The reports emerging today about maternity care at University Hospitals Sussex NHS Foundation Trust are distressing, heartbreaking, and deeply significant. A joint BBC and New Statesman investigation has found that at least 55 babies who died between 2019 and 2023 may have survived with better care, according to the trust’s own internal reviews.
Alongside these findings, a review of nine stillbirths in 2021–22 identified missed opportunities in every single case, raising serious concerns about a pattern of avoidable harm. These tragic outcomes highlight ongoing challenges within NHS maternity services, where families continue to raise concerns about safety, communication, and timely intervention.
What the investigation reveals
The investigation highlights several critical findings relevant to anyone following issues of maternity care failures, NHS patient safety, and clinical negligence risks:
- Internal reviews show that 55 babies’ deaths may have been avoided with different care between 2019 and 2023.
- A review of nine stillbirths in 2021–22 concluded that there were missed opportunities in all cases.
- Investigators identified concerns around a “normal birth culture” that prioritised minimal intervention, even when red flags were present.
- The trust paid £103.8 million in maternity-related negligence claims between 2021 and 2025, the highest figure in England in 2024/25.
For families, these findings are not just numbers; they represent avoidable baby deaths, potential medical negligence, and deep uncertainty about whether concerns were properly acted upon.
The human impact: stories no family should tell
At the heart of this story are parents who experienced unimaginable loss. Many have spoken bravely about their experiences, describing how warning signs such as reduced fetal movements, persistent illness, or worsening symptoms were not escalated appropriately despite multiple hospital visits.
One family’s inquest found that their baby would likely have survived had timely medical intervention been provided. These narratives echo broader issues seen across the country, where families involved in maternity claims often feel unheard or dismissed until it is too late.
The trust’s response
University Hospitals Sussex NHS Foundation Trust has acknowledged that care has not always met required standards, with the chief executive issuing a direct apology to families.
Steps taken to improve maternity safety include:
- Recruiting 40 additional midwives
- Increasing theatre capacity for planned caesarean births
- Introducing a dedicated telephone triage service
- Implementing internal improvements following earlier reviews
These changes are welcome, but they come after years of preventable harm—highlighting the need for long‑term, sustainable improvements across maternity services nationwide.
Why these findings matter nationally
The issues identified in Sussex reflect patterns seen at other NHS trusts, including Shrewsbury & Telford, Morecambe Bay, and Nottingham. Problems such as staff shortages, safety concerns being minimised, and inconsistent maternity risk management recur in inquiry after inquiry.
When the same themes emerge nationally, it becomes clear that what we are seeing is not isolated negligence—it is a structural issue in NHS maternity safety requiring urgent reform.
A necessary call to action: reform must follow
To prevent further avoidable harm, today’s findings must result in system‑wide changes in maternity safety standards, including:
- Prioritising women’s voices
Concerns raised during pregnancy and labour must always be taken seriously.
- Nationally consistent safety measures
Families should not face a “postcode lottery” in maternity outcomes.
- Workforce investment
Safe care depends on safe staffing levels and properly supported clinical teams.
- Transparency and accountability
Investigations and reviews must be open, honest, and lead to visible change.
- A culture built on learning
A defensive culture benefits no one; learning cultures save lives.
Conclusion
The findings at West Sussex NHS Trust are a devastating reminder of the ongoing challenges in NHS maternity care. The courage of families coming forward, combined with detailed investigative journalism, offers an opportunity for meaningful change.
As professionals working with individuals affected by clinical negligence, we see the human cost of these systemic failings every day. Lasting reform, rooted in compassion, transparency, and accountability, is not only possible but also essential.
How can we help?
Carolle White is a Legal Director and Chartered Legal Executive in our expert Medical Negligence
team, which is ranked in Tier One by the independently researched publication, The Legal 500, and Commended in The Times Best Law Firms 2025. Carolle specialises in high-value and complex medical negligence cases and inquests.
If you require any advice in relation to the subjects discussed in this article, please do not hesitate to contact Carolle or another member of the team in Derby, Leicester, or Nottingham on 0800 024 1976 or via our online enquiry form.
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If this article relates to a specific case/cases, please note that the facts of this case/cases are correct at the time of writing.