Wessex Maternity and Neonatal Safety improvement Programme is part of a national initiative that aims to:
• Improve the safety and outcomes of maternity and neonatal care of all women, babies and families in England, reducing unwarranted variations in care and experience of care
• Help reduce maternal and neonatal deaths, stillbirths and brain injuries that occur during or soon after birth by 50% by 2025 – a national target set out in Better Births
In Wessex the focus of work is a Local Learning System (Improvement forum), which has been set up to enable our maternity systems, units and clinicians to collaborate and work together to improve services and reduce avoidable harm to mothers and babies.
The aim of the Local Learning System is to:
• Support individuals and teams to develop Quality Improvement skills through undertaking supported projects in their maternity units
• Provide an opportunity to share ideas, success & challenges about quality improvement projects
• Reduce variation and where possible to increase standardisation of care
• Support system level improvement and sharing of resources to reduce duplication
• Provide a regional forum to profile Quality Improvement and patient safety in Local Maternity Systems in Wessex, and through this align thinking and support collaboration across the region
• Share information with other maternity networks to improve communication and understanding.
Local Resources to Help with Quality Improvement in Maternity
There are a number of examples of local improvement projects that have already had an impact on maternity care in the resources section to the right of this page.
To meet our aims we are keen to network and share with teams and individuals, so please do contact Lesley Mackenzie our Maternity and Neonatal Patient Safety Programme Manager on firstname.lastname@example.org if you would like to find out more or share your work.
As our work is part of a National Programme we have found a number of resources that may be of interest and help you deliver local projects:
NHS Improvement: Maternal and Neonatal Health Safety improvement programme.
Maternal and neonatal safety collaborative website has a range of resources to help maternity services deliver the safety improvements as shown in the driver diagram below.
Maternity Transformation Programme:
Born out of the Better Births Report, The Maternity Transformation programme seeks to achieve the vision set out in the report https://www.england.nhs.uk/wp-content/uploads/2016/02/national-maternity-review-report.pdf
For further information on the programme and resources to support your work: https://www.england.nhs.uk/publication/local-maternity-systems-resource-pack/
Saving Babies Lives: Care Bundle Version 2
Launched in March 2019 to bring together learning from Version 1 and outline how to reduce perinatal mortality. There are 5 areas of focus:
• Smoking in Pregnancy
• Risk assessment, prevention and surveillance of pregnancies at risk of fetal growth restriction (FGR)
• Raising awareness of reduced fetal movement (RFM)
• Effective fetal monitoring during labour
• Reducing preterm birth
Find out more at: Saving Babies Lives Care Bundle Version 2
There is overwhelming evidence that separation of mother and baby so soon after birth interrupts the normal bonding process, which can have a profound and lasting effect on maternal mental health, breastfeeding and long-term morbidity for mother and child.
This makes preventing separation, except for compelling medical reason, an essential practice in maternity services and an ethical responsibility for healthcare professionals.
The focus is on four areas of significant potential harm to babies:
• Respiratory conditions
• Asphyxia (perinatal hypoxia-ischaemia).
Want to know more about ATAIN?
E- Learning for health have developed a module https://www.e-lfh.org.uk/programmes/avoiding-term-admissions-into-neonatal-units/ covering the 4 areas that the programme seeks to address in order to reduce separation of mother and term babies.
Wessex comprises three Local Maternity Systems (LMS), Hampshire and Isle of Wight, Dorset and Wiltshire. The LMS’s are working to improve outcomes for mothers and babies, and part of this is to seek the views of mothers, fathers and families who have used maternity services and use those views to shape services. Our three LMS’s are at different stages of this process:
Dorset LMS sought the views of over 600 families and the resulting website was launched in March 2019 to provide information and signposting https://maternitymattersdorset.nhs.uk/
Wiltshire LMS undertook a consultation in 2019 and are processing the findings, expecting to publish plans in Autumn 2019. Information is available at Transforming Maternity Wiltshire
Wessex Patient Safety Collaborative Quality Improvement Hub
This site holds a wealth of information and signposts to further resources about Quality improvement, which are useful to anyone working on projects around safety, quality and Patient experience. It's well worth a look!
For further information: http://wessexahsn.org.uk/projects/127/quality-improvement-hub-qihub
Other useful links:
British Association of Perinatal Medicine (BAPM) https://www.bapm.org/
Royal College of Physicians and Surgeons of Glasgow: Three P’s in a POD; Preventing Maternal Deaths
Royal College of Midwives https://www.rcm.org.uk/
Royal College of Obstetrics and Gynaecology https://www.rcog.org.uk/