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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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MNSI thematic learning poster gallery

Poster gallery

On this page you'll find a selection of posters MNSI has presented at maternity and newborn safety conferences
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MNSI publishes British Intrapartum Care Society posters

Poster gallery

MNSI presents at the annual British Intrapartum Care Society (BICS) annual conference.
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MNSI publishes ISOM posters and abstracts

Poster gallery

MNSI is pleased to announce the publication of the abstracts submitted for the International Joint Congress of the International Society of Obstetric Medicine (ISOM) and the Society of Obstetric Medicine of Australia and New Zealand (SOMANZ), Sydney, October 2024.
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Neonatal collapse alongside skin-to-skin contact

National learning report

HSIB legacy publication

National learning report
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Annual publication of maternity safety investigation recommendations 2023 to 2024

Safety recommendations

MNSI publishes the safety recommendations from MNSI investigations completed in 2023/24.
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College of Paramedics pre-hospital maternity & newborn conference 2025

Poster gallery

Conferences

MNSI at the College of Paramedics pre-hospital maternity & newborn conference 2025
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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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