Birmingham & Solihull United Maternity & New-born Partnership A local maternity system in action Professor Helen Young: Director of Maternity & Newborn Transformation
Better Births & Our Local Maternity & Newborn System Personalised care & choice Safer care with less variation Better postnatal support & perinatal mental health Improved multi-professional working Continuity of care from pregnancy to health visiting Commissioning & Finance systems that support system change
Deliver a consistent world class holistic service that empowers women and families to make informed choices and enables access high quality care from a range of providers most suited to the personal choice and clinical need of the women.
Choice versus Access within Bsol Capacity Criteria Service Risk Geography
Early Years Support Postnatal Care for Mother Baby and Family Single Point of Access Specialist Care Community Hubs: Needs Assessment & Screening Obstetric / Specialist / Mother & Baby Care Shared Care Obstetric / Neonatal Unit Midwife Led Unit Early Pregnancy Midwife-Led Care Home Birth Perinatal Mental Health Lifestyle Choices Early Years Support Positive pregnancy test Booking appointment, screening & checks Scan including anomaly check Place of birth choice made Review & plan Birth & postnatal care 10 WEEKS 18-20 WEEKS 28, 34 & 36-38 WEEKS
At the centre of our model Home Birth Single Point of Access Scans Community hubs Multidisciplinary Midwifery Teams Shared Care Consistency Linked obstetricians Perinatal Mental Health Community Hubs New Providers
Proposed Model Single point of access: Woman undergoes initial risk assessment Allocation to hub/urgent intervention undertaken FMU 5 hubs each housing 5 teams DAU Obstetric care & one stop obstetric review
Revised Pathways of Care Tertiary Fetal & Maternal Medicine Centre Highly Specialised Obstetric Care Focussed Capacity Intermediate Obstetric Care Midwives with a specialist interest Maintain Capacity Standard Midwifery Led Care Community Focussed Increase Capacity
Making the change? Market that meets the regulations Honouring patient choice Skill set not offered within current NHS provision Acceptance Contracting Model Organisations that can compliment the workforce Culture shift within existing workforce Remove system barriers
Year 1 Year 2 Year 3 Delivery Revise contracting and financial model to deliver PMCBs and realise joint commissioning of Neonatal & Maternity services Implement consistent criteria, guidelines, & pathways across the patch Deliver the revised care model throughout BSOL Deliver a uniform Electronic Patient Record Appropriate capacity in the right places Begin phased roll out of the model of care across the West Midlands
Our ambition 2016 2018 2020+ Current Model Lack of choice for women Fragmented service Variation in quality standards & models of care Capacity issues choice affected by capacity and post code Traditional models of care provision Workforce shortages and ageing workforce B.U.M.P Single point of access for all women One stop model offering women greater choice and involvement in their care Continuity of carer for the woman throughout Seamless service delivery Consistent standards and models of care wherever care is accessed across the network Appropriate capacity across the STP to support choice of delivery Better use of existing facilities and resources Use of technology / telemedicine as standard Inclusive of NN & HV services Reviewing and implementing Local Maternity Systems across the West Mids. Replicates BUMP Phased delivery across West Midlands Appropriate capacity to support anticipated increase in births Horizon scanning and implementing new technologies at scale.