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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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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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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East Kent Hospitals University NHS Foundation Trust: HSIB summary report
HSIB legacy publication
A summary of the investigations undertaken with East Kent Hospitals University NHS Foundation Trust.
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