The Safer Births Programme made improvements to maternity care at MCHT Crewe over time. Key changes included implementing tools like SBAR for better communication, a buddy system for hourly CTG reviews, and a birthrate acuity tool for escalation. These helped increase teamwork and coordination. Outcomes included higher ratings for safety culture, fewer CTG misinterpretations, and decreased rates of low cord gases and postpartum hemorrhage. Lessons included involving staff earlier and maintaining momentum with continued initiatives to further normalize safe practices.