Maternity Commissioner

Helen Morgan Excerpts

Monday 20th April 2026 Westminster Hall

[Helen Morgan (North Shropshire) (LD)]

It is a pleasure to serve under your chairship, Ms Jardine. I thank the hon. and learned Member for Folkestone and Hythe (Tony Vaughan) for his excellent opening speech. I declare an interest as a member of the all-party groups on patient safety, on baby loss, on maternity and on birth trauma. Campaigners such as Theo Clarke, Louise Thompson and many more mothers and families over the years have been fighting tirelessly for the improvements that we desperately need in our NHS maternity services.

[Adam Dance (Yeovil) (LD)]

After lots of campaigning and hard work by NHS staff, Yeovil maternity unit will reopen tomorrow. The lessons learned from the closure of our unit will be included in the current national review into maternity services, but does my hon. Friend agree that the only way recommendations from the review will be properly implemented is with a national maternity commissioner and more consultant midwives?

[Helen Morgan]

I thank my hon. Friend for his intervention—he was quick off the mark. Yes, I agree that it will be useful to have a maternity commissioner to share those experiences and ensure that people learn from them.

The campaigners, Theo and Louise, have shared their heartbreaking experiences. I commend their work in securing this important debate. Liberal Democrats wish to be their allies. As a previous co-chair of the APPG on baby loss, I am all too familiar with the acute need for better standards of care for mothers across the country. I was also a member of the APPG on birth trauma when it was headed so ably by Theo Clarke, when the need for a maternity commissioner was first discussed and recommended. I am delighted to see the traction that this proposal has had thanks to the campaigning of Theo, Louise and many others.

Last month, the Lib Dems launched our maternity rescue package, which would guarantee high-quality care wherever people live and would make Britain the safest country in the world to have a baby.

[Helen Maguire]

I have a constituent who had a history of rapid births. She wanted the safety net and support of a home birth team alongside the community team, as recommended, but she was unable to have both teams involved. Does my hon. Friend agree that it is difficult to have confidence in a safe birth if the right medical support simply is not there?

[Helen Morgan]

My hon. Friend makes a good point. Patient voice—listening to women, understanding their wishes and understanding the risks that their wishes might represent and how to manage them best—is such a critical part of safe maternity care.

In drawing up our rescue package, I have drawn from my experience on the all-party groups on birth trauma, on maternity and on baby loss. There is so much common ground with the cause of the petitioners. We hope that they are buoyed by the fact that someone in Westminster is listening. With our package, a national maternity commissioner would oversee improved standards of care nationally, while a director of midwifery would be appointed in every maternity unit, alongside an extra 300 consultant midwives, to drive clinical excellence in each unit.

Our plans would invest £600 million to tackle these vital staffing requirements, but the NHS could save billions of pounds on maternal clinical negligence claims, which cost more than £1.3 billion in 2024 alone. Those huge clinical negligence costs have consistently been reflected in the findings of local and national reviews, but most importantly, the package would save babies’ lives and spare families the trauma of injury or worse happening to mum and baby at what should be the most joyous time of their life.

Liberal Democrats welcome the recent interim review by Baroness Amos. The findings of the review were devastating, showing that too many mothers are not receiving the level of care that they need, with devastating consequences for women, babies and their families. But this is the latest in a string of national and local reviews and inquiries, which have produced more than 700 recommendations. Those reviews, with their myriad but similar recommendations, illustrate why we need a maternity commissioner—someone who can bring together the learnings from past failings, along with the best practice from around the country, and oversee a step change in training and culture that will enable all the health professionals in maternity to work as effective teams and give women the personalised and high-quality care that is needed.

People across the country were truly shocked by the findings of Donna Ockenden’s review of the Shrewsbury and Telford hospital trust, which serves my constituents. The review found that the deaths of more than 200 babies could have been prevented. Over the years, I have heard—sometimes as a friend, sometimes as an MP—from traumatised and grieving parents, each with their own experience of birth trauma, injury to their baby or worse. They have told me how important it is to them that the reports and inquiries spark the vital change that is needed, and do not lead only to warm words from politicians followed by decades of gathering dust on the shelves of the Department of Health.

Since the Ockenden review, the Shrewsbury and Telford hospital trust has accepted and taken steps to implement almost all the immediate and essential actions that Donna Ockenden recommended. While that process has not been perfect, it has clearly been conducted with appropriate focus. The latest CQC rating for maternity at SATH is good, showing that with the right recommendations and leadership, positive change can happen. The team at SATH should be commended for that achievement. They demonstrate the value of focusing on the steps needed to get care right.

As we found out subsequently, however, unsafe maternity care was not unique to Shropshire, or indeed to Morecambe, East Kent or any of the other places about which we have heard such awful stories. We know that women all over the country are still not receiving the care they need. None of the services that the Care Quality Commission inspected in its national review was rated outstanding. Some 65% of maternity units were unsafe for women to give birth in. It is a scandal that mothers in this country have to settle for potentially dangerous levels of care at what should be one of the happiest moments in their life.

The introduction of a maternity commissioner is not a quick fix, but a commissioner would provide the leadership required for serious change to the way women and staff on maternity wards are listened to. That commissioner could look at disparities in maternity care and the poorer outcomes that we see for black and Asian women and those in deprived communities, and drive the change needed to make having a baby safe, no matter what your background is. Other improvements are needed, too.

Our proposals are to guarantee specialist doctors on every maternity unit 24/7, and one-to-one midwifery care for every woman during labour to respond to the desperate need for safe staffing highlighted in each of the reviews and in the inquiries by the all-party groups that deal with maternity care. Previous research found that 73% of maternity units in England do not have a consultant present at night, despite most births taking place outside working hours. Many negligence claims for poor maternity care are linked to failings in care outside regular working hours.

The proposals come alongside a new capital investment programme to fix crumbling maternity units in need of urgent repair and to deliver new dedicated bereavement suites. We would start with the 7% of maternity units that are at risk of imminent breakdown, and would restore the 42% of units in need of major repairs. These crucial steps come alongside many other proposals to improve staff training, to invest in bereavement support, neonatal specialists and pre-conception services and to eliminate maternal health disparities.

It is really, really, really important to say that the vast majority of babies are delivered safely, even when things do not go to plan. But we should not dismiss those instances where they go wrong, and we should be tireless about making the improvements required. I congratulate the campaigners on the success of the petition so far. I continue to urge the Government to demonstrate that recommendations will be turned into actions, and that the cries for help from countless mothers and families will be listened to.