On 10 June 2016, the RCOG held the Clinical Engagement Forum to launch the first Each Baby Counts report.
Lead Reporters, Reviewers and other healthcare professionals with an interest in clinical governance and risk management the opportunity heard first-hand the findings emerging from the RCOG’s flagship quality improvement project to reduce avoidable harm in labour. The report was based on interim figures for 2015.
The event was well attended and attendees heard keynote talks from leading experts in the field of service improvement, risk management and incident investigation.
View the Each Baby Counts: key messages 2015 report.
You can watch videos of the presentations via the links below:
Session I: What do we know about the quality of local adverse clinical incident reviews?
Chair: Professor Alan Cameron, Vice President, Clinical Quality, RCOG
- Recommendations of the Morecambe Bay investigation
Dr Bill Kirkup CBE
- A parent’s perspective
Mr David Monteith, Actor, Director, Tutor and Stillbirth Activist
- Panel discussion and Q&A: Current national initiatives focussed on reducing avoidable harm in maternity care
Dr Matthew Jolly, National Clinical Director for Maternity Review and Women’s Health, NHS England, Scotland: Dr Corrine Love, Senior Medical Officer, Scottish Government, Wales: Dr Heather Payne, Senior Medical Officer for Maternal and Child Health, Welsh Government, Northern Ireland: Dr Alyson Hunter, Consultant Obstetrician, Royal Jubilee Maternity Service, Belfast
- What have we learnt so far about local adverse clinical incident reviews?
Each Baby Counts Project Team
Session II: Towards better adverse clinical incident reviews
Chair: Professor Zarko Alfirevic, Professor of Fetal and Maternal Medicine, University of Liverpool
Local quality improvement case studies
All the presentations from the day are also freely available through the RCOG’s StratOG resources.
We have compiled some delegate feedback from the day: