An eight-week-old baby died after being given a sedative antihistamine by a night nanny, an inquest has revealed. The nanny, identified as Sandra Davidson, had reportedly been working in the role for two decades. A toxicology report found a commonly available antihistamine, identified as chlorpheniramine and sold under brands like Piriton, in the baby's bloodstream.
The coroner, Professor Fiona Wilcox of the Inner West London coroner's court, recorded an open verdict. The circumstances of the death, which occurred on January 15, were initially unclear, with no immediate signs of injury or neglect. A half-filled bottle of Piriton was later discovered at Davidson's home during a police search. The coroner expressed concern that the nanny responsible for the child's care may have continued working in that capacity, noting the lack of a national regulatory framework for nannies.
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"Without the forensic evidence that might have been secured through a more thorough and timely process, the cause of the baby’s death was officially listed as a sudden unexpected death in infancy."
This lack of definitive forensic evidence early in the investigation complicated the path to accountability. The coroner also advised that warning information on products containing chlorpheniramine may need to be updated, alongside police training and guidance to nannies on administering such medications.
The agency Davidson was reportedly working with stated they no longer employ her. Davidson told the inquest that she regularly participated in training for her role. However, the case has reignited calls for mandatory background checks, standardised training—including first aid, child development, and safeguarding—and ongoing professional development for those working as nannies. The unregulated nature of the industry, coupled with the identified investigative shortcomings, has led to sharp criticism.
"The nanny industry remains largely unregulated, there are calls for mandatory background checks, standardised training with minimum requirements including first aid, child development and safeguarding, and for ongoing professional development."
The coroner's report was sent to various authorities, including the Metropolitan Police Commissioner. The circumstances underscore a broader concern about systemic failures within the childcare sector.
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