Cheshire

Disputed (AI summary) • On 26 November 2025, NHS England wrote to all NHS maternity providers in England asking them to urgently review the safety and quality of their homebirth services. • NHS England urged them to consider issues such as the operational running of their service and care planning and risk assessment. • NICE stated that home birth is covered in its guideline on intrapartum care (NG235). • The guideline covers eligibility, informed choice, and midwife support for home births. • The guideline includes recommendations that support further discussion with an appropriately trained senior or consultant midwife and/or a senior or consultant obstetrician (if there are obstetric issues) if such a discussion is wanted. • Officials made enquiries with NHS England to address the coroner's concerns. • NHS England will be issuing a substantive response addressing the specific matters of concern raised. • NHS England is asking for an urgent review of the safety and quality of homebirth services. • The review should consider the operational running of the service, care planning and risk assessment, and governance and oversight.

Disputed (AI summary) NWAS argues that the treatment provided to Mr. Wilson adhered wholly to national guidelines produced by JRCALC, and there were no contraindications to the use of salbutamol despite Mr. Wilson’s medical history.

Disputed (AI summary) Springcare believes their existing investigation procedures are appropriate and aligned with industry standards, therefore no further changes are needed beyond those already discussed at the inquest regarding admission of pathway for residents under the discharge to assess contract beds and the arrangements for food and fluid monitoring for residents.