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Juliet Stevens represents family at a three-day inquest: Regulation 28 Reports made and doctor referred to GMC

In March 2019, a premature baby died during labour at the James Paget University Hospitals NHS Foundation Trust.

In July 2020, Juliet Stevens represented the family of this baby at a three day Inquest before the Senior Coroner for Norfolk, Jacqueline Lake. The other Interested Parties were the locum Registrar who began the delivery of the child, a Dr Gendy, and the NHS Trust.

After hearing evidence over three days, the learned Senior Coroner concluded that:

  • The baby had been stillborn; and
  • Concerns had arisen during the Inquest both as to the adequacy of Dr Gendy’s training, and the manner in which the NHS Trust ensured its locum doctors were adequately trained and supervised.

The learned Senior Coroner indicated her intention to make Reports for the Prevention of Future Deaths (Regulation 28 Reports) against both Dr Gendy and James Paget University Hospitals NHS Foundation Trust.

In addition, the Senior Coroner had further concerns that Dr Gendy had failed to learn from this tragic event, and for this reason stated that she intended to refer Dr Gendy to the General Medical Council (GMC) for further investigation.

The inquest generated significant local press coverage:

Juliet Stevens was instructed by Sara Westwood of Morgan Jones Pett.



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