Latest news with #RoyalCollegeofObstetriciansandGynaecologists
Daily Mirror
29-06-2025
- Health
- Daily Mirror
'Botched maternity care almost killed me and my baby, I'm traumatised for life'
Following news that the government has launched a 'rapid national investigation' on UK maternity units, Rachel Coles, 30, from Essex, has spoken about the harrowing birth of her son A mum of one said giving birth to her son was an 'absolutely awful' experience amid concerns over UK maternity care. This week, Health Secretary Wes Streeting announced a "rapid national investigation" after it was found that poor care may have contributed to the loss of babies or life-changing injuries in some UK maternity units. During a speech at the Royal College of Obstetricians and Gynaecologists, Mr Streeting announced the inquiry would "address systemic problems dating back over 15 years". He also said: "I know nobody wants better for women and babies than the thousands of NHS midwives, obstetricians, maternity and neonatal staff, and that the vast majority of births are safe and without incident, but it's clear something is going wrong." One parent who suffered a traumatic birth and felt the impact of maternity care in the UK is Rachel Coles, 30, from Essex. "My birth experience was absolutely awful", Rachel exclusively told the Mirror. "My waters broke naturally on September 20 at 1am in the morning, but I didn't give birth until 54 hours later on September 23 2021. READ MORE: Major UK-wide probe into NHS maternity services - what happens next She explained: "They tell you after 24 hours of your waters breaking to go back to the hospital. As I was not progressing and had not reached 4cm dilation, they placed me on the antenatal ward whilst I was experiencing severe contractions. My husband was sent home and was told he could only come back when I was going to be admitted to the labour ward, thanks to Covid. "At 8am on the morning of September 22, I was still on the antenatal unit and given a sweep, which I did not consent to and should not have been done as my waters had broken." Rachel, who is the CEO of marketing agency, Conv3rt ( continued: "Thanks to one lovely midwife, I got moved into a private room, and they called my husband to come and stay with me as they were waiting for a bed on the labour ward, as they then knew I needed to be induced with pitocin. After six hours of labouring that day, we finally got our bed. Bear in mind that all I had up until this point was gas and air. "They finally gave me an epidural after several pleas, and I finally got some sleep as the pitocin drip started to work. My epidural failed twice and had to be redone, and the contractions on the pitocin drip were, quite frankly, the most horrific pain I have ever experienced." Things started to progress for Rachel, but the birth came with severe complications. She shared: "Finally, after what felt like forever, I got told I was ready to push. "At this point, the epidural had completely worn off, and I could feel the pressure. It took two hours of pushing to get my son out, with several doctors in the room as they were concerned he was going to get stuck - I was too exhausted to keep going. "I heard one doctor say, 'We should have given her a C-section hours ago.' Hearing this gave me a final bout of energy, and I finally pushed my son out, hearing the most amazing cry and having him handed to me. "That feeling is like nothing else. However, because I had been contracting for over 50 hours and had been on the pitocin drip for longer than recommended, my placenta had started to disintegrate inside me and when they gave me the injection to birth the placenta, it broke up and had left a small tear in my uterus which caused me to lose almost 4L of blood." Rachel harrowingly recalled: "All I remember as I was losing blood is my son being whisked off me and handed to my husband, about 20 doctors running into the room trying to stop the bleeding and being handed a form that I needed to sign to consent to surgery where it could end in a full hysterectomy if they could not stop the bleeding. "I remember being exhausted and feeling incredibly sleepy, and I knew at that moment, if I died, then at least my son was healthy, and he would live a good life with his dad. I didn't even get a chance to say bye to my husband or son. "I have since found out that my blood pressure had spiked and there were several touch-and-go moments. They administered a medicine that could have caused catastrophic effects due to my blood pressure in a last-minute attempt to stop the bleeding before a hysterectomy would have happened." Three hours later, Rachel woke up in the "high dependency unit" to her husband whispering into her ear. "They needed to give my son formula, and if I wanted to breastfeed, which he knew I did, then I needed to wake up. "I breastfed my son for the first time whilst in and out of consciousness, knowing that somehow I was still alive. I then haemorrhaged again at home four weeks post-birth due to retained placenta, which angered me as during my haemorrhage post-birth, they said they had removed it all. All of the above had a lasting impact. I was diagnosed with depression, anxiety and PTSD." Nic Kane, Chief Nurse, Barking, Havering and Redbridge University Hospitals NHS Trust, told the Mirror: "We're so sorry Rachel had such a bad experience giving birth which has had a lasting impact on her health. "We're always trying to learn when things go wrong and improve our care. Since 2021, we've recruited 35 more midwives with a further 12 due to join us in the coming weeks." In response to the Health Secretary announcing a national investigation into NHS maternity services, Rachel shared: "Whilst I am glad the government are acknowledging that there are problems with maternity, it feels like this delays action when there are already recommendations."
