Donna Ockenden: This trust failed to investigate, learn and improve

The transcript discusses a maternity review report, highlighting the need for improvements in maternity services across England. It emphasizes four key pillars: safe staffing, a well-trained workforce, learning from incidents, and listening to families. Despite government funding, concerns persist about maternity care safety. The review process involved examining numerous cases, revealing significant failures in investigation and learning, leading to tragic outcomes.

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