NHS North Tyneside CCG Maternity care research September 2013 Delivered by Joanne Loughlin-Ridley.
Improving safety in maternity services - Northampton General Hospital NHS Trust
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Transcript of Improving safety in maternity services - Northampton General Hospital NHS Trust
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Helen McCarthy - Matron Lead MidwifeOwen Cooper - Consultant Obstetrician
Sue Lloyd - Consultant ObstetricianLinda Matthews - Supervisor of Midwives
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NGHT 2009 ‘Pre Safer Births’Birthrate: 4700 births per yearLSCS 27.6%Triage access for all women admitted to Labour WardLow midwifery staffing numbersPoor skill mixHigh turnover of Senior MidwivesInsufficient Consultant Obs presence on Labour WardInconsistent verbal and written communication
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Why Safer BirthsNetworkingEngage maternity stakeholdersEngage staff in the process of changeUse The King’s Fund expertise in process mapping,
recommendations, support and adviceUnique opportunity to share practice
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ObjectivesKey aspects to implement:Increase recruitmentSupport for newly qualified midwivesDevelopment programmes Roles and responsibilities for all staff Consultant rounds Triage Working Party
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RecruitmentStrict shortlisting criteria and scoring assessmentRobust interview questionsSmall recruitment senior midwifery team
Measures of success:Recruitment and quality of applicants – assurance
and increased staff moraleVacancies reduced Put in eg, of questions used and CTG
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Interview questionSCENARIO: You are the midwife working
on Labour Ward, and are asked by another midwife to do a ‘fresh eyes’. The client is a primigravida and undergoing an induction of labour for postmaturity.
What is your interpretation of this CTG?
In the event of an abnormal CTG, what would you do?
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Staff developmentPractice Development teamPreceptorship packageDevelopment programmeMSW NVQ level 3 programme Labour ward consultants appointed
Measures of success:Preceptorship Programme Funding was secured for NVQ programme Dedicated time for professional development
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Roles and ResponsibilitiesMaPSaf visit February 2010Representation from Consultants, Clinical Director, Directorate
Manager, Senior Midwives, Midwives, SoM, Risk ManagerDo staff know their roles?Actions – devise ‘Roles and Responsibilites’ for all staff on Labour
WardForms part of induction programme for all new starters
Measures of Success:To repeat the MaPSaf in 12 monthsIncreased staff awareness through the roles and responsibilities
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Labour Ward Rounds
Driven by need to improve communicationDeveloped formal Labour Ward round led by Consultant
ObstetricianStill work to be done
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Triage – Drivers for changeNot TriagePoor communicationMany drivers for change
SAFETYComplaints
Triage Working Party
Consultation exercise
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Triage Consultation Exercise
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Triage – where we are nowOngoing piece of workSome changes have been madeMoved beyond The King’s Fund team and now a priority for
the DirectorateCurrently in the process of an Options Appraisal
Measures of success:Decrease in patient’s complaintsAudit – before and after number of callsImproved staff morale and working conditionsIncreased Home Assessments
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How did The King’s Fund help?
Time away from NGH to discuss problems and planRegular meetings kept momentum goingInvaluable advice from guest speakersGave work validityConsultation exercise
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