Michelle Welsh
Main Page: Michelle Welsh (Labour - Sherwood Forest)Department Debates - View all Michelle Welsh's debates with the Department of Health and Social Care
(1 day, 15 hours ago)
Commons ChamberAs a harmed mother from Nottinghamshire, I gave birth to my son by emergency C-section because health professionals treated me with utter contempt, ignored me and did not do as they should, and then said it was all my fault. My son was not put in my arms when he was born; instead, he was rushed over to a consultant to start him breathing. While I wish I had time to share the details of what happened in the Chamber so that others can understand the severity of a failing system, time does not permit me.
To those who have lost a baby, we know that when the world says, “I’m sorry for your loss”, it sounds thin and distant, because what was lost was not just a child. Families have lost first breaths, first steps, first days of school, and a lifetime of “I love you.” They have lost hope.
We must stop whispering about baby loss in the shadows. We must speak about the preventable errors, missed opportunities and systemic failures in our maternity services that have turned dreams into dust. Grief is a fact, but these failures are not inevitable. For too long the grief of affected families has been treated as a private sorrow and an isolated tragedy, but let me be clear: these are not isolated incidents. The heartbreak and loss are a consequence of a system that is failing, where warnings are missed, staffing is insufficient, preventable errors steal precious futures, tragedies are swept under the carpet and families have to fight for answers.
We have heard the data and read the reports, and we have shared our devastating stories. We know the truth: maternity services are fundamentally broken and our babies are paying the price. I am not asking for a miracle, but I am demanding competence, safety and accountability, and a country where every mother who walks into a delivery room knows that she is in the safest hands possible and that her baby will be protected. Our children deserve that safety, and the children yet to come deserve it too.
While we cannot bring back the precious babies we lost, we can honour their memory by ensuring that their fate is never repeated. We are not just mourning a past but fighting for a future where safety is guaranteed, where every mother is heard and where every birth is met with the excellence and dedication it deserves. Let the memory of the children we hold in our hearts be the light that guides our resolve. Let the stories be the steel in our spine. We pledge to them and ourselves that we will fix maternity services and build a legacy of safety so powerful that their short lives will forever protect the long lives of others, and we will do it for good.
I know from my own experience as a harmed mother in Nottinghamshire that speaking out and sharing what are potentially the most traumatic and personal experiences can be terrifying, and I want to commend those who have spoken out publicly and the hundreds of families who have spoken to me about their experiences. From talking to thousands of women and families, I have seen the recurring issues within our maternity services, including a culture of women not being listened to, a lack of accountability and situations where babies have died in the most horrendous circumstances and families are having to fight over and over again for answers and to relive the worst moments of their lives over and over again because the systems in this country are quite frankly broken.
I was the first elected member in Nottinghamshire to call for an independent review into maternity services at Nottingham University Hospitals NHS trust back in 2020. I am immensely grateful to the families, some of whom are in the Gallery today, who are leading the fight for change in Nottingham. We know that almost one in five stillbirths and neonatal deaths in this country could have been prevented through better care, yet the previous Government failed to act on this crisis, and families across the country have suffered immensely as a consequence. If I hear one more time that a previous Government Minister stood up and said that they were going to do it—well, they did not. They did not assign funding to it. They gave false promises to women and babies. We have a real opportunity under this Government to make maternity safer. Every woman deserves a birth experience where she feels heard, respected and, above all, safe.
Let me also be clear that this should never be an argument about natural versus surgical; it should be about what is the safest option for each woman. For too long the narrative has been poisoned by judgment. We have seen a damaging trend of labelling C-sections as a failure, a shortcut or a lesser way to give birth. The judgment is not just unfair but dangerous. The pressure created by this toxic conversation can sometimes push clinicians to delay necessary, lifesaving procedures or make women feel immense guilt for a safe outcome. Let us be clear that the safest birth is the most informed birth.
We must ensure that every woman has access to high-quality education regarding birth and feels confident asking critical questions about their care. We need to create a space where asking for help is seen not as a weakness but as a commitment to their wellbeing and their baby’s health. We must empower and support doctors, midwives and nurses, so that they can make decisions purely on medical necessity and safety—decisions that are free from dangerous judgments, including regarding C-sections. That requires us to have a workforce in place, so that clinicians can do their job, can make time for training, and, most importantly, once again have time to listen.
A key part of the conversation is continuity of care. We must ensure that midwives are given time to fully understand each woman’s needs and wants. By doing so, we can reduce the number of instances in which potentially life-threatening issues are missed and women fall through the cracks. Continuity of care can help address disparities in maternity care. When women—particularly black, Asian and minority women—see the same midwife throughout their pregnancy, they can build a relationship and ensure that their experience, culture and religious needs are considered. That creates a safer place for women to discuss sensitive issues and removes the frustration of having to repeat their story to numerous staff. If we can rebalance the conversations and culture around birth and put in place a system that allows for continuity of care, we can reduce the harm done to babies and families.
Continuity of care after birth will also be vital in reducing the incidence of death just after birth, which disproportionately affects babies born to mothers living in the most deprived areas of the UK; they are twice as likely to die in their first month as babies born to mothers in the least deprived areas. Change is so desperately needed. That is what families need, and what they are calling for. It is time to listen to the bereaved, and to harmed families, and to put them at the heart of any reforms.
