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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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.”
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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‘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.”
Thousands of farmers from across the UK are expected to gather outside Downing Street today – in the biggest protest yet against the government’s changes to inheritance tax rules.
The reforms, announced in last month’s budget, will mean farms worth over £1m will be subject to 20% inheritance tax from April 2026.
Farmers say that will lead to land being sold to pay the tax bill, impact food security and the future of British farming.
The Government insists it is “committed” to the farming industry but has had to make “difficult decisions”.
Farmers from Scotland, Northern Ireland, Wales and England will arrive in London to hear speeches from agricultural leaders.
Sky News understands TV presenter and farm owner Jeremy Clarkson, Conservative Party leader Kemi Badenoch and Lib Dem leader Ed Davey will also address crowds.
Protestors will then march around Parliament Square.
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‘It’s really worrying’
“It’s unfortunate, as Labour had originally said they would support farmers,” said fourth-generation farmer Will Weaver, who is attending today’s rally.
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His 500-acre cow and sheep farm in South Gloucestershire has been in his family since 1939.
“We’ve probably buried our head in the sand a little bit. I think, back of a fag-packet rough estimates, tax is going to be north of half a million [pounds].”
The government is keen to stress that farmers will get a decade to pay the bill – but that comes as little comfort to Will: “It’s more than our profit in any year that we’ve had in the last 10 years. Dad’s saying we’ll have to sell something. I don’t know if we’ll be able to raise that sort of money through a mortgage. It’s really worrying.”
The Treasury says only the wealthiest estates, around 500 of them, will have to pay under the new rules – claiming 72% of farms won’t be impacted.
But farmers say that calculation is incorrect – citing that DEFRA’s own figures show 66% of farms are valued at over £1m and that the government has undervalued many estates.
At the same time as the rally, the NFU is addressing 1,800 of its members in Westminster before they lobby MPs.
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The president of the National Farmers’ Union says farmers are feeling
‘Understanding has been betrayed’
Max Sealy represents the NFU Dairy Board in the South of England.
“We have a detailed job to do to explain why this is wrong not just for farming, not just for the countryside and not just for our families, but for the economy in general,” he said.
“This is a bad tax – it’s been badly implemented because it will affect growth productivity in the country.”
He told Sky News Labour made promises to farmers ahead of the election.
“Both Steve Reed and Keir Starmer came to our conference two years ago and told us farming wasn’t a business like any others and that he understood the long-term nature of farming – that understanding has been betrayed,” he said.
In a joint statement, Chancellor Rachel Reeves and Secretary of State for Environment, Food and Rural Affairs Steve Reed said: “Farmers are the backbone of Britain, and we recognise the strength of feeling expressed by farming and rural communities in recent weeks. We are steadfast in our commitment to Britain’s farming industry because food security is national security.
“It’s why we are investing £5bn into farming over the next two years – the largest amount ever directed towards sustainable food production, rural economic growth and nature’s recovery in our country’s history.
“But with public services crumbling and a £22bn fiscal hole that this Government inherited, we have taken difficult decisions.
“The reforms to Agricultural Property Relief ensure that wealthier estates and the most valuable farms pay their fair share to invest in our schools and health services that farmers and families in rural communities rely on.”
A Met Police spokesperson said it was “well prepared” for the protest and would have officers deployed to ensure it passes off “safely, lawfully and in a way that prevents serious disruption”.