I think that it is a bit of a spiral - the NHS spends a LOT of money on litigation (brain damaging a child is very expensive for care for life and the emphasis on vaginal birth at all costs and keeping alive a turf war with doctors and understaffing has all contributed to this).
As a result, the NHS has become defensive, so if they do anything for you they have to write down (in my Trust anyway - oddly, it feels as if they don’t have to write down that they haven’t offered you anything!), so you’re kind of penalised as a midwife for being kind and effective with lots more paperwork. This must be very demoralising.
I’ve had some absolutely terrible care and some great care whilst having my two babies, but I think that what struck me most was the indifference. I was induced with my first and it took a long time - baby was back to back and I did a lot of all fours and walking in our room (all private rooms in our hosp, which is great, save that you have to be prepared to push the buzzer otherwise no one is coming to see if you are ok) and around the hospital with my husband. Husband went to sleep for a couple of hours on the floor in the middle of the night and I couldn’t sleep so I did rounds of the ward, walked past the desk dozens of times. No one asked me how I was, or even smiled at me in hours. Was just super weird. And there were two midwives at the desk having a cup of tea and a chat almost throughout.
I think that the paperwork puts HCPs off volunteering on our postnatal ward and they just rely on the buzzer. But it’s probably also understaffing (not just understaffing though, because I got a sulky HCA very quickly when I pressed mine to ask for my syringes of colostrum from the fridge). I had a dicey EMCS first time and an ELCS second and, as per previous posters, no one helps you with the tray (and then, in my case, my stitches split a bit and I got told off for doing too much like I was a young child), or indeed anything voluntarily - you have to be prepared to push the buzzer and be treated as unreasonable or a massive hassle. With my second, it was very isolating, as no one even did drug rounds - I was given access to the medicine cupboard across the room and I had to write down what I took and when, with no one checking on me at all in 12 hours overnight. Apparently, this was a trial intended to empower patients…
plus, the number of midwives who quizzed me on why I had a CS, as if I had really let the side down….