A health minister has apologised after a new report concluded that poor care in maternity services is “frequently tolerated as normal”.
The parliamentary inquiry found there was “shockingly poor quality” in maternity services, which resulted in care that lacked compassion and a system where “poor care is all too frequently tolerated as normal”.
Led by Conservative MP Theo Clarke and Labour MP Rosie Duffield, the Birth Trauma Inquiry considered evidence given by more than 1,300 women and has called for a national plan to improve maternity care.
It found that poor quality postnatal care was an “almost-universal theme”.
“Women shared stories of being left in blood-stained sheets or of ringing the bell for help but no one coming,” the report said.
It has made 12 recommendations, including that the government implement a maternity commissioner who would report directly to the prime minister.
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2:02
‘The joy was sucked out of having a baby’
A long-lasting problem
Health minister Maria Caulfield told Sky News maternity services had not been where they should be and apologised to mothers who had been affected.
“I recognise that maternity services have not been where we want them to be, but there is lots of work happening in this space,” Ms Caulfield said.
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“This has been a problem for a long time, and it is why maternity is a priority area in the women’s health strategy.”
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She said the inquiry aims to get expectant mothers better care during their pregnancy, rather than wait until they are just about to give birth.
Some £1.1bn – more than a third of the NHS’ total maternity and neonatal budget – was spent on cash payments relating to clinical negligence in 2022/23, a Department of Health and Social Care report showed.
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0:57
What is birth trauma?
Recommendations put forward by the Birth Trauma Inquiry include retraining and recruiting more midwives, offering a separate six-week check post-delivery with a GP for all mothers, provide support for fathers or nominated birth partners and better educate women on birth choices.
It also recommends extending the time limit for medical negligence litigation relating to childbirth from three years to five years.
Recommendations made by the Birth Trauma Inquiry
The Birth Trauma Inquiry aims to look at the realities of giving birth and how the UK can practically improve maternity services.
One of the key conclusions of the report is to implement a National Maternity Improvement Strategy, led by a maternity commissioner, who will report directly to the prime minister.
This improvement strategy will outline the following 12 recommendations with the aim of introducing a base standard in maternity services across the UK:
1. Recruit, train and retain more midwives, obstetricians and anaesthetists and provide mandatory training on trauma-informed care.
2. Provide universal access to specialist maternal mental health services across the UK to end
the “postcode lottery”.
3. Offer a separate six-week check post-delivery with a GP for all mothers, which includes questions about the mother’s physical and mental health.
4. Roll out and implement the OASI (obstetric and anal sphincter injury) care bundle to all hospital trusts to reduce risk of injuries in childbirth.
5. Oversee the national rollout of standardised post-birth services to give all mothers a safe space to speak about their experiences in childbirth.
6. Ensure better education for women on birth choices. All NHS trusts should offer antenatal
classes.
7. Respect mothers’ choices about giving birth and access to pain relief and keep mothers
together with their baby as much as possible.
8. Provide support for fathers and ensure nominated birth partner is continuously informed
and updated during labour and post-delivery.
9. Provide better continuity of care and digitise mother’s health records to improve
communication between primary and secondary health care pathways.
10. Extend the time limit for medical negligence litigation relating to childbirth from three years
to five years.
11. Commit to tackling inequalities in maternity care among ethnic minorities, particularly black
and Asian women.
12. Research to be commissioned on the economic impact of birth trauma and injuries, including factors such as women delaying returning to work.
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Health Secretary Victoria Atkins said she was “determined to improve the quality and consistency of care for women throughout pregnancy, birth and the critical months that follow”.
Wes Streeting, shadow health secretary, called the report “groundbreaking” and said the Labour Party would work in the same bipartisan spirit to deliver results.
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After her own experience of a traumatic birth, Sandra Igwe set up The Motherhood Group and has spent the past eight years campaigning. When she gave birth earlier this year for the third time, she expected the outcome would be different.
