Ockenden Review Recommends 27 Actions To Improve Maternity Safety

Published on: 10/12/2020

Our Patron, Donna Ockenden has launched the first report of the independent review into maternity services at the Shrewsbury and Telford Hospital NHS Trust. The report outlines the local actions for learning for the Trust and immediate and essential actions for the Trust and wider system that are required to be implemented now to improve safety in maternity services for the Trust and across England.

Following commencement of the review in 2017, the number of family cases to be considered sadly increased from the original 23 to 1,862, with the majority of incidents occurring between the years 2000 to 2019.

Due to the rise in the number of family cases for review, the team agreed to publish this first report which makes clear recommendations in the form of Local Actions for Learning and Immediate and Essential Actions for the Trust and maternity services across England in order to improve maternity safety.

This report is published following the clinical reviews of 250 of the family cases from 2000 to 2018, which include the 23 families who initiated this independent review and conversation and communication with an additional 800 families. It calls for 27 local actions for learning and seven immediate and essential actions for all maternity services “to be implemented now and at pace”.

The 7 immediate actions include:

  • Enhanced safety
  • Listening to women and families
  • Staff training and working together
  • Managing complex pregnancy
  • Risk assessment throughout pregnancy
  • Monitoring fetal wellbeing
  • Informed consent

You can read the full report here.

Here at MAMA Academy our thoughts are with all the families who have and are still taking part in this review as we understand the heartache they must be experiencing. As a baby loss prevention charity, we remain committed in supporting healthcare professionals to constantly improve their services so that more babies can arrive safely in the UK.