I thank my hon. Friend for making such a moving speech; she is an inspirational mum, raising awareness of this. If she will allow, I will raise the case of Hayley Patrick-Copeland, a bereaved mum who has been raising awareness of baby loss and putting in place support for bereaved parents. If I may, I will also put on the record in this place, for centuries to come, the names of her children, Alya and Aleah, whom she lost. Will my hon. Friend join me in remembering them, and in commending Hayley for her inspirational work, just like my hon. Friend’s, raising awareness of baby loss?
I thank my hon. Friend; that was an important thing to say.
I was so pleased when the Secretary of State for Health and Social Care announced a rapid review of maternity services, which I believe he did to ensure that we get on with fixing the problems that we know are there—for example, with continuity of care—as soon as possible. It is vital that we take families with us and ensure that they are listened to and treated with respect. Let us not waste this real opportunity to change the systems that have been harming families for far too long.
The final key aspect that I would like to address is the need for true accountability. Too often, negligence leads to loss; the failures are there for everyone to see. I ask those who have recently called for a reduction in accountability this: how can accountability be reduced to improve maternity services when it is not even there? I am not talking about hounding midwives and obstetricians, but if someone makes a mistake again and again, as we saw in Nottinghamshire, families have to fight for the truth. Mothers leave hospital having been made to think that they were at fault. There has to be accountability. We need accountability and support to allow midwives to become great. Families should be clear about the process, which should work with them, so that they get answers and the truth without having to fight for them.
My hon. Friend is making an excellent speech and is a great advocate on this subject. I am sure she knows about the MBRRACE-UK—Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK—data; it shows mortality rates across the country. Like Nottinghamshire, Leeds has high mortality rates—in fact, they are the highest in the UK and 70% higher than the average. Those preventable baby losses are not an accident or a statistical mistake. Does she agree that the leadership of hospital trusts with such high rates need to take accountability and fix them? This is not an issue for individual maternity units; this should be taken on by the chief executive and those at the highest level in teaching hospitals.
I absolutely agree; if we had that approach in Nottinghamshire, the story would have been very different.
This starts with us building a culture that allows people to say, “This went wrong, and this is why. I made a mistake, and I am sorry. It’s time to fix it.” We cannot accept any more maternity scandals in this country. Of course, there will be times when nothing more can be done, through nobody’s fault, but in instances where mistakes were made, clinicians need to come forward. How do we learn from mistakes if they are never identified?
Regulators such as the Care Quality Commission, the Nursing and Midwifery Council and the General Medical Council need to step up. The evidence is there for all to see in Nottinghamshire: the NMC failed, the GMC failed and the CQC failed. All those organisations were informed over and over again about what was happening in Nottingham, and nothing was done—not one thing. To this day, no one has been held accountable.
I welcome the Government’s decision to publish a consultation on secondary legislation in order to modernise regulatory frameworks. I would be grateful to hear more about that. I ask the Government to involve bereaved and harmed families in the process, because regulation must work for families, and to work with organisations such as the Royal College of Midwives to ensure that clinicians are involved. In any reform and change, there must be balance.
It is time for this Labour Government to take action. What successive Governments have allowed to unfold in maternity care tells a devastating story about how little the lives and experience of women are valued. Those of us who were made to feel completely expendable at the most vulnerable moment in our life will know that to be only too true. In choosing how to respond, this Government have a powerful opportunity to send a decisive message about how they view and value women.
It is possible to make change. Every day, I meet fantastic organisations run by people who have used their experience to fuel their work to change lives. They include Jo Cruse from Delivering Better, Sharon Luca from the Luca Foundation, Heidi Eldridge from the MAMA Academy, Laura Corcoran from Dignity Care Network, and Clo and Tinuke from Five X More. I could name so many more.
It is truly astonishing how many people across the country, from all corners of our society, from mothers to midwives, are working themselves to the bone to improve our maternity and bereavement services. They are all pushing for change for women and the babies of the future. This is no longer just a campaign; it is a movement, and if the Government and the NHS do not act now, they risk being left behind. We face many crises in our maternity services, and the only way through them is together. Families, midwifes, mothers, fathers, nurses, obstetricians, charities, decision makers and Members of Parliament must come together in this movement to fundamentally reshape our services, so that safe birth, continuity of care and accountability are at their centre.
All of us here are bound by a shared, heartbreaking truth: no parent should have to say goodbye before hello. Affected families deserve more than condolences. It is up to us in this Chamber to demand an end to the preventable failures, systemic neglect and outdated protocols that steal futures. Grief must become the engine of change. It is not enough to patch a broken system; we must rebuild it, stronger and safer than ever before, for every baby whose life was too short, for every family left shattered, and for every future family depending on us right now. Our task is clear. The time for analysis is over. The time for delay is over. I will not rest until our maternity services are fixed, permanently and profoundly.
We are fighting for a future in which safety is guaranteed, every mother is heard and every birth is met with the excellence and dedication it deserves. Let the memory of the children we hold in our hearts be the light that guides our resolve: baby Harriett, baby Teddy, baby Junior, Amaya, baby Winter, Maya, Dexter, Smokey, baby Ladybird and baby Coupa, the wonderful, kind and funny Ryan, and every baby and mother impacted and gone too soon. We must pledge to them and to ourselves that we will fix maternity services. We will build a legacy of safety so powerful that their short lives will forever protect the long lives of others, and we will do it for good.