Failures Identified In Cwm Taf Maternity Services Report
A report published by the Independent Maternity Services Oversight Panel (Imsop) earlier this week is the latest insight into the standard of maternity services at Cwm Taf Morgannwg University Health Board.
A major independent review was triggered in late 2018 after concerns were raised regarding substandard treatment caused by staff shortages and failures to report serious incidents. The review identified “serious failings” in the treatment provided to women and babies at the Royal Glamorgan Hospital and Prince Charles Hospital, which led to the Health Board being placed in special measures by the Welsh Government in April 2019.
The recently published Imsop report looks at treatment provided between January 2016 and September 2018 and focuses on the care of 28 women.
Two thirds (68%) of these cases were found to have at least one “major modifiable factor” where different management would reasonably have been expected to alter the outcome.
Four key areas were highlighted in the report:
- Failure to listen to the women involved;
- Failure to identify and escalate risk;
- Inadequate clinical leadership, and;
- Inappropriate treatment leading to adverse outcomes.
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