This report investigated maternity services at Furness General Hospital from January 2004 to June 2013, and concludes the maternity unit was dysfunctional and that serious failures of clinical care led to unnecessary deaths of mothers and babies. It makes a series of recommendations for the wider NHS as well as Morecambe Bay.
Produced by the Canadian Patient Safety Institute, this report includes a literature review on effective teamwork and communication in healthcare, a needs assessment of Canadian healthcare organisations, a review of teamwork and communication training programmes, and a consultation with national and international experts in teamwork and communication.
This Confidential Enquiry identified substandard care in 70% of Direct deaths and 55% of Indirect deaths. Many of the identified avoidable factors remain the same as those identified in previous enquiries. Recommendations for improving care have been developed and are highlighted in this report.
This RCOG report on workforce planning outlines the way the service of the future can be provided and indicates the workforce and training that will be required to achieve this. This document provides a framework for the RCOG work on education, training, clinical standards and recruitment.