Ockenden Review of Maternity Care: Shrewsbury and Telford

Owen Paterson Excerpts

Wednesday 15th January 2020 Commons Chamber

[Lucy Allan]

I very much appreciate the hon. Gentleman’s intervention. As always, he makes an excellent point, and I am grateful to him for his many interventions in many debates I have secured.

I am concerned that the NHS can choose to sit on this information, and that Ministers can say, “Well, we don’t comment on leaks”. This is about the safety of women and babies, and the adequacy of the maternity care they receive in our hospitals today. Women were repeatedly told that their case was a one-off tragedy, that there will always be risks to childbirth, and that such risks cannot be completely mitigated. Failings seem somehow to have been normalised, and at the time many women accepted that, rather than question or challenge the care they received. People trust the medical profession, which is why openness and transparency are so crucial.

When people raised concerns they were dismissed as being difficult—no one listened. There was a “we know best” attitude, and complaints about poor practice were treated as women making a fuss about a perfectly natural event that occasionally would have a negative outcome. As Health Secretary, my right hon. Friend spoke about “never events”, and I suggest that those must include an avoidable death. A baby dying in childbirth should therefore be a “never event”, yet it seems that that is not the way the deaths in this case were treated—they were treated as something that could be a result of childbirth. The trust even boasted of having the lowest number of caesarean deliveries in the country, so there seems to have been an unwillingness to intervene when there were complications in a delivery. In my view, an intervention during a difficult birth must be a good thing: that is what the clinicians and medical professionals are there to do. I am concerned about the way this trust appears to have treated women and about its attitude towards women, which seems to have been dismissive. And that is something we have seen from the top.

What adds insult to injury in this particular case is that the trust commissioned a report in 2013 that appeared to find that all was well. We now know, because of the leaked report, that that was in fact a whitewash. The trust was exonerated by what was a perfunctory bare minimum desk-top review. This allowed poor practice to continue unchecked. If it had been identified at the time, the more recent cases of malpractice, which are still coming forward and include death and injury, could have been avoided. We still do not know how many women and babies have been affected, but we do know that £50 million in compensation has been paid out already. However, with hundreds more women coming forward, the cases in which a financial settlement has already been reached are clearly the tip of the iceberg.

The question we have to ask, and must go on asking, is whether that poor care, and the normalisation and denial of it, is a systemic problem within the complex bureaucracy that is the NHS.

[Mr Owen Paterson (North Shropshire) (Con)]

Will my hon. Friend give way?

[Lucy Allan]

I shall be delighted to give way to my right hon. Friend and constituency neighbour.

[Mr Paterson]

I congratulate my hon. Friend on bringing this very, very difficult subject forward. I also thank my right hon. Friend the Member for South West Surrey (Jeremy Hunt) for launching the Ockenden review. It is very easy to talk about numbers, but every one of these cases is unutterably terrible and ghastly for the family concerned, and obviously a total tragedy. We all know dreadful stories from the past. The latest figures show that the infant mortality rate at Shrewsbury and Telford Hospital Trust is 3.7 per 1,000, against a national average of 3.9 and a national target, which I would like the Minister to comment on, of 2.6 by 2025. My hon. Friend has rightly raised the absolute horrors and the dreadful culture—we all know terrible stories—but does she derive any satisfaction from the fact that we are marginally better than the national average at the moment and possibly heading towards the national target by 2025?

[Lucy Allan]

My right hon. Friend makes a very important point. Clearly, the majority of women using these services have an excellent and safe experience. It is good news that there is progress and improvement, but we should not gloss over any of these cases. Regrettably, there have been new, recent cases in my constituency where women have come forward, having been made aware of the review, saying, “This happened to me a couple of years ago.” It is good that the numbers are improving, but we must make sure that every one of those deaths is treated as another event.