Ian Roome

On Monday, the senior management of the Royal Devon University Healthcare NHS foundation trust will meet again to make an important decision: whether enough consultants can be found to reopen maternity services at North Devon district hospital. North Devon’s desperate maternity staffing crisis is entering its 10th week, with all births still being diverted two hours to Exeter. Hundreds of families in my constituency deserve answers. NHS maternity services across the country face massive pressure, but the timeline of the past 10 weeks makes for sorry reading. On 27 July, the trust announced that it was about to fall below the minimum staffing level of obstetrics and gynaecology consultants needed to keep the Ladywell maternity unit open. From 11 August, all births were suspended, and the trust began sending expectant mothers to the Royal Devon and Exeter hospital until further notice. What followed has been agonising. The fear and anguish of frightened local mums has played out in regional and then national media. The outcry from the public has been furious: hundreds gathered in Barnstaple town square for the first of several Maternity Matters protests, more than 15,000 people signed my petition to get the unit reopened, and our TV and radio appeals have been answered by doctors as far afield as Australia. I have written to more than 50 maternity authorities, NHS public bodies, charities and women’s health organisations to ask for help in recruiting new consultants and holding the trust to account for its decisions. The suspension was extended again on 14 September, with seemingly no end in sight. Even as new doctors were found, I was on the phone to local landlords desperately trying to find them somewhere to live in North Devon, and getting the Home Office to urgently extend work visas. The tier 2 registrars rota has now been filled with two new permanent doctors. A new consultant locum started last week, and one candidate is in discussions to fill the final vacant post. Even if that is achieved, we are not out of the woods yet. When North Devon was merged into a wider trust back in April 2022, that was justified partly on the basis that it would make both trusts more resilient. We were told that medical staff in North Devon could be cycled through Exeter to boost training, and staff could be shared between North Devon, east Devon and Exeter to deliver extra resilience in a crisis, yet three years down the line we discover that the consultant rotas in Barnstaple and Exeter are not even interchangeable, and our maternity unit is still dangerously fragile. North Devon district hospital is the remotest acute hospital in mainland England, serving hundreds of square miles of north Devon, Torridge and north Cornwall. My constituents and I are left wondering whether senior figures in Whitehall, NHS England and even our own hospital trust actually understand the basic reality of the geography we are talking about.