THE BEST START A Five-Year Forward Plan for Maternity and Neonatal - - PowerPoint PPT Presentation

THE BEST START

A Five-Year Forward Plan for Maternity and Neonatal Services

 Continuity of carer

• From primary midwife & obstetrician
• Care co-located for community & hospital services

 Person-centred maternity and neonatal care

• Relationship-based, personalised care
• Aiming to keeping mums, babies & families together
• Safe & family centred neonatal care

 Multidisciplinary team care

• Women receive the level of care they need
• Clear referral pathways

Main recommendations

 Safe, high quality & accessible care

• Development of community hubs
• Postnatal neonatal care
• Specialist maternity & neonatal care co-located
• Support for vulnerable women & improved perinatal

mental health services

 Neonatal care

• 3-5 neonatal intensive care units immediate model,

moving to 3 within 5 years

• Development of national model for 7-day neonatal

community services

Main recommendations

 Transport

• Safe & prompt transfer of neonates, clear cot

identification

 Remote & Rural care

• Formalising support for additional skills & competencies

for remote & rural working

 Workforce

• Workforce planning, planning for training & education

 IT & Quality improvement

• Development of quality improvement dashboards
• Single maternity care system & electronic maternity

record

Main recommendations

‘This is a defining moment for maternity services in Scotland and will be a seismic shift for our maternity services. The plan has the potential to revolutionise maternity care, to deliver safer and better services for women, babies and their families, and to improve the health of our population.’

Mary Ross-Davie, RCM Director for Scotland

‘NCT warmly welcomes this Review and its commendable vision for maternity and neonatal services in Scotland.’

Elizabeth Duff, NCT Senior Policy Advisor

‘The review sets out an ambitious and progressive vision for family-centred care which is good news for the future of Scottish neonatal services, and it is particularly welcome to see the focus on keeping mother and baby together.’

Caroline Lee-Davey, Chief Executive, Bliss

Initial response

Implementation

Priorities

 Sustained engagement  Infrastructure to support implementation  Early Adopter Boards  Person centred maternity & neonatal care  New model of neonatal care  Workforce implications to support change

Implementation structure

Progressing recommendations

Local approach

NHS Boards drive change

 23 of 76 recommendations  Local implementation leads  6 monthly reporting to SG  Regular meetings with SG

National approach

Subgroups

 Supporting local delivery  Joint clinical & managerial chair

• Continuity, local delivery of care
• Perinatal model of care
• Workforce & education

National linked projects

 SG lead/commission

Developing national frameworks

 Continuity of carer

• Midwifery & obstetric

 Core hospital staffing  Community Hubs/ FMUs  Transitional Care

Subgroup - Continuity & local delivery of care

Subgroup - Perinatal services

Neonatal intensive care units Cot availability protocol Pathways Medical care outwith maternity setting Risk assessment tool Cot locator system Neonatal transfer staffing model Specialist

• bstetric care

Subgroup - Workforce & education

Routine examination of the newborn Midwifery updating for continuity model of care Defining non-registered staff roles

Compliments “HCSW Learning Framework” & “A Guide to Healthcare Support Worker Education & Role Development”

Planning for training & workforce requirements Remote & rural skills

Subgroup - Workforce & education

61: Structured arrangements between remote & rural Boards & urban Board; training & development in identification & management of deteriorating patient, also obstetric & neonatal emergencies 60: Review of additional key competencies & skills for remote & rural staff; training developed & provided; including consideration

• f structured rotation to larger units for skills

development, maintenance & update

Leading the change

5 Early Adopter Boards

 Package of recommendations

• Continuity of carer & core staff
• Community Hubs, local delivery
• f care
• Transitional care

 Sharing learning across NHSS  Reporting to SG

Early Adopter Boards

 NHS Forth Valley  NHS Greater Glasgow & Clyde (Clyde only)  NHS Highland  NHS Lanarkshire  NHS Lothian

National linked projects

Electronic records Adverse events Maternity network Single MCN Caesarean section study Refreshed information for parents

Perinatal Mental Health

37: All NHS Boards should review their current access to perinatal mental health services to ensure early & equitable access is available to high quality services, with clear referral pathways. NHS Boards should ensure adequate provision of staff training to allow staff to deliver services to the appropriate level. Primary midwives, in partnership with primary care colleagues, should play a proactive & systematic role in the identification & management of perinatal mental health.

• 38. The Scottish Government should ensure

that Perinatal Mental Health is a key focus in the forthcoming Mental Health Strategy, and that appropriate connections are made with the new models of care described here in that strategy.

Engagement

 Local & regional events  Local Leads & Early Adopter meetings  Early Adopter visits  Key stakeholders

Communication

 Newsletter  Blogs  Website  Follow us on Twitter

@SGChildMaternal

 Information pack for NHS Boards