Inspectors identified that checks of newborn resuscitation equipment were not being consistently recorded, creating a risk that equipment may not be ready for use in emergencies
An inspection of maternity services at Singleton Hospital in Swansea has found improvements, but concerns remain. Healthcare Inspectorate Wales’ latest inspection saw them spend three days in February looking at the quality, safety and experience of care provided to women, babies and families across maternity services. Their inspection was unannounced.
Serious concerns have previously been raised about maternity services at the health board. An independent review into maternity services at Swansea Bay University Health Board was published in July 2025 which contained stark issues and heartbreaking stories from families.
While progress was reported after this latest report, concerns regarding the timeliness of care provided to women on the postnatal ward, as well as the pressures experienced by staff throughout the service, remained. For our free daily briefing on the biggest issues facing the nation sign up to the Wales Matters newsletter here
For example, inspectors found checks of newborn resuscitation equipment were not being consistently recorded, creating a risk that equipment may not be ready for use in emergencies. They also heard from staff of “occasional” difficulties, during busy periods, in sourcing essential equipment such as heart rate monitoring equipment for babies, blood pressure monitors and thermometers.
Following on from previous inspections in 2023 and 2024, the inspectors found more effective multidisciplinary working, improved medical handovers, increased leadership stability and clearer systems to look at concerns.
Feedback from women and families was largely positive they found with most women telling inspectors they were treated with dignity and respect, felt listened to, and were involved in decisions about their care.
There was stronger senior oversight and accountability since previous inspections, and progress was also seen in medical handovers, notably through the use of daily safety huddles to share information and manage risks.
Infection prevention and control arrangements, medicines management and safeguarding processes were found to be well established, with clear systems to support safe care.
Despite these improvements, inspectors have listed things that need further action. Staff highlighted ongoing pressures, described feeling overworked, and raised concerns about training and professional development.
Some women were critical of restricted visiting hours and limited staff availability meant their needs took longer to be seen to, which impacts their dignity. Staff feedback echoed patient concerns.
Inspectors also found that, while senior oversight and accountability had improved, further strengthening is required.
HIW has continued to work closely with the health board since the inspection and has received a comprehensive improvement plan, which sets out how the issues identified will be addressed. HIW will monitor progress to seek assurance that improvements are implemented and sustained.
Alun Jones, Chief Executive of Healthcare Inspectorate Wales, said: “This inspection shows that continued progress is beginning to make a difference at Singleton Hospital, with clear improvements in leadership, risk identification and management, and the quality of care women experience.
“While progress is evident, maintaining this momentum must remain a clear priority for the health board to ensure services are consistently safe, effective and deliver a positive experience for women and families.
“We expect the health board to build on the progress made and deliver tangible, measurable improvements for women, babies and families, and we will continue to monitor this closely.”
The health board was offered a chance to comment.


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