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NHS error meant hundreds of parents did not know children’s sickle cell status | Sickle cell disease

NHS mistakes have left hundreds of Afro-Caribbean families unsure whether their babies may be carriers for certain inherited blood disorders. This was revealed by the Guardian newspaper.

More than 800 families in Derbyshire have not been sent the results of a heel prick test performed on their baby after birth. That means they didn't know whether their child had the trait or not. sickle cell disease or for abnormal hemoglobin genes.

The Guardian understands that the problem, which had gone unnoticed for 12 years, was discovered in March this year after parents contacted the NHS to find out why they had not received their child's test results. The investigation uncovered a system failure that affected hundreds of families. The NHS began contacting affected families four months later.

The NHS said the failure was due to changes made in 2012 to how genetic test results are communicated to parents.

At a meeting with affected families last month, NHS officials apologized “sincerely”, said the mistake “should never have happened” and said an investigation had been launched. Officials also said the new pathway from heel-prick testing to communicating results needs to be a “more robust process.”

Sonya Robotham, president of Black Community Matters, a Derby-based organization that has supported the families involved, said the failure had had a “devastating impact” and that many of the families involved felt “betrayed and betrayed”. “I feel like I'm in a weak position,” he said.

“For more than a decade, families have been denied critical health information about their children's health, resulting in undiagnosed conditions and increased anxiety,” Robotham said. “The mental and physical toll of this neglect cannot be overstated. It fosters a climate of distrust in the health care system that is supposed to protect and serve us.”

Furthermore, she added: “Derby's black community is undoubtedly deeply disappointed by the failings of our NHS, but this is not the first time. This is not just a missed opportunity; it is a blatant disregard for our health and lives. is.”

Sickle cell disease primarily affects people of Afro-Caribbean descent. It is important to test for the characteristics of sickle cell bacteria. Although carriers do not have symptoms of sickle cell disease, there is evidence that they may have additional medical needs, such as whether they need anesthesia.

Research suggests that sickle cell trait can affect pregnant women, and carriers may experience pain during strenuous physical activity or at high altitudes. If both parents have sickle cell trait, there is a 1 in 4 chance that the child will have sickle cell anemia.

John James, chief executive of the Sickle Cell Society, said it was “very concerning” that parents were not being informed of their baby's screening results.

John James is the Chief Executive of the Sickle Cell Society. Photo: John James/Sickle Cell Society

“Although these babies do not have sickle cell anemia, knowing that a baby has features of sickle cell anemia is very important information for babies and their parents. “We have campaigned extensively to ensure that testing is carried out regularly and we believe it is unacceptable that such an important step has been mishandled,” Mr James said.

“We appreciate the efforts of the NHS to address this oversight, but we urge them to do better and get the basics right for those who suffer from sickle cell disorder and sickle cell trait. Ensuring that test results are shared quickly and having robust processes in place to support families are both important.”

He urged anyone who wants to know their sickle cell status to contact their GP.

An NHS spokesperson said: “Affected families in Derbyshire have been contacted directly to help them understand what being a carrier means for their children, and we hope that affected families will be contacted. We have a helpline to help you. The affected children do not have sickle cell disease and will not develop it.

“A new service will launch in Derbyshire from January, and families whose infant is found to be a carrier will be contacted by a health professional within six weeks of the blood spot screening test.”

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