Context
Dr Nim Subhedar is a consultant neonatologist at Liverpool Women’s Hospital — the regional tertiary referral centre that would normally have received babies too sick for the Countess of Chester’s Level 2 unit. He was among the senior external clinicians involved in reviewing the Countess of Chester cluster. His Thirlwall Inquiry evidence is weight-bearing because, as a practising tertiary-centre neonatologist, he was the kind of external reviewer best placed to see what the unit was actually doing wrong.
Key ground
Dr Nim Subhedar
I recommended that further specific investigations be carried out on a number of the cases. My understanding is that those recommendations were not, in all instances, acted upon.