Safe staffing

Use a workforce method that reflects complexity and deprivation, not birth numbers alone.

NHS England

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

DHSC and NHS England

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

Government and education bodies

Improve retention by changing how work is organised, not only by recruiting more people.

NHS employers

Separate same-day access from the care of people with ongoing and complex illness.

Primary care networks and ICBs

Invest in the analyst workforce and in platforms, not only in one-off extracts.

NHS England

Fund a workforce plan that matches the complexity of the women being cared for.

NHS England and trusts

Protect multidisciplinary training and a supernumerary labour-ward coordinator.

Trusts

Introduce technology only where it releases time for care and is safe in practice.

NHS

Offer continuity of carer so that a woman knows the midwife looking after her.

Maternity services

Set staffing levels that match the work, and be transparent about them.

NHS providers

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

Health Education England

Be clearer about delegation and the boundary between registered and support roles.

Employers and regulators

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

Hospital trusts

Restore professional judgement and skilled supervision.

Local safeguarding services

Revalidate doctors so that a licence to practise is not held for life without check.

Professional regulators

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

NHS employers