Baby Loss

Michelle Welsh Excerpts

Monday 13th October 2025 Commons Chamber

[Michelle Welsh (Sherwood Forest) (Lab)]

As 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.

[Mr Luke Charters (York Outer) (Lab)]

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?

[Michelle Welsh]

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.

[Alex Sobel (Leeds Central and Headingley) (Lab/Co-op)]

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.

[Michelle Welsh]

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.

NHS 10-Year Plan

Michelle Welsh Excerpts

Thursday 3rd July 2025 Commons Chamber

[Wes Streeting]

My hon. Friend is absolutely right. We in this place are so lucky to have his expertise and his leadership of the Back-Bench health and social care committee of the parliamentary Labour party. Sunlight is the best disinfectant, and I am concerned that we do not give enough profile to paediatric waits and mental health waits. With more transparency, information and access, we will be able to demonstrate improvements over the course of this Parliament and the next decade.

[Michelle Welsh (Sherwood Forest) (Lab)]

Families affected by failing maternity services were ignored for far too long, and we have a system of accountability that is broken. I am pleased that the Secretary of State’s plan has a strong focus on patient outcomes and experiences, and that maternity care will be at the forefront. I am also pleased to see that the single patient records will be rolled out in maternity services first. It is vital that women feel heard and seen throughout their pregnancy journey, and that crucial information no longer falls through the cracks of numerous systems that do not sync up.

I express my heartfelt thanks to the Secretary of State for really listening, for speaking to families across the country, and for coming to Nottinghamshire twice. I can honestly say that his reaction moved me. Not only was he listening; he cares and is determined that things will change, and they will. As chair of the APPG on maternity, and as a harmed mother, I thank him. Can he tell me a bit more about how maternity services will be incorporated into his plan for a neighbourhood health service?

[Wes Streeting]

I am so grateful to my hon. Friend for all the work she does as chair of the all-party parliamentary group, for the personal and professional experience that she brings to this House, and for the wisdom, advice and insight that she has offered to help me make better decisions. I am absolutely determined to work with families, especially those who have suffered such grave injustice at the hands of the NHS. It is a wonderful institution, but sometimes when it fails, it fails spectacularly. The culture of denial and cover-up cannot be allowed to persist, and I will work with my hon. Friend to make sure that we end it.

On neighbourhood health, it is so important that we engage with families early, especially where they may be at greater risk of complicated pregnancy or harm, because we know this is an area of grotesque health inequalities. After birth, it is really important that we have strong health visiting, and care in the community and the home that does not just consider the interests of the baby, but asks questions of the mother. How is she feeling? How is she recovering? Is her partner coping? We have to look at the whole family, and I am sure we will get it right. I am determined to get this right, and it will be in no small part thanks to my hon. Friend’s leadership and support.

Oral Answers to Questions

Michelle Welsh Excerpts

Tuesday 17th June 2025 Commons Chamber

[Michelle Welsh (Sherwood Forest) (Lab)]

The saying goes that it takes a village to raise a baby, meaning that those in our community provide families with vital support. Does the Minister agree that we need to invest in more community midwives to ensure that families are properly supported through the whole of pregnancy and after birth?

[Stephen Kinnock]

I thank my hon. Friend for that important question. The role that midwives play, alongside other community health services such as district nurses, has been chronically underfunded and neglected over the past 14 years. She will be pleased to know that the role of community healthcare is front and centre in our 10-year plan, and I think she will be interested in and pleased with what she sees when that plan is published.

Black Maternal Health Awareness Week

Michelle Welsh Excerpts

Tuesday 29th April 2025 Westminster Hall

[Michelle Welsh (Sherwood Forest) (Lab)]

It is a pleasure to serve under your chairship, Ms Furniss. I congratulate my hon. Friend the Member for Clapham and Brixton Hill (Bell Ribeiro-Addy) on securing today’s important debate. She has highlighted that black women often receive a worse standard of care and that their risk of maternal death is three times higher than for white women.

The situation in Nottinghamshire demonstrates why change must happen quickly. As some in the Chamber will know, there is currently an independent review into maternity services at Nottingham University Hospitals NHS trust, led by Donna Ockenden. I first called for this review when I was a councillor after my experience of giving birth to my son in 2020. I knew then, as I know now, that women accessing services at NUH do not always receive the care they deserve, nor are they listened to when they raise concerns. Ahead of today’s debate, I reached out to Donna Ockenden and her team for their perspective on black maternal health in Nottinghamshire so that I could highlight it here today.

When the Donna Ockenden review was established in Nottingham two years ago, the Nottingham University Hospitals trust could not share a single named contact within the black community, nor did the trust have any meaningful engagement with the many groups across Nottinghamshire. It had no way of reaching into groups of black women who might have been affected by poor maternity care. The translated resources provided by the trust were also very limited. It is therefore unsurprising that trust between black communities and Nottingham University Hospitals trust was at an all-time low.

