A compulsory multi-agency protocol for investigating sudden
unexpected death in infancy has been recommended by the expert
group set up to look at the issue.
Staff involved should keep an open mind, “knowing that some
deaths will be a consequence of neglect or abuse but recognising
that the majority are natural tragedies”, says the report. Agencies
have a duty of care to parents as well as to the child who has
died, it says.
The bereaved family should be visited at home by a paediatrician
and specially trained senior police officer within 24 hours of the
death. This home visit is “at the heart of the protocol and is not
a negotiable element”.
A post-mortem examination should be carried out by a paediatric
pathologist, and as soon as the results are available a
multi-disciplinary meeting should be planned to agree the cause of
death and plan future care. A report of this meeting should be sent
to the coroner.
In the introduction to the report, the chair of the working
group, Baroness Helena Kennedy QC, states that the courts should
not be used by doctors to push a theory. Expert witnesses should
have recent clinical experience, peer reviewed research and should
not roam outside of their area of expertise.
“Doctors should be willing to say “I don’t know” without
shame or inhibition”, she says.
The working group, set up by the Royal College of Pathologists
and the Royal College of Paediatrics and Child Health, recommends
that the protocol is implemented in full, on a mandatory basis, as
soon as appropriate staff training has been completed.