Following the deaths of two triplets in June 2016, The Countess invites The Royal College of Paediatrics and Child Health (RCPCH) to conduct a service review of its neonatal unit “following re-designation from level 2 Local Neonatal Unit (LNU) to level 1 Special Care Unit (SCU) in July 2016 due to concerns about increasing neonatal mortality”, a downgrade that means the unit no longer admits higher risk babies under 31 weeks gestational age. The review is published in February 2017 and presents a catalogue of failings on the unit. In this episode Michael and Peter begin to discuss the RCPCH report.