A new report into the case of a five-year-old boy who died a week after he was sent home from a hospital emergency department has found his mother’s instinct was “repeatedly not addressed across services”.
Yusuf Mahmud Nazir died on 23 November 2022, eight days after he was seen at Rotherham Hospital and sent home with antibiotics.
A report into Yusuf’s case in October 2023, by independent consultants and published by NHS South Yorkshire, found his care was appropriate and “an admission was not clinically required”, but this was rejected by his family.
Yusuf’s uncle Zaheer Ahmed has always said they were told “there are no beds and not enough doctors” in the emergency department, and that Yusuf should have been admitted and given intravenous antibiotics in Rotherham.
However, a new report published on Thursday by NHS England, and led by former general secretary of the Royal College of Nursing Peter Carter, said in its conclusions: “Our primary finding is that the parental concerns, particularly the mother’s instinct that her child was unwell, were repeatedly not addressed across services.
“A reliance on clinical metrics over caregiver insight caused distress for the family.
“This led to a lack of shared decision-making and there was limited evidence of collaborative discussions with Yusuf’s family around clinical decisions, leading to a sense of exclusion and reduced trust in care plans.”
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