“Sadly, the third time around, again, my concerns were dismissed and I was made to wait several days to give birth after being induced, and that added to my anxiety,” she told Sky News correspondent Shamaan Freeman-Powell.
“It has shown me there is a lot more work to be done.”
Image: Sandra Igwe has spent the last eight years campaigning for better maternity services
She is now working with Councillor Evelyn Akoto, cabinet member for health and wellbeing at Southwark Council, to get the experiences of women from diverse backgrounds in a maternity commission.
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2:26
‘Poor quality’ in maternity services
Cllr Akoto, who also had her own experience of being dismissed and ignored during labour, said the statistics black and ethnic minority women face are “horrifying”.
“I see myself and other black women as walking statistics,” she said. “I see our lives in danger all the time.”
The councillor said that in order for the quality of care to be improved across maternity services, inequalities need to be addressed.
“If we get it right for those who are being negatively impacted, we get it right for everyone,” she added. “So it’s important we all come together and resolve this.”
Jeremy Corbyn has declined to say his Your Party co-founder Zarah Sultana is a friend as supporters of the new grouping gather in Liverpool.
Speaking to Sky News on the eve of the conference, Mr Corbyn acknowledged “stresses and strains” in the set-up of the party but said it had become “a lot better in the last few days and weeks and we’re going to get through this weekend”.
The former Labour leader has publicly clashed with Ms Sultana, the MP for Coventry South, over the launch and structure of the new party.
Asked if they were friends, Mr Corbyn said they were “colleagues in parliament, and we obviously communicate and so on”.
The pair appeared at separate events on the eve of the party’s inaugural gathering.
Ms Sultana had previously claimed she was being “sidelined” by a “sexist boys’ club” within the fledgling party.
Mr Corbyn said her comments were an “unfortunate choice of words” but added that he had been more involved in the organisation of the conference than she had.
Image: The co-founders have had a strained relationship since setting up the party. Pic: Your Party
The Islington North MP also said that Your Party was still waiting for Ms Sultana to transfer all of the funds she had raised from supporters.
“Obviously having money up front for a conference is a big help,” he said.
Ms Sultana has insisted she is transferring the donations in stages.
The weekend gathering in Liverpool will see supporters choose between four options for a permanent party name: Your Party, Our Party, Popular Alliance, For the Many.
The preferred choice of Ms Sultana – The Left – did not make the ballot.
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Similarly, the Coventry MP had said she favoured a co-leader approach, but members will only be able to pick between single leadership or collective leadership models.
Speaking at her own pre-conference rally, Ms Sultana blamed a “nameless, faceless bureaucrat” for restricting the choices.
The meeting also risked being disrupted by a series of member expulsions. One of those ejected, Lewis Nielsen, accused a “clique” of trying to “take over”.
Your Party sources said expulsions related to members of the Socialist Workers Party and that holding another national party membership was not allowed.
Ms Sultana blamed a “culture of paranoia at the top” and said she believed the same people who had been briefing against her were now also expelling members.
Mr Corbyn will open the conference on Saturday, while the results of the main decision-making votes will be announced on Sunday.
A ban on asylum seekers using taxis for most medical journeys has been announced by Home Secretary Shabana Mahmood.
Under the new rules, taxi use for medical travel will be restricted to “exceptional” cases such as physical disability, pregnancy or serious illness – and these will require government approval.
Ms Mahmood made the announcement after a BBC investigation found “widespread” use of taxis by asylum seekers, including for long journeys – with one case involving a 250-mile trip to see a GP.
Transport for asylum seekers has cost the government an average of almost £16m a year, according to reports.
Image: Home Secretary Shabana Mahmood. Pic: PA
All service providers will be required to stop using taxis for medical journeys from February next year and the government is now working to help introduce alternatives such as public transport.
“This government inherited Conservative contracts that are wasting billions of taxpayers’ hard-earned cash,” the home secretary said.
“I am ending the unrestricted use of taxis by asylum seekers for hospital appointments, authorising them only in the most exceptional circumstances.
“I will continue to root out waste as we close every single asylum hotel.”
