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NHS bosses say smaller maternity units may have to close

The NHS Alliance says up to 20 of 155 consultant-led units could close as staffing gaps and outdated facilities threaten safer care.

  • Matthew Hopkins, director of the NHS Alliance's acute and ambulance network, warned that consolidating maternity units is 'inevitable' due to staffing shortages, with up to 20 units potentially closing because the current system is 'not fit for purpose.'
  • Smaller units delivering around 1,500 babies annually struggle to maintain 24-hour care amid widespread obstetrician shortages and soaring C-section rates, while decaying infrastructure in outdated buildings poses significant safety risks.
  • Dr. Alison Wright, president of the Royal College of Obstetricians and Gynaecologists, urged officials to explore 'other solutions' such as expanding the workforce, while midwives insisted care must remain accessible near families' homes.
  • Health Secretary Yvette Cooper chairs the National Maternity and Neonatal Taskforce to deliver reforms, with the government investing £271 million since April 2025 to tackle safety risks and create a new statutory commissioner.
  • The Ockenden inquiry previously exposed more than 500 cases of avoidable harm, while Baroness Valerie Amos found racism and discrimination were 'embedded throughout the system,' establishing the historical context driving current reform demands.
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BBC News broke the news in London, United Kingdom on Monday, October 19, 2026.
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