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Home » Latest News » Ockenden report – poor maternity care leading to harmful outcomes

Ockenden report – poor maternity care leading to harmful outcomes

Ockenden report – poor maternity care leading to harmful outcomes

The independent review of maternity services at Shrewsbury and Telford Hospital NHS Trust (the final ‘Ockenden report’) has now been published.

It has received considerable attention across the media . The newspaper and broadcast media coverage makes for grim reading for the way some mothers and children were cared for in the maternity Unit at the Trust. The Police are now investigating some cases at the Hospital

The Ockenden review required an enormous amount of work. The final report contained 250 pages. The final number of families included in the review was 1,486. Some families had multiple clinical incidents – therefore, a total of 1,592 clinical incidents involving mothers and babies were reviewed with the earliest case from 1973 and the latest from 2020.

In summary the report found that ;

There were 12 maternal deaths reviewed and, in 9 of the 12 cases (75%), the review team identified significant or major concerns in the care received, and

498 cases of stillbirth were reviewed and graded. One in four cases were found to have significant or major concerns in care which, if managed appropriately, might or would have resulted in a different outcome.

Hypoxic ischaemic encephalopathy (HIE) is a newborn brain injury caused by oxygen deprivation to the brain. There were significant and major concerns in the care provided to the mother in two-thirds (65.9%) of all HIE cases. After the baby had been born, most of the neonatal care provided was considered appropriate or included minor concerns.

The report recommended some immediate and essential actions to try to improve maternity care across England because they were “ aware that similar problems may occur in other trusts across England and, therefore, these actions must be implemented widely in all maternity services.”  This included more and better funding for maternity and neonatal services, better training for staff, better reporting and governance within trusts and improved learning from incidents.

Sadly, the report reflects the outcome of other previous investigations across the NHS in other parts of the country.

Bridge McFarland LLP has a large medical negligence department. We have a number of senior lawyers with significant experience of assisting clients who have suffered negligently caused injuries at or about the time of the birth of a child.

Lorraine Taylor, Head of the clinical negligence department says “the Ockenden report summarises what we continue to see, with the same errors and consequences occurring time and time again, sometimes leading to catastrophic injuries to newborns. Sadly, it looks like lessons have not yet been learned within NHS maternity services. Hopefully this report will lead to improvements in services, thus reducing injuries to mothers and children". 

If you think that you, or a loved one, may be affected by this report then please contact us https://www.bridgemcfarland.co.uk/ for a no obligation initial enquiry.

https://www.itv.com/news/central/2022-03-30/ockenden-report-reveals-scale-of-maternity-scandal-as-100s-of-babies-

stillbornhttps://www.bbc.co.uk/news/live/uk-england-shropshire-60911948

https://www.bbc.co.uk/news/uk-england-shropshire-60939036

https://www.gov.uk/government/publications/final-report-of-the-ockenden-review/ockenden-review-summary-of-findings-conclusions-and-essential-actions

https://www.ockendenmaternityreview.org.uk/wp-content/uploads/2022/03/FINAL_INDEPENDENT_MATERNITY_REVIEW_OF_MATERNITY_SERVICES_REPORT.pdf

 https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/408480/47487_MBI_Accessible_v0.1.pdf