34:@0.048407:0.056159:0.063199:0.056159:0.063199:0.047246:0.048407:0.047246:0.007059:0.007732 Performance analysis:@0.739373:0.058552:0.904415:0.058552:0.904415:0.047968:0.739373:0.047968:0.010092:0.008830:0.006355:0.006419:0.009996:0.006563:0.014962:0.008591:0.010060:0.007665:0.008974:0.005637:0.008990:0.010092:0.008990:0.004710:0.009070:0.007313:0.004710:0.007026 The development of the EN Scheme reflects our expertise in managing clinical negligence claims, which is increasingly :@0.047987:0.102144:0.893494:0.102144:0.893494:0.091560:0.047987:0.091560:0.008367:0.008862:0.008351:0.005940:0.009405:0.008351:0.007649:0.008351:0.003864:0.009357:0.009165:0.013748:0.008351:0.008750:0.005413:0.005589:0.009357:0.004758:0.004870:0.005413:0.009038:0.008080:0.004375:0.002523:0.006978:0.010331:0.006052:0.008479:0.007377:0.008846:0.008351:0.013748:0.008064:0.006052:0.005557:0.008144:0.004998:0.003864:0.008112:0.007377:0.005221:0.006770:0.005253:0.009357:0.009038:0.005557:0.005046:0.008160:0.007329:0.009389:0.008160:0.005557:0.005205:0.003864:0.006770:0.008112:0.006052:0.003273:0.007649:0.004375:0.002523:0.013748:0.007936:0.009038:0.007936:0.009165:0.003864:0.008830:0.009405:0.006307:0.007058:0.003864:0.003864:0.008575:0.003864:0.007058:0.007904:0.003864:0.004375:0.002427:0.009038:0.008351:0.009165:0.003864:0.003864:0.009086:0.008160:0.009038:0.007106:0.008160:0.005637:0.007377:0.003864:0.007840:0.003864:0.013748:0.006770:0.003465:0.005509:0.011848:0.009405:0.004040:0.007649:0.009405:0.006467:0.003369:0.005876:0.005716:0.003864:0.009038:0.007010:0.005557:0.008144:0.007904:0.006770:0.003864:0.008782:0.009165:0.003864:0.007489:0.004375 underpinned by analysing and sharing key learnings from our work. In 2021/22 we started work on a second report :@0.048828:0.117526:0.880986:0.117526:0.880986:0.106941:0.048828:0.106941:0.009038:0.008782:0.009405:0.008160:0.005557:0.009389:0.003864:0.008846:0.009038:0.008112:0.009405:0.004375:0.002443:0.008655:0.007058:0.005301:0.007904:0.008830:0.008128:0.003641:0.007728:0.006387:0.003864:0.008830:0.009405:0.006227:0.007808:0.008655:0.008990:0.006467:0.006770:0.008686:0.007904:0.005381:0.003864:0.008655:0.009165:0.004375:0.002427:0.007649:0.008351:0.007441:0.005637:0.003864:0.008160:0.008128:0.005557:0.008846:0.003864:0.008830:0.009405:0.006770:0.005174:0.004790:0.005557:0.009150:0.013525:0.006052:0.009070:0.009038:0.005333:0.004790:0.012104:0.009836:0.005796:0.008239:0.003465:0.004375:0.003002:0.003609:0.007728:0.006052:0.008607:0.008958:0.008607:0.009038:0.006227:0.008990:0.008830:0.005637:0.012183:0.008830:0.005637:0.006563:0.005413:0.007872:0.005557:0.005205:0.008160:0.009405:0.005557:0.012183:0.009916:0.005876:0.008319:0.005637:0.008575:0.008319:0.006052:0.006898:0.006467:0.006563:0.008064:0.007138:0.009070:0.008830:0.009165:0.006387:0.005557:0.007968:0.009165:0.009070:0.005381:0.005205:0.004375 into the evolution and impact of the EN Scheme (to be published in summer 2022), which provided the basis for :@0.048828:0.133205:0.855613:0.133205:0.855613:0.122620:0.048828:0.122620:0.003864:0.008575:0.005205:0.008990:0.005205:0.005413:0.009038:0.008160:0.006052:0.008064:0.007393:0.009357:0.003673:0.008830:0.005413:0.003864:0.009038:0.009038:0.006339:0.007808:0.008575:0.008990:0.006467:0.003864:0.013748:0.009197:0.008128:0.007377:0.005413:0.005142:0.009357:0.004758:0.005205:0.005413:0.009038:0.008160:0.006467:0.006978:0.010331:0.006467:0.008479:0.007377:0.008846:0.008351:0.013748:0.008064:0.005637:0.004535:0.005205:0.008830:0.006052:0.008575:0.007569:0.006387:0.009070:0.008655:0.009070:0.003864:0.003864:0.006467:0.008734:0.008064:0.009165:0.004375:0.002523:0.003273:0.007569:0.006467:0.006770:0.009038:0.013748:0.013477:0.008351:0.005557:0.005589:0.008990:0.009070:0.008990:0.009070:0.005046:0.003465:0.005780:0.011848:0.009405:0.004040:0.007649:0.009405:0.006467:0.009070:0.005301:0.008990:0.007313:0.003864:0.008910:0.007984:0.009070:0.005637:0.005413:0.009038:0.008160:0.006467:0.008830:0.007649:0.006467:0.003609:0.006467:0.005301:0.004998:0.009357:0.005557:0.004375 sharing learning with system partners and staff in member trusts through case stories reflected in this report. We :@0.048407:0.148585:0.857971:0.148585:0.857971:0.138001:0.048407:0.138001:0.006770:0.008782:0.008128:0.005317:0.003864:0.008734:0.009405:0.006307:0.003864:0.007984:0.008128:0.005317:0.009038:0.003657:0.008830:0.009405:0.005477:0.011928:0.004040:0.005716:0.009405:0.006387:0.006563:0.007393:0.006467:0.005205:0.007984:0.013189:0.006467:0.009389:0.008128:0.005349:0.005413:0.009038:0.008160:0.005557:0.006770:0.005573:0.007808:0.008575:0.008990:0.006467:0.006770:0.005589:0.008128:0.004998:0.005190:0.005637:0.003273:0.007569:0.004375:0.002523:0.013748:0.008096:0.013748:0.009118:0.008351:0.005557:0.005078:0.005413:0.005557:0.009038:0.006770:0.005237:0.006770:0.005253:0.005413:0.009038:0.005381:0.009165:0.009038:0.009118:0.009038:0.006339:0.007138:0.007904:0.006770:0.008016:0.005637:0.006563:0.005205:0.009070:0.005381:0.003864:0.008064:0.006770:0.005924:0.005557:0.008064:0.004998:0.003657:0.008064:0.007377:0.005062:0.008160:0.009165:0.004375:0.002523:0.003273:0.007569:0.006052:0.005413:0.008782:0.003864:0.006563:0.006052:0.005381:0.008064:0.009070:0.008990:0.005381:0.005413:0.003241:0.006052:0.014914:0.008527:0.004375 also established a Maternity Voices Advisory Group in 2021/22, giving families an