Letters sent to trusts
Letters
Read the letters previously sent to trusts
Read Publication
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…
Read Publication
Neonatal collapse alongside skin-to-skin contact
National learning report
HSIB legacy publication
National learning report
Read Publication
Annual publication of maternity safety investigation recommendations 2023 to 2024
Safety recommendations
MNSI publishes the safety recommendations from MNSI investigations completed in 2023/24.
Read Publication
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.
Read Publication
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.
Read Publication
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.
Read Publication
Annual publication of MNSI safety recommendations 2024-25
Safety recommendations
MNSI publishes the safety recommendations from MNSI investigations completed in 2024/25.
Read Publication
MNSI Annual Report 2023-24 Published
Annual report
MNSI launches it's annual report
Read Publication
Factors affecting the delivery of safe care in midwifery units
National learning report
National learning report.
Read Publication