\n<\/p>\n
A powerful maternity commissioner will be appointed to push through an urgent transformation of childbirth care in England after a major review concluded that it had multiple failings.<\/p>\n
Ministers have bowed to growing pressure by agreeing to recruit the UK\u2019s first commissioner for maternity and neonatal care. Whoever takes on the role will pursue hospitals over persistent failures in care, ensure wide-ranging improvements are made and try to restore the faith of families in a maternity system in England that has been rocked by a series of scandals.<\/p>\n
James Murray, the health secretary, announced the move in response to Valerie Amos\u2019s government-commissioned inquiry of maternity care, which concluded it was a system characterised by poor care and a failure to listen to women, and was plagued by racism and discrimination.<\/p>\n
\u201cThe maternity and neonatal system in England is no longer fit to consistently deliver high-quality, compassionate care to every woman and family, and requires urgent reform to put safety at its centre, embed a focus on listening to women and ensure anti-racist practice at every level,\u201d she found.<\/p>\n
Lady Amos\u2019s report is the second in less than a week to advise ministers to instigate a dramatic overhaul to reduce the risk of mothers and babies suffering harm or dying because of errors and receiving inadequate care from the NHS. Donna Ockenden, the author of last week\u2019s inquiry into the Nottingham maternity scandal, is widely expected to become the new commissioner.<\/p>\n
The appointee will also co-chair with the health secretary the government\u2019s national maternity and neonatal taskforce. It is drawing up an action plan to improve care, which is due in December.<\/p>\n
\u201cI still find it shocking that women and babies have been harmed or have died, sometimes as a result of failings in the maternity and neonatal care provided. We are a wealthy country. It should not happen,\u201d Amos said in the 181-page report of her nine month-long investigation.<\/p>\n
\u201cHaving a baby should be one of the happiest moments of a family\u2019s life. For most women in England, it is. But for too many \u2013 depending on where they live, who they are or simply the day they give birth \u2013 the care they receive is not good enough and can result in avoidable harm.<\/p>\n
\u201cEvery instance of avoidable harm is one too many. The emotional toll and cost to families is indescribable. As a country, as a community, we cannot continue like this,\u201d said Amos, a Labour peer and former cabinet minister.<\/p>\n
Murray pledged that Amos\u2019s \u201clandmark\u201d report would prove \u201ca turning point\u201d in efforts to ensure that every woman received safe and high-quality care during pregnancy, labour and birth.<\/p>\n
\u201cAppointing the UK\u2019s first ever maternity and neonatal commissioners will drive lasting change and make sure women and families are never ignored again,\u201d he added.<\/p>\n
<\/span>In her report, Lady Amos made eight key recommendations to improve care.<\/span> Photograph: Mark Thomas\/Alamy Live News<\/p>\n The maternity system in England was \u201cconfusing, inflexible and unresponsive to women and families\u201d, according to the report. Mothers told Amos how they had been dismissed when they raised concerns, \u201cleading in some cases to avoidable harm or unsafe care\u201d, and treated with a lack of compassion. A lack of pain relief meant some suffered pain and distress during a caesarean section or assisted vaginal birth.<\/p>\n Women of colour have experienced racism or discrimination. That has led to them \u201creceiving unfair or unequal treatment, leading to delays, unsafe care with, at times, devastating outcomes\u201d and becoming reluctant to engage with childbirth services.<\/p>\n Amos said she had been asked during her inquiry if women and families should trust their local maternity service to look after them properly. However, she did not give an answer and said only that she did not want to discourage anyone from getting pregnant and having a baby.<\/p>\n She made eight main recommendations to improve care, including that:<\/p>\n Maternity triage services \u2013 the childbirth equivalent of A&E \u2013 need an urgent overhaul, including more staff on duty, so that women\u2019s concerns are acted on more quickly.<\/p>\n<\/li>\n<\/ul>\n Maternity care has not kept pace with major changes in recent years, such as the shift towards older women giving birth, the fact that more mothers-to-be have an underlying health condition and the dramatic recent rise in medical intervention such as induction of labour and caesarean sections, she added.<\/p>\n Amos highlighted that many of the multiple recommendations made by a series of previous reviews to improve maternity care had not been implemented or proved short lived. Some maternity units are so old they were now \u201cunsafe\u201d. Widespread understaffing was compromising quality of care and leaving maternity personnel suffering \u201ctrauma and moral injury from failures in care\u201d.<\/p>\n In a rare positive finding she noted that stillbirths and neonatal deaths were at near-record lows, but added that progress on both fronts had stalled since 2020.<\/p>\n The report was overshadowed by one of Amos\u2019s clinical advisers, Dr Bill Kirkup, a renowned maternity safety expert, resigning on Monday, hours before it was published, in a row over its section of \u201cnormal birth ideology\u201d. Amos said Kirkup disagreed with the wording.<\/p>\n However, the Health Service Journal reported that he had quit \u201cbecause of a disagreement of principle\u201d over that belief, which holds that women should give birth vaginally, without intervention, as far as possible.<\/p>\n","protected":false},"excerpt":{"rendered":" A powerful maternity commissioner will be appointed to push through an urgent transformation of childbirth care in England after a major review concluded that it had multiple failings. Ministers have bowed to growing pressure by agreeing to recruit the UK\u2019s first commissioner for maternity and neonatal care. Whoever takes on the role will pursue hospitals<\/p>\n","protected":false},"author":1,"featured_media":50762,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[51],"tags":[5032,311,1894,37,1398,328,1113,6694],"class_list":{"0":"post-50761","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-commissioner","9":"tag-england","10":"tag-failings","11":"tag-health","12":"tag-maternity","13":"tag-policy","14":"tag-powerful","15":"tag-shocking"},"_links":{"self":[{"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/posts\/50761","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=50761"}],"version-history":[{"count":0,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/posts\/50761\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=\/wp\/v2\/media\/50762"}],"wp:attachment":[{"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50761"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50761"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/naijaglobalnews.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50761"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n