NHS England has to pay out more than twice as much as NHS Scotland for ‘maternity failings’

Professor John Robertson OBA

Many thanks to Brian McGowan for alerting us to this.

How are things in Scotland you ask?

£1.3 billion was paid out in 2024/205: https://www.cwj.co.uk/site/newsandevents/legalnews/costs_of_NHS_maternity_care_claims_revealed.html

Per head, that £1.3 billion becomes £13 billion, less than half the NHS England pay-outs of £27 billion.

Why might this difference exist?

See this from Stirling University researchers in the BMJ in 2019:

We found few differences in maternity care experience for women based on their physical or socioeconomic characteristics. Our findings indicate that maternity care in Scotland is generally equitable. https://bmjopen.bmj.com/content/9/2/e023282

Further measures in Scotland:

In January 2024, the Daily Mail reporting a drop in the number of midwives, had:

Women are dying during childbirth at the same rates as two decades ago, ‘alarming’ new data shows. An independent review into maternity deaths showed 293 women died during pregnancy and within six weeks of giving birth between 2020 and 2022. Experts said the upward trend is the most compelling evidence yet that failures now span ‘across the entire maternity system’ and is ‘not just one or two hospitals.’ https://www.dailymail.co.uk/health/article-12947355/Deaths-women-childbirth-hits-highest-level-two-decades-amid-string-scandals-experts-warn-failures-span-entire-maternity-system.html

The overall rate in 2020-2022, was 13.41 deaths per 100 000 births and based on the graph in the Daily Mail piece was around 11.8 in 2020.

The rate in Scotland was 10.9 for 2018/2020, the most recent figures.

Today, the Scottish Government responded to a Freedom of Information request from, I’m guessing, a disappointed so-called health correspondent at BBC Scotland or the Herald, to reveal that spending, to improve maternity and neonatal services was £4.m in 2022/2023 up from around only £3m in the previous two years. https://www.gov.scot/publications/foi-202400409637/

As for midwife supply, in 2023, the total number of midwives in Scotland had grown from 3 529 to 3612. https://www.gov.scot/publications/foi-19-00620/

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