EPISODE · Jul 3, 2026 · 47 MIN
750 recommendations, and little change - why the UK keeps having maternity care reviews.
from Medicine and Science from The BMJ · host The BMJ
Two NHS maternity reviews have been published over the past few weeks. The biggest ever conducted, involving nearly 2500 families, investigated services at Nottingham university hospitals NHS trust. It was led by senior midwife, Donna Ockenden, and its findings on poor and avoidable harm to babies and mothers have reverberated throughout UK healthcare. This was followed immediately by publication of an independent investigation into maternity and neonatal services in England, conducted by Valerie Amos, which states that the UK's poor maternity care is "on a scale that shames our society". We speak to Kate Duhig, clinical senior lecturer at Kings College London, and Marian Knight, professor of of maternal and child population health at the University of Oxford, about why we keep having reports saying the same thing, but little action to solve the problem. As many wealthy nations have stepped back from previous aid promises, a new force has emerged to fill the gaps: private finance. David McCoy is professor of global public health at the United Nations University, and explains why turning to investment banks, wealth funds, and private equity in the pursuit of universal health coverage might cause more problems than it solves. Reading list: Dangers of finance capital in healthcare Amos maternity review: Doctors must work differently as units “no longer fit for purpose,” but report is dogged by controversy Nottingham maternity review: 520 mothers and babies were seriously harmed on “toxic” ward, damning inquiry finds
What this episode covers
Two NHS maternity reviews have been published over the past few weeks. The biggest ever conducted, involving nearly 2500 families, investigated services at Nottingham university hospitals NHS trust. It was led by senior midwife, Donna Ockenden, and its findings on poor and avoidable harm to babies and mothers have reverberated throughout UK healthcare. This was followed immediately by publication of an independent investigation into maternity and neonatal services in England, conducted by Valerie Amos, which states that the UK's poor maternity care is "on a scale that shames our society". We speak to Kate Duhig, clinical senior lecturer at Kings College London, and Marian Knight, professor of of maternal and child population health at the University of Oxford, about why we keep having reports saying the same thing, but little action to solve the problem. As many wealthy nations have stepped back from previous aid promises, a new force has emerged to fill the gaps: private finance. David McCoy is professor of global public health at the United Nations University, and explains why turning to investment banks, wealth funds, and private equity in the pursuit of universal health coverage might cause more problems than it solves. Reading list: Dangers of finance capital in healthcare Amos maternity review: Doctors must work differently as units “no longer fit for purpose,” but report is dogged by controversy Nottingham maternity review: 520 mothers and babies were seriously harmed on “toxic” ward, damning inquiry finds
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750 recommendations, and little change - why the UK keeps having maternity care reviews.
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