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| Doctor's call on children's A&E | Doctor's call on children's A&E |
| (20 minutes later) | |
| A senior paediatrician has called for designated children's emergency centres following the death of a baby the day after she was discharged from hospital. | A senior paediatrician has called for designated children's emergency centres following the death of a baby the day after she was discharged from hospital. |
| Dr Dewi Evans said the current system for treating children in A&E was "completely unsuitable". | Dr Dewi Evans said the current system for treating children in A&E was "completely unsuitable". |
| At an inquest into Aleesha Evans's death in August 2006, a coroner said a senior registrar failed to recognise how serious her condition was. | At an inquest into Aleesha Evans's death in August 2006, a coroner said a senior registrar failed to recognise how serious her condition was. |
| A narrative verdict was recorded on the death of Aleesha, from Newport. | A narrative verdict was recorded on the death of Aleesha, from Newport. |
| The nine-month old died after she suffered multiple organ failure triggered by meningococcal septicaemia. | The nine-month old died after she suffered multiple organ failure triggered by meningococcal septicaemia. |
| Her parents Shiree Hanbury and Craig Evans were told by staff at the Royal Gwent Hospital where she had been taken the day before that she had a viral infection and needed only Calpol and Nurofen. | Her parents Shiree Hanbury and Craig Evans were told by staff at the Royal Gwent Hospital where she had been taken the day before that she had a viral infection and needed only Calpol and Nurofen. |
| The inquest at Cardiff coroner's court heard Aleesha was taken home but later rushed back to the University Hospital of Wales in Cardiff, where doctors could not save her. | The inquest at Cardiff coroner's court heard Aleesha was taken home but later rushed back to the University Hospital of Wales in Cardiff, where doctors could not save her. |
| The hearing was told she would have survived had she not been discharged from the Royal Gwent Hospital. | The hearing was told she would have survived had she not been discharged from the Royal Gwent Hospital. |
| We are actually asking young people who are often recently qualified as doctors to see a whole range of people Dr Andrew Dearden, British Medical Association Wales | We are actually asking young people who are often recently qualified as doctors to see a whole range of people Dr Andrew Dearden, British Medical Association Wales |
| Coroner Mary Hassell said the doctor whom Aleesha had been referred to at the Royal Gwent - Salawat Abdul-Salam - had been involved in a death at the University Hospital of Wales, Cardiff two years earlier. | Coroner Mary Hassell said the doctor whom Aleesha had been referred to at the Royal Gwent - Salawat Abdul-Salam - had been involved in a death at the University Hospital of Wales, Cardiff two years earlier. |
| She said she was disappointed that her report on this previous case had not been given to the Gwent Healthcare Trust. | She said she was disappointed that her report on this previous case had not been given to the Gwent Healthcare Trust. |
| Dr Evans, who is a consultant paediatrician at Singleton Hospital in Swansea, said nursing and medical staff, whose training was in adults, did not necessarily have the same feel or experience for looking after children. | Dr Evans, who is a consultant paediatrician at Singleton Hospital in Swansea, said nursing and medical staff, whose training was in adults, did not necessarily have the same feel or experience for looking after children. |
| "You can have as many procedures and protocols as you want and there are some very good ones available in all hospitals," he said. | "You can have as many procedures and protocols as you want and there are some very good ones available in all hospitals," he said. |
| "The problem is that there has been a very significant increase in the number of children coming in to the A&E department over the last few years and it can be impossible to distinguish the one child in a dozen or 20 whose early symptoms are identical to children who have just got ordinary viral infections." | "The problem is that there has been a very significant increase in the number of children coming in to the A&E department over the last few years and it can be impossible to distinguish the one child in a dozen or 20 whose early symptoms are identical to children who have just got ordinary viral infections." |
| Experts | Experts |
| Dr Evans said emergency centres designated specifically for children and appropriately staffed would need Welsh Assembly Government backing. | Dr Evans said emergency centres designated specifically for children and appropriately staffed would need Welsh Assembly Government backing. |
| "We have one in Singleton Hospital and unfortunately we don't have the resources to ensure it is kept open 24 hours a day," he said. | "We have one in Singleton Hospital and unfortunately we don't have the resources to ensure it is kept open 24 hours a day," he said. |
| Dr Andrew Dearden, chairman of the British Medical Association in Wales agreed that children should be seen by experts. | Dr Andrew Dearden, chairman of the British Medical Association in Wales agreed that children should be seen by experts. |
| "We are actually asking young people who are often recently qualified as doctors to see a whole range of people," he said. | "We are actually asking young people who are often recently qualified as doctors to see a whole range of people," he said. |
| "GPs take many years to be trained to do the same thing. Some people working in A & E have only had a year or two after they have been qualified so this kind of expertise in paediatrics will be welcomed." | "GPs take many years to be trained to do the same thing. Some people working in A & E have only had a year or two after they have been qualified so this kind of expertise in paediatrics will be welcomed." |
| Mr Dearden added that there was a responsibility upon employers to make sure the people they employed had a suitable background to work in the health service. | Mr Dearden added that there was a responsibility upon employers to make sure the people they employed had a suitable background to work in the health service. |
| The assembly government has been asked for a response. | The assembly government has been asked for a response. |