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MNSI responds to report by the All-Party Parliamentary Group on Birth Trauma

The Maternity and Newborn Safety Investigations programme (MNSI) welcomes today’s publication and recommendations that call for safe staffing levels, mandatory training on trauma-informed care and un…
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National learning report highlights key factors needed to ensure safe care in midwifery units

MNSI has today published a report identifying the main factors affecting the delivery of safe care in NHS hospital midwifery units.
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Changes to the MNSI investigation report template

On April 1st 2024, six months after the transition to being hosted by the CQC, MNSI made changes to their investigation reports and process. Zoë Munson, a maternity investigator, and co-chair of the …
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Inspiring inclusion

Inspiring inclusion and empowering MNSI investigators

The theme for this year’s International Women's Day (8 March) is ‘inspire inclusion’, so it's timely to reflect on the steps we’re taking to inspire inclusivity within our investigative pra…
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Why it made sense at the time: Local rationality questions for healthcare investigations

Louise Roe explains how she developed an interview framework that safeguards interviewees and deepens local rationality questioning
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MNSI Ambitions for 2024

With MNSI’s transition to CQC completed and a new year underway, it’s a good time to look towards the year ahead and a new chapter in MNSI’s history. Sandy Lewis, Director of the Maternity Investigat…
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Safety factors surrounding effective communication throughout the pregnancy journey

In this blog, MNSI highlights the safety factors that work well, identifies where there are barriers to effective communication and recognises the work that is taking place to overcome them.
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Maternity Investigation Programme Year in Review 2022/23

During 2022/23 the maternity programme completed 702 reports and made more than 1,380 safety recommendations, with families remaining central to the work we undertake.
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Public defibrillator

Issues with access to public defibrillators

Sharon Perkins, Maternity Investigator, takes a closer look at the use of community public access defibrillators, often known as (CPADs).
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International Day of the Midwife 2023

The International Confederation of Midwives (ICM) leads a day of global recognition and celebration of the work of midwives on 5 May every year.
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Understanding the doula’s role in maternity safety investigations

In this blog, we review doula involvement in maternity cases referred to us for safety investigations.
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Maternity investigations programme to be hosted by Care Quality Commission

It has been announced via a Written Ministerial Statement that the Healthcare Safety Investigation Branch’s (HSIB’s) maternity programme will be hosted later this year by the Care Quality Commission …
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Risk assessments during the maternity care pathway

Following the publication of our national learning report on the same topic, Sonia Barnfield looks at risk assessments during the maternity care pathway.
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National learning report highlights risks associated with ‘incomplete’ maternal risk assessments

Our latest learning report emphasises that maternity risk assessments can be inconsistent and do not support changes in pregnant women/person’s circumstances during the ‘maternity pathway’ (pregnancy…
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