Closed petition Instigate an Independent Judicial Inquiry into Cwm Taf Morgannwg University Health Board
On the 15-17 January 2019 a report from both the Royal College of Midwives and Royal College of Obstetricians and Gynaecologists led to the bringing to light of serious and distressing incidences in the maternity provision under the control of the Cwm Taf Morgannwg University Health Board.
We request a Judicial Inquiry as to how the major failure in the Cwm Taf Morgannwg University Health Board maternity services occurred.
We request this Judicial Inquiry as it is not within the remit of the Welsh Parliament requested review by the Independent Maternity Services Oversight Panel to find out what brought about this failure.
"The assessors found a service working under extreme pressure and under sub-optimal clinical and managerial leadership. The identification by the Health Board of the under-reporting of SIs had resulted in increased internal and external scrutiny, highlighting that basic governance processes were not yet properly in place. The service was also expected to imminently merge two separate consultant led units onto one site with a freestanding midwifery led unit on the other site, with no evidence that clinical teams were engaged and supportive of this decision and process. This was compounded by a shortfall in the midwifery establishment, sub-optimal senior clinical leadership, a significant use of locum medical staff at both junior and consultant level and a lack of established standards of practice."
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