i. NHS England must:
a. Immediately inform all Trusts with a neonatal unit that the SUDIC process applies
to the sudden and unexpected deaths of babies who have never left hospital.
b. Direct all Trusts that they must, within seven days, draw this information to the
attention of all relevant staff and the Board.
ii. DHSC must complete its review and revision of the SUDIC guidelines and ensure
the revised guidelines are distributed to all Trusts by no later than 31 March 2027.
The guidelines must include a clear statement that SUDIC applies to sudden and
unexpected deaths of babies who have never left hospital.
iii. SUDIC forms must be redesigned and shortened to keep bureaucracy to a minimum.
The focus should be on what it is essential to know.