The Ockenden Report - in numbers.

The Ockenden report, published today, was prepared following a review that examined 1592 cases at the Trust. The numbers revealed in the report indicate the systemic problems at the Trust, and the devastating impact that failings will have had on families who relied upon the Trust for maternity care.

• The earliest case investigated was from 1973 and the latest from 2020.
• The review revealed that 201 babies could have survived with better care.
• Of these, 70 deaths of new-born babies and 131 stillbirths could have been prevented.
• 29 babies suffered severe brain injuries.
• 65 babies suffered cerebral palsy.
• The review looked at cases of 12 mums who tragically lost their lives giving birth at the Trust. In 75% of the cases there were significant or major concerns in relation to the care provided.·     
• Between 2011 and 2019 there was a failure on the part of the Trust to examine deaths or to carry out serious incident investigations with 40% of stillbirths and 43% of neonatal deaths not having any investigation at all.·  
• The review looked at cases of 12 mums who tragically lost their lives giving birth at the Trust. In 75% of the cases there were significant or major concerns in relation to the care provided.·     
• Between 2011 and 2019 there was a failure on the part of the Trust to examine deaths or to carry out serious incident investigations with 40% of stillbirths and 43% of neonatal deaths not having any investigation at all.·  
• There are 15 “immediate and essential actions” which all maternity services across England should take.
• There were 60 areas where improvements could be made at the Trust.
• The 60 actions for learning cover 9 areas which include improving the complaints procedure, involvement of families in investigations and in the care of vulnerable and high risk women.
• The 60 local actions for learning reflect on the care received by 1486 families.