This detailed document reports on an independent inquiry into the safety of maternity services in England. It provides a broad and deep look at the wide range of issues affecting safety in maternity care, and will be relevant to settings and countries beyond England.
Key sections of the reports are particularly pertinent to understanding how to organise, structure and lead maternity units safely. Chapters 5 to 8 examine issues of how to organise training, how to implement and embed appropriate guidance, how to gather and use safety information, and the role of boards and senior hospital leaders. Practical examples are provided, for example in how to develop a balanced score card for safety and maternity and how to use governance systems and scorecards to monitor and lead safety improvement in maternity.