Ingleside Birth & Community Centre: a collaboration of ... · Clinical Pathway •Policy...
Transcript of Ingleside Birth & Community Centre: a collaboration of ... · Clinical Pathway •Policy...
Ingleside Birth &
Community Centre: a collaboration of innovative partnership to develop the
future of maternity services in Greater
Manchester
Catherine Owens Consultant Midwife
Tom Openshaw
Operations Manager
Angela Bowman Ingleside Manager
Background
Collaboration & Partnerships
Our Journey
Clinical Pathway
• Policy
• Birthing Centre
• Staff Engagement
• Workforce
• Training
• Community Hub
• Celebrations
• In Reach Model
Voice Openness Integrity Compassion Excellence
Community Hub
Communication Building Elements Time Staffing Cost
Challenges
• Communication • Model • Building • Environment • Time • Cost
Enablers
• Evidence
• Collaboration
• Communication
• The Team
• Women & families
• Ingleside
• Pioneer Site for Better
Births
Engagement
Key Learning: Women at the centre of everything
Coffee morning with Tours
Saturday 13th April 2019 10am – 1pm
Come and enjoy a drink with our team of midwives and midwifery support workers and have a tour of our fabulous facilities
Ingleside Birth Centre
Oakwood Park, Salford, M6 7WR
Tel: 0161 745 8028
email: [email protected]
only at
https://www.facebook.com/BoltonandInglesideMaternityServices/
Celebrate
Key learning: imagine, believe, achieve
• Women & their families
• 122 Births
• Midwives
• Commissioners
• Salford Mayor
• Events
Organisation, Collaboration and Communication
• Project management tools: project plans, Gantt charts, risk & Issue logs
• Work stream meetings & leads identified:
– Clinical – Workforce – Governance – Estates & Procurement – Communications & engagement – I T
Governed by Mobilisation Committee: Divisional Director, Head of Midwifery, Organisational Leads
Transformation
Lord Pilkington’s home 1914
Care Home 1972
Pre renovation 2017
Pilkington company day out 1920’s
Post transformation April 2018
Completed Birthing Suites
Key learning: invite everyone to see the transformation
Blue Indigo
Peppermint
Rose
Lavender
Community Hub
Ingleside Continuity of Carer
Team
Ingleside Continuity Team Model Supporting women to birth in a community setting (Ingleside and Home)
• Commenced 1st February 2019.
• 6 midwives and 1 Team Leader and 3 MSWs.
• Link with existing community teams.
• 2 buddy teams (Oakwood and Blossom).
• Caseload of 35 women per WTE midwife
• Management Model
Pre Ingleside Team Post Ingleside Team October November December January Total February March April May Total
Number of Risk Assessments
37 24 20 24 105 36 36 30 42 144
Intrapartum Admissions
15 11 7 11 44 18 15 15 20 68
Number of Births
14 9 5 5 33 15 10 11 14 50
Transfers in labour
1 2 2 6 (25%)
3 16%
5 33%
4 26%
6 30%
(26%)
Immediate post- partum transfer
2 0 1 0 (9%)
1 0 0 1 (4%)
Ingleside Statistics
Intrapartum Transfer
Indication for Transfer
Delay in 1st stage 2
Delay in 2nd stage 2
Meconium 4
Fetal Distress 5
Prolonged SROM 1
IUGR 1
Maternal Sepsis 2
Hypertension 2
Key Performance
52 BFT Ingleside
Primips 20 38.46%
Multips Normal Birth Rate
32 58.41%
61.5%
85%
Waterbirths 20 3.23% 38.45%
Shoulder Dystocia 0 0%
Physiological 3rd stage 20 38.46%
Neonatal transfer 1 1.92%
Episiotomy 3rd/4th Degree tear
2 0
2.29%
3.84% 0%
PPH greater than 500mls in all deliveries 0 30.89% 0%
Breastfeeding at birth 36 66.5% 69.23%
Booked Continuity of Carer pathway 190 From 01/02/2019 to current
Promotion
“What a fantastic experience! Wonderful support from staff. A relaxed experience which made me feel empowered!”
“Amazing midwife, felt very at ease throughout the whole experience.”
“Our care at Ingleside was excellent, the staff were extremely helpful and considerate from the tour, to the risk assessment through to the delivery. The feel of the environment is calm and relaxing. The one to one midwife care was a luxury I’ve never experienced before and it gave me the peace of mind that the staff knew and cared about my thoughts and opinions. I would definitely recommend it as a place to come for a calm less ‘hospital like’ experience.”
Moving Forward
• Expanding Continuity team to offer 500 women CoC pathway
• Offer St/Midwives CoC in first 12/6/months
of midwifery programme • Further develop In-Reach Model • Further development of Community Hub • Commence hypnobirthing classes &
Preparation for birth classes at the Ingleside
• Develop MSW’s to become 2nd attendants
at births
Moving Forward
Thank You
Ingleside a
gift to:
Women Midwives
Community Midwifery