Rhyl Journal
24-06-2025
- Health
- Rhyl Journal
Streeting launches investigation into maternity services after families ‘gaslit'
Wes Streeting said that 'up and down' the country 'maternity units are failing, hospitals are failing, trusts are failing, regulators are failing' and there was 'too much passing the buck'. He stopped short of launching a statutory public inquiry, despite it being the wish of some bereaved families, but said he would keep 'that option open'. He said: 'I think there is a broad consensus that having a rapid investigation is the right thing to do, even where families are pushing for a public inquiry to follow because what I don't think any of those families calling for a public inquiry want to see is action stalled or delayed in pursuit of a public inquiry, or while a public inquiry would take time to run a report.' Mr Streeting, who has been meeting families who have lost babies to poor maternity care, told the Royal College of Obstetricians and Gynaecologists (RCOG) conference in London: 'Over the last year, I've been wrestling with how we tackle problems in maternity and neonatal units, and I've come to the realisation that while there is action we can take now, we have to acknowledge that this has become systemic. 'It's not just a few bad units. Up and down the country, maternity units are failing, hospitals are failing, trusts are failing, regulators are failing. 'There's too much obfuscation, too much passing the buck and giving lip service.' Mr Streeting apologised on behalf of the NHS, having met families in Nottingham and around the country whose children have died or been injured. Senior midwife Donna Ockenden is currently examining how hundreds of babies died or were injured in the care of Nottingham University Hospitals Trust. Mr Streeting said: 'All of them have had to fight for truth and justice, they describe being ignored, gaslit, lied to, manipulated and damaged further by the inability for a trust to simply be honest with them that something has gone wrong. 'I want to say publicly how sorry I am, sorry for what the NHS has put them through, sorry for the way they've been treated since by the state and sorry that we haven't put this right yet, because these families are owed more than an apology. They're owed change, they're owed accountability and they're owed the truth.' The Health Secretary said risk is 'considerably higher' than it should be for women and babies because of a 'crisis' in maternity and neo-natal services. He added: 'Within the past 15 years, we've seen appalling scandals that blew the lid on issues ranging from care, safety, culture and oversight: Shrewsbury, Telford, East Kent, Nottingham. 'The last government responded with initiatives like Better Births in 2016 and the maternity transformation programme. 'But, despite improvements on some metrics, inequalities in maternal and neo-natal outcomes have become more visible, not less. The rate of late maternal deaths has been consistently rising. 'Babies of black ethnicity are twice as likely to be stillborn than babies of white ethnicity, and black women are still two to three times more likely to die during pregnancy or shortly after birth than white women. 'Tragically, that gap is closing slightly, but partly because more white women are dying in childbirth.' Other high-profile scandals had deepened the public's mistrust in the state, Mr Streeting continued. 'From the Horizon Post Office scandal to the infected blood scandal, the degradation of responsibility and trust in our institutions is compounding a cynicism and malaise at the ability of British politics to deliver for people. 'This is a dangerous place for a country to be. 'If we do not admit the scale of the failure in maternity services, we're condemning ourselves to etching that mistrust deeper. 📢 National maternity and neonatal investigation to be launched Too many families have suffered preventable harm. The investigation will urgently look at services with specific issues and the entire maternity system, making sure each family receives safe and compassionate care. — Department of Health and Social Care (@DHSCgovuk) June 23, 2025 'If we cannot admit openly that we as institutions and as a state got this wrong, we'll never be able to fix it or rebuild that trust. 