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INQ0103134 – Email from David Semple to Countess of Chester consultants, regarding risk management and issues, dated 16/06/2016

4 November 2024
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INQ0014962 – Pages 1, 3 – 5 and 9 of Policy from Countess of Chester Hospital titled Risk Management Strategy & Operational Policy

4 November 2024
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INQ0003324 – Pages 15 – 16 of Policy from Countess of Chester Hospital titled Guidelines for the Conduct of Formal Investigations

4 November 2024
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INQ0003213 – Pages 1 and 4 – 5 of Minutes of a meeting between the Women & Children’s Care Governance Board, including discussion of risks including increased mortality within the neonatal unit, dated 21/07/2016

4 November 2024
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INQ0049845 – Pages 1 – 2, 4, 8 and 10 of Countess of Chester Hospital’s Executive Risk Register for July 2016, referencing an apparent increase in mortality on the Neonatal Unit in 2015 and 2016, dated 27/07/2016

4 November 2024
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INQ0042162 – Page 2 of Report from Ruth Millward titled Overview of Ongoing Patient Safety Incidents Reviews Reported to StEIS 2015/16 as Monitored by CCG, regarding incidents and their progress, dated 28/03/2016

4 November 2024
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INQ0006466 – Pages 1 and 3 of Policy from Countess of Chester Hospital titled Policy for the Reporting of Incidents

4 November 2024
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INQ0001888 – Pages 1 and 8 of Draft Paper from the Countess of Chester Hospital titled Position Paper – Neonatal Unit Mortality 2013-2016

4 November 2024
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INQ0008157 – Emails between Ruth Millward and Sarah Harper-Lea, regarding serious incidents and three neonatal deaths, dated 26/06/2015

4 November 2024
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INQ0003530 – Page 1 of Handwritten note titled ‘SUI Review’ relating to the deaths of Child A, Child C and Child D, dated 02/07/2015

4 November 2024