Taxi drivers said the system was open to “abuse”, accusing sub-contractors of inflating mileage, for instance by dispatching drivers over long distances to perform much shorter journeys.
One told BBC Radio 4’s Today programme he had been dispatched from Gatwick to take an asylum seeker more than 50 miles away in Reading to an appointment only 1.5 miles from his hotel. A second driver was reportedly sent from Heathrow, about 30 miles away, to bring the same man back from the appointment.
The policy change comes after a Home Office review of transport arrangements for asylum seekers, it is understood.
In an interview with Sky News’ political editor Beth Rigby, she admitted the UK’s illegal immigrant numbers were “too high” – but said Reform UK leader Nigel Farage could “sod off” after he claimed she sounded like a Reform supporter.
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2:02
Home secretary sets out migration rules
The “restoring order and control” plan includes:
• The removal of more families with children – either voluntarily through cash incentives up to £3,000, or by force; • Quadrupling the time successful asylum seekers must wait to claim permanent residency, from five to 20 years; • Removing the legal obligation to provide financial support for those who have the right to work but choose not to; • Setting up a new appeals body to significantly speed up the time it takes to decide whether to refuse an application; • Reforming how the European Convention on Human Rights (ECHR) is interpreted in immigration cases; • Banning visas for countries refusing to accept deportees; • The establishment of new safe and legal refugee routes.
The home secretary told MPs it is an “uncomfortable truth” that Britain’s generous asylum offer, compared with other European countries, is attracting people to the UK – and for British taxpayers the system “feels out of control and unfair”.
However, the wide-ranging reforms have drawn criticism from Labour backbenchers.
Nadia Whittome MP called Ms Mahmood’s plans “dystopian” and “shameful”, while Richard Burgon MP said she should change course rather than be forced into a U-turn later.
So far this year, some 39,292 people have made the journey across the Channel, already more than last year’s numbers, but still below the total for the record year of 2022.
Rachel Reeves has been accused of failing to “support the great British pub” as she promised in the budget, with owners facing skyrocketing business rates bills.
In her speech in the House of Commons on Wednesday, the chancellor said she was backing small businesses by introducing “permanently lower tax rates for over 750,000 retail, hospitality and leisure properties – the lowest tax rates since 1991”.
But while the government gave itself the powers to discount the business rates bills for high street businesses through legislation earlier this year, the chancellor only implemented a reduction of a quarter of what the government is able to, and she is being accused of imposing a “stealth tax”.
It has left small retail, hospitality, and leisure businesses questioning whether their businesses will be viable beyond April next year.
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8:46
Sky’s Ed Conway looks at the aftermath of the budget and explains who the winners and losers are.
A Treasury spokesperson said: “We’re protecting pubs, restaurants and cafes with the budget’s £4.3bn support package – capping bill rises so a typical independent pub will pay around £4,800 less next year than they otherwise would have.
“This comes on top of cutting licensing costs to help more venues offer pavement drinks and al fresco dining, maintaining our cut to alcohol duty on draught pints, and capping corporation tax.”
Business rates, which are a tax on commercial properties in England and Wales, are calculated through a complex formula of the value of the property, assessed by a government agency every three years, combined with a national “multiplier” set by the Treasury, giving a final cash amount.
More on Budget 2025
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Image: Chancellor Rachel Reeves has been accused of imposing a “stealth tax” on hospitality businesses. Pic: PA
Over the last few years, small businesses were given business rates relief of 75% to support them over the COVID pandemic, and Ms Reeves reduced that to 40% at last year’s budget.
The idea was that at the budget this year, the chancellor would remove that remaining relief in favour of reforming the business rates system to compensate for that drop, while shifting the tax burden on to much bigger businesses and companies like Amazon with lots of warehouse space.
However, the chancellor only announced a 5p in the pound discount for small retail, hospitality, and leisure businesses, rather than the assumed 20p drop which the government gave itself the powers to implement, and which trade bodies had been lobbying for.
