Press releases

Independent review of maternity incident published


In 2017, the Greater Nottingham Clinical Commissioning Groups commissioned an independent review into a maternity incident, which took place at Nottingham University Hospitals. A summary of the findings of this report is published today.

Nichola Bramhall, Chief Nurse and Director of Quality at the Greater Nottingham Clinical Commissioning Groups says: “This is an extremely sad case and we have been working very closely with the family and NUH to offer support throughout this independent review stage.


“We’re pleased that the report has provided the parents with the answers they were seeking and the Trust with additional learning, which they are incorporating into their action plan to improve Maternity Services.

“The Greater Nottingham Clinical Commissioning Groups will continue to work with NUH to support them to implement the recommendations. The learning will be shared wider within the Local Maternity system, where local providers and Commissioners of maternity services work together to transform maternity services across Greater Nottingham, in line with the vision set out in the national Maternity Review ‘Better Births’ .”

Tracy Taylor, Chief Executive of Nottingham University Hospitals NHS Trust, has offered her sympathies and apologies to the family.

She said: "I offer my deepest sympathy to Sarah and Jack for the pain and distress the death of their daughter, Harriet, continues to cause them and their family. I profoundly apologise that we let them and Harriet down so badly. NUH has acknowledged that it is likely Harriet would have survived had it not been for several shortcomings in care.

"We welcomed the independent review commissioned by our local commissioner, which provided a further opportunity for our teams to reflect and learn from this incredibly sad case. We accept the criticisms of our care and service delivery, the root causes of these and the conclusions in the latest report and will comply with the recommendations that have arisen from the external review, ensuring appropriate further actions are taken.

"We have already made substantial changes to address the shortcomings in our systems of clinical care, governance, processes and personnel that arose from this case and a broader review of maternity services.

"The key changes we have made in response to all of the investigations are a strengthened maternity leadership structure, improved involvement of parents in the investigation process, and strengthened governance processes."

Published: 13 December 2017