IEA 1
Accepted
Link to recommendation IEA 1
Recommendation · source text
Essential action – financing a safe maternity workforce: The recommendations from the Health and Social Care Committee Report: The safety of maternity services in England must be implemented.
Essential action – training: We state that the Health and Social Care Select Committee view that a proportion of maternity budgets must be ring-fenced for training in every maternity unit should be implemented.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations." NHS England committed to a renewed delivery plan reflecting the IEAs.
IEA 2
Accepted
Link to recommendation IEA 2
Recommendation · source text
All trusts must maintain a clear escalation and mitigation policy where maternity staffing falls below the minimum staffing levels for all health professionals.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 3
Accepted
Link to recommendation IEA 3
Recommendation · source text
Staff must be able to escalate concerns if necessary. There must be clear processes for ensuring that obstetric units are staffed by appropriately trained staff at all times. If not resident there must be clear guidelines for when a consultant obstetrician should attend.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 4
Accepted
Link to recommendation IEA 4
Recommendation · source text
Trust boards must have oversight of the quality and performance of their maternity services. In all maternity services the Director of Midwifery and Clinical Director for obstetrics must be jointly operationally responsible and accountable for the maternity governance systems.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 5
Accepted
Link to recommendation IEA 5
Recommendation · source text
Incident investigations must be meaningful for families and staff and lessons must be learned and implemented in practice in a timely manner.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 6
Accepted
Link to recommendation IEA 6
Recommendation · source text
Nationally all maternal post-mortem examinations must be conducted by a pathologist who is an expert in maternal physiology and pregnancy related pathologies. In the case of a maternal death a joint review panel/investigation of all services involved in the care must include representation from all applicable hospitals/clinical settings. All maternity governance teams must ensure the language used in investigation reports is easy to understand for families, for example ensuring any medical terms are explained in lay terms.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 7
Accepted
Link to recommendation IEA 7
Recommendation · source text
Staff who work together must train together. Staff should attend regular mandatory training and rotas. Job planning needs to ensure all staff can attend. Clinicians must not work on labour ward without appropriate regular CTG training and emergency skills training.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 8
Accepted
Link to recommendation IEA 8
Recommendation · source text
Local Maternity Systems, Maternal Medicine Networks and trusts must ensure that women have access to pre-conception care. Trusts must provide services for women with multiple pregnancy in line with national guidance. Trusts must follow national guidance for managing women with diabetes and hypertension in pregnancy.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 9
Accepted
Link to recommendation IEA 9
Recommendation · source text
The LMNS, commissioners and trusts must work collaboratively to ensure systems are in place for the management of women at high risk of preterm birth. Trusts must implement NHS Saving Babies Lives Version 2 (2019).
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 10
Accepted
Link to recommendation IEA 10
Recommendation · source text
Women who choose birth outside a hospital setting must receive accurate advice with regards to transfer times to an obstetric unit should this be necessary. Centralised CTG monitoring systems should be mandatory in obstetric units.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 11
Accepted
Link to recommendation IEA 11
Recommendation · source text
In addition to routine inpatient obstetric anaesthesia follow-up, a pathway for outpatient postnatal anaesthetic follow-up must be available in every trust to address incidences of physical and psychological harm. Documentation of patient assessments and interactions by obstetric anaesthetists must improve. The determination of core datasets that must be recorded during every obstetric anaesthetic intervention would result in record-keeping that more accurately reflects events. Staffing shortages in obstetric anaesthesia must be highlighted and updated guidance for the planning and provision of safe obstetric anaesthesia services throughout England must be developed.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 12
Accepted
Link to recommendation IEA 12
Recommendation · source text
Trusts must ensure that women readmitted to a postnatal ward and all unwell postnatal women have timely consultant review. Postnatal wards must be adequately staffed at all times.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 13
Accepted
Link to recommendation IEA 13
Recommendation · source text
Trusts must ensure that women who have suffered pregnancy loss have appropriate bereavement care services.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 14
Accepted
Link to recommendation IEA 14
Recommendation · source text
There must be clear pathways of care for provision of neonatal care. This review endorses the recommendations from the Neonatal Critical Care Review (December 2019) to expand neonatal critical care, increase neonatal cot numbers, develop the workforce and enhance the experience of families. This work must now progress at pace.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."
IEA 15
Accepted
Link to recommendation IEA 15
Recommendation · source text
Care and consideration of the mental health and wellbeing of mothers, their partners and the family as a whole must be integral to all aspects of maternity service provision. Maternity care providers must actively engage with the local community and those with lived experience, to deliver services that are informed by what women and their families say they need from their care.
View response
Secretary of State Sajid Javid, oral statement to the House of Commons, 30 March 2022: "The local trust, NHS England, and the Department of Health and Social Care will be accepting all 84 recommendations."