The document discusses findings from antenatal and newborn quality assurance visits, noting that over 30% of recommendations relate to governance and leadership issues. It identifies common problems areas as unclear governance processes, outdated terms of reference for oversight committees, and lack of guidelines, incident management processes, and audits that are aligned with national standards. The document provides examples of issues found and shares some practices adopted by other trusts to strengthen governance and quality assurance of their newborn screening programs.