‘I was blamed for my baby’s death, now NHS needs to change’

• Key Takeaways for Clinical Practice
• Healthcare systems must implement robust safeguarding procedures to prevent maternal and child deaths, with clear accountability mechanisms to distinguish between negligence and unavoidable adverse outcomes.
• NHS trusts should establish transparent incident review processes that support bereaved families and clinicians, avoiding situations where parents are incorrectly blamed for preventable deaths.
• Co-design of safety initiatives between NHS teams and families with lived experience of loss can drive meaningful systemic change and improve patient safety culture across maternity services.

Neil and Katie Russell are working with the hospital where their daughter died on the scheme.

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