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Question 645
Clinical Management → Clinical Practice
Classification
Question
SSBAQuestion Header
CNST progression
Question Stem
A Trust has a risk-management lead, committee and protocols. It has implemented those protocols but does not yet actively monitor implementation or deal systematically with identified problems. Which CNST level is described?
Options
A
No level
B
Level 1
C
Level 2
D
Level 3
E
The highest maternity standard
Explanation
The infrastructure and documentation are Level 1 fundamentals. Demonstrating implementation of those Level 1 steps corresponds to Level 2. Level 3 requires active monitoring of implementation and action on problems.
Option Validity
A) The described Trust has recognised CNST structures and implementation, so it is beyond no level.
B) Level 1 covers the fundamental structures and protocols; implementation of those measures is the additional Level 2 requirement.
D) Level 3 requires active monitoring and action on problems, which the scenario does not demonstrate.
E) The CNST framework retains Levels 1–3 alongside maternity standards; implementation does not create a separate highest maternity level.
Further Reading
Saxena MRCOG-1 Basic Sciences — Principles of Clinical Practice, printed pp. 6–7.