Opportunities were missed to “escalate” a 13-year-old girl’s treatment at a hospital after she died, an investigation has revealed.

Chloe Longster died on 28 November 2022, a day after arriving at Kettering General Hospital in Northamptonshire.

She was taken to the emergency department after waking up with rib pain and cold-like symptoms.

The investigation into her death found that some tests that could have alerted doctors to sepsis were not done.

Giving evidence on the second day of the inquest in Northampton, Katie Cockram, the nurse on duty on the day Chloe was admitted, was asked about a routine check which was to be carried out at 22:00 GMT.

It followed evidence from a fellow nurse, Tanya Ball, who told the coroner yesterday that the check had been missed.

Ms Cockram was asked whether she should have checked Chloe’s condition or “should have told the doctors again”.

He replied: “If it wasn’t done, then yes, correct.”

She agreed that it was “another opportunity to raise my concerns about Chloe to the doctors again”, but added: “When the concerns were raised in the first place I trusted the doctors that They will do that.”

Ms Cockram was also asked about the observation “scores” she recorded about Chloe’s condition.

She said: “It was evening time, and I know Chloe was tired, she was alert, she was excited, she made sense to me.”

When the observation sheet required her to provide “evidence of altered behavior or mental state”, she told the coroner: “At the time, I don’t think I was concerned by it.”

The inquest also heard from intensive care unit registrar Suran Kuruppu, who recorded that Chloe required “imminent intubation and ventilation”.

Her medical notes showed that she “continuously” required more oxygen throughout the night, but she was not intubated until after 04:00 GMT.

The inquiry is ongoing.

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