 Mae'na gweithio wedi gwneud yn niw'n edrych i'w wneud yn y gael, fod yn ei wneud yn yr aptvodol, byddwn yn ôl yn ddefnyddio ar gael i'w meddwl yma ar 6 o'r cloch, oherwydd yn cymdeithasol wedi chi'n gwrdd Ysgrifennig, a'r llun dim i'r gynhyrch gyda 7.38 o'r mwyn ymmorng. A os ydych yn ei gweithio ar yw ddefnyddio, yn ymwineud fel gyrnod, mewn gwirionedd yma, yn ddegen nhw'n gwirionedd erbyn y brych. It was about 30 minutes later that things started to go wrong. He had a low temperature, he wasn't breathing properly, he was reluctant to feed. But at the time we were just reassured, he was a little bit premature, all these things are normal. The next day it was obvious he was a very poorly baby at that point. He was transferred to Manchester by ambulance. The team in Manchester told us, actually the only thing wrong with Joshua is he's had an overwhelming. ...yna'r syniad o'r yrhysbethau yn fwyaf i'r sepssus. Rwy'n credu i'r Joshr i'r hyn... ...yna'r basic ac ymgyrch yn ystod... ...yna'r ffyrdd ar gyfer yr hyn sydd wedi fydda'r hyn ymgyrch. Rwy'n credu fflo'n fwyaf helygopter... ...yna'r Manchester i'r Ffhrimanhau Cyflig yng Nghymru... ..y'r newid. Fy oeddwn i'n ddysgu'r llyfr yng Nghymru, yng Nghechmo... ac y ddysgu y mul fy hefyd yn ddiddordeb cyfan. Da yn anod o hynny'r cerddol, cyfan ymylion yw'r ymlaen, fe mill yw'r bobl bod bod yn gweithio eu cyfan. Ac ymlaen yw'r gweithio am le hydrogen yn ddiddordeb cyfan yw'r cyfan a dyna, rysyn cael ei ganes. Mae'n rai werthfa'r yr un ac mae'r ddiddordeb yn gweithio i unrhyw ddefnyddio'r ddiddordeb cyfan yw'r gweithio. I os gweithio, mae'r gweithio genny'n golygu'r cyfan The consultant said he's going to turn the enkmo machine off, and he went away 20 minutes later he came back and we said he's gone hasn't he, and the consultant nodded in his head, and yeah, Joshua had died. I think the first time actually that point we'd seen him without all the tubes and all the equipment and he just looked like the perfect baby boy. We said goodbye to him and the hardest moment of my life without a doubt, the hardest moment. What I remember thinking was if Joshua's care was this bad, if he had so many obvious signs that he was poorly and he was just left until he collapsed, is it just him or could this have happened to other babies? What we know is that there were huge discrepancies between what the midwives had reported and what my wife and I remember happening. I'd actually met a number of other families. These are families that had lost babies. It seemed that the pattern of what happened was very, very familiar, so doctors not being called investigations that covered up what happened. In early 2013 I met the health secretary at the time, Jeremy Hunt. He agreed to hold an independent investigation and it found a lethal mix of failures and the words in the report were that we have no doubt led to the preventable death of mothers and babies and they found that 16 babies and three mothers had died following poor care and of those 11 would have almost certainly survived with the right care. And the tragedy really for me is six of those baby deaths happened after Joshua died. The whole management of the trust for years and years denying that there were any problems using statistics to paint a picture of a very safe maternity unit. They described that as an ongoing cover-up and this became the headlines in England for over a week. There's no doubt to my mind that those records didn't vanish by accident. Somebody took those medical records and made a decision that it was better to get rid of them than to present the evidence. My reflection very much was why didn't they learn from this. And you realise that we've got the culture wrong in healthcare. We just make it too hard for people to admit to ordinary human error whereas things like the airline industry, the oil industry, the nuclear industry, they have all learned that they need to make it easy for people to admit when they made a mistake so that they can then develop the systems that prevent those mistakes being repeated. And there's a real danger I think of people using high-level data to misrepresent and using data for assurance rather than actually what can we learn from this. Because if you don't quantify the problem we won't get action to change it. And we've got to have that honesty and that candour to address problems. I wish I could turn back the clock. I can't do that. I can't change things for him but I do think his life hasn't been in vain. And I think there is a legacy for him and hopefully that legacy is safer in maternity care and I think he's played a small part in helping that happen.