'Too many children have died because of state failure and I will not allow it to continue under my watch.' The new investigation will consist of two parts. The first will investigate trusts of greatest concern at the moment, including Leeds, Gloucester, Mid and South Essex and Sussex, 'to hold them to account for improvement', Mr Streeting said. He added: 'I'm currently discussing with Leeds families the best way to grip the challenges brought to light in that trust by their campaigning, reports in the media and the latest Care Quality Commission (CQC) report, and I'll be ordering an investigation into nine specific cases identified by families in Sussex …' The second part of the investigation will be a 'system-wide' look at maternity and neonatal care, uniting lessons from past maternity inquiries to create one 'clear set of actions' designed to improve national NHS care. A National Maternity and Neonatal Taskforce, chaired by Mr Streeting, has also been set up, made up of experts and bereaved families. The investigation will begin this summer and report back by December. A new digital system will be rolled out to all maternity services by November to flag potential safety concerns in trusts, while an anti-discrimination programme to tackle inequalities is being launched. Health and Social Care Secretary @WesStreeting announced a national maternity investigation at @RCObsGyn Shaped by families failed by the system, the investigation comes alongside a set of immediate actions to improve care in NHS maternity and neonatal services. — Department of Health and Social Care (@DHSCgovuk) June 23, 2025 Asked about the cost of the review, Mr Streeting said: 'I suspect it will be somewhat less than the enormous costs we pay in clinical negligence claims. 'Probably the most shocking statistic in this area is that we are paying out more in clinical negligence for maternity failures than we are spending on maternity services. That's how bad things are. 'So, putting together a review team, undertaking the level of analytical work required to produce a really good, high-quality evidence-based report is a drop in the ocean compared to the price of failure.' Sir Jim Mackey, chief executive of NHS England, said: 'Despite the hard work of staff, too many women are experiencing unacceptable maternity care and families continue to be let down by the NHS when they need us most. 'This rapid national investigation must mark a line in the sand for maternity care – setting out one set of clear actions for NHS leaders to ensure high quality care for all. 'Transparency will be key to understanding variation and fixing poor care – by shining a spotlight on the areas of greatest failure we can hold failing trusts to account. 'Each year, over half a million babies are born under our care and maternity safety rightly impacts public trust in the NHS – so we must act immediately to improve outcomes for the benefit of mothers, babies, families and staff.' The Royal College of Midwives (RCM) said maternity services are 'at, or even beyond, breaking point'. RCM chief executive Gill Walton said: 'Every woman and family should leave maternity and neonatal services whole, happy and healthy. 'Yet we know that, for far too many, that isn't their experience. 'Systemic failings and a lack of attention to the warning signs have let those families down and let down the hardworking staff who are trying so hard to provide the care they deserve. 'Everyone involved in maternity services: the midwifery community, obstetricians, anaesthetists, sonographers and, of course, the women and families in their care; knows that maternity services are at, or even beyond, breaking point. 'This renewed focus and commitment by the Health Secretary to deliver change is welcome, and we will do everything we can to support him in doing so.' Professor Ranee Thakar, president of the RCOG, said: 'The maternity workforce is on its knees, with many now leaving the profession.' She said that 'for years, maternity units have had too few staff, too little time for training and lacked modern equipment and facilities, resulting in women and babies being harmed.' She urged the Government to 'not to lose sight of funding and workforce shortages within this'.
