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Found 554 results
  1. Event
    until
    This event will mark the 2021 World Health Organisation’s World Patient Safety Day and aims to showcase the patient safety work happening in the NHS and with partners, to improve the safety of maternal and neonatal care. Speakers: Introduction from Aidan Fowler, National Director of Patient Safety (chair) Presentations from the National Maternity Champions, Matthew Jolly, National Clinical Director for Maternity and Women's Health and Professor Jacqueline Dunkley-Bent OBE, Chief Midwifery Officer Hear from AQUA (the Advancing Quality Alliance) about its safety culture programme for maternity and neonatal board safety champions Dr Nicola Mackintosh, Associate Professor in Social Science Applied to Health, SAPPHIRE Deputy, University of Leicester will present on ‘What a good maternity safety culture looks like’, providing an overview of a considered analysis of maternity and neonatal safety culture surveys Tony Kelly, National Clinical Lead for the Maternity and Neonatal Safety Improvement Programme will provide an introduction to the national Maternity Early Warning Score (MEWS) tool and Newborn Early Warning Trigger and Track (NEWTT) Expected Audience: NHS provider and commissioning staff, particularly those working in maternity and neonatal care and in patient safety roles. Register
  2. News Article
    Glen Burley, an acute trust chief executive has said NHS England risks ‘levelling down’ safety in some maternity services by ‘disproportionately’ directing additional funding to struggling trusts. This comes after NHS England said the funding prioritised the trusts which needed the most support to meet the essential actions in the Ockenden Report, where in March, NHSE invited trusts to bid for a share of £96m extra funding for maternity services. A spokeswoman for NHS England has said: “The NHS made an additional £96m investment in maternity services following the Ockenden Review, the majority of which will bolster the workforce by funding an additional 1,200 midwives and 100 obstetricians. While the funding for additional workforce is for all NHS trusts, it is right that those who most need the support are prioritised.” Read full story. Source: HSJ, 02 September 2021
  3. Content Article
    In this blog Patient Safety Learning looks ahead to World Patient Safety Day 2021 and considers its theme, ‘Safe maternal and newborn care’.
  4. News Article
    According to a new study, mothers at risk of premature birth could be identified as soon as 10 weeks into their pregnancy. The study, conducted by King's College London and published in the Journal of Clinical Investigation, found that by looking for specific bacteria in the in a pregnant woman’s cervicovaginal fluid, it could reveal warning signs for premature birth, meaning inflammation can be found and treated early to protect mothers and babies. Study author Andrew Shennan OBE, who is Professor of obstetrics at King’s College London, explained: “Premature birth is very hard to predict, so doctors have to err on the side of caution and mothers deemed to be at risk often don’t actually have their babies early, putting undue strain on everyone involved. My team has developed preterm birth prediction tools that are very accurate later in pregnancy, like fetal fibronectin tests – but at that stage, you can only manage the risks, not stop it from happening. The sooner we can find out who’s at risk, the more we can do to keep mothers and babies safe.” Read full story. Source: The Independent, 23 August 2021
  5. News Article
    At a virtual event held by The Independent last night, experts agreed maternity services needed to be overhauled. The panel discussion, NHS maternity scandal: Inside a crisis, laid out the facts surrounding the problems around maternity care and concerns around safety amid repeated examples of poor care in multiple cases. Donna Ockenden, a senior midwife who has been leading the inquiry into maternity services at Shrewsbury and Telford Hospitals explained "I think one of the major issues around maternity services is that we’re not treated in the same way as A&E. I think that people fail to see that actually, maternity is a woman’s A&E department, you can start a shift in any maternity unit, you can plan what you think you’re going to do. But actually you don’t know what is going to come in the front door.” Read full story. Source: The Independent, 12 August 2021
  6. Content Article
    The Royal College of Obstetricians and Gynaecologists reviewed maternity care at two hospitals:  The Royal Glamorgan hospital Prince Charles hospital The report makes recommendation on improvements to ensure the safety of mothers and babies. "During interviews and in group sessions the assessors were repeatedly and consistently told by staff of a reluctance to report patient safety issues because of a fear of blame, suspension or disciplinary action." "The assessors found little evidence among staff at all levels and professional backgrounds, of a coherent approach towards patient safety, or an understanding of their roles and responsibilities towards patient safety beyond the care they provided for a specific woman or group of women. This perception extended to senior members of midwifery and medical staff."
