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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)