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| Mortonhall baby ashes: Report says scandal was a 'great tragedy' | Mortonhall baby ashes: Report says scandal was a 'great tragedy' |
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| Parents affected by the Mortonhall crematorium scandal were not told that ashes were left after their babies were cremated because it would have been "too distressing", a report has said. | Parents affected by the Mortonhall crematorium scandal were not told that ashes were left after their babies were cremated because it would have been "too distressing", a report has said. |
| Staff at the Edinburgh crematorium buried or scattered baby ashes in secret for decades. | Staff at the Edinburgh crematorium buried or scattered baby ashes in secret for decades. |
| Parents were told there were no ashes left when young babies were cremated. | Parents were told there were no ashes left when young babies were cremated. |
| The report described the practice as a "great tragedy" that left some parents facing a "lifetime of uncertainty". | The report described the practice as a "great tragedy" that left some parents facing a "lifetime of uncertainty". |
| The families of more than 250 dead babies were affected by the scandal. | The families of more than 250 dead babies were affected by the scandal. |
| Dame Elish - a former Lord Advocate - said managers at the council-run crematorium knew that ashes were left after babies were cremated. | Dame Elish - a former Lord Advocate - said managers at the council-run crematorium knew that ashes were left after babies were cremated. |
| But parents were not told as managers believed it would have been "too distressing" for them, she said. | But parents were not told as managers believed it would have been "too distressing" for them, she said. |
| The inquiry found staff had asked the council for a baby cremator to be installed but were told this was not financially viable. | The inquiry found staff had asked the council for a baby cremator to be installed but were told this was not financially viable. |
| They also said that baby ashes were cremated in the evening when incinerators were cooler, and any ash found in the morning "would be mixed in with the first adult cremation in the morning." | They also said that baby ashes were cremated in the evening when incinerators were cooler, and any ash found in the morning "would be mixed in with the first adult cremation in the morning." |
| And Dame Elish said it was not known for sure what remains of which babies were interred in an unmarked "garden of remembrance" at Mortonhall due to a "longstanding and wholesale failure" to keep accurate records. | |
| The report, which runs to more than 600 pages, stated: "The great tragedy of these events over many years is that many parents will now be left with a lifetime of uncertainty about their baby's final resting place." | The report, which runs to more than 600 pages, stated: "The great tragedy of these events over many years is that many parents will now be left with a lifetime of uncertainty about their baby's final resting place." |
| Anne Grannum, the superintendent at Mortonhall until 2011, was described consistently by staff as utterly devoted to her job but wholly consumed by efficiency and averse to change or suggestions for change, the report said. | Anne Grannum, the superintendent at Mortonhall until 2011, was described consistently by staff as utterly devoted to her job but wholly consumed by efficiency and averse to change or suggestions for change, the report said. |
| Ms Grannum was perceived as demonstrating little compassion by many of the parents, it added. | Ms Grannum was perceived as demonstrating little compassion by many of the parents, it added. |
| The report said: "The extent to which practices in the cremation of foetuses, stillborn and neonatal babies at the Mortonhall Crematoria have failed to reflect the changes over the years in social attitudes and the corresponding need for greater care, sensitivity and transparency is partly a product of an inward-looking and isolated managerial approach at the operational level. | The report said: "The extent to which practices in the cremation of foetuses, stillborn and neonatal babies at the Mortonhall Crematoria have failed to reflect the changes over the years in social attitudes and the corresponding need for greater care, sensitivity and transparency is partly a product of an inward-looking and isolated managerial approach at the operational level. |
| "That situation was allowed to persist because of an absence of meaningful supervision or leadership from senior management on this matter. | "That situation was allowed to persist because of an absence of meaningful supervision or leadership from senior management on this matter. |
| "Staff employed there for many years largely adopted practices and beliefs formed and fixed over several decades. | "Staff employed there for many years largely adopted practices and beliefs formed and fixed over several decades. |
| "They worked for many years under the direction and supervision of the same superintendent who also preserved such opinions. She was a manager with a lively concern for efficiency and cleanliness but an apparent aversion to change." | "They worked for many years under the direction and supervision of the same superintendent who also preserved such opinions. She was a manager with a lively concern for efficiency and cleanliness but an apparent aversion to change." |
| The report said the apparent belief at Mortonhall that the bones of foetuses and even stillborn and neonatal babies could not survive the cremation process continued, despite evidence and information to the contrary. | |
| Ashes from foetuses as young as 17 weeks can be recovered, Dame Elish's investigation found. | |
| The report, which was compiled for the City of Edinburgh Council, contains 22 recommendations which will now be taken forward by the council and other relevant agencies. | The report, which was compiled for the City of Edinburgh Council, contains 22 recommendations which will now be taken forward by the council and other relevant agencies. |
| These included a call for the Scottish government to commission research to identify best practice in "achieving remains in the cremation of foetuses, stillborn babies and neonatal babies". This research should also examine the most effective equipment, the report added. | These included a call for the Scottish government to commission research to identify best practice in "achieving remains in the cremation of foetuses, stillborn babies and neonatal babies". This research should also examine the most effective equipment, the report added. |
| It also recommended that crematoria should not be allowed to continue with cremating such infants unless they can demonstrate competence in "achieving remains and show consistent evidence of the sensitive treatment of next of kin". | It also recommended that crematoria should not be allowed to continue with cremating such infants unless they can demonstrate competence in "achieving remains and show consistent evidence of the sensitive treatment of next of kin". |
