Programme Area: Transforming Maternity Services

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Faculty Lead: Philip Banfield 

 

 

 

 

Programme Support: Victoria Evans-Park

Vicki joined the 1000 Lives Plus team in June 2010 as Healthcare Improvement Project Officer. Her main role is as project lead for the 1000 Lives Plus Student Chapter. This involves facilitating an active network of healthcare students enthused by quality improvement and patient safety in Universities across Wales.

 

Vicki also supports the "Transforming Maternity Services" programme area including managing the webpage and attending mini collaborative events.

 

 

 

 

 

 

 

Key contacts for Health Boards

Find out who is your Health Board 1000 Lives Plus key contact by clicking here

Leads for Transforming Maternity Services for your Health Board

Map of Health Boards across Wales

Launch presentation (Prof Jean White)

• Agenda
• LS1: Introduction
• LS1: Setting out the Programme: driver diagram, bundles, process and outcome measures  

• Agenda
• LS2: Introduction
• LS2: How will we know that the change is an improvement? A guide to data collection 
• LS2: DVT Risk Assessment 
• LS2: Recognition and response to sepsis 
• Student midwife reflection from LS2

To support the work undertaken by the 1,000 lives campaign the WHO surgical safety checklist for maternity has been introduced in Glangwili Hospital. The WHO checklist provides a systematic approach towards improving teamwork and reduces the risk of harm to the patients. This requires the theatre and Obstetric team to perform a series of checks prior to surgery. These checks take place in the theatre when the patient and the team are all present. There are three distinct areas known as the “SIGN IN,”  “TIME OUT” and “SIGN OUT” which requires the staff to say out loud in the theatre three phases of surgical procedure, each corresponding to a specific perioperative period. To date the implementation of this has been successful with its inception at a clinical risk forum by the risk management team, maternity team and dissemination at a labour ward forum by Dr Talar Amin to its now successful implementation by a proactive theatre team. Part of the implementation process will be to audit this. The overall aim is to improve team communication, minimise harm and ensure consistency and completeness.

