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National Health Service

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Clinical Outcome Reviews
Maternity Reports



The Perinatal Institute is engaged in a rolling programme of confidential enquiries commissioned by various NHS stakeholders, including WM SHA, PCTs and maternity units.



Perinatal Mortality, Social Deprivation and Community Midwifery 2008-9 - commissioned by 5 West Midlands PCTs.
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Report  Appendices


Confidential Enquiry into West Midlands Intrapartum Deaths commissioned by NHS West Midlands.
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  The report has also been released on WM NHS local and was subject to a Parliamentary Adjournment Debate on 1 Feb 2011. Hansard


Confidential Enquiry into Stillbirths with Fetal Growth Restriction (2007) - commissioned by Birmingham & Black Country PCTs.
Click here to download

A number of projects are underway as a result of the findings of these enquiries. This includes a recently initiated, region wide project to develop and implement Standardised Clinical Outcome Reviews (SCOR), aimed to improve the understanding of causes and factors leading to adverse incidents, and to improve action plans and strategies for prevention.


© Perinatal Institute 2011