‘Nobody came to my help’: Mother of Niamh McNally (16) recalls death in Limerick hospital as HSE apologises

Carolyn O’Neill tells inquest how her daughter turned to her and said ‘Mammy, I can’t breathe’ before her death on January 29th 2024

An inquest into her death of Niamh McNally (16) opened at Limerick coroner’s court in Kilmallock on Wednesday. Photograph: rip.ie
An inquest into her death of Niamh McNally (16) opened at Limerick coroner’s court in Kilmallock on Wednesday. Photograph: rip.ie

The Health Service Executive (HSE) has apologised to the family of a 16-year-old girl who died at University Hospital Limerick (UHL) in January 2024 for the “failings” that ultimately led to her death.

Niamh McNally (16) was admitted to the midwest hospital on January 9th, 2024, after she began coughing up blood. She remained there for 14 days where she was treated for a collapsed lung and was discharged on January 23rd.

The teen, who had a congenital heart defect and scoliosis, was readmitted to hospital on January 29th by ambulance and died that night.

An inquest into her death opened at Limerick coroner’s court in Kilmallock on Wednesday.

Speaking at the inquest, her mother Carolyn O’Neill became emotional when recalling the details of the day her only child died.

“I got up early to go shopping and I text her at 11.30am to see how she was. I received a video call in response because she couldn’t communicate because she had so much blood in her mouth. It was just mouthfuls and mouthfuls of blood. I thought she would be dead by the time I got home,” she said.

Ms O’Neill returned home and witnessed a “horrific scene” of Niamh lying down, covered in blood.

She rang the hospital ward to which Niamh had previously been admitted and rang the GP but did not receive a response. She then called an ambulance, which brought her daughter to UHL.

Peter O’Neill (uncle), Carolyn O’Neill (mother) Clem O’Neill (grandfather) and Naomi Cleary Graham (family friend)
Niamh McNally's uncle Peter O’Neill, mother Carolyn O'Neill and grandfather Clem O’Neill with a family friend Cleary Graham at the inquest. Photograph: Shauna Bowers

Ms O’Neill told the inquest they arrived at the hospital and her daughter was in resuscitation for about two hours. It was around three hours after their arrival that she saw a doctor, she added.

Niamh was then moved out on to the corridor where they stayed for about three hours, Ms O’Neill said.

“When I look back, Niamh was dying then. She was shutting down,” Ms O’Neill said.

The 16-year-old was then returned to the resuscitation area as a result of her condition deteriorating.

“She was deteriorating,” her mother said. “Nobody came to my help after four times shouting that I need help. She turned around at that stage and said ‘Mammy, I can’t breathe’.”

At this point, Ms O’Neill said a doctor came and began pumping an oxygen bag for Niamh. He had no help and so Ms O’Neill said she assisted until a nurse became available and she was asked to leave.

Later, Ms O’Neill said a doctor came out to her to tell her Niamh had died.

The inquest began with a letter of apology from the HSE being read out. In the letter, the HSE Midwest said it is with the “deepest regret and profound sadness that we write to you following the tragic loss of your daughter, Niamh.”

The health service acknowledged “the devastating consequences that this has had on both you and your extended family”.

“We understand that no words can adequately express the pain and grief you are experiencing, and we offer our sincerest condolences for your devastating loss. We are heartbroken that Niamh, a young life with so much potential, was taken from you too soon, and we know that she will be deeply missed by all who knew her,” the letter said.

“The circumstances surrounding Niamh’s passing are a source of immense sorrow for us, and we sincerely regret the opportunities that were missed to intervene. We accept that these failings, which ultimately led to Niamh’s tragic death, should not have happened. On behalf of the management and staff of the University Hospital, we wish to apologise unreservedly for these failings.”

The letter, which was signed by Sandra Broderick, regional executive officer for the Midwest, and Ian Carter, chief executive of Mid West Acute and Older People, said they “can never undo the devastation that you and your extended family have suffered”.

“However, we are committed to learning from this tragedy and to implementing any necessary changes to prevent similar incidents in the future.

The inquest continues.

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Shauna Bowers

Shauna Bowers

Shauna Bowers is Health Correspondent of The Irish Times