opportunity to advise on the future :@0.048407:0.163966:0.888661:0.163966:0.888661:0.153382:0.048407:0.153382:0.007904:0.003864:0.006307:0.008990:0.005637:0.008351:0.006531:0.005413:0.007872:0.009389:0.003641:0.003864:0.006467:0.009038:0.008016:0.009405:0.006307:0.006898:0.004375:0.002427:0.014339:0.008128:0.005413:0.008351:0.005557:0.009038:0.003864:0.005413:0.007728:0.004774:0.009581:0.009070:0.003864:0.007138:0.008064:0.006770:0.004742:0.010299:0.009405:0.007649:0.003864:0.006770:0.009581:0.005557:0.007728:0.005700:0.010954:0.005557:0.009357:0.008750:0.009389:0.006403:0.003273:0.007569:0.006467:0.008910:0.008990:0.008910:0.008910:0.006227:0.008990:0.008910:0.003465:0.006531:0.009070:0.003864:0.007138:0.003864:0.008495:0.009070:0.005637:0.004998:0.008128:0.013748:0.003864:0.003864:0.003864:0.008351:0.006770:0.005748:0.007649:0.008495:0.006467:0.009357:0.009389:0.009389:0.009357:0.005557:0.005413:0.009038:0.009038:0.003864:0.005413:0.007728:0.004790:0.005413:0.009134:0.005205:0.007808:0.009165:0.007393:0.003864:0.006467:0.008064:0.006052:0.008575:0.008319:0.006052:0.005413:0.009038:0.008160:0.005301:0.004998:0.009038:0.005413:0.009038:0.005557:0.008351:0.004375 development of the EN Scheme. The group was a strategic response to the ambition in the National Patient Safety :@0.048407:0.179347:0.868606:0.179347:0.868606:0.168762:0.048407:0.168762:0.009405:0.008351:0.007649:0.008351:0.003864:0.009357:0.009389:0.013748:0.008351:0.009038:0.005413:0.005078:0.009357:0.004758:0.005301:0.005413:0.009038:0.008160:0.006387:0.006978:0.010427:0.006052:0.008479:0.007377:0.009038:0.008351:0.013477:0.008351:0.003465:0.006754:0.008367:0.008862:0.008351:0.005509:0.009070:0.005381:0.009070:0.008830:0.009165:0.004870:0.012359:0.008655:0.007233:0.005205:0.006898:0.006467:0.006770:0.005413:0.005381:0.008128:0.005413:0.008351:0.009405:0.003864:0.007377:0.005621:0.005381:0.008064:0.006770:0.009022:0.009070:0.008830:0.006563:0.008064:0.005205:0.005413:0.009134:0.005205:0.005413:0.009038:0.008160:0.005637:0.008128:0.013381:0.009389:0.003641:0.005413:0.003657:0.009357:0.008798:0.004375:0.002427:0.003273:0.007649:0.006052:0.005413:0.009038:0.008160:0.006387:0.011593:0.007904:0.005205:0.003864:0.008910:0.008655:0.007904:0.003864:0.006643:0.008655:0.008128:0.005158:0.003864:0.008160:0.008830:0.005413:0.005509:0.008479:0.008128:0.004998:0.008144:0.005413:0.007728:0.004375 Strategy that encouraged organisations and service users to work in partnership to improve quality and safety.:@0.048407:0.194727:0.833173:0.194727:0.833173:0.184143:0.048407:0.184143:0.008479:0.005413:0.005557:0.007952:0.005413:0.008351:0.009405:0.007505:0.004870:0.005413:0.009373:0.008319:0.005413:0.005764:0.008351:0.009038:0.007154:0.009357:0.009038:0.005301:0.008128:0.009181:0.008351:0.009213:0.006387:0.009357:0.005349:0.009405:0.008128:0.009038:0.003864:0.006770:0.008128:0.005413:0.003864:0.009357:0.009038:0.006770:0.005605:0.007808:0.008575:0.008990:0.006467:0.006563:0.008064:0.005381:0.007393:0.003864:0.007058:0.008064:0.006052:0.008734:0.006467:0.008064:0.005301:0.006563:0.005205:0.005413:0.009134:0.004790:0.012183:0.009916:0.005876:0.008319:0.006052:0.003273:0.007649:0.004375:0.002523:0.009389:0.007840:0.005557:0.005413:0.008782:0.008351:0.005557:0.006515:0.009038:0.003864:0.009118:0.005637:0.005126:0.008990:0.006052:0.003864:0.013189:0.009070:0.005381:0.009165:0.007393:0.008064:0.006052:0.009405:0.008750:0.008128:0.003864:0.003641:0.005413:0.007537:0.005301:0.007808:0.008575:0.008990:0.006467:0.006387:0.007649:0.004790:0.007904:0.005126:0.007233:0.003465 We continue to collaborate with strategic partners, including through the Maternity Incentive :@0.047567:0.217003:0.718834:0.217003:0.718834:0.206419:0.047567:0.206419:0.015297:0.008575:0.005637:0.007377:0.009181:0.009038:0.005413:0.003864:0.009038:0.009038:0.008351:0.005685:0.005413:0.009038:0.005301:0.007377:0.009357:0.003864:0.003864:0.008128:0.009102:0.009357:0.005557:0.008128:0.005413:0.008096:0.005205:0.011768:0.003864:0.005716:0.009325:0.006467:0.006770:0.005413:0.005381:0.008128:0.005413:0.008351:0.009405:0.003864:0.007377:0.005621:0.009389:0.007920:0.005557:0.005413:0.009038:0.008351:0.005557:0.006770:0.003465:0.006770:0.003864:0.008830:0.007138:0.003864:0.008734:0.009165:0.003864:0.008655:0.009165:0.006052:0.005413:0.009038:0.005381:0.009165:0.009038:0.009118:0.009038:0.005924:0.005413:0.009038:0.008160:0.004375:0.002523:0.014339:0.008128:0.005413:0.008351:0.005557:0.009038:0.003864:0.005413:0.007728:0.005541:0.004247:0.008702:0.007377:0.008000:0.008830:0.005205:0.003864:0.007393:0.008160:0.004375 Scheme, to help support safer maternity care. Results for year three of the scheme were encouraging, :@0.048407:0.232444:0.778500:0.232444:0.778500:0.221860:0.048407:0.221860:0.008479:0.007377:0.009038:0.008351:0.013748:0.008351:0.003465:0.006148:0.005413:0.009134:0.006052:0.008575:0.007904:0.003609:0.008910:0.006052:0.006770:0.009038:0.009389:0.009181:0.009357:0.005349:0.005413:0.005253:0.006770:0.008128:0.004998:0.008351:0.005557:0.005700:0.013748:0.008128:0.005605:0.008351:0.005557:0.009038:0.003864:0.005413:0.007728:0.005174:0.007377:0.007840:0.005557:0.008144:0.003465:0.004375:0.003162:0.009245:0.007984:0.006467:0.008575:0.003864:0.005046:0.006467:0.005205:0.004998:0.009549:0.005557:0.004950:0.007728:0.008351:0.008128:0.005557:0.004854:0.005413:0.009038:0.005381:0.008351:0.008128:0.006052:0.009357:0.004758:0.004870:0.005413:0.009038:0.008160:0.006052:0.006770:0.007090:0.009038:0.008112:0.013748:0.008096:0.005205:0.011768:0.008655:0.005557:0.008734:0.005637:0.008351:0.009213:0.007377:0.009357:0.009229:0.005557:0.008128:0.009405:0.003864:0.009038:0.009405:0.003465:0.004375 