A Call for Action to Improve Maternity Services
The recent findings from Baroness Amos’ Review, highlighting significant failings in maternity and neonatal services across the country, are unfortunately no surprise to those of us who have been closely examining this critical area in London. As Chair of the London Assembly’s Health Committee overseeing the investigation I recall how prominent these very issues were when we conducted our own deep dive into the state of maternity services within our city.
When the Health Committee undertook its investigation, I heard distressing accounts and saw data that painted a clear picture of an overstretched and struggling system. The core problems identified nationally—staffing shortages, a lack of consistent training, challenges in effective communication, and a failure to always listen to parental concerns—were all too present in the evidence presented to us across London.
We noted that the immense pressure on midwives and obstetricians in the capital made it incredibly difficult for them to provide the personalised, high-quality care that every family deserves. London, with its diverse and rapidly growing population, presents unique demands, and it became clear that the structural support simply wasn’t adequate to meet them. Too often, the safety and well-being of mothers and babies were being compromised by systemic weaknesses.
The value of the Assembly’s scrutiny was to bring these issues into the light regionally, mirroring the wider national imperative. But the National review was timely and the Assembly’s Committee findings were able to be fed into the National work.
Baroness Amos’ Review now provides a powerful, country-wide validation of the severity of these failings. It is a necessary, albeit painful, acknowledgment that the system is not working for everyone, and we must do better.
This brings me to the Government’s new National Maternity and Neonatal Taskforce. While the issues are deep-seated and complex, this Taskforce represents a vital opportunity. It must not be another committee that merely repeats the findings of past reviews. It must be a body dedicated to actionable, system-wide reform.
The Taskforce has a clear mandate. I sincerely hope that it will focus its efforts on the areas that we found to be most critical in London:
-
Investing in the Workforce: This means funding the recruitment and retention of midwives and consultants to address the chronic staffing gap. It also requires a commitment to comprehensive, up-to-date, and consistent training for all staff.
-
Improving Governance and Culture: There needs to be a fundamental shift in the culture within some trusts to foster openness, learning from mistakes, and ensuring that parents’ voices are heard and respected.
-
Addressing Health Inequalities: Disparities in outcomes for different ethnic and socio-economic groups were stark in London, and the national taskforce must embed the principle of equity of care into all its recommendations.
Families across London, and indeed the entire UK, enter maternity services at one of the most vulnerable yet hopeful times of their lives. They entrust our NHS with their safety and the future of their children. The failings exposed by both the London Assembly and Baroness Amos’ Review demand urgent, committed intervention.
I am hopeful that the new National Taskforce will rise to this challenge and finally address these persistent failings so that all families can receive the best possible care they so rightly deserve. The time for investigation is over; the time for genuine, transformative change is now.








