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About the Investigation

Aim

Baroness Valerie Amos was appointed to chair the National Maternity and Neonatal Investigation on 14 August 2025. The rapid, independent investigation had been ordered by then Health and Social Care Secretary of State Wes Streeting to provide truth to affected families and drive urgent improvements in patient care and safety, following a series of meetings between the Secretary of State and bereaved families. It was also part of a wider package of actions to boost accountability and safety in the NHS. The investigation examined maternity and neonatal services in 12 NHS Trusts, but also across the whole maternity system, incorporating the views of affected families and their representatives. It has developed a set of national recommendations to drive improvements in maternity and neonatal care across England, reduce inequalities in the delivery of these services and help affected families to receive justice and accountability. The investigation has ensured that the experiences of women, babies and families and the local investigations of maternity and neonatal services have informed the recommendations.

The Secretary of State’s announcement of the Investigation

The Secretary of State’s announcement establishing the Investigation can be viewed by clicking the link below:

Terms of Reference

The Investigation’s Terms of Reference can be viewed by clicking on the link below:

Methodology

The Investigation has published details of its methodology, an iterative document that incorporates insightful feedback from families who have engaged with Baroness Amos. This document, published on 10 December 2025, can be viewed by clicking on the link below:

Family Engagement strategy

The Investigation has published details of its family engagement strategy, an iterative document that outlines the way it is engaging with families as part of its work, which incorporates insightful feedback from families who have engaged with Baroness Amos. This document, published on 10 December 2025, can be viewed by clicking on the link below:

List of visits to NHS Trusts

  • Barking, Havering and Redbridge University Hospitals NHS Trust
  • Blackpool Teaching Hospitals NHS Foundation Trust
  • Bradford Teaching Hospitals NHS Foundation Trust
  • East Kent Hospitals NHS Foundation Trust
  • Gloucestershire Hospitals NHS Foundation Trust
  • Oxford University Hospitals NHS Foundation Trust
  • Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust
  • Sandwell and West Birmingham Hospitals NHS Trust
  • Somerset NHS Foundation Trust
  • University Hospitals of Leicester NHS Trust
  • University Hospitals of Morecambe Bay NHS Foundation Trust
  • University Hospitals Sussex NHS Foundation Trust

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