The National Maternity and Neonatal Safety Improvement Programme (formerly the Maternal and Neonatal Health Safety Collaborative) is working to improve the safety, outcomes and experience of women and babies using maternal and neonatal care services across England. The programme contributes to the National Maternity Transformation Programme.


The 15 Patient Safety Collaboratives (PSCs) provide additional expertise, coaching and support to the maternity and neonatal teams locally, helping them build capacity and capability for quality improvement, which assists with project delivery. This contributes to the national ambition to reduce the rate of stillbirths, maternal and neonatal deaths and brain injuries occurring during or soon after birth across England.

The focus is on:

  • Quality improvement support and coaching for teams undertaking improvement projects.
  • Providing expertise and practical support in measurement for improvement.
  • Supporting teams to carry out and debrief from safety culture surveys.
  • Hosting and coordinating 19 local learning systems across the country to support system level improvement and the 44 local maternity systems.

National priorities:

  • Increasing rates of smoke free pregnancy.
  • Detection and management of diabetes in pregnancy.
  • Early recognition and management of deterioration of mother or baby.
  • Optimisation and stabilisation of the very preterm infant.
  • Detection and management of neonatal hypoglycaemia.

Support and enablers: safety culture, learning from errors and excellence, reliable systems and processes, involving women and families.

Alongside the national programme we are working with maternity units to introduce proven safety innovations. These include Magnesium Sulphate infusions to prevent Cerebral Palsy (PReCePT); new Pre-eclampsia testing clinical pathways to support new more woman-friendly monitoring arrangements, where clinically appropriate; and supporting the spread and adoption of digital and other innovations.

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