The Maternity and Newborn Safety Investigations (MNSI) programme is part of a national strategy to improve maternity safety across the NHS in England. MNSI has completed over 3500 independent safety investigations, using system focused methodology, into maternity events, including direct and indirect maternal deaths in pregnancy and up to 6 weeks postpartum. In this series of webinars we will explore a variety of learnings and thematic analysis. Please see below for more info and to register.

  • Exploring learning from MNSI safety investigations: Health Equity Warning Score (HEWS) Tool and the Health Equity Assessment and Resource Toolkit (HEART) In this webinar we will explore MNSI’s Health Equity Warning Score (HEWS) and the Health Equity Assessment and Resource Toolkit (HEART). Join this webinar to find out how these tools are impacting on MNSI's safety investigations.
  • Exploring learning from MNSI safety investigations: Factors affecting the delivery of safe care in midwifery units In this webinar we will explore factors affecting the delivery of safe care in midwifery units following the analysis of 92 MNSI investigations where care had been given at some time during labour in a midwifery led setting.
  • Exploring learning from MNSI safety investigations: Umbilical cord management In this webinar we will explore MNSI's findings following a systematic literature review analysing the research regarding cord management during neonatal transition and resuscitation.

Catch up with previous webinars in the series

Exploring learning from MNSI safety investigations: What MNSI investigations tell us about neonatal resuscitation.

Slides: What MNSI investigations tell us about neonatal resuscitation.

Download Resource

PDF, Size: 1.5 MB

Exploring learning from MNSI safety investigations: Birthing outside of guidance: Learning from MNSI investigations

Slides: Birthing outside of guidance: Learning from MNSI investigations

Download Resource

PDF, Size: 2.9 MB

Related news

MNSI Exploring learning webinars (1)

WEBINAR SERIES 1: Catch up with previous webinars

Catch up with our series of webinars, which explore learnings and thematic analysis from our safety investigations.
Read the full article

MNSI response to Sands Fetal Movement Report 12 May 2025

We welcome the publication of Sands' "Improving information and guidance about fetal movements: a horizon scanning project" report. This important work aligns closely with key themes w…
Read the full article

MNSI pilots COMPASS - a new patient safety tool

COMPASS (Culture of Organisations and its iMpact on PAtientS’ Safety) is a new patient safety tool to help understand the impact of organisational culture on patient safety and is currently being tri…
Read the full article

Safety Spotlight: Delayed escalation in abnormal CTGs

MNSI has completed a number of investigations in which time limits, as described in national guidance, have delayed categorisation of CTG recordings, resulting in delays in escalation.
Read the full article

Introducing COMPASS: A new safety tool to help understand the impact of culture on patient safety

COMPASS (Culture of Organisations and its iMpact on PAtientS’ Safety) is a tool developed by MNSI to provide a standardised process for our staff to articulate, analyse, and feedback observations abo…
Read the full article
© 2025 MNSI. All rights reserved.