Overview

• The inquest jury at Stockport Coroners’ Court concluded that Lila Marsland died from pneumococcal meningitis streptococcal pneumonia and that her death was preventable and contributed to by neglect.
• Jurors determined that admitting Lila and administering broad-spectrum antibiotics within the first hour of triage would have averted her death.
• Tameside and Glossop NHS Trust issued an unreserved apology for missed opportunities in Lila’s care and pledged to enact improvements following the inquest findings.
• Area Coroner Chris Morris filed two prevention-of-future-deaths reports warning of the trust’s failures to follow NICE meningitis guidelines and the risks posed by its “labyrinth systems” for patient information.
• Lila’s parents, Darren Marsland and Rachael Mincherton, have launched the Lila’s Light charity to provide bereavement bags for siblings and continue to press the trust for a personal apology.