with 95 maternity trusts (out of 122 eligible trusts) achieving all ten safety actions.:@0.047567:0.247826:0.634589:0.247826:0.634589:0.237242:0.047567:0.237242:0.011928:0.004040:0.005716:0.009405:0.006052:0.008607:0.008607:0.006563:0.013748:0.008128:0.005605:0.008351:0.005557:0.009038:0.003864:0.005413:0.007728:0.005174:0.005413:0.005557:0.009038:0.006770:0.005237:0.006770:0.005158:0.004822:0.009357:0.008766:0.005413:0.005589:0.009357:0.004758:0.004375:0.002427:0.008319:0.008399:0.008319:0.006052:0.008064:0.003864:0.003864:0.008990:0.003864:0.009086:0.003864:0.007984:0.005301:0.005413:0.005349:0.009038:0.006595:0.005413:0.006770:0.004535:0.005637:0.008128:0.007090:0.009038:0.003864:0.008112:0.007649:0.003864:0.008830:0.009405:0.006307:0.007233:0.003449:0.003449:0.006052:0.005126:0.007984:0.008655:0.006467:0.006770:0.008128:0.004998:0.008351:0.005413:0.007728:0.005333:0.008128:0.007090:0.005413:0.003864:0.009038:0.009038:0.006515:0.003465 What is the Maternity Incentive Scheme?:@0.068996:0.333876:0.522210:0.333876:0.522210:0.318278:0.068996:0.318278:0.023649:0.014166:0.012660:0.009154:0.008118:0.005883:0.009083:0.007224:0.009154:0.014166:0.012730:0.008754:0.022520:0.012660:0.008942:0.012730:0.009365:0.013954:0.006683:0.009154:0.012495:0.008071:0.007224:0.013789:0.011013:0.012354:0.013789:0.008918:0.006683:0.012307:0.012354:0.008918:0.013036:0.011083:0.013954:0.012448:0.021272:0.012448:0.010307 The Maternity Incentive Scheme is a collaboration :@0.068996:0.354727:0.419855:0.354727:0.419855:0.344143:0.068996:0.344143:0.008160:0.008734:0.008064:0.005716:0.014339:0.007840:0.005413:0.008351:0.005557:0.009038:0.003864:0.005413:0.007489:0.005301:0.004247:0.008527:0.007138:0.007984:0.008734:0.005205:0.003864:0.007138:0.007984:0.005716:0.008239:0.007377:0.008670:0.008351:0.013253:0.008160:0.005637:0.003194:0.005716:0.005637:0.006802:0.005716:0.007058:0.008990:0.003864:0.003864:0.007728:0.009070:0.009165:0.005381:0.007904:0.005205:0.003864:0.008990:0.008830:0.004375 by NEIS Resolution and the national maternity safety :@0.069752:0.370109:0.439181:0.370109:0.439181:0.359525:0.069752:0.359525:0.008399:0.006978:0.005637:0.010251:0.006978:0.003705:0.007313:0.004375:0.002523:0.008990:0.007808:0.006467:0.008910:0.003864:0.008399:0.005205:0.003864:0.008734:0.008655:0.006052:0.007649:0.008495:0.008910:0.005637:0.005413:0.008702:0.008064:0.006052:0.008830:0.007808:0.005413:0.003577:0.008990:0.008655:0.007904:0.003864:0.006307:0.013748:0.007760:0.005413:0.008112:0.005557:0.008814:0.003864:0.005205:0.007728:0.004790:0.006770:0.007856:0.004998:0.008112:0.005413:0.007537:0.004375 champions in partnership with the Collaborative :@0.069416:0.385490:0.409832:0.385490:0.409832:0.374906:0.069416:0.374906:0.007377:0.008670:0.008128:0.013301:0.009070:0.003864:0.009086:0.008830:0.006770:0.005589:0.003273:0.007569:0.006467:0.009165:0.007808:0.005381:0.005413:0.008623:0.008160:0.005381:0.006563:0.008830:0.003864:0.009086:0.004870:0.011545:0.003864:0.005685:0.009038:0.006180:0.005413:0.008702:0.008064:0.005637:0.009581:0.009070:0.003864:0.003864:0.007824:0.009165:0.009357:0.005349:0.007904:0.005413:0.003864:0.007361:0.008160:0.004375 Advisory Group (CAG). The CAG was established by :@0.068996:0.400872:0.437579:0.400872:0.437579:0.390287:0.068996:0.390287:0.009996:0.009165:0.007473:0.003864:0.006563:0.009165:0.005557:0.007473:0.005301:0.010666:0.005381:0.009165:0.008734:0.009165:0.005716:0.004822:0.010299:0.010666:0.011257:0.004822:0.003673:0.006052:0.008367:0.008782:0.008351:0.005174:0.010251:0.010666:0.011353:0.005637:0.011928:0.008399:0.007058:0.005301:0.007984:0.006563:0.005126:0.007808:0.009070:0.003864:0.003529:0.006467:0.008734:0.007984:0.009070:0.006467:0.008399:0.006898:0.004375 NEIS Resolution to bring together other arm's length :@0.069752:0.416551:0.437617:0.416551:0.437617:0.405966:0.069752:0.405966:0.010251:0.006978:0.003705:0.007313:0.004375:0.002523:0.008990:0.007904:0.006467:0.008910:0.003864:0.008399:0.005205:0.003864:0.008734:0.008655:0.005637:0.005046:0.008655:0.006052:0.008734:0.005205:0.003609:0.008399:0.008734:0.005637:0.005413:0.009357:0.009405:0.008175:0.005413:0.009038:0.008160:0.005557:0.005285:0.009070:0.005413:0.008623:0.008160:0.005381:0.005301:0.007728:0.005205:0.012950:0.003673:0.006323:0.005637:0.003864:0.007649:0.008495:0.008830:0.005046:0.008495:0.004375 bodies and the royal colleges to support improvements :@0.069752:0.431992:0.457033:0.431992:0.457033:0.421408:0.069752:0.421408:0.008910:0.008830:0.008830:0.003609:0.007808:0.006387:0.005301:0.007649:0.008495:0.008830:0.006052:0.005413:0.008702:0.008064:0.006052:0.005046:0.008495:0.007058:0.007393:0.003529:0.006052:0.007138:0.008990:0.003864:0.003529:0.007984:0.009070:0.008064:0.006563:0.004870:0.005046:0.008655:0.005637:0.006563:0.008734:0.009389:0.009102:0.009165:0.005557:0.005205:0.005637:0.003864:0.013189:0.008990:0.005381:0.009070:0.007393:0.007984:0.013285:0.007984:0.008734:0.005205:0.006563:0.004375 in maternity and neonatal services. Members of the :@0.069752:0.447433:0.433130:0.447433:0.433130:0.436849:0.069752:0.436849:0.003273:0.007649:0.006467:0.013748:0.007760:0.005413:0.008112:0.005557:0.008814:0.003864:0.005205:0.007728:0.004790:0.007649:0.008495:0.008830:0.006467:0.008734:0.008064:0.008990:0.008830:0.007808:0.005413:0.007696:0.003864:0.005972:0.006563:0.007984:0.005301:0.007313:0.003864:0.006898:0.007984:0.006467:0.003273:0.004375:0.002858:0.013860:0.008064:0.013365:0.009070:0.008160:0.005381:0.006770:0.005589:0.008910:0.004790:0.004790:0.005413:0.008702:0.008064:0.004375 group include: the Department of Health and Social :@0.069416:0.462754:0.434853:0.462754:0.434853:0.452170:0.069416:0.452170:0.008830:0.005205:0.008830:0.008575:0.008910:0.006387:0.003864:0.008655:0.006978:0.003864:0.008495:0.008990:0.007984:0.003273:0.006387:0.005413:0.008702:0.008064:0.006052:0.011193:0.008144:0.009165:0.008128:0.005317:0.005413:0.013413:0.008160:0.009038:0.005158:0.005301:0.009357:0.004758:0.006052:0.010762:0.007808:0.007728:0.003609:0.005046:0.008575:0.006052:0.007649:0.008495:0.008910:0.006052:0.007904:0.008734:0.006898:0.003609:0.007569:0.003609:0.004375 Care, NHS Digital1 NHS England, Royal College of :@0.069416:0.478076:0.423516:0.478076:0.423516:0.467491:0.069416:0.467491:0.009884:0.007936:0.005557:0.008351:0.003465:0.006754:0.010762:0.010251:0.007649:0.006052:0.011193:0.003689:0.009405:0.003864:0.005221:0.008128:0.003641:0.007649:0.006467:0.010762:0.010251:0.007649:0.006467:0.007904:0.008830:0.009165:0.003864:0.007824:0.008830:0.009165:0.003465:0.004375:0.002746:0.008655:0.008495:0.007058:0.007393:0.003529:0.006387:0.009884:0.009102:0.003864:0.003864:0.007984:0.009405:0.007984:0.005205:0.008910:0.004790:0.004375 ,:@0.196088:0.478076:0.199553:0.478076:0.199553:0.467491:0.196088:0.467491:0.003465 Obstetricians and Gynaecologists, Royal College of :@0.069416:0.493517:0.427460:0.493517:0.427460:0.482933:0.069416:0.482933:0.011688:0.009165:0.006770:0.005078:0.008064:0.005413:0.005253:0.003864:0.007138:0.003864:0.007728:0.008830:0.006770:0.005158:0.007808:0.008575:0.008990:0.006467:0.010666:0.007728:0.008750:0.007904:0.008351:0.007106:0.009070:0.003864:0.008990:0.009165:0.003864:0.006563:0.005413:0.006515:0.003465:0.004375:0.002746:0.008655:0.008495:0.007058:0.007393:0.003529:0.006387:0.009884:0.009102:0.003864:0.003864:0.007984:0.009405:0.007984:0.005637:0.008655:0.004615:0.004375 Midwives, Mothers and Babies: Reducing Risk through :@0.069752:0.509196:0.452930:0.509196:0.452930:0.498611:0.069752:0.498611:0.014339:0.003641:0.009405:0.011177:0.003864:0.007649:0.008064:0.006770:0.003465:0.006659:0.014115:0.009070:0.005205:0.008830:0.008064:0.005381:0.006770:0.005078:0.007649:0.008495:0.008910:0.006467:0.008734:0.007728:0.008910:0.003864:0.007824:0.006387:0.003273:0.004375:0.003353:0.008990:0.007904:0.008990:0.008575:0.007058:0.003864:0.008495:0.008990:0.004375:0.002523:0.008830:0.003529:0.006211:0.007233:0.004870:0.005205:0.008734:0.005381:0.008990:0.008734:0.009070:0.008734:0.004375 Audits and Confidential Enquiries (MBRRACE), Royal :@0.068996:0.524637:0.438473:0.524637:0.438473:0.514053:0.068996:0.514053:0.010299:0.008862:0.009405:0.003864:0.005221:0.006770:0.005158:0.007649:0.008495:0.008910:0.006052:0.009884:0.009022:0.009038:0.004822:0.003864:0.009405:0.008160:0.009038:0.005413:0.003864:0.007904:0.003864:0.004375:0.002523:0.007728:0.008830:0.009165:0.008734:0.003864:0.005301:0.003864:0.007984:0.006770:0.005078:0.004822:0.014595:0.009150:0.009549:0.009549:0.010299:0.009884:0.008080:0.004822:0.003465:0.004375:0.003018:0.008495:0.008239:0.006898:0.007233:0.003449:0.004375 College of Anaesthetists, the Care Quality Commission :@0.069416:0.540019:0.455739:0.540019:0.455739:0.529435:0.069416:0.529435:0.009884:0.009022:0.003864:0.003864:0.007984:0.009405:0.007984:0.005205:0.009357:0.004758:0.004870:0.010299:0.008862:0.008128:0.008351:0.006770:0.005413:0.009038:0.008351:0.005413:0.003864:0.006770:0.005413:0.006770:0.003465:0.005541:0.005413:0.009038:0.008160:0.005205:0.009884:0.008128:0.005557:0.008351:0.005653:0.011688:0.008830:0.007808:0.003864:0.003864:0.005126:0.007728:0.004710:0.009660:0.009070:0.013445:0.013365:0.003864:0.006563:0.006770:0.003657:0.009070:0.008830:0.004375 (CQC) and Healthcare Safety Investigation Branch (HSIB).:@0.069416:0.555401:0.464569:0.555401:0.464569:0.544816:0.069416:0.544816:0.004822:0.010060:0.012040:0.010140:0.004822:0.005685:0.007649:0.008495:0.008910:0.004375:0.002427:0.010922:0.007984:0.007904:0.003864:0.005126:0.008830:0.007138:0.007808:0.005381:0.008064:0.005205:0.008479:0.008128:0.004998:0.008144:0.005413:0.007728:0.005174:0.004040:0.008655:0.007313:0.007984:0.006563:0.005205:0.003864:0.008910:0.007808:0.005205:0.003864:0.008910:0.008734:0.006467:0.008830:0.005301:0.007808:0.008655:0.007058:0.008734:0.006052:0.004455:0.010587:0.007904:0.004040:0.008575:0.004455:0.003465 The scheme works by drawing an additional 10% of a :@0.068996:0.577616:0.460205:0.577616:0.460205:0.567032:0.068996:0.567032:0.008367:0.008782:0.008351:0.005509:0.006770:0.007090:0.009038:0.008112:0.013748:0.008096:0.005301:0.012024:0.009756:0.005557:0.008303:0.007058:0.006052:0.008655:0.007138:0.005205:0.009405:0.005557:0.008319:0.011545:0.003864:0.009038:0.009597:0.006387:0.007473:0.008319:0.006387:0.008128:0.009405:0.009102:0.003864:0.005413:0.003673:0.009165:0.009038:0.007856:0.003864:0.004375:0.003609:0.008910:0.008990:0.013525:0.004375:0.002523:0.009357:0.004758:0.005637:0.006467:0.004375 trust's calculated