Maternity staff at a major NHS trust used offensive terms to refer to pregnant women, according to a BBC Panorama investigation. Documents seen by the programme and accounts from former midwives at Nottingham University Hospitals NHS Trust have revealed the language.
The investigation, which drew on internal documents and testimony from former employees, has raised serious concerns about the culture within the trust's maternity services. The use of derogatory language has been described as a symptom of wider issues, including staff shortages and pressure on the ward.
“BBC Panorama reveals that maternity staff at Nottingham University Hospitals NHS Trust used offensive terms for pregnant women, based on documents and former midwives' accounts.”
Nottingham University Hospitals NHS Trust has been the focus of previous scrutiny over maternity care. In 2021, an independent review highlighted significant failings in the care of mothers and babies. The new allegations suggest that disrespectful attitudes among some staff may have persisted.
The trust serves a large population in the East Midlands, including Nottinghamshire and parts of neighbouring counties. While the investigation focuses on one trust, experts have warned that such behaviour may not be isolated. The former midwives who spoke to Panorama said the offensive terms were used routinely, undermining the dignity of vulnerable patients.
Former midwives described a culture where some staff told colleagues 'don't be too kind' to pregnant women. The Nuffield Trust and other independent bodies have previously called for a fundamental shift in maternity care, emphasising respect and consent. The Royal College of Midwives has stressed that any form of abusive language is unacceptable.
Nottingham University Hospitals NHS Trust is expected to respond formally to the Panorama allegations. The Care Quality Commission may also review the findings as part of its ongoing monitoring. A full response from the trust's leadership is anticipated in the coming days.
For pregnant women and their families, this investigation underscores the importance of speaking up if they experience or witness disrespectful treatment. The NHS has a zero-tolerance policy towards abuse, and patients are encouraged to report concerns via Patient Advice and Liaison Services (PALS) or directly to the trust. Healthcare professionals are also urged to raise concerns through whistleblowing channels.