• Jessica's Trust - Jessica's Trust was started as a campaign by Jessica Palmer's husband, Ben, in early 2007. It raises awareness of child bed fever. Childbed fever is an infection of the womb in new mothers which can lead to septicaemia. If left untreated infection will cause organ failure and death - even in young, fit mothers.
• NPSA Intrapartum Toolkit 
• NHS Maternity Statistics, 2008-09
• NCT - The UK's largest charity for parents. ‘We help over a million mums and dads each year through pregnancy, birth and early days of parenthood. We offer antenatal and postnatal courses, local support and reliable information to help all parents.’
• Released on 03/10/2010 – NCT - A shocking new report out today by NCT, the UK’s largest parenting charity, shows new mums are left unprepared and unsupported by the NHS after they’ve had a baby and calls on the NHS to improve postnatal care in the UK. Many women feel their needs aren’t being met, leaving them feeling confused, abandoned and let down. NCT is now calling for immediate improvement to services before it’s too late.
  The report ‘Postnatal Care – a Cinderella story?’ examines women’s experiences of NHS maternity services and is based on a survey of 1260 first time mums¹. The findings show many mums are being let down just when they need services most. Many of those surveyed said they felt helpless, isolated and abandoned by the care they received in hospital and made frequent references to seeing different midwives at each contact, receiving conflicting advice particularly in relation to feeding, staff shortages, insensitivity and even rudeness from healthcare staff.
• BMJ 2010; 341:c5065 Variation in rates of caesarean section among English NHS trusts after accounting for maternal and clinical risk: cross sectional study
• Midwives magazine currently host five e-newsletters. Midwives weekly, Midwives monthly, RCM monthly, Evidence Based Midwifery and Student life. Each is delivered direct to your inbox, containing the latest news and views from your favourite midwifery magazine. Subscription details on this page.
• STATS Wales
• CMACE Emergent Briefings
• Wisdom - Set up in 1997, the Welsh Information System for the Dissemination of Obstetrics & Gynaecology Material (WISDOM) aims to provide NHS staff in Wales in primary and secondary care with access to knowledge in the speciality of Obstetrics and Gynaecology.
• Birthrate Plus -  In recent years there has been increasing need to produce some basis for recommending ratios of births per w.t.e. midwife to enable large-scale workforce planning based upon projected annual hospital and home births. Birthrate Plus® has made a number of contribution to large scale planning by drawing on it's data gathered from detailed workforce planning studies in maternity services across the United Kingdom. (DOH 2003, Ball et al 2003, Ball 2004, 2005).
• Maternity matters: choice, access and continuity of care in a safe service - in 2007, the government published Maternity matters: choice, access and continuity of care in a safe service. It highlighted the government’s commitment to high-quality, safe and accessible maternity services, introducing a guarantee of choice for women about the care they received.
• The Centre for Maternal and Child Enquiries (CMACE) is an independent charity dedicated to improving the health of mothers, babies and children.
• Midwifery 2020 The Future of the Profession
  Midwifery 2020 was commissioned by the Chief Nurses of the Health Departments of England, Northern Ireland, Scotland and Wales to set the direction for midwifery and identify the changes needed to the way midwives work, and to their roles, responsibilities and training and development requirements. The project looked for a 2020 vision from midwives, educators, service users, researchers, maternity care professionals, strategists and others. Drawing on this advice and taking account of Government policies, the Midwifery 2020 project was completed in September 2010 with a report setting out where we want to be in 2020 and how we are going to get there.
• PRactical Obstetric Multi-Professional Training (PROMPT) 
  The PROMPT (PRactical Obstetric Multi-Professional Training) course is a multi-professional training package which enables midwives, obstetricians and anaesthetists to implement a fully evaluated obstetric emergencies course within their own maternity units.
• Royal College of Midwives - The professional organisation and trade union for midwives and led by midwives.
• The Obstetric Anaesthetists' Association (OAA) was formed in 1969 to promote the highest standards of anaesthetic practice in the care of mother and baby and has an international membership of over 2400. The OAA provides both education and training for anaesthetists and other practitioners in the UK and overseas and a resource for women seeking information about pain relief in labour and anaesthesia for Caesarean section.
• The Kings Fund: The Safer Births programme aims to enable front-line professionals working in maternity units to improve the safety of the services they deliver to women and their babies.
• The King's Fund - Making shared decision-making a reality: the government wants to place patients’ needs, wishes and preferences at the heart of clinical decision-making, a vision articulated by the Secretary of State for Health, Andrew Lansley, in the phrase ‘nothing about me, without me’. But what does this mean in practice? This publication aims to answer that question. It clarifies what is meant by the term shared decision-making and what skills and resources are required to implement it and it also outlines what action is needed to make this vision a reality.
• The Nursing and Midwifery Council regulates nurses and midwives in England, Wales, Scotland, Northern Ireland and the Islands
• The Royal College Obstetricians and Gynaecologists (RCOG) encourages the study and advancement of the science and practice of obstetrics and gynaecology. We do this through postgraduate medical education and training development, and the publication of clinical guidelines and reports on aspects of the specialty and service provision. The RCOG International Office works with other international organisations to help lower maternal morbidity and mortality in under-resourced countries.
• RCOG "High Quality Women's Health Care" - High Quality Women’s Health Care: A proposal for change, a new report produced by the RCOG looks at how NHS women’s health services could be configured to provide high quality, safe and timely care.
  Against a backdrop of NHS reform, financial and workforce pressures, increasing complexity of women’s health care, the current structures cannot be sustained.
• LinkedIn UK Sepsis Group - this group covers all countries of the UK and replaces the Survive Sepsis Campaign.
• United Kingdom Sepsis Group - dedicated to raising awareness of sepsis and improving outcomes for patients. 
• CHAIN - Contact, Help, Advice and Information Network - is an online mutual support network for people working in health and social care. It is based around specific areas of interest, and gives people a simple and informal way of contacting each other to exchange ideas and share knowledge.
• The Royal College of Obstetricians and Gynaecologists (RCOG), Royal College of Midwives (RCM), Royal College of Anaesthetists and Royal College of Paediatrics and Child Health (RCPCH) produced Standards for Maternity Care in 2008. This summarises in one document 30 individual standards covering the different stages of motherhood.
• WAG - Births in Wales 2009: Data from the National Community Child Health Database