Missed chance to report on boy's death

The relatives of a five-year-old boy who tragically died after an allergic reaction at school have expressed disappointment with the findings of the official report. Benedict Blythe, from Stamford, Lincolnshire, passed away in December 2021 following accidental exposure to cow's milk protein at Barnack Primary School.

Coroner Elizabeth Gray, in her Prevention of Future Deaths (PFD) report, highlighted that crucial evidence, including Benedict's vomit, was not preserved, preventing testing that might have revealed the cause of his reaction earlier.

However, Benedict's family stated the report failed to address what they saw as significant failings by the school. "It is devastating that the report did not examine the clear lapses that occurred during his time at school," they said.

Ms. Gray urged the Royal College of Pathologists to update procedures for handling samples in suspected anaphylaxis cases and recommended police ensure critical evidence, like vomit, is collected in similar incidents.

The family criticized the report for focusing on events after Benedict collapsed rather than on preventative measures that were missed. "Overlooking systemic issues before and during the incident was a profound missed opportunity," they said.

Benedict, who had asthma and multiple food allergies including eggs, nuts, kiwi, and milk, carried a toy monkey named Ray everywhere. In July, the inquest concluded that the school had not fully implemented safety measures designed to prevent a fatal anaphylactic reaction. Delays in administering an adrenaline pen and risks of cross-contamination were also identified.

Initial inquiries mistakenly considered a McVitie's biscuit Benedict brought from home as the trigger for his reaction. Later, it became clear the biscuit was not responsible; instead, cow's milk protein from his bottle during break time was the likely cause.

The Benedict Blythe Foundation, created in his memory, provides educational resources on allergy awareness. His family emphasized the serious findings of the jury, noting staff were uninformed about his allergies, safety protocols were not followed, multiple people mishandled his care, and essential medication arrived too late.

The family is campaigning for "Benedict's Law," which would mandate that all schools have allergy policies, trained staff, and adrenaline pens readily available.

Cambridgeshire Police stated: "Our thoughts are with Benedict's family. We acknowledge the report's recommendations and will continue to review all forensic procedures with our scenes of crime team."

Author: Lucas Grant