A letter sent by worried staff shows why maternity care is still failing too many families

A letter sent by worried staff shows why maternity care is still failing too many familiesImage source, Getty ImagesImage caption, A review of maternity services in Nottingham found hundreds of mothers and babies suffered potentially avoidable harm or died due to "systemic failures"ByMichael Buchanan Social affairs correspondentPublishedJust nowIn November 2018, health bosses in Nottingham were told there was "a crisis in our maternity services". A letter, signed by more than 50 staff at the Queen's Medical Centre, warned "mistakes will be inevitable" if problems weren't addressed.They told bosses of chronic understaffing, a scarcity of critical safety equipment and "a dire lack of leadership". But management reaction to the letter was "inadequate", its author told me recently. It was effectively ignored.Wednesday's review of maternity services in Nottingham, external - reveals the shocking extent of the mistakes made. Hundreds of mothers and babies suffered potentially avoidable harm or died due to deeply embedded "systemic failures".It is the fourth maternity review in little over a decade - all were heralded as being "never again" moments. But what happened to that letter goes to the heart of why maternity care in England is viewed as failing too many families.It had been sent to the chairman of the Nottingham University Hospitals trust, as well as the chief executive, the medical director and the head of midwifery. Yet staff were palmed off. We know this because five years later, a new management team at the trust investigated what had happened.Hundreds of mothers and babies died or were harmed due to 'systemic' failures, Nottingham review findsRacism and 'poor' staff relationships factors in maternity care failings, report findsPublished26 FebruaryTwo weeks after the letter had been delivered, a response was sent to the staff outlining actions that had occur...