Scandal-hit Nottingham maternity services ordered to improve

An NHS trust at the centre of concerns about avoidable deaths and injuries to babies has been told to make immediate improvements to its maternity services.

The Care Quality Commission (CQC) said Nottingham University Hospitals NHS Trust's maternity units were still inadequate.

The healthcare watchdog said the trust had serious staffing and cultural problems.

The trust said it was working hard to make the necessary improvements.

It comes after it was announced on Thursday that Donna Ockenden, who led an inquiry into maternity failings in Shropshire, is to chair a review of services in Nottingham.

The original review was launched following dozens of baby deaths and injuries but had faced sustained criticism from families and campaigners over its remit and independence.

Sarah Hawkins gave birth to her stillborn daughter Harriet at Nottingham City Hospital in 2016.

She and her husband Jack both worked for the trust, and Mrs Hawkins said they knew something had gone wrong as soon as they were told their baby had died.

"Being two clinicians here at the time we thought 'you've seriously got this wrong' and I was then left for nine hours trying to deliver a dead baby because of communication errors," she told Radio 4's Today programme.

"This whole time, I can't even describe the confusion, I felt like I was dying."

The couple were told their daughter had died from an infection, something they did not believe to be correct.

They pushed for an external review, in which it was found the death had been preventable.

Ms Ockenden told the BBC her first priority was to listen to the families that had been affected.

"Very clearly, the CQC issuing a safety warning notice and the stories that we're all seeing - parents have shared widely - there is clearly something that is very, very wrong at the trust," she said.

"I'd say to parents speak up if you have concerns, but you should feel confident that the enhanced scrutiny that there is on the trust can only be positive."

NHS maternity services in Nottingham - based at the Nottingham City Hospital and Queen's Medical Centre - were initially rated as inadequate in 2020.

Inspectors, who visited in March, said the department did not have enough staff to care for women and keep them safe.

The CQC noted that at City Hospital, there were 19 serious incidents reported by maternity staff between March 2021 and February 2022. In addition, there are currently five Healthcare Safety Investigation Branch investigations.

They also issued a warning notice over safe care and treatment related to observations and triage services.

Inspectors said their warning notice was issued as staff were not always carrying out observations to make sure patients' conditions were not deteriorating and that triage wait times were too long.

However, the report did say staff were compassionate and kind and there was an improvement in staff morale.

Fiona Allinson, CQC's director of operations Midlands network, said: "It's disappointing that despite several inspections where CQC has told the trust areas they must improve to keep mums and babies safe, serious problems remain."

Sharon Wallis, director of midwifery at NUH, said: "Our teams are working hard to make the necessary improvements, but recognise we have more to do and are absolutely determined to speed up the pace of change and deliver quality services for women and their families."

The overall rating for both Nottingham City Hospital and Queen's Medical Centre following the CQC inspection remains as requires improvement.