A comprehensive review of maternity services at Nottingham University Hospitals NHS Trust has revealed “systemic” failures in care, linked to a series of baby deaths and serious incidents. The report details a pattern of poor risk assessment, inadequate staffing, and a deeply concerning “toxic culture” that hindered effective care. Investigators found evidence of repeated missed opportunities to learn from mistakes, contributing to preventable harm. The review focused on a period encompassing numerous cases of neonatal and maternal complications, including stillbirths and infant deaths. The findings prompt urgent calls for widespread improvements in leadership, training, and safety protocols within the trust. Authorities are now considering the report’s recommendations for immediate action to prevent future tragedies and restore public trust in the hospital’s maternity services.