Intended for healthcare professionals

Letters Tribalism and toxicity in maternity care

Systemic problems in maternity services are part of wider systemic problems in the NHS in England

BMJ 2023; 381 doi: https://doi.org/10.1136/bmj.p1228 (Published 30 May 2023) Cite this as: BMJ 2023;381:p1228
  1. Dan Beales, consultant medical psychotherapist1, independent organisational consultant and executive coach
  1. 1Devon Partnership NHS Trust, Exeter, UK
  1. daniel.beales{at}nhs.net

Wilkinson’s article1 on Kirkup’s review2 of recurring problems in maternity services highlights the cultural and systemic matters involved. These need to be understood in the context of similar challenges across the NHS, from acute care to mental health services.

The Health and Social Care Act 2022 is a clear statement that the fragmentation created by the Health and Social Care Act 2012 …

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