The Maternity and Newborn Safety Investigations programme is part of a national strategy to improve maternity safety across the NHS in England.

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What we do

All NHS trusts are required to tell us about certain patient safety incidents that happen in maternity care. This is so that we can carry out an independent investigation and, where relevant, make safety recommendations to improve services at local level and across the whole maternity healthcare system in England. Throughout investigations we work closely with the families, NHS trusts and staff involved. We do not place blame on individuals or investigate individual members of NHS staff.

Safety spotlight: HbA1c testing in women with sickle cell trait

Laboratory tests for glycosylated haemoglobin (HbA1c) can underestimate past glycaemia in people with haemoglobin variants, such as those with sickle cell trait. This is because there is an increased…

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Maternal Care Bundle safety spotlights

We welcome the publication of the Maternal Care Bundle by NHS England and are delighted to have been a key contributor in its development. A series of safety spotlights follow.

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Safety spotlight: Late diagnosis of breech presentation

MNSI has completed a number of investigations where there has been a late diagnosis, in established labour, of a baby being in breech presentation during an induction of labour.

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Feedback

This is an amazing service which you never know about until you’re living this nightmare, we can’t thank you all enough for such a thorough investigation.

Family

The investigators were very informative, professional, and made me feel comfortable. The questions I was asked were appropriate and I did not feel there was a slant on blame at all.

NHS staff

Fantastic service well supported throughout the whole process. Thank you.

Family

I felt this was a positive experience to be a part of, I was made to feel at ease, as I was worried what this was going to be like as I have not been a part of anything like this before.

NHS staff

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