As Donna Ockenden rightly emphasised to me, that only increased the risk that women and their families would disengage from vital health services and be unable to give informed consent to treatment through their maternity programme. I am pleased to say that the review’s work so far is leading to some improvements in the NHS, and I believe it is important to acknowledge that progress even if there is still so much further to go.

Since the review began, Donna and her team have met many community groups across Nottinghamshire and attended numerous church services and meetings in the majority black-led churches. They have also appeared on the famous Kemet FM, a local community radio station that focuses on the music, wellbeing and culture of Nottingham’s African and Caribbean communities, broadcasting across the east midlands and the Caribbean.

Following that outreach, many black families have come forward to the review, and community engagement has strengthened as the review has progressed. I am pleased to report that these learnings are shared with the trust in bimonthly learning and improvement meetings, although it has taken years to build that relationship with local communities and to establish trust. That is essential not only in providing safe care that is reflective of the population’s needs, but in ensuring that the voices of black women are no longer ignored. It is clear that there had been little or no communication for so long.

However, it is important to acknowledge that not every trust has a Donna Ockenden. They do not have somebody reaching out to black communities and black women to find out what is happening and how they are affected by health services.

I know that the last 14 years have had a hugely detrimental impact on maternity services across the country. The only way we can begin to fix them is by tackling the underlying issues in the culture of the NHS. It is important to note, as I have just said, that not every NHS trust has a Donna Ockenden and the level of scrutiny that happened in Nottingham.

As the newly elected chair of the all-party parliamentary group on maternity, I am committed to working with the Government on a health strategy for maternity services that recognises how inequalities have a huge impact on the care that people receive. I therefore urge the Minister to ensure that the experiences of black women are at the heart of any forthcoming maternity strategy, and that trusts are strongly encouraged to engage with communities so that their voices are no longer ignored. If inequalities are to be addressed, we require a national framework and a maternity strategy that is fit for the future.

--- Later in debate ---

[Dr Johnson]

I think we have both made our positions clear. I accept that some people will have received poor care and that the people who delivered that poor care need to be hauled over the coals. They need to be called out for what they have done and we must ensure that such care does not happen again. But I do not accept that the NHS is a racist organisation.

Another issue is language barriers. It is well recognised that it is difficult for people who have a language barrier to access health services. Can the Minister tell us what the Government are doing to help with that? In recent years in my medical career I have seen improvements in the delivery of language services, but when I was a more junior doctor an appointment needed to be booked in advance and an interpreter had to attend in person. Sometimes they were available and sometimes they were not. Sometimes other members of staff or family members would be used to interpret, which is a poor standard of care, relatively speaking.

[Michelle Welsh]

Is it possible for the hon. Member to highlight what part of the NHS she worked in? The reported experiences of interpretation and translation nationally are very different from what she is describing, which does not reflect the factual accounts and certainly does not reflect what has been happening in Nottinghamshire.

[Dr Johnson]

I did the junior part of my medical career in Nottinghamshire. I am describing what happened in the junior part of my career, which is about 20 years ago now. My experience 20 years ago was that it was very difficult to get interpreters, and that the people used to interpret were not proper interpreters and not the appropriate people. That should not be happening.

The service is still not perfect, but over time we have seen translation services improve. Many hospitals have instituted new iPad systems where one can choose a country of origin or the language that the person speaks, and a dial-up system of interpreters working from home is used to provide an interpreting system. That is much better—it is more available to the patient than the services we had in the past, which required someone in person—but it is still not perfect. We still see areas across the country where those services and that interpretation are unavailable to people. How will the Minister ensure that women who have difficulties with the English language are able to access interpreters when they need them—not just for appointments, but for out-of-hours emergencies? That is when interpreters are most difficult to obtain, particularly for languages spoken by fewer people in the United Kingdom.

I want to ask about the Government’s plans. The previous Government instituted a three-year plan, which comes to an end next year. When will the Government produce the plan? They talked about their 10-year NHS plan, which they said they would produce in the spring. I believe we are in the spring now—if we look outside, it is a beautiful day; the flowers are out and the lambs have been born. Where is the plan that the Government promised? What targets are they going to set, and when, to improve maternity care for all women, and specifically for black women?

Maternal Mental Health

Michelle Welsh Excerpts

Wednesday 5th February 2025 Westminster Hall

[Michelle Welsh (Sherwood Forest) (Lab)]

I thank my hon. Friend the Member for Aylesbury (Laura Kyrke-Smith) for securing the debate—I am so sorry about her friend Sophie.

Maternity services in this country are in a dire state. In Nottinghamshire, this has been exacerbated by the fact that we have had the largest maternity scandal in NHS history. We have seen at first hand how women have suffered from some of the worst care and treatment imaginable; in many, if not most, cases they were left with little or no support and support was lacking or sparse.

