Perinatal Mortality: Coroners
The question
To ask the Secretary of State for Health and Social Care, with reference to correspondence from the Chair of the Maternity and Neonatal Investigation confirming that the Investigation is not limited to 37 weeks’ gestation and considers stillbirth from 24 weeks onwards, what the Government's policy is on coronial investigation of stillbirths; and whether the Ministers agreed to a change in the Terms of Reference.
Answered by Karin Smyth
The independent investigation in National Health Service maternity and neonatal care led by Baroness Amos set out in its terms of reference that it will look to understand the potential role of coroners in the investigation of late term stillbirths, 37 weeks or later, and identify mistakes which would help prevent future deaths. The Terms of Reference for the Investigation were agreed by Baroness Amos and ministers and were published on 15 September 2025. The Department is aware that Baroness Amos was also looking at earlier stillbirths and this was also reflected in her interim report. We want to ensure the Government’s position on coronial investigations of stillbirths reflects any potential, relevant recommendations the independent investigation makes, and therefore await its final report and recommendations in June.
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