More than 200 babies died in biggest NHS maternity scandal, report reveals
It led staff members to come forward and paint a picture of a "clique with a culture of undermining and bullying", where concerns were ignored by bosses.
“The reasons for these failures are clear. There were not enough staff, there was a lack of ongoing training, there was a lack of effective investigation and governance at the trust and a culture of not listening to the families involved. I would like somebody from the trust to sit face to face with me, and talk to me. They've never done that.
In her interim report in December 2020, Ms Ockenden described how, in 2011, a woman was in agony but was told that it was "nothing", while staff were dismissive and made her feel "pathetic". One obstetrician was abrupt and called her "lazy". He said: "The report clearly shows that you were failed by a service that was there to help you and your loved ones bring life into this world.
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