I had a traumatic pregnancy and a traumatic birth. My son was born in the first week of the first lockdown. Despite having an emergency C-section due to not having been listened to, I was sent home in less than 24 hours. I was left alone and abandoned by the health services. The mental health situation that I faced does not go away—it never leaves you—but I am one of the lucky ones.

I do not wish to say much more, other than that maternal mental health provision will be fixed only when we fix our maternity services, and our maternity services start by supporting women before they are even pregnant. To get to the point where women do not go home feeling that they have done something wrong, that their situation is all their fault, and that they are useless and not capable of being a mother, we have to fix our system for how we care for women and babies.

World AIDS Day

Michelle Welsh Excerpts

Wednesday 27th November 2024 Westminster Hall

[Michelle Welsh (Sherwood Forest) (Lab)]

I thank my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) for securing this important debate. All the words we have heard today have been poignant and impactful.

I want to speak about the impact of AIDS on women. In the UK, women make up a third of people living with HIV and just over a third of new HIV diagnoses. It is crucial that any strategy for AIDS does not forget women and their unique experiences of this disease. Often, women with HIV are some of the most disadvantaged members of society. The Terrence Higgins Trust estimates that almost half of women living with HIV in the UK live below the poverty line. It also estimates that over half of women living with HIV have experienced violence because of their HIV status. I spoke earlier today in a debate on tackling violence against women and girls, and this is yet another opportunity to highlight the actions we need to be taking to ensure that women in the UK do not have to live in fear.

I also want to raise the importance of women getting tested for HIV, as it can often feel like there are too many barriers in place. We have made great strides in the treatment of the disease; it is vital that women can also access those treatments.

It is also important to raise the fact that often, black, Asian and ethnic minority women face worse outcomes and experiences in our healthcare services than white women. That will no doubt also be seen in how those women access HIV care.

I will finish by saying that we must strive so that all those living with HIV are able to do so with freedom from HIV secrecy, knowing that they are accepted and that HIV is not a label, and are free to pursue their dreams, faith and relationships free from stigma and discrimination.

[Sir Mark Hendrick (in the Chair)]

I thank hon. Members for their brief contributions and for giving time for the Front Bench speakers.

Respiratory Health

Michelle Welsh Excerpts

Thursday 14th November 2024 Westminster Hall

[Michelle Welsh (Sherwood Forest) (Lab)]

I thank the hon. Member for Strangford (Jim Shannon) for bringing forward this important issue. Lung diseases are sadly prevalent in my constituency of Sherwood Forest. Diagnosis is often slow and prognosis is often devastating. Health inequalities in my constituency are stark, with people in the south of Nottinghamshire living an average seven and a half years longer than those living in the north of my constituency. Significant work across Nottinghamshire is being done regarding the diagnosis of lung cancer, and rightly so, but there are serious gaps in pathways for those suffering from lung diseases such as pulmonary fibrosis.

Pulmonary fibrosis is a devastating disease, and its impact is felt acutely by those affected. I know at first hand that this relentless and often rapidly progressing condition drastically changes the lives of the people affected and their loved ones. They face a daily struggle of breathlessness, constant fatigue and the immense mental toll of facing a terminal illness with very limited treatment options. Simple tasks such as walking across a room become an enormous challenge.

Yet pulmonary fibrosis lacks a focus that it desperately needs. Many people receive their diagnosis far too late, partly because the symptoms are often mistaken for less severe respiratory issues, and long waits for access to specialist care and life-extending treatment are very common. The disparities in access to these life-enhancing resources are unacceptable and must be addressed. Health inequalities play a significant role in accessing pulmonary fibrosis care, with those coming from a socially deprived background and living further from one of the few specialist centres likely to die sooner. I welcome the Secretary of State’s call for more specialist care to be available closer to home, as the current situation is particularly problematic for pulmonary fibrosis.

I welcome the work of the national charity Action for Pulmonary Fibrosis in bringing together the community to implement a new pathway to improve many of the issues, and I hope the NHS will continue to focus on the implementation of that work. We have the opportunity to redesign services in a way that better aligns with local population needs and therefore enhances patient outcomes. I place on the record my thanks to those in the Nottingham University Hospitals NHS trust who work in respiratory care, particularly the lung nursing team, the healthcare assistants and Dr Saini, who are working endlessly to improve both diagnosis and prognosis. I know that at first hand, as sadly my father suffers from this cruel disease, and I have subsequently met many other sufferers and their carers.

People with idiopathic pulmonary fibrosis are often misunderstood, as it has no known identified cause. They often feel lost and always feel ignored. The work to improve healthcare systems for pulmonary fibrosis requires collective effort, and I hope that today’s debate will pave the way for significant strides forward in how we address this heartbreaking disease so that those suffering are heard and understood.