There has been "a distressing chain of events that began with serious failures of clinical care in the maternity unit at Furness General Hospital, part of what became the University Hospitals of Morecambe Bay NHS Foundation Trust. The result was avoidable harm to mothers and babies, including tragic and unnecessary deaths."
"What followed was a pattern of failure to recognise the nature and severity of the problem, with, in some cases, denial that any problem existed, and a series of missed opportunities to intervene that involved almost every level of the NHS. Had any of those opportunities been taken, the sequence of failures of care and unnecessary deaths could have been broken. As it is, they were still occurring after 2012, eight years after the initial warning event, and over four years after the dysfunctional nature of the unit should have become obvious ..."
(There) "is a clear sense that neither the Trust nor the wider NHS has yet formally accepted the degree to which things went wrong in the past and admitted it to affected families; until this happens, there is little prospect of those families accepting that progress can be made..."
"Today, the name of Morecambe Bay has been added to a roll of dishonoured NHS names that stretches from Ely Hospital to Mid Staffordshire "
Dr Bill Kirkup, who lead the investigation into University Hospitals of Morecambe Bay Foundation Trust has said he wanted to see more "professional leadership" from bodies such as the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives.
Dr Kirkup told the Health Service Journal: "I am disappointed that there wasn’t a stronger response from the professions, particularly the medical profession. There just hasn’t been any attention given to it at all."