Improving your maternity services

Every year thousands of women give birth in our hospitals and community, and we want each and every one of those women to receive excellent care and have a positive experience with us. In the majority of cases this is happening, but not always and we know that isn’t good enough.   

We are committed to making improvements to your maternity services and, while we know there is more to do, we know that we are on the right path to improvement. Colleagues across the Trust are working hard every day to create the best environment and to provide the best care for babies, mothers and families in our hospitals. 
 
Through our Maternity Improvement Programme (MIP), we have reintroduced our Home Birthing service, significantly increased staff numbers, feedback from patient surveys has improved and is consistently positive. We have also heavily invested in our services, launching a new Fetal Medicine Unit and Neonatal Unit.

In 2023, the independent regulator of healthcare in England, the Care Quality Commission (CQC) looked at maternity services at Queen’s Medical Centre and Nottingham City Hospital and increased the rating at both sites from inadequate to requires improvement. In March 2025 the CQC recognised further improvements and increased our ‘effective’ ratings to ‘good’. In our latest inspection report, published in March 2026 the Trust’s overall rating remains as ‘Requires Improvement’ for maternity services.

Read the latest CQC report

 

Independent Review of NUH Maternity Services

Our maternity services are also subject to an Independent Maternity Review, led by Donna Ockenden, which began in September 2022 and is currently expected to be completed on 24 June 2026.

The review was established to listen to women and families, to fully understand their experiences, and to address concerns raised about the quality and safety of our maternity services. The review will make recommendations to help improve safety, quality and equity of our care.

We continue to work hard to make the necessary and sustainable improvements to our maternity services for our communities and also for our staff. We are working closely with Donna Ockenden and listening to family feedback to create services that our patients can rely on.

Below is a timeline of some of the key things that we have done to improve our maternity services so far. 

2026

  • Inequalities reduced by launch of an Female Genital Mutilation (FGM) clinic in the community.
  • Full compliance with the MIS safety actions for the second successive year.
  • CQC finds no change in our rating of Requires Improvement for maternity services.
  • Trust Board meets with IMR affected families and staff.

2025

  • Patient care improvements made, including haemorrhage management and wound care for c-sections, educating staff and women to help manage risk.
  • Development of mechanisms to help drive learning and improvements including improvements to staff feedback opportunities.
  • Implementation of the Patient Safety Incident Response Framework model.
  • Development of family liaison support skills and training.
  • CQC finds our maternity services remain Requires Improvement, but ‘Effective’ domain improved from Requires Improvement to Good.
  • Full compliance with the national Maternity (Perinatal) Incentive Scheme (MIS) of ten core safety actions.

2024

  • The CQC lifted warning notices for maternity and leadership.
  • Maternity triage policy updated, reflecting Royal College of Obstetricians and Gynaecologists (RCOG) good practice with a new Maternity Triage Guideline.
  • Improvements in staffing, retention and training, including specialist skills recruited to support maternity patients with complex needs.
  • Inclusivity improvements made through Inclusive Maternity Working Group include Cardmedic translation app, community outreach work, bilingual classes with Urdu speaking women, and additional cultural training.
  • Increased staff engagement, including governance processes put in place to ensure ward-to-board reporting.
  • Brand-new £1.4m Fetal Medicine Unit opened at QMC.
  • £32m state of the art neonatal unit opened at QMC.
  • New 24/7 Home Birthing service launched.
  • New Medical Director appointed.
  • We make six commitments to affected families.
  • Areas in CQC maternity survey significantly improve since 2022

2023

  • The CQC increased the overall rating for maternity services from inadequate to requires improvement for the first time since 2020 at City Hospital and QMC. The Trust’s Well-Led rating also improved to requires improvement.  
  • Additional funding for bereavement care and student midwives.
  • Listening event held to better understand experiences BAME communities.
  • New Chief Nurse appointed.
  • We commit to new relationship with families.

2022

  • Improvements to training, including fetal monitoring.
  • Improved staffing in feeding support and post-caesarean recovery teams. Maternity support worker apprenticeship coordinator role created.
  • Digital system, BadgerNet, rolled out to support seamless care across all parts of maternity pathway.
  • Patient feedback improves with Friends and Family Test being consistently above 95% good or very good.
  • Triage wait times to be seen consistently above 90% for both sites.
  • More bereavement support created with Rainbow Clinic and Robin Centre opening.
  • Introduction of Birmingham Symptom-specific Obstetric Triage System.
  • New Trust leadership appointed - CEO, Anthony May and Chair, Nick Carver. 
  • Donna Ockenden’s Independent Review into Maternity Services begins in September. 
  • Patient feedback  improves with Friends and Family Test being consistently above 95% good or very good.

2021

  • New roles created, including Flow Coordinator, and guidelines and processes updated, including fetal monitoring and Cardiotocography (CTG).
  • 24/7 maternity advice line launched.
  • Fetal heart monitoring policy updated.
  • Action plan developed to reduce Post Partum Haemorrhage.
  • Separation of Day Assessment Unit and Triage resulting in significant improvements in triage process.

2020

  • Maternity Improvement Plan launched
  • A Maternity Transformation Board is established
  • CQC inspection