
- Four-month-old Madison Bruce Smith, the grandson of football manager Steve Bruce, died after being placed in an "unsafe sleeping position" by an unregulated maternity nurse.
- Madison was found unresponsive by his father, Matt Smith, on 18 October 2024, and later pronounced dead at Wythenshawe Hospital.
- The inquest heard that maternity nurse Eva Clements, employed through Ruthie Maternity Services, advised placing Madison to sleep on his stomach, contrary to NHS safe sleeping guidelines.
- Senior Coroner Alison Mutch concluded Madison died while asleep in a prone and unsafe position, highlighting the risks posed by unregulated services and untrained individuals.
- The coroner issued a prevention of future deaths report to the Secretary of State for Health, urging regulation of maternity services to prevent similar tragedies.
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