Baroness Amos, who is leading a National Investigation of Maternity and Neonatal services, has shared her initial findings.

Her interim report has found that some women had experienced a lack of empathy, care or apology, or had felt blamed for their baby's death.

And how 'discrimination against women of colour, younger parents, and those with mental health challenges leads to poorer outcomes'.

The National Investigation is looking at the ‘worst-performing’ trusts and services in England, as well as reviewing the entire system. 

"We were devastated by Baroness Amos' statement on the current state of affairs in maternity and neonatal care in England. It is deeply sad and frustrating to hear what Sands and bereaved parents and families have been saying for years. 

"We know that listening to parents helps save lives. And we will continue to stand side-by-side with bereaved families and do all we can to make sure governments and NHS decision-makers hear their voices.

"However, it's clear that recommendations on their own change nothing. What is needed is wholesale systemic change, not tweaks to the current system. And this needs to be driven by determined leadership.

 "Families deserve nothing less."

 - Sands' Chief Executive, Clea Harmer.

In June 2025 the Secretary of State for Health and Social Care Wes Streeting launched a rapid national investigation into NHS maternity and neonatal services. 

Baroness Amos was appointed to lead this investigation to examine the systemic causes of unacceptable care affecting women, babies, and families.

Baroness Amos will deliver two further publications next year; initial findings in February 2026, with a final report and recommendations expected in spring 2026.

Sands is here for you

We understand that news like this can be upsetting for everyone touched by pregnancy or baby loss. Sands is here to support anyone who needs this for as long as they need.