A recent investigation into maternity services in England has unveiled troubling practices within the NHS, revealing a culture of secrecy and negligence that has left families reeling. The inquiry, led by Lady Amos, highlights not only the systemic failures that have put the lives of mothers and babies at risk but also the distressing trend of hospitals concealing errors and falsifying medical records.
A Troubling Landscape for Maternity Services
The inquiry’s findings come at a time when maternity care is becoming increasingly complex, with rising numbers of older mothers and higher rates of obesity among pregnant women. Lady Amos, a former Labour cabinet minister, stated that the investigation was initiated due to mounting concerns over the quality of care provided by NHS childbirth services.
“The system is not working for women, babies, and families, or for staff,” Amos remarked after months of dialogue with hundreds of families and healthcare professionals. Her observations point towards a healthcare system struggling to deliver the safe, compassionate care that is both expected and deserved, often with tragic consequences.
Families Left in the Dark
Amos’s report highlights the devastating emotional toll that negligent care has on families, emphasising that many parents have been denied transparency regarding their treatment. They often encounter a wall of secrecy from NHS trusts, which can lead to feelings of betrayal and frustration.

Many families reported a sense of being stonewalled, with requests for medical records frequently met with resistance, and instances of records being altered or withheld. One mother described how, three years post-birth, her trust produced “magical notes” that contradicted her own records, illustrating a shocking lack of accountability.
The Human Cost of Staff Shortages
Compounding these issues is the ongoing staffing crisis within maternity units, which has resulted in significant delays and inadequate care. Expectant mothers face long waits for assessments and are often sent home without proper evaluations after childbirth. The inability to schedule home births due to a lack of available midwives further exacerbates the situation, leaving many women feeling unsupported and neglected.
Amos’s report, a 35-page critique of NHS practices, calls attention to how these systemic pressures lead to poor outcomes for mothers, particularly those from ethnic minorities or lower-income backgrounds. The emotional and psychological ramifications of such inadequate care cannot be overstated, as highlighted by the report’s references to families grappling with grief and trauma.
Calls for Immediate Action
The inquiry, commissioned by Health Secretary Wes Streeting in response to a series of high-profile maternity scandals, underscores the urgent need for reform. Acknowledging the gravity of the situation, Streeting stated, “Baroness Amos’s report lays bare the systematic, sustained, and recurring failures in maternity and neonatal care across the country.”

As the NHS grapples with the fallout from these findings, which include the most extensive maternity inquiry in its history, the pressure is mounting for immediate improvements. MP Layla Moran has called for urgent reforms, warning against waiting for the final report to take action.
Why it Matters
The revelations from Lady Amos’s investigation shed light on a healthcare system in crisis, where transparency and accountability seem to be in short supply. As families continue to bear the brunt of these failures, the need for reform becomes increasingly urgent. The emotional scars left by negligent care are profound, affecting not only individual families but also public trust in the NHS itself. If tangible changes are not implemented swiftly, the cycle of suffering and secrecy will only perpetuate, leaving future generations of mothers and babies at risk.