Dr Sian Harding, a consultant neonatologist at University College London Hospital Trust who conducted the inquiry, told the panel "institutional and systems failings were of such a level of significance" that more formal disciplinary action should not be taken against the junior doctor.
Pictured l to r: Dr Giles Kendall, consultant neonatologist; Dr Sian Harding, consultant neonatologist; Professor Donald Peebles
Pictured l to r: Dr Giles Kendall, consultant neonatologist; Dr Sian Harding, consultant neonatologist; Professor Donald Peebles, consultant obstetrician; Olivia and Humphrey; Leah Healy, neonatal nurse (foreground; Dr Pranav Pandya, director of fetal medicine; Dr Judith Meek, consultant neonatologist.
Humphrey was born at 32 weeks and was cared for by neonatologists Giles Kendall, Sian Harding and Judith Meek and Leah Healy, neonatal intensive care nurse.
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