What is also of grave concern to AIMS Ireland is the number of failures at national level identified in the report including
timely access to maternity services, inadequate staffing levels for safe care, a maternity care model that hasn't been revised in 59 years despite numerous national and international reports and
recommendations, a lack of accountability and governance, an absence of reviews of clinical practices in units and the lack of a national maternity services strategy, all of which we have
seen recommended on previous inquests without reform.