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Found 293 results
  1. Content Article
    New recommendations 1. Enhance current programmes in order to accelerate the reduction of stillbirths and neonatal deaths to meet national targets, with an emphasis on reducing rates of preterm birth, particularly the most extreme preterm group. ACTION: Policy Makers, UK Public Health Services. 2. Continue to develop innovative new programmes of research into reducing preterm birth. ACTION: Policy Makers, UK Public Health Services, Research Funders. 3. Use the MBRRACE-UK guidance for the assessment of signs of life in births before 24+0 weeks gestational age. ACTION: Trust and H
  2. News Article
    The trust at the centre of a maternity scandal does not have enough midwifery staff to keep women and babies safe, a Care Quality Commission (CQC)inspection has revealed. East Kent Hospitals University Foundation Trust relied on community midwives to fill slots at its acute unit, with some of them working 20-hour days after being called in to help cover and feeling outside of their competence. The trust had suspended a midwife-led unit and diverted women in labour to other hospitals – and when the CQC raised the understaffing issue at its inspection in July, it suspended its home bir
  3. Content Article
    The report makes several recommendations including: Provide adequate resourcing for multidisciplinary PMRT review teams, including administrative support. Ensure the involvement of independent external members in the team. Action: Trusts and Health Boards, regional/network support systems and organisations, Service Commissioners Use the PMRT parent engagement materials to support engaging parents and families in the review process, including making them aware a review is taking place and giving them flexible opportunities at different stages to discuss their views, ask questio
  4. Content Article
  5. News Article
    A third of stillbirths at two south Wales hospitals could have been prevented with better care or treatment, an investigation has concluded. It emerged two years ago that more than 60 women suffered the heartbreak of a stillbirth at at the Royal Glamorgan, Llantrisant, and Prince Charles Hospital, Merthyr Tydfil, and that many of these were never reported or investigated. An independent panel set up by the Welsh Government to oversee improvements in these maternity units has now concluded that many of these babies could have been saved. It looked at whether the care provided to
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  7. Content Article
    Summary of findings 63 episodes of care were clinically reviewed in this phase of the programme; the independent clinical review teams concluded that in a third of those episodes, different treatment or care may have resulted in a different outcome; there were four recurrent themes which emerged from the reviews - failure to listen to women, failure to identify and escalate risk, inadequate clinical leadership and inappropriate treatment leading to adverse outcomes; although these findings are concerning and distressing for the women and families involved, they are no
  8. Content Article
  9. News Article
    Bristol Children’s hospital tried to ‘deceive’ Ben Condon’s parents about his death, NHS ombudsman says An eight-week-old baby died after “a catalogue of failings” in his treatment at a children’s hospital, which then tried to “deceive” his parents about his death, an official inquiry has found. Doctors failed to spot that Ben Condon was suffering from a deadly bacterial infection and did not give him antibiotics until an hour before he died, the NHS ombudsman said. “We found that Ben and his family suffered serious injustice in consequence of the failings we found in his care a
  10. News Article
    The country’s largest clinical study is being launched in Greater Manchester to investigate the best gap between first and second Covid-19 vaccine doses for pregnant women. Led by St George’s, University of London, the Preg-CoV study will provide vital clinical trial data on the immune response to vaccination at different dose intervals – either four to six weeks or eight to 12 weeks. This data will help determine the best dosage interval and reveal more about how the vaccine works to protect pregnant mothers and their babies against Covid-19. Pregnant women are more likely to develo
  11. Content Article
    Global landscape in maternal and newborn health (Dr Anshu Banerjee - Director, Department of Maternal, Newborn, Child and Adolescent Health and Ageing at the WHO) Respectful childbirth for all women and newborns (Dr Ian Askew - Director, Department of Sexual and Reproductive Health and Research at the WHO) Towards eliminating avoidable harm in maternal and newborn care: launch of World Patient Safety Day goals 2021 (Dr Neelam Dhingra - Unit Head, Patient Safety Flagship at the WHO) Maintaining safe functioning of maternal and newborn services during the COVID-19 pandemic (Dr
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  16. News Article
