Maternity Services: East Kent

Justin Madders Excerpts

Thursday 13th February 2020 Commons Chamber

[Ms Dorries]

I thank my right hon. Friend for his comments and suggestions. In response to his call for an independent inquiry, last night I asked my officials to look into sending the independent Healthcare Safety Investigation Branch back in to do a deep dive into historical and existing cases at the trust. I want to reiterate that the trust is a safe place for any woman who is pregnant or giving birth. We have some of the very best people and clinicians working in that trust right now.

I would just like to add that NHS England and NHS Improvement are themselves commissioning an independent review into East Kent maternity services, so my right hon. Friend’s question has been answered. That is the news I have just been given. We are taking this situation very seriously. We will publish the findings of the HSIB and CQC reports in due course, because we take this matter—I personally take this matter—very seriously.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

Our thoughts go out to all the families, including the family of Harry Richford, who have endured unimaginable heartbreak because of avoidable and preventable failings at the trust. Harry Richford was aged just seven days when he died. His death was described by the coroner as “wholly avoidable”. This was a wholly avoidable tragedy and not, as the trust originally said, “expected”. After Harry died, the trust refused to refer the case to the coroner and it was only the persistence of the family that led to the inquiry.

The trust will now receive special support to help turn things around, but can the Minister outline exactly what that support will be, by whom and where the funding is coming from? Why has it taken us so long to get to this point? It was reported earlier this month that despite evidence in a report by the Royal College of Obstetricians and Gynaecologists back in February 2016, the same mistakes were made in subsequent years. We need an explanation for why those warnings four years ago were allowed to go unnoticed and unaddressed. I understand that the trust will not be put into special measures and it seems that the chief executive and the medical director will be staying in post. However, given the trust’s failure to deal with those identified failings at the first opportunity, there must surely be questions about the local leadership. Can the Minister outline whether anyone in the trust will be held personally accountable?

Once again, we are unfortunately hearing about another tragedy where the culture has exacerbated the pain suffered by the family: denial, obfuscation and a staggering lack of transparency. Why is it that these issues only come to light because of the persistence and bravery of the affected families? We need to create a culture within the NHS where safety concerns can be raised by trained staff at all levels, free from fear so that issues are dealt with quickly. Perhaps the biggest concern we have is that we do not know the true number of avoidable maternity deaths at the trust.

I would like to join Harry’s family and other Members in calling for a full independent inquiry. I understand that the HSIB deep dive will address matters to some extent, but I do not think it is the full transparent inquiry that the parents deserve and demand.

[Ms Dorries]

I thank the hon. Gentleman for his collaborative tone on this issue. I think he may have missed my last comment, which was that NHS England and NHS Improvement will be commissioning an independent inquiry. That has been decided this morning, so that will happen.

On the hon. Gentleman’s first question about what is happening to support the trust now, NHS Improvement is in there. As I said, the chief midwife, Jacqueline Dunkley-Bent, has sent in some of the best midwives, obstetricians and neonatologists in the country from outstanding trusts to support the trust. They are having twice-daily huddles on the wards, which is where multi- disciplinary teams get together and discuss on an ongoing and regular basis what is happening on the wards, what disciplines are involved and what measures are being taken. We have fresh eyes looking at the cartography that measures foetal heart rates and contractions. We have a second pair of eyes reading those cartography read-outs, so it is not just down to one midwife.

A huge amount of support has gone into the trust. As I said, it is today a safe place for anyone to give birth. We are also asking HSIB to go in to do that deep dive to look at historical issues. Whether that will continue in light of the fact that NHS England is commissioning an independent inquiry is something I need to find out when I leave the Chamber. However, I want to reassure the hon. Gentleman and everybody that this is an issue that I take very, very seriously.

Babies bring joy and happiness when they arrive, and every family—every mother, every father and, indeed, every grandparent—is entitled to know that when they or their relative is in hospital, the delivery will happen in a safe environment, with the very best care. I can say that that is the case at East Kent now, and I—we all—will strive to make sure that it is the case at every hospital.