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Ockenden review: the final report

The final Ockenden report on maternity services at The Shrewsbury and Telford Hospital NHS Trust has highlighted problems with staff shortages, a lack of training, failures to investigate and learn from incidents, and a culture of not listening to families. So, what can we learn from these failures in maternity care and how can safety be improved?

The final report of the Independent Review of Maternity Services at The Shrewsbury and Telford Hospital NHS Trust, led by Donna Ockenden, has identified failures to listen to families, failures to learn from clinical incidents and failures of multiple external bodies to act on improving maternity services at the Trust, over a period of two decades.

The review examined cases involving 1,486 families between 2000 and 2019, and reviewed 1,592 clinical incidents where medical records and family consent was gained. The Ockenden review team spoke to the families involved about their care and examined medical records. In addition, current and former members of staff completed surveys, were interviewed, and contacted the review team to talk confidentially. The review team also scrutinised vast volumes of documentation provided by the Trust.

The review found repeated failures in the quality of care and governance at the Trust throughout the last two decades, as well as f

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Upcoming Events

EBME Expo 2022

Coventry Building Society Arena, Phoenix Way, Rowleys Green, Coventry CV6 6GE
28th - 29th June

Infection 360: What's trending in infection prevention & control

Edgbaston Stadium, Birmingham
27-28 September 2022

IP2022 IS COMING TO BOURNEMOUTH IN OCTOBER 2022

Bournemouth
17-19 October 2022

UKHCA Conference: Listen Up

Pendulum Hotel and Manchester Conference Centre, Manchester
3rd November 2022

MEDICA 2022

Dusseldorf Germany
14th November - 17th November

Future Surgery 2022

ExCel, London
15th - 16th November 2022

Access the latest issue of Clinical Services Journal on your mobile device together with an archive of back issues.

Download the FREE Clinical Services Journal app from your device's App store

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