Neonatal collapse alongside skin-to-skin contact
National learning report
HSIB legacy publication
National learning report
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Maternity investigation programme year in review 2022/23
HSIB legacy publication
Summary of highlights, themes and future work.
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Maternity investigation programme year in review 2021/22
HSIB legacy publication
Summary of highlights, themes and future work.
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Maternity investigation programme year in review 2020/21
HSIB legacy publication
Summary of highlights, themes and future work.
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Briefing paper: Learning from resuscitative hysterotomy after out-of-hospital cardiac arrest
Briefing paper
The Maternity and Newborn Safety Investigations (MNSI) programme has published a new briefing paper sharing learning from investigations of resuscitative hysterotomy (RH) following out-of-hospital cardiac arrest in pregnancy. The paper is intended to support midwives, obstetricians, anaesthetists, …
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Annual publication of maternity safety investigation recommendations 2023 to 2024
Safety recommendations
MNSI publishes the safety recommendations from MNSI investigations completed in 2023/24.
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College of Paramedics pre-hospital maternity & newborn conference 2025
Poster gallery
Conferences
MNSI at the College of Paramedics pre-hospital maternity & newborn conference 2025
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MNSI programme strategy published
Strategy
The Maternity and Newborn Safety Investigations (MNSI) programme has published its 2025–27 strategy, building on its approach to improving maternity and newborn safety.
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Launch of new MNSI thematic review: Homebirth
Thematic review
In response to learning identified from MNSI (formally Healthcare Safety Investigation Branch (HSIB)) maternity investigations, MNSI wants to further understand how systems and pathways affect the safe delivery of intrapartum care at home. MNSI started a thematic review in 2025 to understand the th…
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Second COMPASS programme launched
Programme
We are announcing today a second pilot programme of our innovative assessment tool designed to examine the impact of organisational culture on safe care. The initial pilot of the MNSI tool, called COMPASS – Culture of Organisations and its iMpact on PAtientS’ Safety – ran in spring 2025.
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