maternity contribution via our CNST :@0.068996:0.593057:0.453850:0.593057:0.453850:0.582473:0.068996:0.582473:0.005126:0.005381:0.008734:0.006563:0.005205:0.003673:0.006419:0.005716:0.007377:0.007840:0.003864:0.007377:0.009038:0.003864:0.007872:0.005413:0.008351:0.009181:0.004375:0.002427:0.013748:0.008128:0.005605:0.008351:0.005557:0.009038:0.003864:0.005413:0.007728:0.005174:0.007377:0.009181:0.009038:0.005413:0.005381:0.003864:0.009389:0.009038:0.005413:0.003864:0.009357:0.009038:0.005669:0.007233:0.003609:0.007728:0.006387:0.009070:0.009038:0.005333:0.005205:0.009884:0.011720:0.008479:0.008367:0.004375 maternity pricing. Trusts that can demonstrate they :@0.069752:0.608438:0.438527:0.608438:0.438527:0.597854:0.069752:0.597854:0.013748:0.008128:0.005605:0.008351:0.005557:0.009038:0.003864:0.005413:0.007728:0.005605:0.009070:0.005381:0.003864:0.007058:0.003864:0.008655:0.009165:0.003465:0.006371:0.007984:0.005301:0.008575:0.006467:0.005126:0.006467:0.005301:0.005413:0.009373:0.008319:0.005413:0.005764:0.007058:0.007649:0.008655:0.006467:0.009405:0.008160:0.013748:0.009357:0.009038:0.006595:0.005413:0.005557:0.008128:0.005413:0.008351:0.005637:0.005413:0.009038:0.008160:0.007728:0.004375 have achieved all of the ten safety actions recover the :@0.069752:0.623819:0.455325:0.623819:0.455325:0.613234:0.069752:0.613234:0.008734:0.007808:0.007393:0.007984:0.005637:0.008128:0.006994:0.009038:0.003657:0.008160:0.007473:0.008351:0.009134:0.006387:0.007233:0.003449:0.003449:0.006467:0.009357:0.004758:0.005301:0.005413:0.009038:0.008080:0.005301:0.005205:0.008160:0.008830:0.006467:0.006770:0.008128:0.004998:0.008175:0.005413:0.007728:0.005174:0.008128:0.007377:0.005413:0.003864:0.009086:0.009038:0.006770:0.005956:0.005557:0.007968:0.007377:0.009006:0.007473:0.008064:0.005381:0.004790:0.005413:0.008702:0.008064:0.004375 element of their contribution to the incentive fund :@0.069416:0.639498:0.432825:0.639498:0.432825:0.628913:0.069416:0.628913:0.008351:0.003673:0.008351:0.013748:0.008351:0.009038:0.005413:0.005605:0.009357:0.004758:0.004790:0.005413:0.009038:0.008351:0.003864:0.005557:0.005685:0.007377:0.009357:0.009038:0.005158:0.005557:0.003864:0.009389:0.008750:0.005413:0.003864:0.009357:0.008846:0.006052:0.005413:0.009134:0.005205:0.005413:0.009038:0.008160:0.006052:0.003864:0.008830:0.007377:0.008175:0.009038:0.005413:0.003625:0.007649:0.008144:0.005205:0.004998:0.008782:0.009038:0.009118:0.004375 and will also receive a share of any unallocated funds. :@0.069416:0.654878:0.456090:0.654878:0.456090:0.644294:0.069416:0.644294:0.007808:0.008575:0.008990:0.005205:0.011545:0.003864:0.004088:0.003864:0.006563:0.007808:0.003864:0.006307:0.008990:0.006052:0.005381:0.007984:0.007138:0.008064:0.003864:0.007233:0.007984:0.006052:0.006802:0.006052:0.006770:0.008607:0.007904:0.005381:0.008064:0.006052:0.009357:0.004758:0.005205:0.008128:0.008846:0.007728:0.005557:0.009038:0.008782:0.008128:0.003864:0.003864:0.009181:0.007377:0.008128:0.005174:0.008351:0.009213:0.006052:0.004998:0.009038:0.009038:0.009405:0.006770:0.003465:0.004375 Trusts that do not meet all ten safety actions do not:@0.068996:0.670260:0.438393:0.670260:0.438393:0.659676:0.068996:0.659676:0.007984:0.005301:0.008575:0.006467:0.005126:0.006467:0.004870:0.005413:0.009373:0.008319:0.005413:0.005764:0.008910:0.008830:0.006052:0.008734:0.008990:0.005205:0.005716:0.013748:0.008351:0.008064:0.005413:0.005094:0.007233:0.003449:0.003449:0.006052:0.005205:0.008160:0.008830:0.006467:0.006770:0.008128:0.004998:0.008175:0.005413:0.007728:0.005174:0.008128:0.007377:0.005413:0.003864:0.009165:0.009038:0.006770:0.005541:0.008910:0.008830:0.006052:0.008575:0.008910:0.005413 recover their contribution, but may be eligible for a :@0.487671:0.354727:0.855488:0.354727:0.855488:0.344143:0.487671:0.344143:0.005557:0.007968:0.007377:0.009006:0.007473:0.008064:0.005381:0.005205:0.005413:0.009038:0.008351:0.003864:0.005557:0.005349:0.007377:0.009357:0.009325:0.005413:0.005557:0.003864:0.009389:0.009038:0.005413:0.003864:0.009565:0.009038:0.003465:0.004375:0.002539:0.009070:0.008734:0.005205:0.006052:0.013365:0.007808:0.007473:0.005637:0.008575:0.007569:0.006052:0.008160:0.003864:0.003609:0.009070:0.003864:0.008910:0.003864:0.007904:0.005205:0.004998:0.009884:0.005557:0.005365:0.006467:0.004375 smaller discretionary payment to help them make :@0.487251:0.370109:0.843874:0.370109:0.843874:0.359525:0.487251:0.359525:0.006770:0.013573:0.008128:0.003864:0.003641:0.008351:0.005349:0.005637:0.009405:0.003864:0.006770:0.007185:0.005557:0.008351:0.005174:0.003864:0.009357:0.009038:0.007904:0.005557:0.007553:0.005637:0.009389:0.008128:0.007521:0.013748:0.008351:0.008830:0.005413:0.005174:0.005413:0.009134:0.005637:0.008734:0.007984:0.003864:0.008830:0.005301:0.005413:0.009038:0.008160:0.013748:0.006339:0.013525:0.008128:0.007760:0.008160:0.004375 progress against any actions they have not achieved.:@0.487671:0.385490:0.860518:0.385490:0.860518:0.374906:0.487671:0.374906:0.008990:0.005381:0.008990:0.009070:0.005381:0.007984:0.006563:0.006563:0.005637:0.008128:0.009405:0.007936:0.003864:0.009038:0.006770:0.005413:0.005509:0.008128:0.008846:0.007728:0.005221:0.008128:0.007090:0.005413:0.003864:0.009038:0.009038:0.006595:0.005301:0.005413:0.009038:0.008351:0.007728:0.005780:0.008830:0.007904:0.007473:0.008064:0.006052:0.008734:0.008990:0.005205:0.005637:0.008128:0.007377:0.008782:0.003864:0.008064:0.007473:0.008351:0.009134:0.003465 