North Wales Chronicle
23-06-2025
- Health
- North Wales Chronicle
Government launches national investigation into NHS maternity services
Health Secretary Wes Streeting said that 'up and down' the country 'maternity units are failing, hospitals are failing, trusts are failing, regulators are failing' and there was 'too much passing the buck'. Mr Streeting, who has been meeting families who have lost babies to poor maternity care, told the Royal College of Obstetricians and Gynaecologists (RCOG) conference in London: 'Over the last year, I've been wrestling with how we tackle problems in maternity and neonatal units, and I've come to the realisation that while there is action we can take now, we have to acknowledge that this has become systemic. 'It's not just a few bad units. Up and down the country, maternity units are failing, hospitals are failing, trusts are failing, regulators are failing. 'There's too much obfuscation, too much passing the buck and giving lip service.' Mr Streeting apologised on behalf of the NHS, having met families in Nottingham and around the country whose children have died or been injured. Senior midwife Donna Ockenden is currently examining how hundreds of babies died or were injured in the care of Nottingham University Hospitals Trust. Mr Streeting said: 'All of them have had to fight for truth and justice, they describe being ignored, gaslit, lied to, manipulated and damaged further by the inability for a trust to simply be honest with them that something has gone wrong. 'I want to say publicly how sorry I am, sorry for what the NHS has put them through, sorry for the way they've been treated since by the state and sorry that we haven't put this right yet, because these families are owed more than an apology. They're owed change, they're owed accountability and they're owed the truth.' The Health Secretary said risk is 'considerably higher' than it should be for women and babies because of a 'crisis' in maternity and neo-natal services. He said giving birth carries risk, but 'that risk is considerably higher than it should be because of the state of the crisis in our maternity and neonatal services.' He added: 'Within the past 15 years, we've seen appalling scandals that blew the lid on issues ranging from care, safety, culture and oversight – Shrewsbury, Telford, East Kent, Nottingham. 'The last government responded with initiatives like Better Births in 2016 and the maternity transformation programme. 'But, despite improvements on some metrics, inequalities in maternal and neo-natal outcomes have become more visible, not less. The rate of late maternal deaths has been consistently rising. 'Babies of black ethnicity are twice as likely to be stillborn than babies of white ethnicity, and black women are still two to three times more likely to die during pregnancy or shortly after birth than white women. 'Tragically, that gap is closing slightly, but partly because more white women are dying in childbirth.' Other high-profile scandals had deepened the public's mistrust in the state, Mr Streeting continued. He said: 'From the Horizon Post Office scandal to the infected blood scandal, the degradation of responsibility and trust in our institutions is compounding a cynicism and malaise at the ability of British politics to deliver for people. 'This is a dangerous place for a country to be. 'If we do not admit the scale of the failure in maternity services, we're condemning ourselves to etching that mistrust deeper. 'If we cannot admit openly that we as institutions and as a state got this wrong, we'll never be able to fix it or rebuild that trust. 'Too many children have died because of state failure and I will not allow it to continue under my watch.' The new investigation will consist of two parts. The first will investigate trusts of greatest concern at the moment, including Leeds, Gloucester, Mid and South Essex and Sussex, 'to hold them to account for improvement', Mr Streeting said. He added: 'I'm currently discussing with Leeds families the best way to grip the challenges brought to light in that trust by their campaigning, reports in the media and the latest Care Quality Commission (CQC) report, and I'll be ordering an investigation into nine specific cases identified by families in Sussex…' The second part of the investigation will be a 'system-wide' look at maternity and neonatal care, uniting lessons from past maternity inquiries to create one 'clear set of actions' designed to improve national NHS care. A National Maternity and Neonatal Taskforce, chaired by Mr Streeting, has also been set up, made up of experts and bereaved families. The investigation will begin this summer and report back by December. A new digital system will be rolled out to all maternity services by November to flag potential safety concerns in trusts. An anti-discrimination programme to tackle inequalities in care for black, Asian, and other communities is also being launched. Sir Jim Mackey, chief executive of NHS England, said: 'Despite the hard work of staff, too many women are experiencing unacceptable maternity care and families continue to be let down by the NHS when they need us most. 'This rapid national investigation must mark a line in the sand for maternity care – setting out one set of clear actions for NHS leaders to ensure high quality care for all. 'Transparency will be key to understanding variation and fixing poor care – by shining a spotlight on the areas of greatest failure we can hold failing trusts to account. 'Each year, over half a million babies are born under our care and maternity safety rightly impacts public trust in the NHS – so we must act immediately to improve outcomes for the benefit of mothers, babies, families and staff.' The Royal College of Midwives (RCM) said maternity services are 'at, or even beyond, breaking point'. RCM chief executive Gill Walton said: 'Every woman and family should leave maternity and neonatal services whole, happy and healthy. 'Yet we know that, for far too many, that isn't their experience. 'Systemic failings and a lack of attention to the warning signs have let those families down and let down the hardworking staff who are trying so hard to provide the care they deserve. 'Everyone involved in maternity services – the midwifery community, obstetricians, anaesthetists, sonographers and, of course, the women and families in their care – knows that maternity services are at, or even beyond, breaking point. 'This renewed focus and commitment by the Health Secretary to deliver change is welcome, and we will do everything we can to support him in doing so.' Professor Ranee Thakar, president of the RCOG, said: 'The maternity workforce is on its knees, with many now leaving the profession.' She said that 'for years, maternity units have had too few staff, too little time for training and lacked modern equipment and facilities, resulting in women and babies being harmed.' She urged the Government to 'not to lose sight of funding and workforce shortages within this.'
