Yesterday, alongside bereaved and harmed families from Leeds, I announced the appointment of Donna Ockenden as chair of the independent review into maternity and neonatal services at Leeds Teaching Hospitals NHS trust.
Donna Ockenden brings considerable experience as a nurse and midwife, and a strong record of exposing systemic failings in maternity care. Her leadership of the maternity reviews at Shrewsbury and Telford Hospital NHS trust and Nottingham University Hospitals NHS trust demonstrates her commitment to ensuring that families’ voices are heard and acted upon and her appointment will help us rebuild the confidence of families.
As well as the harrowing accounts that families have shared with me over the last few months, Leeds is one of the largest teaching hospitals in Europe and its perinatal mortality rates remain higher than comparable trusts.
The terms of reference for this review are now being finalised. It will examine stillbirths, neonatal deaths, serious incidents, hypoxic injuries and maternal deaths occurring between 1 January 2011 and 31 December 2025 —with the chair’s discretion to bring in more recent cases that would significantly add to the review’s findings. We will be taking an “opt-out” approach so that no voices are missed: all families whose care meets the criteria for the review will automatically be included unless they wish otherwise. As well as clinical care, the review will consider governance, accountability and how the trust handles concerns raised by women, families and staff. It will set out clear, evidence-based actions to improve safety, quality and equity of care.
The Government will work with Donna Ockenden and families to finalise the terms of reference, ensuring their experiences and priorities shape the scope of the review. Individual clinical case reviews are expected to begin in August.
I want to personally thank Leeds families for the openness and courage they have shown in sharing their accounts with me over recent months. I do not underestimate the trauma that they have experienced by revisiting their experiences in those meetings. This review must deliver for them and their babies and for all families who rightly expect safe, high-quality NHS maternity care. Donna Ockenden’s leadership will help drive the lasting change that is urgently needed.
We recognise that some of the issues being identified at Leeds may exist in other trusts across the country. While many women have expressed satisfaction with their care during pregnancy and birth, stark inequalities remain and maternal mortality has worsened. This is unacceptable and it is why I commissioned the rapid national investigation led by Baroness Amos, who has engaged with hundreds of families and staff to inform her interim findings published last month. Her final recommendations will be published in June. I will shortly launch the national maternity and neonatal taskforce that will turn these recommendations into the action needed to deliver lasting improvements.
In the meantime, we have taken immediate action to improve safety. This includes: investing over £130 million to make maternity and neonatal units safer; rolling out programmes to reduce avoidable brain injury and give early warning signals about possible issues with care; launching an anti-discrimination programme; and backing Martha’s rule which gives families the right to an urgent second opinion.
I want to reassure women who are accessing maternity care at Leeds Teaching Hospitals NHS trust that significant action is already under way to improve maternity and neonatal services, under the national oversight of NHS England. Over 500,000 women across the whole country give birth every year and the vast majority of those are safe. I encourage any woman who has concerns about her pregnancy to speak to their midwife.
While change will not happen overnight, we are determined to ensure all women receive safe, personalised, and compassionate care. This Government will not rest until women, babies and families get the care they need.
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