours whilst at the same time minimising the impact on the Trust’s other surgical activity and clinical priorities.”

Source location

2013-0214-Response-by-Lewisham-Greenwich-NHS-Trust
Page 2 · response
Published 23 August 2013

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Maintain middle-grade anaesthetic cover, including dedicated specialist registrar availability and additional cover for multiple emergency Caesarean sections.

Verbatim wording from the response

“With the introduction of middle grade obstetricians to the obstetric rota from 2012, there has been and continues to be adequate cover by the obstetricians to perform multiple emergency caesarean sections 24 hours a day if required. The same applies to the anaesthetic team with the introduction of middle grade anaesthetic cover. This allows a Specialist Registrar for anaesthetics to be fully available for an obstetric emergency and a middle grade anaesthetist to be available in case of multiple emergency caesarean sections. In addition to these, there are two consultant anaesthetists on call with one available to cover if required.”

Source location

2013-0214-Response-by-Lewisham-Greenwich-NHS-Trust
Page 2 · response
Published 23 August 2013

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Existing obstetric and anaesthetic staffing is considered adequate to perform multiple emergency Caesarean sections at any time.

Verbatim wording from the response

“With the introduction of middle grade obstetricians to the obstetric rota from 2012, there has been and continues to be adequate cover by the obstetricians to perform multiple emergency caesarean sections 24 hours a day if required. The same applies to the anaesthetic team with the introduction of middle grade anaesthetic cover. This allows a Specialist Registrar for anaesthetics to be fully available for an obstetric emergency and a middle grade anaesthetist to be available in case of multiple emergency caesarean sections. In addition to these, there are two consultant anaesthetists on call with one available to cover if required.”

Source location

2013-0214-Response-by-Lewisham-Greenwich-NHS-Trust
Page 2 · response
Published 23 August 2013

Open published response
Back to top

Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
2/3

Data last updated 7 September 2026