← Back to House of Commons Debates

Thirlwall Inquiry: Final Report and Recommendations

15 September 2026

Lead MP

Yvette Cooper
Normanton, Pontefract and Castleford
Lab

Debate Type

Ministerial Statement

Tags

EmploymentNHS
Other Contributors: 11

At a Glance

Yvette Cooper raised concerns about thirlwall inquiry: final report and recommendations in the House of Commons. A government minister responded. Other MPs also contributed.

How the Debate Unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said:

Government Statement

EmploymentNHS
Government Statement
Minister Cooper apologised for the timing and thanked the Opposition for their understanding. She began by addressing the report of the three-year public inquiry led by Lady Justice Thirlwall into events at the Countess of Chester hospital between 2015 and 2018. The inquiry focused on the experiences of 13 families who lost their newborn babies or who saw them experience serious collapse or injury. Cooper expressed deep sorrow for the distress and loss endured by these families and recognised the thoroughness and devastating nature of the report. She highlighted that the inquiry identified multiple and repeated mistakes and failings by organisations and individuals, and found failures in safeguarding, governance, regulation, and candour. The report concluded that some babies would have been saved if action was taken earlier. Cooper committed the Government to act on the recommendations and reiterated the importance of safeguarding, safety, and respect for families in the NHS. She outlined specific actions such as compulsory safeguarding training, new protocols, and employment requirements, as well as the introduction of video baby monitors and the update of sudden unexpected death in infancy and childhood guidance. The Government also agreed to legislate for a barring scheme for senior leaders and managers and to bring forward amendments for a new maternity and neonatal commissioner. Cooper concluded by emphasising the need to prioritise safety and safeguarding for babies in the NHS.

Shadow Comment

Damian Hinds
Shadow Comment
Shadow Minister Hinds thanked the Secretary of State for the statement and Lady Justice Thirlwall and her team for their work. He highlighted that the report is thorough and devastating, revealing recurring themes of the dismissal or undermining of whistleblowers and concerns about institutional reputation hampering patient safety. Hinds questioned the timeline for the Government's full response to the report and inquired about the existing freedom to speak up system and the need for a national oversight body. He also raised concerns about the abolition of the Health Services Safety Investigations Body and the need for real-time reporting and automated analysis to identify abnormalities. Hinds asked about the use of cameras in cots and the timeline for their implementation. He expressed concern about the non-implementation of previous recommendations and suggested that a Joint Committee of Parliament or the National Audit Office should ensure recommendations are pursued.
Assessment & feedback
Summary accuracy

About House of Commons Debates

House of Commons debates take place in the main chamber of the House of Commons. These debates cover a wide range of topics including government policy, legislation, and current affairs. MPs from all parties can participate, question ministers, and hold the government accountable for its decisions.