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.
Safe staffing levels have been identified as a key element of delivering high quality, safe care. Commissioners and providers need to work together to regularly review staffing levels to ensure that staff are able to provide adequate contact time with patients to ensure safe care.
This paper, published in the journal Endocrine Practice, looks at the development of a multidisciplinary Diabetes Inpatient Safety Committee to effectively address the many barriers to achieving glycaemic control in the inpatient setting.