A toddler who needed urgent surgery died after it was delayed for three days because there were no beds at his children’s hospital, an inquest heard.
Kayden Urmston-Bancroft was born with a diaphragmatic hernia. But it only came to light when he fell off a bed and banged his face at 20 months.
He went to Stepping Hill Hospital in Stockport where X-rays showed part of his bowel had burst through a hole in his diaphragm and he needed urgent surgery.
But when he was transferred to Royal Manchester Children’s Hospital he was made to wait three days due to a lack of beds.
On 17 April 2016 he went into cardiac arrest and was rushed into theatre. But despite doctors efforts they were unable to save him.
He died in his mother’s arms as his grandmother told him Mr Men stories.
Kayden Urmston-Bancroft (pictured) died at 20 months old after urgent bowel surgery was delayed because of a lack of beds at Royal Manchester Children’s Hospital
An inquest into the 20-month-old’s death at Manchester Coroner’s Court yesterday heard Kayden’s surgery had been repeatedly delayed because there were no beds available on the children’s High Dependency Unit (HDU).
One senior consultant described the children’s hospital as ‘extremely busy’ during the little boy’s treatment.
His grandmother Julie Rowlands said she and Kayden’s mother Shannon Bancroft, of Stockport, had expected him to have immediate surgery after being transferred to RMCH from Stepping Hill on Tuesday, April 12, 2016.
‘We were under the impression he would be transferred to the children’s hospital and have the operation straight away,’ Ms Rowlands told the court on Monday.
‘We thought they were ready to do it. When we arrived we were put in a room and the F1s were saying a car crash victim had come in.
‘By Wednesday Kayden was still in pain so I rang Stepping Hill saying they had still not done it.’
He died in his mother Shannon’s (pictured with him as a baby) arms as his grandmother told him Mr Men stories after having a heart attack
She added: ‘It was just put off day by day.’
His mother said in a statement read out in court that her son showed signs of pain and discomfort while in hospital.
She said on the Thursday, Kayden was ‘still screaming and seemed to be in a lot pain’.
‘We were told the only reason for the delay was the lack of beds and that was what we were waiting for,’ her statement read.
On the Friday evening, Ms Bancroft said Kayden still would not settle.
Sensing something was wrong, his mother called the nurses to check on her son.
She noticed he was pale and that his lips had started to turn blue. Kayden then went into cardiac arrest.
Doctors and nurses resuscitated Kayden for just under half an hour while his distraught mother looked on.
‘I called my mum in hysterics and then went back into the room. I dropped to the floor and had to be taken out again.’
Kayden regained a pulse and was rushed to theatre for his operation. He was taken to the intensive care unit but never regained consciousness.
Kayden (pictured) was born with a diaphragmatic hernia. But it only came to light when he fell off a bed and banged his face at 20 months. X-rays showed his bowel had burst and he needed urgent surgery
‘After the operation the surgeon came back into the room and said as a hospital they had failed my little boy,’ Ms Bancroft added.
‘My mother asked them if Kayden would be disabled and their response was he was not going to make it.’
Ms Bancroft made the heartbreaking decision to turn off her son’s life-support machine on Sunday, April 17, 2016.
On 17 April 2016 Kayden (pictured as a baby with his mother Shannon) went into cardiac arrest and was rushed into theatre. But despite doctors efforts they were unable to save him
A pathology report, accepted as evidence in court, concluded Kayden had died of natural causes linked to acute inflammation of the pericardial sack, peritonitis and stomach perforation.
The court heard coroner Angharad Davies question who was responsible at the hospital for booking beds on the high dependency unit ahead of surgery.
Mr Mohamed Shoukry, a locum consultant surgeon who treated Kayden that week, said he had not been aware of the hospital’s policy on making beds available.
Mr Shoukry first saw Kayden on the Tuesday and had offered to carry out Kayden’s surgery if there was a cancellation on his elective list on the Thursday.
In the meantime, Kayden had been placed on a list of patients requiring urgent surgery and was left under the care of the on-call consultant surgeon, Mr Shoukry told the court.
Mr Shoukry said he believed it would have been the on-call team who would have booked a bed in HDU for Kayden.
He said: ‘My understanding is that the on-call team doing emergency surgery will decide which patient is (a) priority according to ongoing processes.’
An inquest into the 20-month-old’s death at Manchester Coroner’s Court yesterday heard Kayden’s surgery had been repeatedly delayed because there were no beds available on the children’s High Dependency Unit (HDU)
When Mr Shoukry returned to the hospital on Thursday, the on-call consultant surgeon carrying out emergency surgery that day had called in sick.
He claimed to have had a conversation with a colleague about cancelling one of his elective patients to carry out Kayden’s surgery either that morning, afternoon or after hours.
Yet Kayden’s surgery was never carried out that day. Mr Shoukry described the paediatric theatre as ‘exceptionally busy’, and that he had not been aware that a fresh request for an HDU bed needed to be made each day.
When questioned by Stephen Clarkson, of Slater and Gordon representing the family, Mr Shoukry said: ‘No one had told me about this policy. Anyone on the on-call team could book a bed.’
MailOnline has contacted Royal Manchester Children’s Hospital for further comment.
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