Hunched at the desk of the paediatric consultant, her face eaten with anxiety, Jeanette briefly thought about her scream when the young doctor had told her. For fifteen months that scream had whirlpooled about her brain, making her feel like she was drowning. Next to her Simon gripped his fists, as if trying to crush the awful memories.

            Dr Bennett, the report in his hands, said in his slow, self-certain voice: ‘These are the hospitals own findings, let us not forget, and they are damning. Short-staffed, equipment missing or not working properly and, most crucially, a doctor who didn’t understand the significance of baby having different oxygen saturations, SATS, in her hand (99%) and her foot (88%). Such a difference is an indicator of coarctation of the aorta, a congenital heart condition.’