Training and competence

Commission standard templates for advice-and-guidance requests and responses, with the royal colleges, so the information exchanged is consistent.

NHS England, DHSC and royal colleges

Set a national standard for labour-ward coordinators, including feedback on how their behaviour affects the team.

Trusts

Standardise assessment of fetal growth, triage, maternal early-warning scores and the recognition of deterioration.

Trusts and royal colleges

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

Expand domestic education and training, including medicine, nursing and new roles.

Government and education bodies

Set and enforce standards of clinical behaviour, including how colleagues treat each other.

Royal colleges and trusts

Protect multidisciplinary training and a supernumerary labour-ward coordinator.

Trusts

Train every clinician in data and digital skills, and build specialist informatics careers.

Education bodies

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

Health and Social Care trusts

Build an NHS leadership academy offer that reaches operational managers, not only the board.

NHS

Introduce a common Certificate of Fundamental Care before staff work unsupervised.

Health Education England

Restore professional judgement and skilled supervision.

Local safeguarding services