South Wales Argus
23-06-2025
- Health
- South Wales Argus
Streeting launches investigation into maternity services after families ‘gaslit'
Wes Streeting said that 'up and down' the country 'maternity units are failing, hospitals are failing, trusts are failing, regulators are failing' and there was 'too much passing the buck'. Mr Streeting, who has been meeting families who have lost babies to poor maternity care, told the Royal College of Obstetricians and Gynaecologists (RCOG) conference in London: 'Over the last year, I've been wrestling with how we tackle problems in maternity and neonatal units, and I've come to the realisation that while there is action we can take now, we have to acknowledge that this has become systemic. 'It's not just a few bad units. Up and down the country, maternity units are failing, hospitals are failing, trusts are failing, regulators are failing. 'There's too much obfuscation, too much passing the buck and giving lip service.' Mr Streeting apologised on behalf of the NHS, having met families in Nottingham and around the country whose children have died or been injured. Senior midwife Donna Ockenden is currently examining how hundreds of babies died or were injured in the care of Nottingham University Hospitals Trust. Mr Streeting said: 'All of them have had to fight for truth and justice, they describe being ignored, gaslit, lied to, manipulated and damaged further by the inability for a trust to simply be honest with them that something has gone wrong. 'I want to say publicly how sorry I am, sorry for what the NHS has put them through, sorry for the way they've been treated since by the state and sorry that we haven't put this right yet, because these families are owed more than an apology. They're owed change, they're owed accountability and they're owed the truth.' The Health Secretary said risk is 'considerably higher' than it should be for women and babies because of a 'crisis' in maternity and neo-natal services. He added: 'Within the past 15 years, we've seen appalling scandals that blew the lid on issues ranging from care, safety, culture and oversight: Shrewsbury, Telford, East Kent, Nottingham. 'The last government responded with initiatives like Better Births in 2016 and the maternity transformation programme. 'But, despite improvements on some metrics, inequalities in maternal and neo-natal outcomes have become more visible, not less. The rate of late maternal deaths has been consistently rising. 'Babies of black ethnicity are twice as likely to be stillborn than babies of white ethnicity, and black women are still two to three times more likely to die during pregnancy or shortly after birth than white women. 'Tragically, that gap is closing slightly, but partly because more white women are dying in childbirth.' Other high-profile scandals had deepened the public's mistrust in the state, Mr Streeting continued. 'From the Horizon Post Office scandal to the infected blood scandal, the degradation of responsibility and trust in our institutions is compounding a cynicism and malaise at the ability of British politics to deliver for people. 'This is a dangerous place for a country to be. 'If we do not admit the scale of the failure in maternity services, we're condemning ourselves to etching that mistrust deeper. 'If we cannot admit openly that we as institutions and as a state got this wrong, we'll never be able to fix it or rebuild that trust. 'Too many children have died because of state failure and I will not allow it to continue under my watch.' The new investigation will consist of two parts. The first will investigate trusts of greatest concern at the moment, including Leeds, Gloucester, Mid and South Essex and Sussex, 'to hold them to account for improvement', Mr Streeting said. He added: 'I'm currently discussing with Leeds families the best way to grip the challenges brought to light in that trust by their campaigning, reports in the media and the latest Care Quality Commission (CQC) report, and I'll be ordering an investigation into nine specific cases identified by families in Sussex …' The second part of the investigation will be a 'system-wide' look at maternity and neonatal care, uniting lessons from past maternity inquiries to create one 'clear set of actions' designed to improve national NHS care. A National Maternity and Neonatal Taskforce, chaired by Mr Streeting, has also been set up, made up of experts and bereaved families. The investigation will begin this summer and report back by December. A new digital system will be rolled out to all maternity services by November to flag potential safety concerns in trusts, while an anti-discrimination programme to tackle inequalities is being launched. Asked about the cost of the review, Mr Streeting said: 'I suspect it will be somewhat less than the enormous costs we pay in clinical negligence claims. 