Trust submissions are checked against CQC findings :@0.486932:0.407762:0.861247:0.407762:0.861247:0.397178:0.486932:0.397178:0.007984:0.005301:0.008575:0.006467:0.005126:0.005637:0.006770:0.008686:0.009389:0.013301:0.003864:0.006770:0.006595:0.003864:0.009086:0.009038:0.006595:0.005637:0.007728:0.005301:0.007904:0.005716:0.007377:0.008846:0.008351:0.007201:0.007936:0.008351:0.009181:0.006467:0.008128:0.009405:0.007936:0.003864:0.009038:0.006770:0.005413:0.005509:0.009884:0.012295:0.010092:0.006467:0.004998:0.003864:0.009038:0.009405:0.003864:0.008750:0.009405:0.006770:0.004375 and a range of external verification points: these :@0.487268:0.423143:0.836913:0.423143:0.836913:0.412558:0.487268:0.412558:0.007808:0.008655:0.008990:0.006467:0.006802:0.006467:0.005381:0.008128:0.008686:0.009165:0.008160:0.006052:0.009357:0.004758:0.005301:0.008351:0.007329:0.005413:0.008064:0.005557:0.009038:0.008128:0.003864:0.005525:0.007649:0.008351:0.005557:0.003864:0.004998:0.003864:0.007377:0.008128:0.005413:0.003864:0.009357:0.009038:0.004375:0.002539:0.009070:0.009070:0.003864:0.008734:0.005205:0.006770:0.003225:0.006467:0.005205:0.009038:0.008016:0.006770:0.008016:0.004375 include referencing MBRRACE-UK data, submissions :@0.487688:0.438525:0.863632:0.438525:0.863632:0.427940:0.487688:0.427940:0.003864:0.009038:0.007010:0.003864:0.008830:0.009405:0.007984:0.006052:0.005557:0.008144:0.004998:0.008351:0.005301:0.008351:0.008798:0.007377:0.003864:0.008670:0.009405:0.006738:0.014626:0.009325:0.009756:0.009836:0.010507:0.010171:0.008080:0.006706:0.011257:0.009261:0.005365:0.009581:0.008128:0.005413:0.008128:0.003465:0.006467:0.006770:0.008782:0.009389:0.013301:0.003864:0.006770:0.006515:0.003864:0.009086:0.009038:0.006515:0.004375 to the Maternity Services Data Set and against the :@0.486932:0.454204:0.849064:0.454204:0.849064:0.443619:0.486932:0.443619:0.005413:0.009038:0.005301:0.005413:0.009038:0.008160:0.006387:0.014339:0.008128:0.005605:0.008351:0.005557:0.009038:0.003864:0.005413:0.007952:0.005205:0.008239:0.008064:0.005381:0.007393:0.003864:0.007138:0.008160:0.006770:0.005924:0.010842:0.007904:0.005205:0.007904:0.006052:0.008479:0.008000:0.005413:0.005174:0.007808:0.008575:0.008990:0.006467:0.008128:0.009405:0.007936:0.003864:0.009038:0.006770:0.005413:0.005078:0.005413:0.008702:0.008064:0.004375 National Neonatal Research Database (NNRD), and :@0.487688:0.469584:0.850619:0.469584:0.850619:0.459000:0.487688:0.459000:0.011593:0.007904:0.005205:0.003864:0.008910:0.008655:0.007904:0.003864:0.006643:0.011593:0.008064:0.009070:0.008655:0.007904:0.005205:0.007904:0.003864:0.004375:0.002762:0.009165:0.008064:0.006563:0.008064:0.007904:0.005381:0.007058:0.008734:0.006387:0.011193:0.008128:0.005413:0.007952:0.009389:0.007920:0.006770:0.008351:0.005461:0.004615:0.011433:0.011513:0.009070:0.010666:0.004822:0.003162:0.006467:0.007649:0.008495:0.008830:0.004375 EN Scheme notifications to HSIB. We contact trusts2:@0.488108:0.484966:0.860460:0.484966:0.860460:0.474382:0.488108:0.474382:0.006978:0.010331:0.006052:0.008479:0.007377:0.008846:0.008351:0.013748:0.008064:0.006467:0.009038:0.009357:0.005221:0.003864:0.004998:0.003864:0.007377:0.008128:0.005413:0.003864:0.009357:0.009038:0.006770:0.005317:0.005413:0.009038:0.006467:0.010587:0.007984:0.003944:0.008575:0.003194:0.006052:0.014914:0.008527:0.006052:0.007377:0.009357:0.009038:0.005413:0.008399:0.007377:0.005413:0.004854:0.005413:0.005557:0.009373:0.006770:0.005589:0.006770:0.008607 :@0.856005:0.484966:0.860380:0.484966:0.860380:0.474382:0.856005:0.474382:0.004375 where there are concerns about their scheme's :@0.486511:0.500407:0.824117:0.500407:0.824117:0.489823:0.486511:0.489823:0.011928:0.009405:0.008655:0.005557:0.008814:0.005205:0.005413:0.009038:0.008160:0.005557:0.008144:0.005637:0.007808:0.005301:0.007904:0.006052:0.007377:0.009357:0.009038:0.007377:0.008351:0.005557:0.009038:0.006770:0.005716:0.008128:0.009389:0.009357:0.009038:0.005413:0.004647:0.005413:0.009213:0.008351:0.004088:0.005557:0.005285:0.006563:0.007058:0.008830:0.008064:0.013365:0.008064:0.003673:0.006579:0.004375 declaration for reverification or recertification.:@0.487268:0.515788:0.813025:0.515788:0.813025:0.505204:0.487268:0.505204:0.009405:0.008160:0.007377:0.003864:0.008128:0.005557:0.007856:0.005413:0.003864:0.009357:0.009038:0.005525:0.004998:0.009549:0.005557:0.006132:0.005557:0.008351:0.007361:0.008351:0.005349:0.003864:0.004790:0.003864:0.007377:0.007840:0.005413:0.003657:0.009357:0.008798:0.006467:0.008830:0.005301:0.006052:0.005557:0.008144:0.007377:0.008351:0.005557:0.005413:0.003864:0.004822:0.003864:0.007377:0.008128:0.005413:0.003864:0.009165:0.009038:0.003465 The launch of year four of the scheme was challenging :@0.486932:0.538003:0.883139:0.538003:0.883139:0.527419:0.486932:0.527419:0.008367:0.008782:0.008351:0.006355:0.003864:0.007824:0.008734:0.008830:0.007058:0.008830:0.006467:0.009357:0.004758:0.004870:0.007728:0.008351:0.008128:0.005557:0.004950:0.004998:0.009884:0.009245:0.005557:0.005365:0.009357:0.004758:0.005301:0.005413:0.009038:0.008080:0.005716:0.006770:0.007377:0.009038:0.008080:0.013748:0.008351:0.004710:0.012104:0.008575:0.007138:0.005637:0.007377:0.008846:0.008128:0.003864:0.003641:0.008351:0.009038:0.009086:0.003864:0.008830:0.009405:0.004375 due to Covid-19, and to support trusts in