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Early notification report form Please send to your legal services department within 14 days of a notifiable severe brain injury incident as defined by Royal College of Obstetricians and Gynaecologists’ Each Baby Counts criteria Mother’s name Baby’s name Date of birth Have you advised the family that the relevant records and investigation documents will be shared with NHS Resolution? Yes Please confirm if the family did not agree with these documents being shared with NHS Resolution Yes Preliminary risk assessment (to be used as a guide only) Substandard care unlikely (<10% chance) No No Possible substandard care (>25%) Likely substandard care (50% or more)