The safety of maternity services in England

Contents

Summary

1 Introduction

Providing safe maternity care for mothers and babies

Patient safety culture

Moving forward

The Committee’s Expert Panel

2 Supporting Maternity Services and Staff to Deliver Safe Maternity Care

Safe staffing

Funding for staffing

Training and learning together

3 Learning from Patient Safety Incidents

The role of the Healthcare Safety Investigation Branch (HSIB)

Impact for families

Impact for trusts and clinicians

Collating insights across the system

Rethinking the current approach to clinical negligence

Providing what families need

Ending the blame culture and establishing a learning culture

Considering alternative approaches

Reform of the litigation process

4 Providing Safe and Personalised Care for All Mothers and Babies

Inequalities in outcomes

Factors associated with the higher risk of maternal death for Black and South Asian women.

Hearing and listening to the voices of mothers

Continuity of carer

The role of continuity of carer in tackling health inequalities

Screening

3rd trimester scans

Testing for Group B Streptococcus

Supporting informed choices and providing personalised care

Conclusions and recommendations

Appendix: Maternity Safety Timeline

Formal minutes

Witnesses

Published written evidence

List of Reports from the Committee during the current Parliament




Published: 6 July 2021 Site information    Accessibility statement