| And it said the City of Edinburgh Council should "review the manner in which the crematorium is managed in the future, ensuring greater understanding by senior managers of the processes and procedures at the operational level and significantly greater engagement in improving training and best practice." | And it said the City of Edinburgh Council should "review the manner in which the crematorium is managed in the future, ensuring greater understanding by senior managers of the processes and procedures at the operational level and significantly greater engagement in improving training and best practice." |
| It says there should be "robust systems of audit and inspection" to ensure safe working practices and "quality of service" to bereaved families. | It says there should be "robust systems of audit and inspection" to ensure safe working practices and "quality of service" to bereaved families. |
| 'Sincere apologies' | 'Sincere apologies' |
| Sue Bruce, chief executive of the City of Edinburgh Council, said: "On behalf of the council, I would like to offer my sincere apologies to the bereaved families for the distress they have suffered as a result of the practices at Mortonhall Crematorium. | Sue Bruce, chief executive of the City of Edinburgh Council, said: "On behalf of the council, I would like to offer my sincere apologies to the bereaved families for the distress they have suffered as a result of the practices at Mortonhall Crematorium. |
| "I realise that the past year-and-a-half has been very difficult for the families involved and wish to thank them all for their co-operation with the investigation and their contribution to the report. | "I realise that the past year-and-a-half has been very difficult for the families involved and wish to thank them all for their co-operation with the investigation and their contribution to the report. |
| "It is also clear from the recommendations that there are far-reaching implications regarding cremation practices and the legislative framework not just for Edinburgh but across Scotland and the United Kingdom and I will be working with the Scottish government and other relevant bodies to address these concerns." | "It is also clear from the recommendations that there are far-reaching implications regarding cremation practices and the legislative framework not just for Edinburgh but across Scotland and the United Kingdom and I will be working with the Scottish government and other relevant bodies to address these concerns." |
| Ms Bruce said the council would now consult with families regarding their views on a suitable memorial. | Ms Bruce said the council would now consult with families regarding their views on a suitable memorial. |
| She added: "It is vital that we learn from this and look to the future. We must ensure that the highest possible standards are adhered to at Mortonhall and that nothing like this can happen again." | She added: "It is vital that we learn from this and look to the future. We must ensure that the highest possible standards are adhered to at Mortonhall and that nothing like this can happen again." |
| Copies of the report were couriered to parents on Wednesday morning, ahead of its release to the general public. | Copies of the report were couriered to parents on Wednesday morning, ahead of its release to the general public. |
| Dorothy Maitland, who uncovered the scandal after asking staff about her baby daughter Kaelen's ashes, said of the report: "Some of it I'm not surprised by. In my own case I've been told that it would appear my own daughter's ashes are buried in the garden of remembrance but it doesn't actually confirm it. | Dorothy Maitland, who uncovered the scandal after asking staff about her baby daughter Kaelen's ashes, said of the report: "Some of it I'm not surprised by. In my own case I've been told that it would appear my own daughter's ashes are buried in the garden of remembrance but it doesn't actually confirm it. |
| "I just think babies have been treated so differently from adults and why?" | "I just think babies have been treated so differently from adults and why?" |
| Ms Maitland, who is operations manager for the Stillbirth And Neonatal Death Society (Sands), added: "Things have moved forward but why didn't someone think 'No, we have to do this in a different way'? This has caused so much distress to families. | Ms Maitland, who is operations manager for the Stillbirth And Neonatal Death Society (Sands), added: "Things have moved forward but why didn't someone think 'No, we have to do this in a different way'? This has caused so much distress to families. |
| "Every baby's parents should get the ashes for their baby. Staff should be trained and shown how to achieve this." | "Every baby's parents should get the ashes for their baby. Staff should be trained and shown how to achieve this." |
| She said many parents would not be satisfied until there was a full public inquiry into the events. | She said many parents would not be satisfied until there was a full public inquiry into the events. |
| A 41-year-old mother, whose son's ashes were scattered in Mortonhall's Rose Garden without her knowledge, said she was "angry and upset" to hear managers had refused to tell parents there were ashes. | A 41-year-old mother, whose son's ashes were scattered in Mortonhall's Rose Garden without her knowledge, said she was "angry and upset" to hear managers had refused to tell parents there were ashes. |
| The woman, who asked not to be named, told the BBC Scotland news website: "My stomach is in knots, I could vomit. I absolutely disagree that it would have been too distressing to find out our babies had been cremated. | The woman, who asked not to be named, told the BBC Scotland news website: "My stomach is in knots, I could vomit. I absolutely disagree that it would have been too distressing to find out our babies had been cremated. |
| "It would have helped us if we could have taken the remains of our wee boy and disposed of them in the way we decided. | "It would have helped us if we could have taken the remains of our wee boy and disposed of them in the way we decided. |
| "It is the basic right of a mother to be given enough information to make an informed choice and we weren't given that. | "It is the basic right of a mother to be given enough information to make an informed choice and we weren't given that. |
| "We were led to believe there would be no cremation and told to tick a box." | "We were led to believe there would be no cremation and told to tick a box." |
| The mother does not know if a further two babies she lost are also in Mortonhall as an investigation concluded there was "insufficient evidence" - meaning there were no records of what happened to them. | The mother does not know if a further two babies she lost are also in Mortonhall as an investigation concluded there was "insufficient evidence" - meaning there were no records of what happened to them. |
| The practice at Mortonhall crematorium is thought to have been in place from its opening in 1967 until a change of management in 2011. | The practice at Mortonhall crematorium is thought to have been in place from its opening in 1967 until a change of management in 2011. |
| A separate inquiry into how infant remains have been dealt with throughout Scotland is expected to report in June. | A separate inquiry into how infant remains have been dealt with throughout Scotland is expected to report in June. |
| Former high court judge Lord Bonomy has chaired the Infant Cremation Commission which will recommend changes to the law to prevent a similar scandal happening again. | Former high court judge Lord Bonomy has chaired the Infant Cremation Commission which will recommend changes to the law to prevent a similar scandal happening again. |