Latest news
The Maternity and Newborn Safety Investigation (MNSI) programme publishes it’s 2023/ 24 annual report
The report provides an overview of the work of the MNSI programme during 2023/24. It sets out the activities carried out by the investigation team since October 2023 when it transitioned to be hosted…
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MNSI Annual report 2023/24 published
MNSI’s Annual Report 2023/24 shines a light on the work MNSI has undertaken in 2023/24 and shares the programme’s ambitions for 2025 and beyond.
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The Maternity and Newborn Safety Investigation programme response to The Care Quality Commission (CQC) State of Care 2024 report.
Katherine Hawes, Deputy Director (Investigations) of the Maternity and Newborn Safety Investigation Programme, said:
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Commenting on the announcement of the Dash review into patient safety
Commenting on the announcement of the Dash review into patient safety, Sandy Lewis, Maternity and Newborn Safety Investigation Programme Director said:
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An open letter to parents and families this Baby Loss Awareness Week
The 9 – 15 October each year marks Baby Loss Awareness Week (BLAW). We know from speaking to the parents and families who are part of our work that it is a week filled with mixed emotions; sadness th…
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MNSI responds to the National Maternity Inspection Report
The Maternity and Newborn Safety Investigations programme (MNSI) welcomes today’s publication of the National Maternity Inspection Report.
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Our Ambitions for 2024 – Part Two
Director of the Maternity and Newborn Safety Investigation Programme, Sandy Lewis outlines MNSI’s ambitions for the final five months of 2024 as the team continues their work to improve maternity saf…
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MNSI responds to report by the All-Party Parliamentary Group on Birth Trauma
The Maternity and Newborn Safety Investigations programme (MNSI) welcomes today’s publication and recommendations that call for safe staffing levels, mandatory training on trauma-informed care and un…
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National learning report highlights key factors needed to ensure safe care in midwifery units
MNSI has today published a report identifying the main factors affecting the delivery of safe care in NHS hospital midwifery units.
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Changes to the MNSI investigation report template
On April 1st 2024, six months after the transition to being hosted by the CQC, MNSI made changes to their investigation reports and process. Zoë Munson, a maternity investigator, and co-chair of the …
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Inspiring inclusion and empowering MNSI investigators
The theme for this year’s International Women's Day (8 March) is ‘inspire inclusion’, so it's timely to reflect on the steps we’re taking to inspire inclusivity within our investigative pra…
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Why it made sense at the time: Local rationality questions for healthcare investigations
Louise Roe explains how she developed an interview framework that safeguards interviewees and deepens local rationality questioning
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MNSI Ambitions for 2024
With MNSI’s transition to CQC completed and a new year underway, it’s a good time to look towards the year ahead and a new chapter in MNSI’s history. Sandy Lewis, Director of the Maternity Investigat…
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Safety factors surrounding effective communication throughout the pregnancy journey
In this blog, MNSI highlights the safety factors that work well, identifies where there are barriers to effective communication and recognises the work that is taking place to overcome them.
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Maternity Investigation Programme Year in Review 2022/23
During 2022/23 the maternity programme completed 702 reports and made more than 1,380 safety recommendations, with families remaining central to the work we undertake.
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Issues with access to public defibrillators
Sharon Perkins, Maternity Investigator, takes a closer look at the use of community public access defibrillators, often known as (CPADs).
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International Day of the Midwife 2023
This blog post was published when our programme was part of the Healthcare Safety Investigation Branch (HSIB). Find out about HSIB legacy.
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Understanding the doula’s role in maternity safety investigations
In this blog, we review doula involvement in maternity cases referred to us for safety investigations.
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Maternity investigations programme to be hosted by Care Quality Commission
It has been announced via a Written Ministerial Statement that the Healthcare Safety Investigation Branch’s (HSIB’s) maternity programme will be hosted later this year by the Care Quality Commission …
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Risk assessments during the maternity care pathway
Following the publication of our national learning report on the same topic, Sonia Barnfield looks at risk assessments during the maternity care pathway.
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National learning report highlights risks associated with ‘incomplete’ maternal risk assessments
Our latest learning report emphasises that maternity risk assessments can be inconsistent and do not support changes in pregnant women/person’s circumstances during the ‘maternity pathway’ (pregnancy…
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