Baby deaths and toxic culture - the Nottingham maternity report at a glance
Summary
A review led by midwife Donna Ockenden found many avoidable deaths and harm to mothers and babies at Nottingham University Hospitals NHS Trust’s maternity units. The report identified serious long-standing problems, including poor care, unsafe working conditions, and a toxic culture that ignored concerns from patients and staff.Key Facts
- The inquiry covered 444 maternity cases with avoidable harm or deaths, including 155 baby deaths and 105 serious injuries.
- These cases involved care rated as having significant or major concerns.
- Issues included poor monitoring of babies, failure to recognize distress during labour, and delayed involvement of senior doctors.
- The trust’s workplace culture was described as bullying and toxic, discouraging staff from raising concerns.
- Women reported being ignored or poorly supported, especially if they had language barriers or were from racial minorities.
- Many problems were known since at least 2010 but were not adequately addressed.
- The review involved input from about 2,500 families and over 800 staff members.
- The report aims to drive improvements in maternity services at Nottingham and across England.
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