'Probably the most shocking statistic in this area is that we are paying out more in clinical negligence for maternity failures than we are spending on maternity services. That's how bad things are. 'So, putting together a review team, undertaking the level of analytical work required to produce a really good, high-quality evidence-based report is a drop in the ocean compared to the price of failure.' Sir Jim Mackey, chief executive of NHS England, said: 'Despite the hard work of staff, too many women are experiencing unacceptable maternity care and families continue to be let down by the NHS when they need us most. 'This rapid national investigation must mark a line in the sand for maternity care – setting out one set of clear actions for NHS leaders to ensure high quality care for all. 'Transparency will be key to understanding variation and fixing poor care – by shining a spotlight on the areas of greatest failure we can hold failing trusts to account. 'Each year, over half a million babies are born under our care and maternity safety rightly impacts public trust in the NHS – so we must act immediately to improve outcomes for the benefit of mothers, babies, families and staff.' The Royal College of Midwives (RCM) said maternity services are 'at, or even beyond, breaking point'. RCM chief executive Gill Walton said: 'Every woman and family should leave maternity and neonatal services whole, happy and healthy. 'Yet we know that, for far too many, that isn't their experience. 'Systemic failings and a lack of attention to the warning signs have let those families down and let down the hardworking staff who are trying so hard to provide the care they deserve. 'Everyone involved in maternity services: the midwifery community, obstetricians, anaesthetists, sonographers and, of course, the women and families in their care; knows that maternity services are at, or even beyond, breaking point. 'This renewed focus and commitment by the Health Secretary to deliver change is welcome, and we will do everything we can to support him in doing so.' Professor Ranee Thakar, president of the RCOG, said: 'The maternity workforce is on its knees, with many now leaving the profession.' She said that 'for years, maternity units have had too few staff, too little time for training and lacked modern equipment and facilities, resulting in women and babies being harmed.' She urged the Government to 'not to lose sight of funding and workforce shortages within this'.
Leader Live
23-06-2025
- Health
- Leader Live
Streeting launches investigation into maternity services after families ‘gaslit'
Wes Streeting said that 'up and down' the country 'maternity units are failing, hospitals are failing, trusts are failing, regulators are failing' and there was 'too much passing the buck'. Mr Streeting, who has been meeting families who have lost babies to poor maternity care, told the Royal College of Obstetricians and Gynaecologists (RCOG) conference in London: 'Over the last year, I've been wrestling with how we tackle problems in maternity and neonatal units, and I've come to the realisation that while there is action we can take now, we have to acknowledge that this has become systemic. 'It's not just a few bad units. Up and down the country, maternity units are failing, hospitals are failing, trusts are failing, regulators are failing. 'There's too much obfuscation, too much passing the buck and giving lip service.' Mr Streeting apologised on behalf of the NHS, having met families in Nottingham and around the country whose children have died or been injured. Senior midwife Donna Ockenden is currently examining how hundreds of babies died or were injured in the care of Nottingham University Hospitals Trust. Mr Streeting said: 'All of them have had to fight for truth and justice, they describe being ignored, gaslit, lied to, manipulated and damaged further by the inability for a trust to simply be honest with them that something has gone wrong. 'I want to say publicly how sorry I am, sorry for what the NHS has put them through, sorry for the way they've been treated since by the state and sorry that we haven't put this right yet, because these families are owed more than an apology. They're owed change, they're owed accountability and they're owed the truth.' The Health Secretary said risk is 'considerably higher' than it should be for women and babies because of a 'crisis' in maternity and neo-natal services. He added: 'Within the past 15 years, we've seen appalling scandals that blew the lid on issues ranging from care, safety, culture and oversight: Shrewsbury, Telford, East Kent, Nottingham. 'The last government responded with initiatives like Better Births in 2016 and the maternity transformation programme. 'But, despite improvements on some metrics, inequalities in maternal and neo-natal outcomes have become more visible, not less. The rate of late maternal deaths has been consistently rising. 