May 2026: Thirlwall Inquiry report delayed to at least September 2026 · six-baby inquests relisted to 2027 · CCRC review active · Shoo Lee Panel: no medical evidence of deliberate harm.
Outcome: Died 24 June 2016
Gestation: Triplet 1, male; 33+2 weeks, 2.066 kg (preterm)
Sensitivity note: court-imposed lifelong anonymity covers every family. We use the court-assigned code only. See our families and witnesses sensitivity policy.
Air into stomach.
Method alleged: Air-in-stomach via NG tube.
Prosecution experts: Dr Dewi Evans; Dr Sandie Bohin.
Panel: died from a pneumothorax that was suboptimally managed. No evidence of air injection into the stomach or into the intravenous line.
Panel conclusion: Baby 16 died from a pneumothorax that was suboptimally managed; there was no evidence of air injection into the stomach or into the intravenous line. The Panel's general findings on the unit include poor skills in basic procedures such as the insertion of chest drains.
Read the full long-form analysis →
Sources:
This page uses only the court-assigned code and publicly reported facts. The court imposed lifelong anonymity on every family; this site does not contact families and does not speculate about private circumstances.