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Safety spotlight HSIB legacy publication National learning report Briefing paper Poster gallery Safety improvement example Safety recommendations Annual report Thematic review Programme Strategy Letters Conferences Stakeholder bulletin

Launch of new MNSI thematic review: Homebirth

Thematic review

In response to learning identified from MNSI (formally Healthcare Safety Investigation Branch (HSIB)) maternity investigations, MNSI wants to further understand how systems and pathways affect the safe delivery of intrapartum care at home. MNSI started a thematic review in 2025 to understand the th…
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Neonatal collapse alongside skin-to-skin contact

National learning report

HSIB legacy publication

National learning report
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MNSI programme strategy published

Strategy

The Maternity and Newborn Safety Investigations (MNSI) programme has published its 2025–27 strategy, building on its approach to improving maternity and newborn safety.
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Second COMPASS programme launched

Programme

We are announcing today a second pilot programme of our innovative assessment tool designed to examine the impact of organisational culture on safe care. The initial pilot of the MNSI tool, called COMPASS – Culture of Organisations and its iMpact on PAtientS’ Safety ­­– ran in spring 2025.
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MNSI Annual Report 2024/25 published

Annual report

MNSI’s Annual Report 2024/25, highlights work carried out between April 2024 and March 2025 to improve maternity and newborn safety in England.
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MNSI Annual Report 2023-24 Published

Annual report

MNSI launches it's annual report
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Factors affecting the delivery of safe care in midwifery units

National learning report

National learning report.
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Learning from maternal death investigations during the first wave of the COVID-19 pandemic

National learning report

HSIB legacy publication

National learning report.
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Assessment of risk during the maternity pathway

National learning report

HSIB legacy publication

National learning report.
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Intrapartum stillbirth: learning from maternity safety investigations that occurred during the COVID-19 pandemic 1 April to 30 June 2020

National learning report

HSIB legacy publication

National learning report.
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