'Babies of black ethnicity are twice as likely to be stillborn than babies of white ethnicity, and black women are still two to three times more likely to die during pregnancy or shortly after birth than white women. 'Tragically, that gap is closing slightly, but partly because more white women are dying in childbirth.' Other high-profile scandals had deepened the public's mistrust in the state, Mr Streeting continued. 'From the Horizon Post Office scandal to the infected blood scandal, the degradation of responsibility and trust in our institutions is compounding a cynicism and malaise at the ability of British politics to deliver for people. 'This is a dangerous place for a country to be. 'If we do not admit the scale of the failure in maternity services, we're condemning ourselves to etching that mistrust deeper. 'If we cannot admit openly that we as institutions and as a state got this wrong, we'll never be able to fix it or rebuild that trust. 'Too many children have died because of state failure and I will not allow it to continue under my watch.' The new investigation will consist of two parts. The first will investigate trusts of greatest concern at the moment, including Leeds, Gloucester, Mid and South Essex and Sussex, 'to hold them to account for improvement', Mr Streeting said. He added: 'I'm currently discussing with Leeds families the best way to grip the challenges brought to light in that trust by their campaigning, reports in the media and the latest Care Quality Commission (CQC) report, and I'll be ordering an investigation into nine specific cases identified by families in Sussex …' The second part of the investigation will be a 'system-wide' look at maternity and neonatal care, uniting lessons from past maternity inquiries to create one 'clear set of actions' designed to improve national NHS care. A National Maternity and Neonatal Taskforce, chaired by Mr Streeting, has also been set up, made up of experts and bereaved families. The investigation will begin this summer and report back by December. A new digital system will be rolled out to all maternity services by November to flag potential safety concerns in trusts, while an anti-discrimination programme to tackle inequalities is being launched. Asked about the cost of the review, Mr Streeting said: 'I suspect it will be somewhat less than the enormous costs we pay in clinical negligence claims. 'Probably the most shocking statistic in this area is that we are paying out more in clinical negligence for maternity failures than we are spending on maternity services. That's how bad things are. 'So, putting together a review team, undertaking the level of analytical work required to produce a really good, high-quality evidence-based report is a drop in the ocean compared to the price of failure.' Sir Jim Mackey, chief executive of NHS England, said: 'Despite the hard work of staff, too many women are experiencing unacceptable maternity care and families continue to be let down by the NHS when they need us most. 'This rapid national investigation must mark a line in the sand for maternity care – setting out one set of clear actions for NHS leaders to ensure high quality care for all. 'Transparency will be key to understanding variation and fixing poor care – by shining a spotlight on the areas of greatest failure we can hold failing trusts to account. 'Each year, over half a million babies are born under our care and maternity safety rightly impacts public trust in the NHS – so we must act immediately to improve outcomes for the benefit of mothers, babies, families and staff.' The Royal College of Midwives (RCM) said maternity services are 'at, or even beyond, breaking point'. RCM chief executive Gill Walton said: 'Every woman and family should leave maternity and neonatal services whole, happy and healthy. 'Yet we know that, for far too many, that isn't their experience. 'Systemic failings and a lack of attention to the warning signs have let those families down and let down the hardworking staff who are trying so hard to provide the care they deserve. 'Everyone involved in maternity services: the midwifery community, obstetricians, anaesthetists, sonographers and, of course, the women and families in their care; knows that maternity services are at, or even beyond, breaking point. 'This renewed focus and commitment by the Health Secretary to deliver change is welcome, and we will do everything we can to support him in doing so.' Professor Ranee Thakar, president of the RCOG, said: 'The maternity workforce is on its knees, with many now leaving the profession.' She said that 'for years, maternity units have had too few staff, too little time for training and lacked modern equipment and facilities, resulting in women and babies being harmed.' She urged the Government to 'not to lose sight of funding and workforce shortages within this'.
