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MNSI Stakeholder Bulletin

Stakeholder bulletin

On this page you'll find our bi-monthly Stakeholder. Sign up here to be the first to hear the latest news, safety prompts and recommendations and catch up on previous issues through the links on this page.
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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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Maternity investigation programme year in review 2022/23

HSIB legacy publication

Summary of highlights, themes and future work.
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Maternity investigation programme year in review 2021/22

HSIB legacy publication

Summary of highlights, themes and future work.
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Maternity investigation programme year in review 2020/21

HSIB legacy publication

Summary of highlights, themes and future work.
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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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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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