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'Don't be too kind': Stories from the maternity unit where mums were failed 8 minutes ago Share Save Add as preferred on Google Michael Buchanan Social affairs correspondent Getty Images The midwife's notes were short and to the point. The three letters - "FOH" - that she had written on a whiteboard next to names of heavily pregnant women were not there to alert colleagues to women having a specific medical condition or requiring a certain type of care. Instead, they were an acronym for a three-word offensive statement signalling they wanted the women to leave the maternity unit run by Nottingham University Hospitals NHS Trust (NUH). The "F", a swear word. The "O", standing for "OFF". The "H", short for "HOME". The acronym was described in a 2018 resignation letter from another member of staff, now seen by BBC Panorama, raising concerns about attitudes within the unit. In the same letter, another midwife was reported to have advised colleagues to get pregnant women, who had arrived worried they were going into labour, to go home with the advice: "Don't be too kind, she'll keep coming back." The Nottingham trust is currently at the centre of the largest maternity inquiry in the history of the NHS - looking at care provided to about 2,500 families between 2012 and 2025. The inquiry has been investigating stillbirths, neonatal deaths, maternal deaths, and injured babies and mothers at NUH, which runs City Hospital and Queen's Medical Centre. Panorama has seen previously unreported documents and has also spoken to 10 midwives who worked there, about their experiences over the past decade providing a unique insight into what working conditions were like. Led by senior midwife, Donna Ockenden, the inquiry is due to publish its findings on 24 June. "Nottingham thought that there was a Nottingham way, that they were some kind of superior NHS trust compared to others," Ockenden tells Panorama. The current chief executive of the trust, Anthony May, who was not in position when the allegations were made, has vowed to fix the problems and has told the BBC: "We need to take accountability as an organisation." The NUH operates the Queen's Medical Centre and Nottingham City Hospital A determination to keep women at home for as long as possible before giving birth is a constant theme in many of the poor outcomes experienced in Nottingham. One midwife we spoke to recalled a woman calling the hospital to say she was in labour and being told there was no need for her to be admitted at that time. "When she came in, her baby was dead. The mother's perineum and vaginal wall collapsed because she'd been left to labour for so long. She now has a stoma bag." The 2018 resignation letter seen by Panorama, detailing the offensive remarks from colleagues, was written by a senior midwife. In it, she also noted she had once overheard a colleague say: "I've never had to tell a woman so loudly, and so often, that she would kill her baby if she didn't push." We shared the letter'

Be respectful and constructive. Comments are moderated.
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Am I the only one who found the FOH acronym surprisingly progressive? It emphasizes autonomy and choice over paternalism. #MaternityUnitReform

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Insane! How could anyone fail mums in the maternity unit? These are our future! #StandWithMums #HoldThemAccountable

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Insane! How could anyone fail mums in the maternity unit? These are our future! #StandWithMums #HoldThemAccountable

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Am I the only one who found the FOH acronym surprisingly progressive? It emphasizes autonomy and choice over paternalism. #MaternityUnitReform

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Absolutely, FOH shifts focus from fathers orders to honoring each moms choices. Its a small change with big implications for patient-centered care. #MaternityCare #Innovation

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While I appreciate the attempt at reform, the FOH acronym seems like an unnecessary escalation. It could have been communicated more professionally. Lets focus on improving patient care rather than resorting to such crude language. #MaternityMatters

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While I understand the need for clear communication, using offensive language to convey messages is concerning. It dehumanizes patients and undermines trust between healthcare professionals and women. We should strive for more respectful alternatives that prioritize empathy and care. #MaternityUnitReform #PatientAutonomy