This document outlines the terms of reference for the independent review into maternity services at Nottingham University Hospitals NHS Trust (NUH), commissioned by NHS England and led by Donna Ockenden. The review has been established in light of significant concerns raised about the quality and safety of maternity services at NUH, and concerns voiced by local families. It replaces a previous regionally-led review after some families expressed concerns and made representations to the Secretary of State for Health and Social Care.
The review began on 1 September 2022 following early engagement with families and NUH from June 2022. It is expected to last 18 months, although this timeframe is subject to review. Learning and recommendations will be shared with NUH as they become apparent, to allow rapid action to improve the safety of maternity care. The only and final report is expected to be published and presented to NUH and NHS England around March 2024.
Scope of the review
The terms of reference outline that the review will consider cases from 1 April 2012 to a time anticipated to be three months before publication of the final report. Where the chair of the review believes the consideration of a case from 1 April 2006 to 31 March 2012 may add significantly to the review’s findings, it may be considered.
Cases in the scope of the review will include clinical incidents where mothers and/or babies have suffered severe harm or death. The review will clearly and concisely set out to NUH an understanding of the elements of maternity care that have failed over the period of the review relating to:
- clinical care.
- governance and incident reporting and investigation and response to families.
- leadership and organisational culture including staff voices and staff wellbeing, including responses to staff whistleblowing.
- consideration of the commissioning and oversight of maternity services and any actions taken to improve the safety of maternity services by the then-primary care trust (PCT), clinical commissioning group (CCG) or other external bodies.
The terms of reference sets out the review's methodology, including:
- approaches to engaging with families who joined the previous review.
- family support.
- staff support.
Ways of working
It also set out ways of working, including:
- information sharing and governance.
- publication of findings.
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