Data published by the ONS today show that in England rates of neonatal death in babies born at 24 weeks or over increased in 2021. 

The neonatal mortality rate among babies of all gestational ages has not changed in the last three years, and was worse in 2021 than it was in 2015.

This means that alongside the increase in rates of stillbirth in 2021, there has been an overall increase in the rate of babies dying before, during or soon after birth.

“Today’s ONS stats confirm that there is a concerning gap between Government rhetoric on maternity safety and the reality of the numbers of babies dying.

“Government commitments to act on the findings of recent reviews of maternity services need to result in urgent action to save lives. We are concerned that this hasn’t yet led to the fundamental change required to ensure everyone has equal access to the best possible care.

“The target to halve the number of stillbirths and neonatal deaths in England by 2025 compared to 2010 levels is not on track. Today’s data makes clear that the Government is moving further away from achieving their ambitions. We need a much more comprehensive approach from Government to ensure they are met.”

- Robert Wilson, Head of the Sands and Tommy’s Joint Policy Unit

Action needed to tackle persistent inequalities

As with stillbirths, rates of neonatal death among babies of some black ethnicity groups almost double the overall rate for England and Wales. The neonatal mortality rate is also almost double among those living in the most deprived areas of England compared to the least.

While many people receive great care, there is much more to do to improve the quality and safety of services. The Care Quality Commission’s most recent maternity survey showed that people’s experiences of care have deteriorated.

The NHS in England will shortly be publishing a new delivery plan for maternity and neonatal services. This must focus on ensuring the delivery of safe, personalised care for all.