December :@0.487268:0.553385:0.862541:0.553385:0.862541:0.542801:0.487268:0.542801:0.009070:0.008734:0.008064:0.005637:0.005413:0.009134:0.005205:0.009884:0.009613:0.007649:0.004120:0.009581:0.006387:0.008830:0.008910:0.003465:0.006627:0.007808:0.008575:0.008990:0.005637:0.005413:0.009134:0.005637:0.006770:0.009038:0.009389:0.009181:0.009357:0.005349:0.005413:0.004838:0.005413:0.005557:0.009038:0.006770:0.005237:0.006770:0.006004:0.003273:0.007569:0.004375:0.002523:0.011002:0.008351:0.007201:0.008351:0.013493:0.009389:0.008175:0.005557:0.004375 2021 it was paused with a requirement for trusts :@0.487268:0.568767:0.840985:0.568767:0.840985:0.558183:0.487268:0.558183:0.008319:0.008399:0.008399:0.008399:0.004375:0.004455:0.003529:0.004966:0.004375:0.012183:0.008575:0.007138:0.006052:0.009070:0.007808:0.008734:0.006563:0.007984:0.009070:0.005637:0.011928:0.004040:0.005716:0.009405:0.006052:0.006802:0.004375:0.002523:0.005557:0.008351:0.009197:0.009038:0.003864:0.005557:0.008096:0.013748:0.008351:0.008830:0.005413:0.004758:0.004998:0.009549:0.005557:0.005285:0.005205:0.005557:0.008814:0.006770:0.005413:0.006563:0.004375 to continue to apply the principles of the MIS. The :@0.486932:0.584504:0.849878:0.584504:0.849878:0.573920:0.486932:0.573920:0.005413:0.009038:0.005716:0.007377:0.009181:0.009038:0.005413:0.003864:0.009038:0.009038:0.008351:0.005269:0.005413:0.009038:0.005716:0.007904:0.009070:0.009165:0.003864:0.007489:0.005205:0.005413:0.009038:0.008160:0.006052:0.009165:0.005381:0.003864:0.008655:0.007377:0.003625:0.009165:0.003864:0.008064:0.006770:0.005493:0.009357:0.004758:0.005205:0.005413:0.009038:0.008160:0.006467:0.013445:0.003944:0.007984:0.003273:0.004375:0.002427:0.008367:0.008607:0.008064:0.004375 scheme was relaunched in May 2022 with revisions :@0.487268:0.599886:0.858007:0.599886:0.858007:0.589302:0.487268:0.589302:0.006770:0.007377:0.009038:0.008160:0.013748:0.008351:0.004710:0.012104:0.008575:0.007138:0.006052:0.005381:0.008351:0.003673:0.008128:0.008846:0.009038:0.007185:0.009038:0.008351:0.009086:0.004375:0.002427:0.003273:0.007649:0.004375:0.002858:0.013780:0.007808:0.007473:0.005637:0.008910:0.008910:0.008830:0.008830:0.005716:0.011848:0.003864:0.005637:0.009245:0.004375:0.002523:0.005301:0.007984:0.007393:0.003864:0.006387:0.003864:0.008830:0.008734:0.006563:0.004375 of the safety actions and their deadlines, with :@0.487268:0.615268:0.816267:0.615268:0.816267:0.604683:0.487268:0.604683:0.009357:0.004758:0.005301:0.005413:0.009038:0.008160:0.005637:0.006770:0.008128:0.004998:0.008351:0.005413:0.007728:0.005429:0.008128:0.007377:0.005413:0.003864:0.009086:0.009038:0.006770:0.005126:0.007808:0.008655:0.008990:0.006052:0.005413:0.009038:0.008351:0.003864:0.005557:0.005685:0.009405:0.008351:0.008128:0.009165:0.003864:0.003864:0.009038:0.008351:0.006563:0.003465:0.005605:0.011545:0.003864:0.005685:0.009038:0.004375 consideration to the findings of the Ockenden Report.:@0.487268:0.630650:0.872378:0.630650:0.872378:0.620065:0.487268:0.620065:0.007377:0.009181:0.009038:0.006595:0.003864:0.009405:0.008080:0.005557:0.008128:0.005221:0.003864:0.009165:0.009038:0.006004:0.005413:0.009038:0.005301:0.005413:0.009038:0.008160:0.005205:0.004998:0.003864:0.009038:0.009405:0.003864:0.009038:0.009405:0.006770:0.005716:0.009357:0.004758:0.005301:0.005413:0.009038:0.008080:0.005716:0.011848:0.007377:0.007936:0.008351:0.009038:0.009405:0.008351:0.009038:0.004375:0.002523:0.009245:0.007984:0.008990:0.008910:0.005301:0.005126:0.003465 The year 2021/22 concluded with the publication of the final Ockenden report - final: Findings, conclusions and :@0.047987:0.752934:0.852729:0.752934:0.852729:0.742349:0.047987:0.742349:0.008367:0.008862:0.008351:0.005094:0.007728:0.008351:0.008128:0.005557:0.005365:0.008607:0.008958:0.008607:0.009038:0.006227:0.008990:0.008830:0.006052:0.007377:0.009102:0.009038:0.007185:0.003864:0.009038:0.009118:0.008351:0.009134:0.005716:0.011848:0.003864:0.005637:0.009245:0.006052:0.005413:0.009038:0.008160:0.006467:0.009165:0.008734:0.009389:0.003641:0.003864:0.007138:0.007904:0.005413:0.003864:0.009038:0.009038:0.006339:0.009357:0.004758:0.005205:0.005413:0.009038:0.008160:0.005205:0.004998:0.003864:0.008782:0.008128:0.003864:0.006243:0.012040:0.007377:0.007728:0.008351:0.009038:0.009165:0.008351:0.009038:0.004375:0.002443:0.005557:0.007968:0.009165:0.009070:0.005381:0.005205:0.004790:0.006387:0.002523:0.004375:0.004998:0.003864:0.009373:0.008128:0.004056:0.003465:0.004375:0.002922:0.007792:0.003641:0.008830:0.009405:0.003625:0.009038:0.009118:0.006563:0.003465:0.006371:0.007377:0.009181:0.009038:0.007185:0.003864:0.009038:0.006770:0.003864:0.009150:0.009038:0.006595:0.005637:0.007649:0.008495:0.008830:0.004375 essential actions from the Independent Review of Maternity Services at The Shrewsbury and Telford Hospital :@0.048407:0.768375:0.822427:0.768375:0.822427:0.757791:0.048407:0.757791:0.008064:0.006770:0.006515:0.008064:0.008734:0.005413:0.003657:0.007904:0.003864:0.006387:0.008128:0.007377:0.005413:0.003864:0.009086:0.009038:0.006770:0.005126:0.004998:0.005557:0.009022:0.013525:0.005637:0.005413:0.009038:0.008160:0.006467:0.004247:0.009038:0.009405:0.008064:0.009389:0.008175:0.009038:0.009405:0.008112:0.009038:0.005413:0.006227:0.009549:0.008351:0.007393:0.003864:0.008351:0.011321:0.005301:0.009357:0.004998:0.006148:0.014339:0.008128:0.005605:0.008351:0.005557:0.009038:0.003864:0.005413:0.007952:0.005205:0.008239:0.008064:0.005381:0.007393:0.003864:0.007138:0.008160:0.006770:0.005493:0.008128:0.005158:0.004870:0.008367:0.008782:0.008351:0.005940:0.008479:0.009038:0.005844:0.008351:0.011736:0.006770:0.009613:0.009038:0.005557:0.007936:0.005205:0.007808:0.008575:0.008990:0.005716:0.007904:0.007904:0.003609:0.004710:0.008910:0.005205:0.008910:0.004375:0.002938:0.010762:0.008830:0.006387:0.008910:0.003609:0.005046:0.007649:0.003609:0.004375 