The way we work and report on maternity investigations is different to our national investigations. Find out more below about what we publish as part of our maternity investigation programme.
Maternity investigation reports
Individual maternity investigation reports are shared with the family, the trust and the healthcare professionals who were involved in the incident. Unlike our national investigation reports, we don’t publish individual maternity investigation reports.
Our maternity investigation reports include the terms of reference, the process of investigation, the evidence and safety recommendations for improvement at an organisational and national level.
Due to higher than expected referral numbers and the phased rolling out of the programme across the country, our initial reports are taking longer than we had anticipated to reach conclusion. All families and trusts are being kept fully informed at every stage of an investigation’s progress. All stakeholders are aware of our process and trusts will not be penalised by regulators for any perceived delays resulting from HSIB maternity investigations.
Our aim is to complete the full investigation process within six months, but some complex cases take longer. Our investigation process is becoming more efficient as we learn and adapt. From April 2019 we expect that all but the most complex investigations will be concluded within six months.
We aggregate and analyse the findings of our maternity investigation reports and safety recommendations to identify recurring themes. These thematic reports don’t identify individual incidents or trusts.
Safety recommendations are made to regulators and professional bodies to implement systemic change at a national level.
We expect to have our preliminary assessment of the first 300 cases completed by early 2020. We’ll publish an annual review setting out key themes based on this information.
Our trust pack is a collection of documents designed to assist trusts in explaining who we are and what we do, to the staff and families involved in maternity investigations.