Case Study: Increasing Choice and Personalisation of Maternity Care - Insights from a Pioneer. Gill Walton and Donna Evans

Transcription

1 Case Study: Increasing Choice and Personalisation of Maternity Care - Insights from a Pioneer Gill Walton and Donna Evans

2 Our SHIP Pioneer To build upon the success of our informal collaborative. To use pioneer experience and evidence to establish SHIP Local Maternity System with a combined population of 1.8 million and 20,000 births. Embed our partnership even deeper, breaking down the barriers and boundaries across 4 NHS maternity providers and 8 CCGs. Create a more family focussed maternity service that offers women a clear, consistent menu of informed choice that helps them access the care they want, where they want it, when they want it. Creating a safe, high quality model of maternity care that is seamless and personalised whilst constantly learning.

3 Building Blocks System in Aligned networks Some shared guidelines - Wessex unscheduled antenatal care guidelines Some areas sharing notes (IOW and Portsmouth) Shared learning from serious Case review Strong collaborative networks Perinatal Mental Health network Case Loading for Vulnerable Women Embedded Hub and Spoke model Neonatal network Shared PROMPT learning (IOW and Portsmouth) Labour line My Birth Place app Midwifery leaders network sharing practice and benchmarking Fetal and maternal medicine network Passionate engaged Leaders

4 Wessex Clinical Network Maternity Transformation Stakeholder engagement UHS, HHFT, IOW, PHT Trust Boards Hampshire, Portsmouth and IOW commissioners Maternity Academy (HEW) Training Conference Shared Learning Workforce Research Hampshire, Portsmouth and IOW commissioners Clinical Effectiveness and Safety Programme Single point of Access (DIGITAL) Continuity of carer Choice and personalisation Pioneer STP Solent Acute Alliance Ship Maternity LMS Steering Group Safety Action plan/saving babies lives Clinical guidelines/audit SHIP incident review team Practice Education then to Maternity Academy Peer review system Labour Line My Birthplace extension Shared data platform Information for women SHIP notes and electronic record (My Maternity record) Community teams with obstetric support Cross boundary teams In/out reach specialist services-fetal and Maternal Medicine Case loading for vulnerable families Integrated models Named Midwife and buddy Personalised care plans Choice and decision making Links with: HEW AHSN Wessex Senate Fetal Medicine Network Wessex Lead Midwives Committee. Wessex and TV Neonatal network Wessex and TV Consultant Midwives Wessex Patient Safety Collaborative Local Authorities Health Visitors GP s SCAS Perinatal Mental Health

5 SHIP Pioneer Pathway

6 Improving Choices for women Midwife Midwife buddy Screening and scan Choice of service (UHS, PHT, HHFT, IOW) Based on preference or risk Place of birth Based on preference or risk Choice of home, MLU or hospital Postnatal support Based on preference or risk

7 Progress to date Engagement with women Staff awareness sessions in each organisation Supporting the pilot sites (x 3) Networking and learning Influencing the wider development of the LMS Influencing and learning from the national programme MY Maternity app linked to My Birthplace

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9 Challenges Governance System leadership and changes to authority Who is setting the agenda locally Finance Current IT Systems Sharing results and communication between sites Infrastructure-unequal Clinical and user engagement Danger of going too big and losing focus Historical choices of the women Boundary movement Capacity Change management capacity to help with the above whilst delivering business as usual Choice vs capacity vs safety-dilemma