Nottingham maternity care scandal review: what are the key findings?

1. Failures in maternity and neonatal care were ‘systemic, deep-rooted and sustained over many years’At every stage of care received from the trust, from antenatal to postnatal, mothers and their babies were subject to deep-rooted and systemic issues. There were repeated failures to accurately report, grade and investigate serious occurrences, resulting in severe harm or even death to mothers and their babies, while such instances were routinely downgraded or dismissed as “unavoidable” to escape
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A review into the NHS’s biggest ever maternity care scandal has been published. Led by Donna Ockenden, an independent senior midwife, the review examined 2,500 cases involving mothers and babies dying or being seriously injured, or babies being stillborn, while under the care of Nottingham university hospitals NHS trust between 2012 and 2015. Below is a summary of the findings from the report.


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