  7. News Article
    After an unannounced inspection at the Princess Alexandra Hospital Trust in June, the Care Quality Commission (CQC) found an “emergency c-section was being performed without the correct equipment available to monitor the mother”. According to reports, the inspectors stepped in immediately to raise concerns, which was then corrected straight away. In a letter to the trust, the CQC wrote, “Overall, we were concerned that the safety culture in the service was underdeveloped. There were no dedicated maternity safety huddles in line with national guidance. Handovers doubled up as safety huddles. During our observations of handovers, we saw that staff did not discuss safety issues and the format was not safety focused.” Read full story (paywalled). Source: HSJ, 6 August 2021
  8. Event
    At a time when the NHS is struggling unprecedently, having been battling a pandemic for 18 months, one of the most concerning areas is the state of maternity services at trusts around the country. It has been uncovered following recent investigations by the Independent newspaper's health correspondent Shaun Lintern that the scale of the problem is putting the lives of both mothers and babies at risk on a daily basis. To explore the apparent crisis existing within our hospitals Shaun will be hosting a live panel discussion with maternity experts who have experience of the situation from within the NHS as well as elsewhere. The speakers will help explain what has gone so wrong, what impact it has had and what lasting effects there might be, as well as what the future holds and if the scandal has at least ensured improvements are now in place and our maternity services are becoming safer for all who use them. The panel will include Donna Ockenden, the chair of Shrewsbury inquiry and Senior Midwifery Adviser, Gynaecologists president Edward Morris and James Titcombe, OBE and ambassador for charity Baby Lifeline; Associate Editor, Journal of Patient Safety and Risk Management and campaigner who helped expose poor care at University Hospitals Morecambe Bay Trust following the death of his son Joshua. Register
  9. Content Article
    This is the transcript of a backbench debate in the House of Commons focused on the UK Government's National Maternity Ambition to halve the rate of stillbirths, neonatal and maternal deaths and brain injuries that occur during or soon after birth by 2025, and to achieve a 20% reduction in these rates by 2020.
  10. News Article
    Midwives working at the Nottingham University Hospitals (NUH) Trust have told The Independent that "women are still at a risk of harm". This comes after Nottingham hospitals were investigated after it was found there was a high number of baby deaths and injuries on the maternity ward. However, midwives have revealed to The Independent that there are still not enough resources and support to help women deliver their babies safely. One midwife working in the community told The Independent: “They keep saying ‘We’ve learned our lessons, it’s not like that now’ – but it’s even worse now. It’s worse because we know about it and it’s still bad. Women are still at risk of harm. Even more so in the community.” Read full story. Source: The Independent, 25 July 2021
  11. News Article
    More than 20 families have said they want a completely independent inquiry into maternity services at Nottingham University Hospitals (NUH) NHS Trust. One mother, Hayley Coates has said her baby was delivered with forceps, a fractured skull and was starved of oxygen, suffering major brain injuries after a very difficult labour. An inquest this year found serious failings in the service Hayley received after her baby Kaylan, died of an infection a week later. "I was pushing and pushing and nothing was happening. I kept saying the baby isn't coming and I need to go for a Caesarean, but staff kept saying I was going to have the baby naturally," Hayley has said. NUH chief executive Tracy Taylor has said, "We apologise from the bottom of our hearts to the families who have not received the high level of care they need and deserve, we recognise the effects have been devastating". Read full story. Source: BBC News, 22 July 2021
  12. News Article
    Health professionals have warned that if Covid-19 rates continue to rise, Maternity services may struggle to keep running. The Royal College of Midwives and the Royal College of Obstetricians and Gynaecologists have said home births have been cancelled amid ambulance shortages. Leah Deutsch, a senior registrar in obstetrics and gynaecology at the Royal Free Hospital in north London, has told The Independent that some women were unable to have their home births during the first and second wave of the pandemic. Read full story. Source: The Independent, 21 July 2021
  13. News Article
    Now, almost two years after a consultation on inquests into stillbirths was delivered, the government has yet to respond. It has recently been reported by MPs that 1,000 babies die preventable deaths each year due to understaffing and a culture of blame among the maternity ward workforce. However, despite pressure from campaigners and a promise by the government that a response would come in September 2019, it is yet to be published. The Department for Health and Social Care has told Byline Times, “work on analysing the responses to the consultation on coronial investigations of stillbirths has been delayed during the COVID-19 pandemic”. Read full story. Source: Byline Times, 14 July 2021
  14. Content Article
    The MASIC Foundation is the only multi-disciplinary UK charity to support women who have suffered severe maternal perineal trauma during childbirth known as OASI (Obstetric Anal Sphincter Injury). They carried out an online survey in January 2021, exploring the impact of severe maternal perineal trauma on the physical and mental health of the women who sustained the injuries and on their relationship with their child. This report outlines the results and calls for several actions to improve care. 
