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James Murray, the health secretary, announced the appointment of the UK’s first commissioner for maternity and neonatal care.
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The commissioner role was created in response to a government-commissioned inquiry into maternity care led by Valerie Amos.
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The commissioner will pursue hospitals over persistent failures in care.
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The commissioner will co-chair the government’s national maternity and neonatal taskforce with the health secretary.
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The national maternity and neonatal taskforce is drawing up an action plan to improve care.
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The action plan to improve maternity care is due in December.
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Donna Ockenden is widely expected to become the new commissioner.
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Valerie Amos authored a 181-page report on her nine-month-long investigation into maternity care.
Valerie Amos, Labour peer and former cabinet minister
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"The maternity and neonatal system in England is no longer fit to consistently deliver high-quality, compassionate care to every woman and family, and requires urgent reform to put safety at its centre, embed a focus on listening to women and ensure anti-racist practice at every level."
Valerie Amos, Labour peer and former cabinet minister
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"I still find it shocking that women and babies have been harmed or have died, sometimes as a result of failings in the maternity and neonatal care provided."
Valerie Amos, Labour peer and former cabinet minister
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"We are a wealthy country. It should not happen."
Valerie Amos, Labour peer and former cabinet minister
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"Having a baby should be one of the happiest moments of a family’s life. For most women in England, it is. But for too many – depending on where they live, who they are or simply the day they give birth – the care they receive is not good enough and can result in avoidable harm."
Valerie Amos, Labour peer and former cabinet minister
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"Every instance of avoidable harm is one too many. The emotional toll and cost to families is indescribable. As a country, as a community, we cannot continue like this."
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Valerie Amos made eight key recommendations to improve maternity care.
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One recommendation is that maternity triage services need an urgent overhaul, including more staff on duty, so that women’s concerns are acted on more quickly.
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One recommendation is that families should get the right to seek a fresh, independent investigation when things go wrong if they are not happy with the hospital’s own inquiry.
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One recommendation is that the NHS’s system of agreeing compensation with harmed and bereaved families should be replaced by a new process in which hospitals admit errors immediately.
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One recommendation is that the NHS must root out racism and discrimination that is embedded throughout the maternity and neonatal system.
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The report stated that women of colour have experienced racism or discrimination, leading to unfair or unequal treatment.
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The report stated that some maternity units are so old they are now unsafe.
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The report stated that widespread understaffing was compromising quality of care.
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Dr Bill Kirkup, a clinical adviser to the inquiry, resigned on Monday, hours before the report was published.
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Dr Bill Kirkup resigned due to a disagreement over the report's section on "normal birth ideology."
James Murray, health secretary
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James Murray said, "Appointing the UK’s first ever maternity and neonatal commissioners will drive lasting change and make sure women and families are never ignored again."
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