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In a critical examination of NHS maternity services, Baroness Valerie Amos has not dismissed the possibility of recommending a statutory inquiry following shocking revelations about care standards. Leading a national investigation, her interim report, released recently, highlights disturbing accounts of systemic failures, particularly affecting Black and Asian women. As she prepares to present her findings to the government in June, the call for a public inquiry grows louder among families and campaigners advocating for accountability in maternity care.
Disturbing Interim Findings
Baroness Amos, who heads the investigation into NHS maternity services, shared the preliminary results of her inquiry, which included interviews with 400 families and feedback from 8,000 individuals. The interim report paints a grim picture of care, revealing instances of racism and discrimination that have left many families devastated.
During an appearance on BBC Radio’s Today programme, she described the testimonies as “deep and broad” and “shocking,” emphasizing the emotional toll of listening to families recount their traumatic experiences. “These families are eager for change,” she noted, highlighting their desire for future mothers to have a different experience.
When questioned about the likelihood of a statutory inquiry—one that would possess stronger legal powers than her current review—Baroness Amos remained non-committal, stating, “I haven’t got to the point of what recommendations I will be making. I’m not ruling anything in or out at this stage.”
Call for Accountability
The need for a statutory inquiry has been echoed by various campaign groups, who argue that such a move would enable legal mechanisms to compel witness testimonies, something the current investigation lacks. Anita Jewitt, Head of Medical Negligence at law firm Stewarts, welcomed the Amos review but expressed concerns over the limitations of a non-statutory inquiry. “When systemic themes around leadership, culture, discrimination, and accountability are identified across successive reviews, it raises the question of whether this should trigger a statutory public inquiry,” she said.

Jewitt underscored the potential impact of a statutory inquiry, suggesting it would ensure a level of scrutiny that reassures families of a thorough investigation. “It makes it far more difficult for accountability to be deflected,” she added, reinforcing the urgency for comprehensive reform in maternity care.
Legal and Systemic Challenges
Baroness Amos’s interim report also addresses the legal complexities surrounding stillbirths. She noted that the existing laws may inadvertently incentivise hospitals to record deaths as stillbirths, thus avoiding coroner investigations. Many families, she explained, feel that their experiences are not adequately acknowledged under current regulations.
“Families believe they have seen signs of life, yet are told otherwise,” she remarked during an interview with Sky News. “The law is very clear that the baby has to have taken a breath, but who determines that?” The ongoing investigation aims to explore these legal issues in depth, although it remains premature to speculate on specific recommendations.
A History of Inadequate Change
Baroness Amos highlighted a troubling history of ignored recommendations, revealing that 748 suggestions have been made over the past decade regarding maternity services, yet meaningful change has been frustratingly slow. “Time and time again, families and staff see the same issues repeated,” she asserted. “This cycle must stop.”

Her investigation follows previous scrutinies into the Shrewsbury and Telford Hospital, which uncovered failures in care that contributed to the avoidable deaths of 200 babies. Additionally, a non-statutory inquiry into maternity failures in Nottingham is currently examining around 2,500 cases of alleged harm, further underscoring the need for systemic reform.
Why it Matters
The alarming findings from Baroness Amos’s interim report expose a critical need for accountability and reform within NHS maternity services. As families bravely share their harrowing experiences, the call for a statutory inquiry grows stronger. This could lead to significant changes that not only address the immediate concerns raised but also restore trust in a system that is meant to support mothers and their children. The outcomes of this investigation may well determine the future landscape of maternity care in the UK, making it a pivotal moment for health policy and maternal rights.