    A catalogue of failures among prison and health professionals has been highlighted in an investigation report into the death of a teenager’s baby after she gave birth alone in her cell at the largest women’s prison in Europe. The Prisons and Probation Ombudsman published the devastating report into the events in September 2019 at HMP Bronzefield in Ashford, Middlesex on Wednesday. The case was first revealed by the Guardian and the baby’s death triggered 11 separate inquiries. The report details a disturbing series of events that culminated with the young woman, who cannot be named,
  17. Content Article
    Click here to view the report Click here to view the action plan
  18. News Article
    Babies and mothers are at risk of injury and death because too many maternity units have not improved care despite a string of childbirth scandals, a Care Quality Commission (CQC) report has warned. In a highly critical report published on Tuesday, the CQC voiced serious concern that lessons are not being learned and that many incidents involving patients’ safety are still not being recorded. Some hospitals have been “too slow” to take the steps needed to make labour and birth safer, despite multiple inquiries, reports and recommendations to do so, it said. The CQC also found ot
  19. Content Article
    The report highlights the next steps that maternity services and the CQC need to take: For maternity services and local maternity systems Leadership: In line with essential action 2 of the first Ockenden review, Boards must take effective ownership of the safety of maternity services. This includes ensuring that they have high quality, multidisciplinary leadership and positive learning cultures. They must seek assurance that staff feel free to raise concerns, that their concerns and adverse events lead to learning and improvement and that individual maternity staff competencies ar
  20. News Article
    Maternity Action’s new research has found worrying failings in the administration of the NHS charging programme, leaving vulnerable women anxious and fearful about debts they cannot pay and deterring them from attending for care. Maternity Action’s new report Breach of Trust: a review of the implementation of the NHS charging programme in maternity services in England details how the implementation of the government’s NHS charging ‘overseas visitors’ programme within NHS Trusts poses a significant risk to migrant women’s health and wellbeing. The government insists that women who are
  21. News Article
    Negligent maternity care in the NHS has cost taxpayers an “eye-watering” £8.2bn over the past 15 years, The Independent reveals. Ministers face calls to urgently increase spending to ensure maternity units are safe for women and babies by providing adequate staffing levels, training and equipment. New data, obtained by The Independent from NHS Resolution, which handles clinical negligence costs for the service, reveals that total payments made following settled cases and legal costs rose from £271m in 2006-07 to an estimated £920m in 2020-21. The number of maternity claims being
  22. News Article
    Folic acid is to be added to UK flour to help prevent spinal birth defects in babies, the government will announce. Women are advised to take the B vitamin - which can guard against spina bifida in unborn babies - before and during pregnancy, but many do not. It is thought that adding folic acid to flour could prevent up to 200 birth defects a year. Mandatory fortification - which the government ran a public consultation on in 2019 - would see everybody who ate foods such as bread getting more folic acid in their diets. Neural tube defects, such as spina bifida (abnormal develop
  23. Content Article
    PReCePT (prevention of cerebral palsy in preterm labour) offers magnesium sulphate to eligible women during preterm labour, reducing the risk of a pre-term baby developing cerebral palsy by 50%. This HSJ Patient Safety Award-winning intervention led to 850 additional mothers in preterm labour receiving magnesium sulphate in 2019/20, avoiding an estimated 30 cases of cerebral palsy. The learning from the spread of PReCePT to all maternity units in the West of England was adopted as national safety improvement programme, leading to increased uptake across England. PERIPrem (Perinatal Excell
  24. Content Article
  25. Content Article
    Today marks the third annual World Patient Safety Day. Established by the World Health Organization (WHO) in 2019, this is intended as a day to help enhance understanding of patient safety and to engage the public in this, promoting actions to improve safety and reduce avoidable harm.[1] Patient safety and the impact of unsafe care The NHS describes patient safety as ‘the avoidance of unintended or unexpected harm to people during the provision of healthcare’.[2] The WHO in their definition expand on this, adding that it also involves ‘continuous improvement based on learning from err
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