Dr. Peter McKenna:

The important features of it are that maternity incidents are reviewed by a multidisciplinary team and that team would be midwifery, obstetrical and people associated with delivering the service such as risk managers, anaesthetists, and paediatricians. The core of it is each hospital does not necessarily review only its own cases. There is outside assessment. Hospital A will present its cases and hospital B will have the ability to comment. The idea that each hospital can learn from the other is inherent in the system. These are the fundamentals.