Amos review sets out recommendations for government, but falls short on systemic racism and traumatic births England to get powerful maternity commissioner after ‘shocking’ failings The findings of Lady Amos’ review into maternity and neonatal services across England, which state the system is ultimately no longer fit for purpose, are unsurprising. The systemic failures and inadequacies of these services have been uncovered in several reports already, including Donna Ockenden’s review of the “toxic” Nottingham NHS trust published last week. But what this report does offer are a set of recommendations for the government to implement.