Nuffield Trust: Mixed-methods evaluation of the Maternity and Neonatal Independent Senior Advocate (MNISA) pilot in England (4 August 2025)

Summary

The Maternity and Neonatal Independent Senior Advocate (MNISA) role is being piloted across England following a series of high-profile maternity reviews. The role is designed to support families who have experienced the death or serious injury of their baby, or of a mother during NHS care, to help families navigate processes following the incident, ensure they are listened to, and ultimately influence system change. This report summarises the findings of the National Institute for Health and Care Research Rapid Service Evaluation Team’s assessment of the implementation, impact, and value of the role.