Investigation information and timescales July 2025
Letters
A letter to trusts re investigation information and timescales
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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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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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Annual publication of MNSI safety recommendations 2024-25
Safety recommendations
MNSI publishes the safety recommendations from MNSI investigations completed in 2024/25.
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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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Severe brain injury, early neonatal death and intrapartum stillbirth associated with larger babies and shoulder dystocia
National learning report
HSIB legacy publication
National learning report.
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