Maternity Commissioner

Michelle Welsh Excerpts

Monday 20th April 2026 Westminster Hall

[Michelle Welsh (Sherwood Forest) (Lab)]

It is a pleasure to serve under your chairmanship, Sir Alec. For complete openness and transparency, I am a harmed mother. I have been involved in the Nottingham inquiry, I sit on the national maternity and neonatal taskforce, and I am the chair of the APPG on maternity.

I want to place on record my personal and sincere thanks to Louise Thompson and Theo Clarke. After the most traumatic and horrific birth trauma, they chose to speak out, not just for themselves—in fact, not for themselves at all—but for countless other women. That courage matters, because for every voice we hear, there are more still unheard. Courage after trauma should not be a necessity for change. That is why today’s debate is so important.

I do not want to pre-empt the findings of the Baroness Amos review, but I welcome the national taskforce—it is the first of its kind—and the work the Government are doing. Maternity services are systematically failing too many women and babies, and we cannot ignore what is happening across the country. Families having raised concerns for years and years, but those concerns were not acted on soon enough. It is not about one hospital or one failure, but about a pattern of women not being listened to, warning signs being missed, fathers and birthing partners being ignored, and poor practice continuing unchecked, sometimes for years.

We must be honest about this: the system of oversight has failed. That is certainly true in Nottingham, where the Care Quality Commission failed, the Nursing and Midwifery Council failed and the General Medical Council failed. When the system fails, it is about not just frontline care but the structures designed to keep people safe.

Inequalities are profound and, quite frankly, a disgrace. Black and Asian women are significantly more likely to have birth complications and poorer outcomes. If safe care is not equitable, we do not have any safe care at all. That must change.

Maternity systems are failing, but this did not happen overnight. There is also a societal problem. When did childbirth and maternity became a second-class health service? Past Governments allowed it to become overstretched and underfunded. When did we, as a society, become so apathetic towards birth? I stand here as the proud Member of Parliament for Sherwood Forest, but first and foremost—this was the path that brought me here—I was a harmed mother who was dismissed and told she did not understand her own body, and who is still living with the consequences.

Through my work, I have spoken to over 1,000 families and hundreds of organisations with different stories and circumstances from different hospitals. The same themes come up again and again: women not being listened to, their concerns being dismissed and opportunities to intervene being missed. The message is clear and urgent: we need accountability without a culture of fear. We need a system where staff can speak up, families are heard the first time and learning drives improvement.

But we must also confront something deeper: we have to change societal attitudes towards childbirth. Too often, women are dismissed, their pain is minimised and they are told, “This is normal” when something is wrong. That culture then seeps into our systems, and when it does, it becomes dangerous.

Listening to women is not optional; it is fundamental to safe care. That is why we need a maternity commissioner. This cannot be a figurehead role: it must have real authority and independence, and the power to act, access data in real time, identify patterns early and intervene when warning signs appear. We cannot continue with a system where tragedies happen, reviews are written and then we move on. Rising baby loss, serious incidents and repeated failings must trigger action immediately. A maternity commissioner must ensure that poor practice is not allowed to continue unchecked; that people cannot hop from trust to trust to trust when they have caused harm, but that that is followed and tracked; that warning signs are not ignored; and that families are not left to fight for answers after the harm has already been done.

That is one of the most horrific things: families go through the most horrendous situation possible. I was lucky: I walked out of the hospital with my baby. But when my baby was born, he was not breathing. I nearly died as well, but I walked out of the hospital. When I did, I was told it was not known whether my son would have developmental delays. I was also told he was deaf, which was incorrect as well. It was the most horrendous situation, but I walked out of the hospital with my baby. Thousands and thousands of women do not, and it is about time we started to face that reality, rather than using it as a political football. Our maternity services are systematically failing.

Alongside that, we must recognise that there are profound examples of outstanding care across the country—dedicated midwives, doctors and other healthcare professionals going above and beyond every single day to keep women and babies safe. They are working under pressure and short-staffed and still delivering exceptional care. But they cannot do it alone. They need safer staffing and time to care. They need leadership and support. They need a system that works, a system that backs them, a system that protects them when they raise concerns and a system that enables them to deliver the care they know is needed.

This is not about blame; it is about building something better—a system that is accountable without fear, a system driven by data and early intervention, a system that listens to women, families and staff, and a system that acts when it matters most. Maternity care should never be a postcode lottery; it should never depend on where women live and it should never, ever come down to luck. Every woman deserves to be heard. Every baby deserves to be safe. Every family deserves dignity, compassion and answers. Yes, we need a maternity commissioner, but we need more than that: we need a system and a society that finally listen to women, finally act and finally put safety where it belongs—at the heart of every birth.

