Michelle Welsh

It is a pleasure to serve under your chairmanship, Sir Alec. For complete openness and transparency, I am a harmed mother. I have been involved in the Nottingham inquiry, I sit on the national maternity and neonatal taskforce, and I am the chair of the APPG on maternity. I want to place on record my personal and sincere thanks to Louise Thompson and Theo Clarke. After the most traumatic and horrific birth trauma, they chose to speak out, not just for themselves—in fact, not for themselves at all—but for countless other women. That courage matters, because for every voice we hear, there are more still unheard. Courage after trauma should not be a necessity for change. That is why today’s debate is so important. I do not want to pre-empt the findings of the Baroness Amos review, but I welcome the national taskforce—it is the first of its kind—and the work the Government are doing. Maternity services are systematically failing too many women and babies, and we cannot ignore what is happening across the country. Families having raised concerns for years and years, but those concerns were not acted on soon enough. It is not about one hospital or one failure, but about a pattern of women not being listened to, warning signs being missed, fathers and birthing partners being ignored, and poor practice continuing unchecked, sometimes for years. We must be honest about this: the system of oversight has failed. That is certainly true in Nottingham, where the Care Quality Commission failed, the Nursing and Midwifery Council failed and the General Medical Council failed. When the system fails, it is about not just frontline care but the structures designed to keep people safe. Inequalities are profound and, quite frankly, a disgrace. Black and Asian women are significantly more likely to have birth complications and poorer outcomes. If safe care is not equitable, we do not have any safe care at all. That must change. Maternity systems are failing, but this did not happen overnight. There is also a societal problem. When did childbirth and maternity became a second-class health service? Past Governments allowed it to become overstretched and underfunded. When did we, as a society, become so apathetic towards birth? I stand here as the proud Member of Parliament for Sherwood Forest, but first and foremost—this was the path that brought me here—I was a harmed mother who was dismissed and told she did not understand her own body, and who is still living with the consequences. Through my work, I have spoken to over 1,000 families and hundreds of organisations with different stories and circumstances from different hospitals. The same themes come up again and again: women not being listened to, their concerns being dismissed and opportunities to intervene being missed. The message is clear and urgent: we need accountability without a culture of fear. We need a system where staff can speak up, families are heard the first time and learning drives improvement. But we must also confront something deeper: we have to change societal attitudes towards childbirth. Too often, women are dismissed, their pain is minimised and they are told, “This is normal” when something is wrong. That culture then seeps into our systems, and when it does, it becomes dangerous. Listening to women is not optional; it is fundamental to safe care. That is why we need a maternity commissioner. This cannot be a figurehead role: it must have real authority and independence, and the power to act, access data in real time, identify patterns early and intervene when warning signs appear. We cannot continue with a system where tragedies happen, reviews are written and then we move on. Rising baby loss, serious incidents and repeated failings must trigger action immediately. A maternity commissioner must ensure that poor practice is not allowed to continue unchecked; that people cannot hop from trust to trust to trust when they have caused harm, but that that is followed and tracked; that warning signs are not ignored; and that families are not left to fight for answers after the harm has already been done. That is one of the most horrific things: families go through the most horrendous situation possible. I was lucky: I walked out of the hospital with my baby. But when my baby was born, he was not breathing. I nearly died as well, but I walked out of the hospital. When I did, I was told it was not known whether my son would have developmental delays. I was also told he was deaf, which was incorrect as well. It was the most horrendous situation, but I walked out of the hospital with my baby. Thousands and thousands of women do not, and it is about time we started to face that reality, rather than using it as a political football. Our maternity services are systematically failing. Alongside that, we must recognise that there are profound examples of outstanding care across the country—dedicated midwives, doctors and other healthcare professionals going above and beyond every single day to keep women and babies safe. They are working under pressure and short-staffed and still delivering exceptional care. But they cannot do it alone. They need safer staffing and time to care. They need leadership and support. They need a system that works, a system that backs them, a system that protects them when they raise concerns and a system that enables them to deliver the care they know is needed. This is not about blame; it is about building something better—a system that is accountable without fear, a system driven by data and early intervention, a system that listens to women, families and staff, and a system that acts when it matters most. Maternity care should never be a postcode lottery; it should never depend on where women live and it should never, ever come down to luck. Every woman deserves to be heard. Every baby deserves to be safe. Every family deserves dignity, compassion and answers. Yes, we need a maternity commissioner, but we need more than that: we need a system and a society that finally listen to women, finally act and finally put safety where it belongs—at the heart of every birth.