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
