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Inquest Finds Multiple Care Failings in Baby Willow’s Case as Oxford Trust Admits Breaches

The coroner said the 10-day-old would likely have survived with 24-hour post-biopsy monitoring.

Overview

  • The biopsy to test for Hirschsprung’s disease went ahead without recorded informed consent from Willow’s parents.
  • The procedure was carried out in a treatment room described as lacking privacy and subject to frequent interruptions.
  • Standard pre-procedure antibiotics were not given and doses were administered only afterward, preceding E. coli sepsis.
  • Confusion between surgical and neonatal teams led to discharge about 10 hours after the biopsy despite surgeons expecting overnight observation.
  • Oxford University Hospitals NHS Foundation Trust acknowledged breaches on consent, antibiotics and same-day discharge, issued an apology and said clinical practice has changed as the family’s lawyers pursue a claim.