The Ockenden report presents the initial findings on an inquiry into maternity care at Shrewsbury and Telford NHS Trust following a letter from families raising concerns about significant harm and deaths of neonates and mothers.  The initial review was of 23 families, this rapidly increased to 1,862 cases between 2000 and 2019. This review addresses 250 cases, the other case reviews are ongoing.

The Ockenden report is an opportunity for parents and families to have their concerns heard, for practice to be reviewed and for lessons to be learnt and immediate and essential actions to be implemented.

The report is around 50 pages long, presented in a straightforward format that clearly highlights the challenges. This brief i-learn module highlights some of the key issues and provides an opportunity for reflection on maternity practice.

Learning outcomes:

• Understand factors which can lead to poor maternal and neonatal outcomes
• Consider factors which lead to best practice and improved outcomes

Study time: 20 minutes

Course created: 2021