Maybe there'll be change, but if not, interesting to ask why @Jeremy_Hunt couldn't push it through as SoS for Health & then as Chancellor of the Exchequer. Its simply not right that the tail (litigation, which outstrips services 3-fold) wags the dog (maternity service provision)

But I'm looking forward to hearing more from @wesstreeting Let's hope he's listening to non-conflicted advisors & capable of spotting those who aren't - maybe inc medico-legal vested interests (that depend on conflict) & trainers @mgtmccartney @HealthSenseUK @NHSResolution

What's the evidence that 'monstering' MWs, Drs & systems that fail or calling the police will improve outcomes? Continuous improvement is hard (esp when 99% 'saves' already) & CQC/ heavy regulation doesn't 'work' @RoyLilley

What happened to DH data on ABC pilot (claiming more for cEFM than it can stand), or @NICEComms quality standard on cord clamping (something with 70% reduction death/brain injury in prems)? or continuity, or simple kindness? @JamesTitcombe @birthandbiology @birthsmalltalk

The same people 'talking' safety but delivering maternity services in more crisis. What happened to evidence, Better Births 2016 & new compensation schemes? @RCObsGyn @rcgp @MidwivesRCM rcm.org.uk/media-releases/20…

Which is why focus is shifting "back to basics" and brilliant minds working on newer concepts of Bedside Assessment Stabilisation & Initial Cardiorespiratory Support (intact cord resuscitation) @adweeks @NeoAnup DOI acronym only contribution 6/ pubmed.ncbi.nlm.nih.gov/2619…

Best to leave term babies alone too. cochrane.org/CD004074/PREG_e… It's difficult to untangle whether death/brain injury after immediate clamping was prevented or worsened by this harmful traditional routine intervention /5

The @BAPM toolkit bapm.org/pages/197-optimal-c… is now supplemented by Seidler findings: 2 mins avoiding harmful intervention cuts bad outcomes nearly 70% /4 thelancet.com/journals/lance…

Its difficult to find out what's changed since @NICEComms recommended waiting at least a minute before & documenting interference in fetal-to-neonatal cardiorespiratory transition. @BAPM_Official is doing sterling work on most premature babies /3 cochranelibrary.com/cdsr/doi…

Elements are impacted head (evidence for improvement cochrane.org/CD004944/PREG_t…) & CTG intepretation (no RCT evidence, but much belief & medicolegal paradigms about effectiveness cochrane.org/CD006066/PREG_c…)/2

Why did @DHSCgovuk refuse BMJ's @Garethiacobucci request re pilot results of @RCObsGyn @THIS_Institute ABC training to avoid brain injury? /1 @JanePlumb @JamesTitcombe @PeepsHie @NHSEnglandNMD @birthandbiology @birthsmalltalk @Jeremy_Hunt @wesstreeting rcog.org.uk/about-us/quality…

.. that's why ABC pilot data with its resuscitation events ought to be in public domain. Women, families & clinicians need clarity about what 'works' & @HopeforHIE beyond likely better outcomes from happy teams in Hawthorne-effected units if clamping less. Thanks @DHSCgovuk