but as far back as 2012, midwives at cwm taf had been raising the alarm with her and others. i am meeting the head of the royal collegeshe visited the hospital to see what was happening. we were finding staff in tears, really distressed that they couldn't give the care, and they genuinely felt that if they raised concerns, they would be punished in some way. certainly, by 2016—17, every time we go into both of the units, they are saying they are short staffed and they cannot deliver safe, effective care. she says that she warned allison williams about the concerns. we discussed that the staff felt very under a great deal of pressure. they were very traumatised by the fact that they could not deliver good, safe care. in their view. do you know what she did with that information? i know that she met staff. i know that there were action lists drawn up, but the staffing levels did not improve. one of the actions was to ask maternity staff to complete a survey. the results were damning. 91% of those who took part said there were not enough staff to complete work properly. others said it felt unsafe. they would go in and tr

but as far back as 2012, midwives at cwm taf had been raising the alarm with her and others. i am meeting the head of the royal college wales. she visited the hospital to see what was happening. we were finding staff in tears, really distressed that they couldn't give the care, and they genuinely felt that if they raised concerns, they would be punished in some way. certainly, by 2016—17, every time we go into both of the units, they are saying they are short and they cannot deliver safe, effective care. she says that she warned allison williams about the concerns. we discussed that the staff felt very under a great deal of pressure. they were very traumatised by the fact that they could not deliver good, safe care. in their view. do you know what she did with that information? i know that she met staff. i know that there were action lists drawn up, but the staffing levels did not improve. one of the actions was to ask maternity staff to complete a survey. the results were damning. 91% of those who took part said there were not enough staff to complete work properly. others said it felt unsafe. they would go in and tr

royal colleges do locally with the regulator, really simple things. of course, a big theme of what happened at morecambe bay was dysfunctional relationships between midwivesring them for when things go wrong, we are setting the system up to fail and we are still failing in those areas. laura, your baby daughter died lastjuly after a series of errors. was her death preventable? it was, yes it was. i was iwas in i was in hospital. i had gestation of diabetes. she was my third baby, i had diabetes in each of my pregnancies. i had amazing care with my first two. and then, with charlotte, i also developed poly had ineos, a dangerous amount, too much fluid. they said if you go into early labour and the baby not being in the right position, cord prolapse or something. i was booked in for a c—section but i was only 36 weeks, so c—section but i was only 36 weeks, so they wanted to give me steroids for charlotte's lungs to develop. a side effect of that is that it pushes up your blood sugar too high, but they counteract that with an insulin drip, a sliding scale. i was on that and it wasn't bringing my sugars down. this went on overnight. they didn't monitor... the