Following the publication of the largest maternity review in the history of the NHS, the government has set out how it intends to respond. The Health Secretary, James Murray, said the findings had to mark a turning point for maternity care in the country, framing the report as a moment that could not be allowed to pass without lasting change.
The review laid bare repeated failures in the care that was provided. According to the findings, across multiple cases over many years, the basic steps of recognising when a patient was deteriorating, escalating concerns and intervening appropriately were all missed. It is that pattern of missed opportunities, repeated over time, that the government says it now has to confront.
Murray was keen to stress that the recommendations would not be left to gather dust. He said he did not want to tell families that the recommendations would simply be accepted and then sit on a shelf without being put into action, insisting instead that he was determined to make sure real change happens following the report.
Among the immediate next steps, the Health Secretary pointed to the rollout of Martha's Rule across the country. He presented the wider extension of the measure as one of the concrete actions the government would take in direct response to the review, rather than waiting for the longer process of considering every recommendation.
Murray also set out plans to strengthen openness and accountability within the health service. He said the government would introduce a duty of candour to compel NHS staff to give evidence to any inquiries about maternity services, alongside a commitment to check the last ten years of records held in mortuary services across the country.
To pull the work together, the Health Secretary said all of the recommendations in the report would be fed into a task force that he is chairing. He said that body would, by the end of the year, produce a comprehensive action plan setting out the changes the government intends to make to maternity care.
The response is aimed squarely at the families who have spent years pressing for answers. By tying together the rollout of Martha's Rule, a strengthened duty of candour and a dedicated task force, the government is presenting its reaction as an attempt to ensure that the failings exposed by the review are not simply documented, but acted upon.