--- Later in debate ---

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

It is a pleasure to serve under your chairmanship, Ms Jardine. I declare an interest as an NHS consultant paediatrician. I have attended more than 1,000 deliveries of babies over my career. More recently, they have been more likely to be the ones where things were going wrong and where there were more concerns about the baby, as my role is about looking after the infant.

I have also had my own three children. The hon. Member for Esher and Walton (Monica Harding) described having a mixed experience; I had three healthy children, but the first one was a normal delivery, the second a somewhat chaotic emergency caesarean section and the third a nice and smooth, peaceful elective caesarean section, so I had a range of experiences.

I congratulate the hon. and learned Member for Folkestone and Hythe (Tony Vaughan) on his opening speech. I particularly thank Theo Clarke—my friend and former colleague—and Louise Thompson for their campaign on maternity safety. They have shown incredible bravery in talking about their experiences and challenging the taboos around the troubles related to pregnancy. In particular, I commend Theo for her talk about perineal injuries, because this has been something spoken about in hushed tones and quietly among women and not something discussed in the public arena, but once it is spoken about in the public arena, that courage enables other women to find the courage to come forward and talk about it. That is how we will ensure that these injuries become less likely and the treatment becomes better, so I thank them for their work on that.

Since the petition was launched, it has received more than 150,000 signatures, including 270 from my constituency. As a parent, I know that bringing a child into the world is one of the most rewarding and exciting experiences in life. As has also been said, it generally goes well—reasonably smoothly, if not completely smoothly—and the outcome is generally good. But for too many women, their experience is deeply traumatic. Every year, 30,000 women suffer negative experiences during pregnancy, and one in 20 of those goes on to suffer from PTSD.

The APPG on birth trauma ran an inquiry into birth trauma, soliciting 1,300 submissions. What it detailed painted a shocking picture. It spoke of mothers left unattended to in hospital beds and some left in their own blood or faeces for hours on end; vaginal examinations undertaken without consent and in some cases triggering a mother’s waters to break; mothers belittled; concerns torn from the records; a baby dying during delivery after concerns were raised 44 times in vain; and significant mental health consequences and debilitating effects of perineal injury.

Every single failing we have heard about today is one too many. As I have said, maternity care is generally safe, but it is not safe enough yet. I am proud that the previous Government identified maternity care as a priority and began making some improvements. There is a way to go, but the previous Government launched a maternity and neonatal safety strategy, funded the saving babies’ lives care bundle, setting out evidence-based practices for providers and commissioners of maternity care in England, and rolled out maternal medicine networks in 2023. They established 17 centres of excellence to help women with high-risk conditions to get the care that they need when they need it. The previous Government’s reforms were backed by £127 million of investment specifically for maternity and neonatal care, and much of that was focused on the workforce.

Because of these efforts, more babies are delivered safely than ever before. Between 2010 and 2022, stillbirths fell by 25% and maternal mortality fell by 17%. The improvements were in large part overseen by my right hon. Friend the Member for Godalming and Ash (Sir Jeremy Hunt). He has saved countless lives with these improvements and deserves much credit for that.

I am concerned about the trajectory that we are currently on, because as has been said, there is still quite a lot left to do. In June, the Health Secretary agreed. He said that

“we’re not making progress fast enough on the biggest patient safety challenge facing our country”,

but he has responded with another inquiry. He did say that it would be a rapid inquiry, but it took months—in fact, till September—to decide which trusts would be involved in that inquiry, and then that was changed in and of itself. It was announced almost a year ago, has been much delayed and has still not reported. Hopefully it will be a great report when it has reported, but the delay means that action is not taking place quickly enough.

As has been mentioned, Baroness Amos found in her interim report that 748 recommendations had been made over the last decade, but progress in delivering on them had been too slow. Could the Minister update the House on how many remained undelivered on at the point of the general election and how many she has delivered on since?

In June, Ministers also announced a maternity and neonatal taskforce; and in November, I tabled questions asking how many times the taskforce had sat and who was on it. The answer was that they had not decided yet. In January, the question was raised again and they still had not decided. It took until last month for the Government to decide who was going to be on their urgently created taskforce from last year.

[Michelle Welsh]

Does the hon. Member agree that working with the families to get the taskforce right, which has never happened before with any Government, is key? Getting the taskforce working and getting the right people on that taskforce is essential as well.

[Dr Johnson]

I completely agree with the hon. Lady that it is important to get the taskforce right, I am just not sure that it needed to take quite so long to do so. We heard a statistic earlier about how many babies are born and how often; I think about how many babies have been born in the intervening time, while the membership of the taskforce was being finalised.

[Michelle Welsh]

There are more than 2,500 families involved in the Nottingham inquiry, some of whose cases were never reported appropriately. Given that, does the hon. Member agree that it is important to get the taskforce right, because so many bad things happened under the previous Government’s watch that were not reported to the inquiry and are not in the statistics and data that she has spoken about?