
A major inquiry into maternity services at Nottingham University Hospitals (NUH) NHS Trust has found that more than 500 mothers and babies suffered needless harm or death due to deep-rooted, systemic failures in care. The review, led by senior midwife Donna Ockenden, describes a pattern of persistent failures stretching back decades and a culture that actively suppressed complaints.
The inquiry examined hundreds of cases involving stillbirths, neonatal deaths, and serious injuries to mothers and newborns at Nottingham's hospitals — making it the largest maternity scandal in NHS history. Ockenden found evidence of repeated missed opportunities to prevent harm, with staff who raised concerns facing bullying and being ignored by management.
The report describes a bullying, toxic culture at the trust and a persistent failure to listen to mothers, fathers, and their families. Families who raised concerns about their care were frequently dismissed or met with defensiveness. In several cases, women who complained were made to feel responsible for their own losses.
Health Secretary James Murray apologized to affected families on behalf of the NHS and the government. He pledged to deliver lasting change, including extending Martha's Rule — which gives patients and families the right to request a second medical opinion — to all maternity wards in England. The inquiry also called for urgent improvements in staffing levels, staff training, and the physical condition of maternity facilities.
Families who participated in the inquiry described a journey from excitement at the start of pregnancy to emptiness following preventable tragedies. Campaigners said the findings showed that the NHS had repeatedly failed to learn lessons from previous maternity scandals, including at Shrewsbury and Morecambe Bay.
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