Commons Sense

House of Commons · Westminster Hall

Maternity Services

25 February 2025 · 21 other contributors · 14,724 words

Opened by Jess Brown-Fuller Lib Dem Chichester

Responding minister: Karin Smyth

NHS

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Jess Brown-Fuller raised concerns about maternity services in Westminster Hall. A government minister responded.

Key points

  • Care Quality Commission inspection found that 65% of 131 maternity units were not safe for women to give birth in.
  • The Ockenden report highlighted systemic flaws in maternity care across England and called for immediate reforms.
  • Midwives work over 100,000 hours of unpaid overtime weekly due to staffing shortages, leading to burnout and high turnover.

Key requests to Government

The government should explore alternative routes to support midwifery and nursing students through new funding options or a scheme where student debt is forgiven after a defined period of service in the NHS. The Minister should work with her colleagues in the Department for Education to address this fundamental flaw in the delivery of level 6 and level 7 apprenticeships.

How the debate unfolded

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

Opened the debate

Jess Brown-Fuller Lib Dem Chichester

A Care Quality Commission inspection of 131 maternity units found that 65% were not safe for women to give birth in, with studies showing one fifth of all causes of stillbirth are potentially preventable. The Ockenden report highlighted flaws in maternity care across England and emphasised the need for immediate actions to reform services. Midwives often work over 100,000 hours of unpaid overtime every week due to inadequate staffing levels, leading to burnout, absenteeism, high staff turnover, and loss of experienced professionals.

Other contributors (21)
  • Chris Bloore Lab Redditch

    The MP thanked Jess Brown-Fuller for securing the debate, highlighting the challenges faced by Redditch maternity services which were relocated to Worcestershire Royal in 2017. The Member also raised concerns about future pressures due to population growth and urged a review of centralisation decisions.

  • Dave Robertson Lab Lichfield

    Fundamentally, it is about giving kids the best start in life and giving mums the best care. Midwife-led units are important for choice, safety, and providing a calmer environment than big hospitals.

  • Al Pinkerton LD Surrey Heath

    He stated that inadequate staffing at Frimley Park hospital remains a significant issue despite an outstanding CQC report. He emphasized the need for safe spaces where staff can have conversations and handovers can take place to retain nursing staff.

  • Beccy Cooper Lab Worthing West

    Points out the ongoing issues with poor maternity service ratings and highlights health inequalities for minority groups. Calls for better training and retention of midwives to improve services.

  • Danny Chambers LD Winchester

    Discusses the importance of maternal mental health and the impact of gestation on lifelong health, emphasizing the need for comprehensive care before birth.

  • Evans Lab Hinckley and Bosworth

    Highlighted improvements in neonatal mortality rate since 2010, reducing by a quarter for babies born after at least 24 weeks of pregnancy.

  • Luke Evans Con Hinckley and Bosworth

    Emphasised the importance of balancing acknowledgment of risks with quality care, highlighted instances of good-quality care alongside tragic cases. Mentioned issues such as unresponsive triage practices and lack of space in facilities.

  • Helen Maguire LD Epsom and Ewell

    She highlights the excellence of maternity services in her constituency but points out that infrastructure is not fit for purpose, with older hospital buildings making it harder to provide high standards of care. Suggested working with the Secretary of State for Education to roll out a successful T-level qualification in health with midwifery from La Retraite sixth form, which is linked up with Guy’s and St Thomas’.

  • Helen Morgan LD North Shropshire

    Acknowledges the significant issues in NHS maternity services highlighted by various reports and investigations. Expresses anger over the lack of action despite government commitments to improve safety and staffing levels.

  • Iqbal Mohamed Ind Dewsbury and Batley

    The Brontë birth centre in Dewsbury and Batley reopened after two years of closure due to staff shortages. There is a need for seamless obstetrician provision for midwife-led care if required, as transferring mothers with complications from Dewsbury to Wakefield increases risks.

  • Jeremy Hunt Con Godalming and Ash

    He agreed that changing the way litigation is handled could improve patient safety, as staff often fear speaking out due to potential lawsuits or job loss.

  • Jess Brown-Fuller Con Chichester

    Thanked Members for their constructive approach, mentioned that parents felt lessons were not learned from tragic events, and urged NHS trusts to contact parents directly.

  • Jim Shannon DUP Strangford

    Commends the debate's lead MP, sharing local perspective on Northern Ireland’s maternity care system. Highlights need for coordinated change in maternity care. Discussed collaboration with devolved Governments to ensure retention and recruitment challenges are addressed.

  • Josh Fenton-Glynn Lab Calder Valley

    He notes that women's health is under-prioritised in the UK, with maternity services facing a crisis. The Royal College of Midwives has expressed concerns about safe staffing levels and investment needs.

  • Katie White Lab Leeds North West

    Raises concerns about the lack of progress on an independent inquiry for Leeds following Dan and Fiona's tragic loss of their baby Aliona.

  • Liz Jarvis LD Eastleigh

    Charlotte gave birth to Norah who died suddenly due to inadequate care. Nearly two thirds of England’s maternity services are not safe enough according to the Care Quality Commission's figures.

  • Marie Goldman LD Chelmsford

    The MP focused on the role of CQC in keeping maternity services safe, highlighting concerns about delays in releasing inspection reports which hinder efforts to improve services at Broomfield hospital.

  • Max Wilkinson LD Cheltenham

    Highlights the closure of Cheltenham General Hospital’s birth unit and the downgrade of Gloucestershire Royal Hospital’s maternity services to inadequate. Raises concerns about delays in CQC reporting.

  • Emphasized the importance of workforce and meeting safe levels of staffing in maternity care.

  • Angus MacDonald LD Inverness, Skye and West Ross-shire

    The MP expressed concern over the impact of centralised maternity services in Inverness on expectant mothers from remote areas such as Sutherland, Argyll, and Eigg.

  • Tom Rutland Lab East Worthing and Shoreham

    Maternity services in East Worthing and Shoreham are inadequate, with all four units in the University Hospitals Sussex NHS foundation trust rated as requiring improvement. Families have suffered devastating experiences due to failures in care, including stillbirths and tragic deaths from misdiagnosis and poor communication. Discussed meetings with families affected by maternity care issues.

Government Response

Karin Smyth

The Minister for Secondary Care

Acknowledged the importance of the debate on maternal and neonatal services and committed to addressing Donna Ockenden’s recommendations. Announced plans to publish a refreshed long-term workforce plan in summer, which will include midwifery training. Mentioned the need for time within the Department to ensure that any new plans are strong and effective before release. Discussed potential collaboration with Guy’s and St Thomas’ on their T-level qualification program for midwives. Announced NHS England’s three-year delivery plan aiming to make maternity and neonatal care safer, fairer, and more tailored. Highlighted initiatives such as the saving babies’ lives care bundle and perinatal culture and leadership programme. Discussed ongoing progress on recommendations from the Shrewsbury and Telford review. Mentioned investment of £10 million annually in deprived areas to reduce inequality. Addressed improvements in neonatal mortality rate, stillbirth rate reduction, and overall decrease in brain injuries occurring during or soon after birth. Emphasized support for bereaved families through baby loss certificates and seven-day bereavement care provision. Discussed workforce challenges, including midwife retention measures and mentoring schemes. Mentioned investment in retention leads for every maternity ward leading to a decline in leaver rates.

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