Filter resources by focus area and profession

If you're working in one of the NHS England Patient Safety Collaboratives, we've tagged all of our resources according to the designated focus areas. We've also identified which resources we think are specifically useful to certain professions.

  • Women’s Aid

    This campaign summarises evidence surrounding the incidence of domestic violence in pregnancy and contains various resources designed to raise awareness of partner violence both amongst healthcare professionals and resources which can be shared with patients.

  • Royal College of Obstetrics and Gynaecologists

    This guideline covers the recognition and management of serious bacterial illness in the antenatal and intrapartum periods and its management in secondary care.

  • Royal College of Obstetrics and Gynaecologists

    This guideline provides guidance for clinicians in the management of sepsis in the puerperium (sepsis developing after birth until 6 weeks postnatally).

  • Royal College of Obstetrics and Gynaecologists

    This guideline provides clinicians with evidence-based information on the diagnosis and treatment of malaria in pregnancy in situations likely to be encountered in UK medical practice.

  • Sepsis Alliance

    A resource for patients who have had sepsis to help find support from other patients who have gone through similar experiences. This resource can also be used as an information source for patients concerned about sepsis during pregnancy.

  • Best Pract Res Clin Obstet Gynaecol

    Sepsis is a major cause of maternal mortality and morbidity worldwide. In the UK, sepsis is now the leading cause of direct maternal deaths. Raising awareness among healthcare professionals about the risks of maternal sepsis and the importance of early management is urgently needed.

  • National Institute for Health and Care Excellence (NICE)

    Chapter ten of this guidance for the care of healthy women and babies during childbirth outlines recommendations for the monitoring of healthy patients intrapartum.


    This article deals with those monitoring techniques that are used immediately preceding or during childbirth - known as intrapartum fetal monitoring. It looks at criticisms of the routine use of electronic fetal monitoring, who should have monitoring, fetal blood sampling, and potential future developments in this field.

  • Royal College of Obstetrics and Gynaecologists

    No evidence linking cardiotocography and mobile phone use was identified using the standard clinical query protocol. Additional searching identified advice from the Medicines and Healthcare Products Regulatory Agency on the use of mobile phones in hospitals. 

  • Cochrane Database of Systematic Reviews 2010

    A Cochrane review of antenatal cardiotocography for fetal assessment found no clear evidence that antenatal CTG improves perinatal outcome.

  • Royal College of Midwives

    In 2010, a group of supervisors of midwives from NHS Forth Valley identified current themes of misinterpretation of cardiotocography (CTG) and poor documentation through a process of investigation and case note review. It was decided that a robust and innovative practice known as a ‘buddy system’ would be introduced.  This reduces adverse outcomes and enables effective professional learning.

  • Journey to Excellence project, Education Scotland

    This report summarises the Vulnerable in Pregnancy (VIP) project. VIP was developed from the drug liaison midwifery service in partnership with addiction and social work staff. Families for whom there was concern were identified at an early stage of pregnancy. Staff worked closely together to share information about vulnerable women. They assessed risks and needs of families. Staff planned well together and women had an individualised pregnancy plan to support them.

  • The King's Fund

    The maternity team at North Middlesex University Hospital NHS Trust share how they have improved maternity safety – through the improved recognition and management of high-risk women/babies and improvement in staff communication.

  • The National Patient Safety Agency (NPSA)

    This literature scoping review was commissioned by the National Patient Safety Agency (NPSA) as part of a project to determine any specific patient safety issues for vulnerable women known to be at higher risk of maternal death or morbidity.

  • Wellington Hospital Intensive Care Unit, Wellington Regional Hospital

    This modified early obstetric warning score chart is available in a downloadable PDF to be adapted and adopted in other settings, either an intensive care or other secondary or tertiary care settings.

  • Royal College of Anaesthetists

    This document summarises all relevant safety standards in the area of critical care for the pregnant or recently pregnant women.  These recommendations are applicable to either a specialised maternity care or general critical care unit.  This document was particularly created in response to a recognition that there are still significant deaths associated with suboptimal care and that this mortality is higher amongst ethnic minority groups.

  • 1000 Lives Plus

    This proposal paper examines the limitations of existing track and trigger systems for deteriorating maternity patients and sets out guidance for creating a system wide obstetric early warning system.

  • Royal Colleges of Midwives, Obstetricians and Gynaecologists, Anaesthetists and Paediatrics and Child Health

    This report is prepared by the Royal Colleges of Midwives, Obstetricians and Gynaecologists, Anaesthetists and Paediatrics and Child Health. It examines the core and minimum standards required for safe maternity care, with a focus on staffing levels.

  • The King's Fund

    This detailed report from the King's Fund addresses the key question of how the safety of maternity services can be improved by more effectively deploying existing staffing resources.

  • The National Patient Safety Agency (NPSA)

    The Intrapartum Scorecard is a tool developed by the National Patient Safety Agency that can be used to collect and monitor data on staffing and activity levels in maternity units.

  • The King's Fund

    This section of the King's Fund toolkit for improving safety in maternity services focuses on the role of teamworking. It includes short case studies of team training and development, and covers a set of tools that can be used to improve teamworking in maternity services.

  • Irish Government

    This detailed and extensive guideline document Has been developed by the Irish National Clinical Effectiveness Committee. It provides an in-depth review of the evidence relating to clinical handover particularly in maternity services from both an Irish and international perspective.

  • The Health Foundation

    This Health Foundation Snapshot report offers a set of brief case studies examining how three trusts have worked to improve communication and handovers in their maternity units. The report identifies key actions that can be taken and distils key lessons learnt. The approaches discussed include implementing standardised communication practices such as the 'SBAR' approach, daily briefings, briefings prior to elective caesarean sections along with debriefings afterwards.

  • Royal College of Midwives

    This report examines four case studies of innovation and improved patient safety in maternity care in the UK.  It discusses factors which enable change and promote innovation and identifies strong networks between commissioners and providers appropriately resourced and with strong leadership and relevant information sources as critical in fostering improvement.

  • The King's Fund

    This detailed document reports on an independent inquiry into the safety of maternity services in England. It provides a broad and deep look at the wide range of issues affecting safety in maternity care, and will be relevant to settings and countries beyond England.

  • The King's Fund

    This chapter from the King's Fund toolkit on improving safety in maternity care focuses on leadership and staffing, and highlights how the two are always deeply interrelated. This is particularly the case when considering the role of leadership both within the maternity ward and across the broader organisation, where decisions on staffing, resourcing and the design of maternity services are made.

  • Acta Obstetricia et Gynecologica Scandinavica

    This journal article reviews seven studies that examined the leadership and team factors that support safe and effective maternity care. It provides a synthesis of the key attributes of safe leadership and teamwork, concluding that leaders with capability and experience on the front line have a greater impact than leaders that hold formal roles of seniority.

  • Royal College of Obstetricians and Gynaecology

    Sepsis has overtaken VTE as the leading cause of mortality in women in or after pregnancy in the UK. Symptoms of sepsis may be less distinctive than in the non-pregnant population and therefore a high index of suspicion is necessary.

  • Cambridge News

    An interview with diabetes midwife specialist Kerry Stubbington who explains that education is vital to managing the condition during pregnancy.

  • Diabetes voice

    Two randomised clinical trials (RCTs) recently confirmed that treatment of mild hyperglycaemia (largely lifestyle alteration) is effective for a variety of maternal and foetal endpoints.This leaves the question of how best to define hyperglycaemia in pregnancy, and how to identify it during the pregnancy.