  15. News Article
    A new independent inquiry has been launched after reports of mother and baby deaths at Nottingham University Hospitals Trust. According to patient safety minister Nadine Dorries, the inquiry will be led externally and will be examining cases going back to 2016. The review has been welcomed by families but they have said they want to be fully involved in the process including setting the terms of reference and making sure it is a truly independent inquiry. Read full story. Source: The Independent, 13 July 2021
  16. Content Article
    The charity Group B Strep Support (GBSS) has produced an information leaflet, written in partnership with the Royal College of Obstetricians and Gynaecologists (RCOG), aimed particularly at pregnant people and new parents and includes information on: What group B Strep is What group B Strep could mean for a baby How to reduce the risk of group B Strep infection to a baby The key signs of group B Strep infection in a newborn baby The leaflet, Group B Streptococcus in Pregnancy & Newborn Babies, has been translated from English into 14 other languages and is available in Arabic, Bengali, Chinese, English, French, Hebrew, Latvian, Lithuanian, Polish, Portuguese, Punjabi, Romanian, Somali, Urdu and Welsh. Follow the link below to the GBSS website to access and download all versions for free.
  17. News Article
    The Care Quality Commission has downgraded another maternity unit over 'blame culture' and concerns over safety. After an inspection was carried out, Salisbury Foundation Trust , which was downgraded from 'good' to 'inadequate' has been told it must make improvements after concerns were raised about safety and leadership of the maternity unit. Head of hospital inspection at the Care Quality Commission, Amanda Williams has said: “Following our recent inspection of Salisbury District Hospital’s maternity services, we found that women and babies using the service received effective care and treatment which met their needs most of the time. But most of the time is not good enough. Read full story. Source: The Independent, 10 July 2021
  18. News Article
    A new report into maternity safety has found due to a 'culture of blame' lessons haven't been learned. Jeremy Hunt, chair of the Health Committee has said 1,000 more babies a year would survive if the maternity service in England was as safe as Sweden's. Another expert report found a high incidence of brain injuries in maternity units. A new budget has been set out to help reduce the rate of stillbirths, neonatal deaths, maternal deaths and brain injuries by 2025. Read full story. Source: BBC News, 06 July 2021
  19. News Article
    A report by MPs has said 1,000 babies die every year as a result of lessons not being learned and blame being shifted despite a number of high profile cases involving maternity scandals. Jeremy Hunt who chairs the committee has said “Despite a number of high-profile incidents, improvements in maternity safety are still not happening quickly enough". The report also found that women from ethnic minority backgrounds are more likely to experience a higher rates of stillborn and neonatal deaths. The Department of Health and Social Care has been approached for comment. Read full story. Source: The Guardian, 6 July 2021
  20. Content Article
    This is the report of an inquiry conducted by the Health and Social Care Select Committee in 2020/21 which examined the ongoing safety concerns with maternity services and the action needed to improve safety for mothers and babies. It suggests that improvements to maternity services have been too slow to date and recommends several changes, including increasing in the budget for maternity services and reforming existing to litigation processes.
  21. News Article
    Criminal prosecution is being considered by the NHS care watchdog over the maternity scandal at Nottingham University Hospitals Trust. Many babies have died in the maternity unit due to poor patient care and failings by staff. Evidence is now being examined as to whether the trust committed a criminal offence by not following the proper procedures and by not being honest with parents and families about the deaths of the babies. Read full story. Source: The Independent, 2 July 2021
  22. News Article
    A leaked message to NHS staff on Thursday revealed Nottingham University Hospitals Trust NHS chief Tracy Taylor, admitted that the maternity ward was not a safe environment for women and babies. In the message, it was revealed that 37 new members of staff have been hired in an attempt to help improve services. She has said: “Improving our maternity services is one of our top priorities and we know how tirelessly colleagues in maternity are working to make those improvements". Read full story. Source: The Independent, 2 July 2021
  23. News Article
    2.45 million has been pledged by the government to improve childbirth care which is due to happen this year. It has been announced that the funding is intended to help NHS maternity staff to improve the safety of the women and babies they care for. Maternity safety minister Nadine Dorries said "I am determined to make sure as many mums as possible can go home with healthy and happy babies in their arms". Read full story. Source: Department of Health and Social Care, 4 July 2021
  24. News Article
    An investigation by The Independent and Channel 4 has found dozens of babies have died on the maternity wards at Nottingham hospitals as a result of poor care. The special report tells how families have not had their concerns properly investigated nor has the hospital attempted to learn from previous mistakes. Nottingham NHS is now facing dozens of clinical negligence claims by grieving families, with the trust estimated to have already paid out £91m in damages and legal costs. Read full story. Source: The Independent, 30 June 2021
  25. Content Article
    Neonatal herpes is a rare, and potentially fatal, disease which usually occurs in the first four weeks of a baby's life. It is caused by the same virus that causes cold sores and genital infections – the herpes simplex virus (HSV).  In this blog, Sarah de Malplaquet, Chief Executive and Founder of the Kit Tarka Foundation, draws on her own devastating experience of her son dying to illustrate why healthcare staff with cold sores must stay away from new babies. Sarah highlights the lack of awareness of the dangers and calls for a widespread review of policy in order to prevent future deaths. 
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