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NHS bosses say smaller maternity units may have to close

NHS leaders say smaller units may need consolidation as staffing shortages, rising C-sections and outdated facilities put safe maternity care at risk.

  • The NHS Alliance warned on Monday that England's maternity care is "not fit for purpose," with Matthew Hopkins alerting that up to 20 of 155 consultant-led units may need to close or change roles due to staffing shortages.
  • Systemic failures including staffing shortages and infrastructure decay have placed maternity services under scrutiny; the Ockenden inquiry found more than 500 cases of harm in Nottingham, including 94 stillbirths and 62 neonatal deaths.
  • Since August 11, the Royal Devon University Healthcare NHS Foundation Trust suspended births at North Devon District Hospital in Barnstaple; nearly 200 women have faced journeys of up to two hours for delivery.
  • Health Secretary Yvette Cooper has prioritized maternity care, with the Department of Health and Social Care investing £271 million since April 2025 to address safety risks and publishing a national action plan in December 2026.
  • The Royal College of Obstetricians and Gynaecologists opposes unit closures, with President Dr Alison Wright urging the government to commit to "expanding the maternity workforce to ensure safe staffing levels" rather than reducing facility access.
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BBC News broke the news in London, United Kingdom on Monday, October 19, 2026.
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