NHS Trust. We welcomed the findings and actions proposed by Donna Ockenden's review and we committed :@0.048828:0.783757:0.831757:0.783757:0.831757:0.773173:0.048828:0.773173:0.011002:0.010507:0.007904:0.005301:0.008367:0.005557:0.009038:0.006770:0.005413:0.001501:0.006052:0.015297:0.008575:0.004790:0.011545:0.008623:0.003864:0.007377:0.009692:0.013748:0.008607:0.009581:0.006052:0.005413:0.009038:0.008160:0.005205:0.004998:0.003864:0.009038:0.009405:0.003864:0.009038:0.009405:0.006770:0.005716:0.007808:0.008655:0.008990:0.006467:0.008128:0.007377:0.005413:0.003864:0.009086:0.009038:0.006770:0.005956:0.008990:0.005301:0.008910:0.008990:0.008910:0.006467:0.007984:0.008990:0.004375:0.002523:0.008655:0.007058:0.005637:0.011002:0.009357:0.008718:0.009038:0.007856:0.006052:0.012040:0.007377:0.007936:0.008351:0.008750:0.009405:0.008351:0.008798:0.003673:0.006770:0.005700:0.005557:0.008351:0.007649:0.003864:0.008527:0.011545:0.005349:0.007808:0.008575:0.008990:0.005637:0.012183:0.008830:0.006052:0.007138:0.009165:0.013445:0.013365:0.003864:0.005413:0.005174:0.008351:0.009134:0.004375 to continuing our work to help ensure that all maternity services are of the highest possible quality for all :@0.047987:0.799138:0.801137:0.799138:0.801137:0.788553:0.047987:0.788553:0.005413:0.009134:0.005637:0.007377:0.009181:0.009038:0.005413:0.003625:0.009038:0.008862:0.003864:0.009038:0.009197:0.006467:0.009357:0.009038:0.005557:0.004375:0.012104:0.009916:0.005876:0.008319:0.005205:0.005413:0.009134:0.005637:0.008734:0.007984:0.003864:0.008910:0.005637:0.008351:0.008798:0.006770:0.008782:0.005557:0.008144:0.005205:0.005413:0.009373:0.008319:0.005413:0.005764:0.007233:0.003449:0.003449:0.004375:0.002523:0.013748:0.008128:0.005605:0.008351:0.005557:0.009038:0.003864:0.005413:0.007728:0.005174:0.006770:0.007936:0.005381:0.007473:0.003864:0.007138:0.008064:0.006770:0.005493:0.007728:0.005301:0.007904:0.005716:0.009357:0.004758:0.005205:0.005413:0.009038:0.008160:0.006052:0.009038:0.003657:0.009405:0.008830:0.008351:0.006770:0.005126:0.005716:0.009165:0.008990:0.006563:0.006467:0.003864:0.008910:0.003864:0.007824:0.005637:0.009405:0.008830:0.008128:0.003864:0.003864:0.005413:0.007728:0.004790:0.004998:0.009549:0.005557:0.005365:0.006978:0.003369:0.003369:0.004375 patients. NHS Resolution will respond to this report with plans to review our procedures and practice.:@0.048828:0.814518:0.770250:0.814518:0.770250:0.803934:0.048828:0.803934:0.009389:0.007920:0.005413:0.003864:0.008032:0.009038:0.005158:0.006770:0.003465:0.004375:0.002699:0.011002:0.010507:0.007904:0.006467:0.009325:0.008064:0.006770:0.008942:0.003864:0.008655:0.005413:0.003657:0.009070:0.008830:0.005301:0.011545:0.003864:0.003864:0.004088:0.004375:0.002523:0.005205:0.007984:0.006563:0.009070:0.008990:0.008734:0.009070:0.005637:0.005413:0.009134:0.005205:0.005413:0.008782:0.003864:0.006563:0.006052:0.005557:0.007968:0.009165:0.009070:0.005381:0.005205:0.004870:0.011768:0.003864:0.005716:0.009325:0.004375:0.002427:0.009165:0.003864:0.007824:0.008830:0.006770:0.004742:0.005413:0.009134:0.006052:0.005557:0.008351:0.007649:0.003864:0.008351:0.011353:0.005301:0.009357:0.009038:0.005381:0.005637:0.009165:0.005381:0.009165:0.007377:0.008000:0.009405:0.008750:0.005557:0.008064:0.006770:0.005493:0.007808:0.008575:0.008990:0.004375:0.002523:0.009165:0.005557:0.007808:0.007377:0.005221:0.003864:0.007058:0.008351:0.003465 1 NHS England have now created a Transformation Directorate, incorporating NHSX and NHS Digital :@0.049248:0.951859:0.616837:0.951859:0.616837:0.944060:0.049248:0.944060:0.006342:0.002906:0.008801:0.008095:0.006248:0.004683:0.006224:0.007059:0.007306:0.003024:0.006389:0.007059:0.007306:0.003224:0.002071:0.006659:0.006365:0.005965:0.006389:0.004871:0.007306:0.007565:0.009330:0.004036:0.005800:0.004283:0.006636:0.006306:0.004200:0.006553:0.007306:0.004459:0.005636:0.004459:0.006636:0.004365:0.006389:0.007142:0.005377:0.003953:0.007401:0.004283:0.010930:0.006389:0.004283:0.003024:0.007401:0.007142:0.003224:0.001988:0.008742:0.003106:0.004459:0.006553:0.005883:0.004283:0.007401:0.004459:0.006389:0.004283:0.006718:0.002553:0.003224:0.002212:0.002847:0.007071:0.005718:0.007306:0.004365:0.007306:0.007306:0.004365:0.006306:0.004200:0.003024:0.007059:0.007306:0.003224:0.002412:0.009071:0.008660:0.006471:0.007224:0.004036:0.006306:0.006977:0.007306:0.003224:0.002071:0.008801:0.008012:0.006248:0.003224:0.001953:0.008248:0.002847:0.007142:0.002847:0.003989:0.005989:0.002847:0.003224 :@0.050424:0.951859:0.053648:0.951859:0.053648:0.944060:0.050424:0.944060:0.003224 - https://bit.lv/3NOTxof:@0.048407:0.964686:0.177724:0.964687:0.177724:0.956888:0.048407:0.956887:0.003189:0.003224:0.003671:0.007059:0.004200:0.003989:0.007354:0.005295:0.002553:0.004930:0.004789:0.007306:0.002847:0.004294:0.002553:0.003083:0.005883:0.004871:0.006636:0.009248:0.009330:0.006471:0.005636:0.007224:-0.113001