Listening to patients and families

Reduce inequalities in maternity and neonatal care, and give families a route to accountability.

NHS England

Give women clear information and a real choice, including about labour, pain relief and interventions.

Maternity services

Establish a national maternity and neonatal investigation and a taskforce to produce an action plan with families.

DHSC

Move the Patient Safety Commissioner's medicines role to the MHRA, and wider patient-experience work into DHSC.

DHSC

Join local Healthwatch with ICB and provider engagement, instead of running parallel listening structures.

DHSC and ICBs

Provide non-financial support, including specialist services and help with accessing records.

NHS

Listen to patients and families as a primary source of intelligence about wards.

The trust

Listen to women and families, and give them a route to senior review when they are worried.

Maternity services

Apologise to the families affected.

Government

Appoint a Patient Safety Commissioner.

Government

Involve patients and staff in safety work as a condition of the system, not an extra.

NHS providers

Be open with people who were not invited, and offer them a route back into the programme.

NHS England

Give families a route that is independent of the organisation they are complaining about.

Government

Make it easier for staff and patients to report concerns about people who seem untouchable.

NHS trusts

Make the NHS a learning system, with patients and carers in the work of improvement.

NHS

Look hard at nurse staffing, out-of-hours care and how boards hear from patients.

Hospital trusts

Return retained tissue where families ask, and be open about what is held.

Hospitals

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

Clinical services