Source · Select Committees · Health and Social Care Committee
Recommendation 14
14
Paragraph: 74
In addition, we recommend that HSIB shares the learning from its maternity reports in a...
Recommendation
In addition, we recommend that HSIB shares the learning from its maternity reports in a more systematic and accessible manner. A top level summary of individual cases together with the key learnings derived from them should be shared rapidly across the NHS.
Paragraph Reference:
74
Government Response
Not Addressed
HM Government
Not Addressed
64. We accept this recommendation in part. 65. HSIB recognises the importance of sharing learning from their investigations. HSIB has generated substantial data about safety risks in maternity services after having completed over 1700 investigations by July 2021. However, there are large volumes of safety information already generated by Trusts through reporting for maternity services, and it is important that the national bodies work together to ensure all safety data on NHS maternity services is shared across the maternity system in a way that most effectively supports safety improvement. 66. Therefore, HSIB is working closely with academic partners to develop meaningful intelligence and useful data on safety risks in maternity services that can be shared publicly and across the system. HSIB has piloted the use of a quality matrix in their engagement with Trusts to aid their understanding of safety risks in th [...truncated...]