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A recent investigation into England’s maternity services has unveiled a troubling pattern of negligence and cover-ups that have left countless families grappling with the aftermath of poor care. The inquiry, commissioned by Health Secretary Wes Streeting and led by Baroness Amos, highlights alarming discrepancies in how NHS trusts handle childbirth incidents, exposing a culture of secrecy that shields harmful practices rather than addressing them.
A Dark Reality for Families
The report, which draws on testimonies from hundreds of families and maternity staff, reveals that hospitals often resort to altering medical records and denying bereaved parents critical information about their care. This “negligent” approach has not only led to devastating emotional consequences for families but has also perpetuated a cycle of inadequate care that disproportionately affects ethnic minorities and those from lower socioeconomic backgrounds.
Baroness Amos emphasised that the system is failing both women and babies, stating, “We have seen maternity and neonatal services trying to respond in difficult circumstances… but too often failing to deliver the safe care that women, families and babies expect and deserve.”
Compounding Issues in Maternity Care
Recent trends, including an increase in older mothers and a rise in pregnancies among women with obesity, have added complexity to maternity care. This evolving demographic landscape demands an adaptive and responsive healthcare system, yet the report indicates significant shortcomings in NHS trusts’ ability to improve quality and safety.

Staff shortages plague maternity units across the country, leading to long wait times for essential assessments and a lack of available midwives for home births. Consequently, mothers often leave hospitals without adequate postnatal care, exacerbating the challenges they face. “It is unsurprising that women and families report a lack of basic care and support,” Amos commented.
The Culture of Secrecy
Amos’s findings are particularly damning regarding the culture of secrecy within NHS trusts. Many families expressed feelings of being stonewalled when seeking information about their care experiences, with some recounting incidents where medical notes were altered or withheld. One woman shared her frustration over receiving “magical notes” three years after her daughter’s birth, which she knew to be inaccurate due to her own detailed documentation.
The refusal of NHS trusts to involve families in investigations into their experiences further compounds the trauma of poor care. Families are often left feeling they must resort to legal action to uncover the truth, which can lead to additional emotional distress during already painful times.
A Call for Immediate Action
In light of the report’s findings, MPs and health advocates are urging the government to take swift action to remedy the pervasive issues plaguing maternity services. Layla Moran, chair of the Commons health and social care committee, expressed her heartbreak over the continued failures, stressing the need for urgent improvements instead of waiting for the final report from Amos.

Helen Morgan, the health spokesperson for the Liberal Democrats, echoed this sentiment, demanding accountability for what she termed the “unacceptable” state of maternity care in Britain. Health Secretary Wes Streeting acknowledged the systemic failures highlighted in the report, vowing to establish a new taskforce aimed at reforming maternity care based on Amos’s forthcoming recommendations.
Why it Matters
The findings of this inquiry are a wake-up call for the NHS and the broader healthcare community. They shine a light on the urgent need for accountability and reform in maternity services, where the stakes are nothing less than the health and wellbeing of mothers and infants. Without substantial changes, the devastating cycle of negligence and secrecy will continue to undermine trust in the healthcare system, leaving families to navigate their grief and trauma without the support they so desperately need. It is imperative that policymakers act decisively, ensuring that all families receive the compassionate and competent care they deserve during one of life’s most critical moments.