Perinatal Mortality Review Tool – First Annual Report (2019)

Reports | Published: 10 Oct 2019

The national Perinatal Mortality Review Tool (PMRT) places at its core the fundamental aim of supporting objective, robust and standardised review to provide answers for bereaved parents about why their baby died. A secondary, but nonetheless important, aim is to ensure local and national learning to improve care and ultimately prevent future deaths.

This report presents data from the first 1,500 reviews conducted using the PMRT and provides a standard against which future improvements in case reviews and the issues with care identified can be compared. Since it was launched all Trusts and Health Boards across England, Wales and Scotland have engaged with the PMRT and by 10th September 2019 over 6,300 reviews had been started or completed using the tool. This represents review of an estimated 88% of all eligible perinatal deaths comprising 90% of stillbirths and late miscarriages, and 83% of neonatal deaths.

Over 90% of reviews identified at least one issue with care with an average of four issues per death reviewed.

Click below to read the full report.

Download the report

Don’t miss out. Sign up to be notified when this resource is updated and to receive updates about other related quality improvement resources, events and news from HQIP. Or you can  .


By continuing you agree to receive emails with updates and other information from HQIP and you are confirming you are over the age of 13.

Please read our privacy policy to understand how HQIP uses the information you provide, your use of HQIP’s website and your interaction with the marketing emails to improve the relevance of the communications we send you. You can unsubscribe at any time.

I have read and agree with the contents of the privacy policy.

Perinatal Mortality Review Tool – First Annual Report (2019)