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2:57
How will your personal finances change following the budget announced by the chancellor?
On top of that, small businesses have seen the government-assessed value of their property increase dramatically, which wipes out the discount, and sees their business rates bill shoot far above what they had previously been paying.
One pub owner near Hull, Sam Caroll, has seen the assessed value of one of his two properties increase from £67,000 to £110,000 in just three years – a 64% increase.
He told Sky News that there is a “continual question” of business viability, and while he thinks they can “adapt” in the short term, “there will be a tipping point at some point”. Even at the moment, packing out their pubs seven nights a week, “it’s difficult for us to break even”, he said.
There will be a discount for small businesses to transition to the higher business rates level, but by year three, almost the full amount is expected to be payable, and Mr Carroll described it as “getting f***** slowly, instead of getting f***** overnight”.
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Sean Hughes, who owns multiple hospitality venues in St Albans, has also seen vast increases in the assessed value of his properties, and was sharply critical of the transitional arrangements the government is implementing.
He told Sky News: “Fundamental business rate reform was promised and we have total chaos. If [the system] was fair, why would they need transitional relief periods?”
A spokesperson of the Valuation Office Agency (VOA), which assesses the value of commercial properties for business rates purposes, told Sky News: “At the last revaluation, some sectors including hospitality were significantly affected by the pandemic, which resulted in much lower rateable values than they would have seen otherwise. Businesses that have now seen a recovery in trade are also likely to see an increase in their rateable value.”
However, Sky News has seen evidence of businesses whose assessed value did not decrease when assessed during the pandemic, but actually rose, and has risen dramatically this year.
Data compiled by the Pubs Advisory Service, shows that the number of pubs in the UK has decreased by nearly 5% in three years, but the average value of the properties has risen by an average of 36.82% per pub.
And analysis by UK Hospitality, the trade body that represents hospitality businesses, has found that over the next three years, the average pub will pay an extra £12,900 in business rates, even with the transitional arrangements, while an average hotel will see its bill soar by £205,200.
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4:30
The prime minister has defended the budget after he and the chancellor were accused of breaking their promise to voters.
The body adds that by 2028/29, an average pub’s business rates will have increased by 76% and an average hotel’s by 115%, compared to 16% for a distribution warehouse like the ones the web giants use.
It’s not just the business rates rise that is worrying owners – it is the increase in employers’ national insurance implemented at the last budget, the increase in energy bills over the last few years, and the rise in the minimum wage, particularly for young people.
With the budget set to squeeze disposal income, there is little room for price increases to make up the shortfall either.
In a letter to the chancellor on Friday, Liberal Democrat deputy leader Daisy Cooper said small business owners “have been pushed to tears as they’re hit with the bombshell of higher business rates bills”, noting that “the government has chosen not to use the full powers it gave itself to throw high streets a lifeline”.
She added that businesses had been promised “permanently lower business rates”, but it appears the government has “broken yet another promise, by imposing a stealth tax not just on people, but on treasured high street businesses too”, and called on ministers to “throw our high streets and Britain’s hospitality sector a lifeline”.
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Conservative shadow business secretary Andrew Griffith published his own analysis of the government’s budget measures on Friday morning, that found they will “hammer British pubs”.
Of the chancellor, he said: “She pretended in her budget speech to be supportive, whilst the true detail is that a combination of rate revaluations and scrapping reliefs will leave most pubs paying thousands of pounds more than they cannot afford.”
Kate Nicholls, Chair of UKHospitality, said in a statement: “The government promised in its manifesto that it would level the playing field between the high street and online giants. The plan in the budget to achieve this is quickly unravelling, and will deliver the exact opposite.”
She said they “repeatedly warned the Treasury” of the impending impacted of the value reassessment, but nonetheless, hospitality businesses are now facing “eye-watering increases”.
She added: “We agree with its reforms to deliver permanently lower business rates for hospitality and we appreciate the package of transitional relief, but its current proposal is not delivering lower bills. A 20p discount for hospitality would. We urge the chancellor to revisit.”