Form 6.3

Notice

SHERIFFDOM OF GLASGOW AND STRATHKELVIN at Glasgow

Court ref: GLW-B1053-22

NOTICE

UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS ETC. (SCOTLAND) ACT 2016

IN THE

INQUIRY INTO THE DEATH OF Freya Murphy

Court ref: GLW-B1053-22

1. The determination of the sheriff in this inquiry was issued on 22^nd May 2025

The sheriff made the following recommendations:

• In terms of section 26(4)(b) and (d) of the Act, that Greater Glasgow Heath Board (GGHB) should review staffing levels across all shifts to ensure that its labour wards, post- natal wards, maternity assessment units and other hospital maternity related areas are adequately staffed at the weekend and in the evening such as to allow, in the case of an emergency where two patients require admission to theatre at the same time, for the opening of a second operating theatre, within a suitably expeditious time and where such a second theatre is available.
• In terms of section 26(4)(d) of the Act, that GGHB should formerly request that the United Kingdom National Screening Committee (UKNSC) give urgent consideration to a review of whether pregnant women routinely be offered screening for Group B Streptococcus (“GBS”). That if such a review is under way, then a copy of this determination be provided to the UKNSC for consideration in that review.

2. The Scottish Courts and Tribunals Service has not received a response from Greater Glasgow Health Board within the time limit prescribed in the Act (being the period of 8 weeks beginning with the day on which the respondent received a copy of the determination in which the recommendation was made).