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GMJ News > Policy & Systems > Quality & Safety > Maternity Staff Used Offensive Terms for Patients, BBC Investigation Reveals
Policy & SystemsQuality & Safety

Maternity Staff Used Offensive Terms for Patients, BBC Investigation Reveals

GMJ
Last updated: 01/06/2026 18:31
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GMJ Policy Desk
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Healthcare workers in hospital corridor representing patient care standards
BBC Panorama investigation reveals maternity staff at Nottingham University Hospitals NHS Trust used derogatory language toward patients. Former midwives provided testimony about concerning workplace culture.
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🎧 Listen to this article4:11 min · 518 words · GMJ Audio
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✓ Reviewed by Prof. Giorgi Pkhakadze, MD, MPH, PhD · ORCID 0000-0001-7609-4515

🟠 Moderate Evidence

Contents
    • Key takeaways
  • Investigation Reveals Concerning Language
      • Key Elements of BBC Investigation
  • Trust Under Scrutiny
  • Implications for Patient Safety
    • What this means
  • Frequently asked questions
    • What should patients do if they experience disrespectful treatment?
    • What are the professional standards for healthcare communication?
    • How are maternity services regulated in the UK?

A BBC Panorama investigation has uncovered evidence of maternity staff at Nottingham University Hospitals NHS Trust using derogatory language to refer to patients, with documents showing instructions to staff to “don’t be too kind” alongside other offensive terminology documented in internal communications.

Key takeaways

  • BBC Panorama obtained internal documents showing offensive language used by maternity staff
  • Former midwives from Nottingham University Hospitals NHS Trust provided testimony about workplace culture
  • Investigation builds on existing concerns about maternity care quality at the trust
Multiple staff
Former midwives spoke to BBC Panorama about concerning practices

Investigation Reveals Concerning Language

The BBC Panorama investigation examined internal documents from Nottingham University Hospitals NHS Trust that contained derogatory references to patients receiving maternity care. The phrase “don’t be too kind” was among the concerning language documented in the investigation.

Former midwives who worked at the trust provided testimony to BBC Panorama about the workplace culture and treatment of patients. The investigation forms part of broader scrutiny of maternity care quality and patient safety standards.

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Key Elements of BBC Investigation

Evidence sources examined by Panorama team

Documents
Internal communications
Testimony
Former midwives
NHS Trust
Nottingham University Hospitals

Source: BBC Panorama, 2024 | Georgian Medical Journal News

Trust Under Scrutiny

Nottingham University Hospitals NHS Trust has faced ongoing scrutiny regarding its maternity services. The latest revelations add to existing concerns about the culture within maternity departments and the treatment of patients during vulnerable periods.

Internal documents revealed staff were instructed to “don’t be too kind” with additional offensive terminology used to refer to patients

— BBC Panorama Investigation (BBC, 2024)

Implications for Patient Safety

The use of derogatory language toward patients raises significant concerns about the quality of care and patient dignity. Professional healthcare standards require that all patients receive compassionate, respectful care regardless of circumstances.

What this means

For patients: Patients have the right to expect respectful, dignified care during maternity services and should report concerning behavior
For clinicians: Professional standards require respectful patient communication at all times, with clear reporting mechanisms for inappropriate behavior
For policymakers: Robust oversight and accountability mechanisms are essential to ensure patient dignity and safety in NHS maternity services

Frequently asked questions

What should patients do if they experience disrespectful treatment?

Patients should report concerns immediately to the hospital’s patient advocacy service or complaints department. External reporting can be made to the Care Quality Commission or Parliamentary and Health Service Ombudsman.

What are the professional standards for healthcare communication?

The Nursing and Midwifery Council requires all registrants to treat people with kindness, respect and compassion. This includes using appropriate language and maintaining patient dignity at all times.

How are maternity services regulated in the UK?

The Care Quality Commission oversees NHS maternity services, conducting regular inspections and monitoring safety standards. Professional bodies like the Royal College of Midwives also provide guidance and oversight.

The BBC Panorama investigation highlights critical concerns about patient dignity and professional standards in maternity care. As healthcare systems face increasing scrutiny, maintaining respectful patient relationships remains fundamental to safe, effective clinical practice and public trust in medical services.

Source: ‘Don’t be too kind’: Maternity staff used offensive terms to refer to patients

Was this article helpful?

Disclaimer. This article is health journalism intended for general information and education. It is not medical advice and is not a substitute for professional diagnosis or treatment. Always consult a qualified healthcare provider about your individual circumstances. Full disclaimer →

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Written by
Prof. Giorgi Pkhakadze, MD, MPH, PhD
Editor-in-Chief, GMJ News
Full profile →  ·  ORCID 0000-0001-7609-4515
Medical disclaimer. This article is health journalism intended for general information. It is not medical advice and is not a substitute for consultation with a qualified healthcare professional. Always seek your physician's advice regarding any medical condition.
Medically reviewed by Prof. Giorgi Pkhakadze, MD, MPH, PhD. Spotted an error? Contact the editorial team.
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TAGGED:healthcare qualitymaternity careNHS trustpatient dignityPatient Safety
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