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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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‘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.

“This has been a problem for a long time, and it is why maternity is a priority area in the women’s health strategy.”

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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‘A lot more work to be done’

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.”

Sandra Igwe
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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‘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.”

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Rachel Reeves to head to Washington amid hopes of US trade deal

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Rachel Reeves to head to Washington amid hopes of US trade deal

Rachel Reeves will pledge to “stand up for Britain’s national interest” as she heads to Washington DC amid hopes of a UK/US trade deal.

The chancellor will fly to the US capital for her spring meetings of the International Monetary Fund (IMF), the first of which began on Sunday.

During her three-day visit, Ms Reeves is set to hold meetings with G7, G20 and IMF counterparts about the changing global economy and is expected to make the case for open trade.

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Her visit comes after Donald Trump imposed blanket 10% tariffs on all imports into the US, including from the UK, and as talks about reaching a trade deal intensified.

The chancellor will also hold her first in-person meeting with her US counterpart, treasury secretary Scott Bessent, about striking a new trade agreement, which the UK hopes will take the sting out of Mr Trump’s tariffs.

In addition to the 10% levy on all goods imported to America from the UK, Mr Trump enacted a 25% levy on car imports.

Ms Reeves will also be hoping to encourage fellow European finance ministers to increase their defence spending and discuss the best ways to support Ukraine in its war against Russia.

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Speaking ahead of her visit, Ms Reeves said: “The world has changed, and we are in a new era of global trade. I am in no doubt that the imposition of tariffs will have a profound impact on the global economy and the economy at home.

“This changing world is unsettling for families who are worried about the cost of living and businesses concerned about what tariffs will mean for them. But our task as a government is not to be knocked off course or to take rash action which risks undermining people’s security.

“Instead, we must rise to meet the moment and I will always act to defend British interests as part of our plan for change.

“We need a world economy that provides stability and fairness for businesses wanting to invest and trade, more trade and global partnerships between nations with shared interests, and security for working people who want to get on with their lives.”

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Starmer and Zelenskyy discuss ending Russia’s ‘brutal war’ – as Putin says says he is open to bilateral talks on longer ceasefire

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Starmer and Zelenskyy discuss ending Russia's 'brutal war' - as Putin says says he is open to bilateral talks on longer ceasefire

Sir Keir Starmer and Volodymyr Zelenskyy spoke about ending Russia’s “brutal war” on Ukraine in their latest phone call on Easter Monday, as Vladimir Putin said he was open to bilateral talks.

The prime minister and Ukrainian president spoke on Monday afternoon, when Sir Keir “reiterated his iron-clad support for Ukraine“.

A Downing Street spokesperson added that the prime minister “said that the UK supports Ukraine’s calls for Russia to commit to a full ceasefire and that now is the time for Putin to show he is serious about ending his brutal war”.

“They discussed the latest developments on the Coalition of the Willing, and looked forward to further progress towards a just and lasting peace,” the spokesperson added.

Mr Zelenskyy later said on social media that he had a “good and detailed conversation” with the prime minister, and added Ukrainian officials will be in London for talks on ending the war with Russia on Wednesday.

“We are ready to move forward as constructively as possible, just as we have done before, to achieve an unconditional ceasefire, followed by the establishment of a real and lasting peace,” he added.

The Ukrainian president added that the 30-hour Easter truce, which both Kyiv and Moscow accuse the other of violating, showed that Russia “are prolonging the war”.

It comes as Mr Putin proposed bilateral talks with Ukraine on a longer ceasefire, which would mark the first time Russia held such talks since a failed peace deal soon after the invasion in 2022.

Speaking to a state TV reporter, the Russian president said: “We always have a positive attitude towards a truce, which is why we came up with such an initiative (the Easter truce), especially since we are talking about the bright Easter days.”

When asked about Mr Zelenskyy’s calls to extend the 30-hour ceasefire into a 30-day pause on civilian targets, he added: “This is all a subject for careful study, perhaps even bilaterally. We do not rule this out.”

The Ukrainian president said on Sunday evening that the Russian army had “violated Putin’s ceasefire more than 2,000 times” during the day, and accused Russia of “failing” to “uphold its own promise of a ceasefire”.

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From Saturday: Why Putin offered an Easter truce?

It also comes after Donald Trump has said he hopes Russia and Ukraine “will make a deal this week,” after he and his secretary of state Marco Rubio warned that the US will walk away from efforts to broker a peace deal unless there are clear signs of progress soon.

The US president said on his Truth Social platform that both countries would “start to do big business” with the US after ending the war.

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Last month, Ukraine accepted Mr Trump’s proposal for a 30-day truce, but Mr Putin refused to back a full 30-day ceasefire, saying crucial issues of verification had not been sorted out.

He then said he would agree not to target Ukraine’s energy infrastructure. However, both sides have accused each other of breaking the moratorium on attacks on energy targets and at sea.

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Paul Atkins, nominated by Trump, has been sworn in as SEC chair

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Paul Atkins, nominated by Trump, has been sworn in as SEC chair

Paul Atkins, nominated by Trump, has been sworn in as SEC chair

Paul Atkins has officially been sworn in as the 34th Chairman of the Securities and Exchange Commission.

The April 21 announcement comes nearly two weeks after Atkins’ position was confirmed by the US Senate in a 52-44 vote on April 9.

“I am honored by the trust and confidence President Trump and the Senate have placed in me to lead the SEC,” Atkins said in a statement.

“As I return to the SEC, I am pleased to join with my fellow Commissioners and the agency’s dedicated professionals to advance its mission to facilitate capital formation; maintain fair, orderly, and efficient markets; and protect investors.”

Atkins is widely expected to lead a more crypto-friendly SEC than former chair Gary Gensler under the Biden administration.

He previously served as an SEC commissioner between 2002 and 2008.

This is a developing story, and further information will be added as it becomes available.

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