The independent review into Sussex maternity services has begun, with bereaved parents testifying about their experiences. This major investigation, led by senior midwife Donna Ockenden, aims to uncover systemic failures in maternity and neonatal care across the region. The review launched with a public meeting in Brighton, following months of campaigning by families who have suffered devastating losses.
One such parent is Susan Cacciacarro, who lost her daughter Chiara as a stillbirth in 2021. Her testimony highlights critical concerns about how high-risk pregnancies are monitored and managed. The review is expected to examine numerous cases, potentially revealing patterns of neglect and missed opportunities that could have saved lives.
Key Findings from Parent Testimonies
The evidence presented so far paints a troubling picture of maternity services at University Hospitals Sussex NHS Foundation Trust. Parents have described feeling unheard and dismissed when raising concerns about their babies' wellbeing. The review will assess whether these individual failures point to broader systemic issues.
In Cacciacarro's case, despite her pregnancy being classed as high risk due to Chiara's heart condition, staff failed to expedite the birth when growth concerns were identified at a 34-week scan. This delay proved catastrophic, leading to a stillbirth just weeks later.
Investigating Systemic Failures in Maternity Care
Donna Ockenden's review will scrutinize every aspect of maternity services, from antenatal care to delivery and postnatal support. The goal is to identify not just what went wrong, but why it went wrong, ensuring that lessons are learned and future tragedies are prevented. The scope includes both hospital and community-based services.
| Key Issue | Impact on Families | Review Focus |
|---|---|---|
| Delayed Birth Plans | Increased risk of stillbirth | Decision-making protocols |
| Poor Communication | Lack of trust in staff | Patient engagement practices |
| Inadequate Monitoring | Missed warning signs | Fetal growth assessment |
| Lack of Accountability | Prolonged grief and injustice | Incident reporting systems |
Call for Accountability and Change
Bereaved families are demanding more than just an acknowledgment of past mistakes; they want tangible changes to ensure no other parent endures such pain. The review is a crucial step towards rebuilding trust in the NHS maternity services in Sussex. It is essential that the findings lead to robust action, not just another report gathering dust.
- Independent oversight of maternity units to ensure compliance with safety standards.
- Mandatory second opinions for high-risk pregnancy management plans.
- Enhanced training for staff on recognizing and acting on fetal distress indicators.
- Transparent communication with parents about risks and care decisions.
- Regular audits of stillbirth and neonatal death cases to identify trends.
The emotional toll on the parents involved in this review cannot be overstated. Their courage in coming forward to share their most painful memories is vital for the investigation to succeed. Their stories are not just statistics; they are powerful reminders of the human cost of healthcare failures.
What Happens Next in the Review
The review will continue to gather evidence over the coming months, with hearings scheduled to hear from more families and clinical staff. The final report is expected to make a series of recommendations that will be binding on the NHS trust. The process will be closely watched by other trusts across the country, as its findings could have national implications for maternity care standards.
For now, the focus remains on giving a voice to the bereaved and ensuring that their experiences lead to meaningful reform in Sussex and beyond. The path to improvement begins with acknowledging the full extent of the problem and committing to a culture of safety and transparency.
FAQ
What is the Sussex maternity review?
The Sussex maternity review is an independent investigation into maternity and neonatal services provided by University Hospitals Sussex NHS Foundation Trust. It examines cases of stillbirth, neonatal death, and brain injury to identify systemic failures and improve patient safety.
Who is leading the review?
The review is led by Donna Ockenden, a senior midwife renowned for her previous work on the Shrewsbury and Telford Hospital NHS Trust maternity scandal. She brings extensive expertise in investigating maternity care failures.
How can I share my experience?
If you have been affected by maternity services in Sussex, you can submit your evidence to the review team through the official NHS Sussex ICB website. All submissions are treated with confidentiality and sensitivity.
Best Products We’ve Tested and Rated

Our testing team has hands-on reviews of winter gloves letter carriers, stash bags, snow boots walkers, shoes pacific crest trail, and over helmet ski hood. Every option below was compared across price, build quality, and real-world performance, with honest pros and cons. We update these guides regularly as new models arrive, so the recommendations stay current.
Our testing team has hands-on reviews of ice climbing rope, low cut shoes, heated boots, cooler sup seat, and backpack philmont. Every option below was compared across price, build quality, and real-world performance, with honest pros and cons. We update these guides regularly as new models arrive, so the recommendations stay current.