Children and safeguarding

Fit in-cot cameras in every neonatal unit, with ring-fenced national funding and a roadmap by March 2027.

NHS England

Restrict and record access to insulin, and make national guidance on investigating hypoglycaemia mandatory.

NHS trusts

Train staff and boards on suspected deliberate harm, and write the duty to follow that guidance into contracts, including bank and agency staff.

NHS trusts

Apply sudden-unexpected-death procedures to babies who have never left hospital, and shorten the paperwork.

NHS England and DHSC

Issue a one-page protocol for when staff suspect a colleague may be causing deliberate harm. Concerns raised in good faith must be acted on, and moving the person can be a neutral step to protect patients.

NHS England

Expand paediatric and perinatal pathology training to the level the Royal College says is required, by 2033.

DHSC and NHS England

Replace the single gender identity development service with regional services embedded in children's healthcare.

NHS England

Restrict puberty-suppressing hormones to research settings until the evidence is stronger.

NHS England

Train clinicians in the management of fluids in children and audit that practice.

Health and Social Care trusts

Apply safeguarding rules to volunteers, celebrities and anyone else with access to patients.

NHS trusts

Judge the system by whether children are safer, not by whether process was followed.

Government and local authorities

Give every child the best start, and make work and places healthier.

Government

Create a single local line of accountability for children's safeguarding.

Government and local services

Give families clear information and a real part in decisions about their child's care.

Clinical services

Screen nurses' health before employment and while in post, and take up references properly.

NHS employers

Investigate unexpected child deaths with the right pathology, and give consultants the post-mortem findings.

Hospitals and coroners