One year on. N.Sajjad , C.Deans 11 th June 2019 Maternal and - PowerPoint PPT Presentation

Prematurity Bundle One year on……. N.Sajjad , C.Deans 11 th June 2019

Maternal and neonatal health safety collaborative • Three-year programme, launched in February 2017 • To improve the safety and outcomes of maternal and neonatal care by reducing unwarranted variation and provide a high quality healthcare experience for all women, babies and families across maternity and neonatal care settings in England. • Contribute to the national ambition, set out in Better Births opens in a new window of reducing the rates of maternal and neonatal deaths, stillbirths, and brain injuries that occur during or soon after birth by 20% by 2020. • Our support offer is spilt into three annual waves, 44 trusts took part in wave 1 and now in the second year of the programme, we are working with 43 trusts across England. Nominated improvement leads from each of these trusts will build their knowledge of improvement theory by attending nine days of learning sessions during the wave. • The leads will then share their learning with trusts in waves 2 and 3, as we work with them during the second and third years of the collaborative.

Why are we doing it? The prevalence of preterm birth is increasing While survival has improved, the prevalence of cerebral palsy, chronic lung disease and other complications has increased The incidence of cerebral palsy decreases significantly with increasing gestational age 22 – 27 weeks 14.6% 28 – 31 weeks 6.2%, 32 – 36 weeks 0.7% Full-term - 0.1%

Prematurity Bundle

Background PReCePT

MgSo4 + Corticosteroid Data - Chelsea and Westminster site

PReCePT Data – West Middlesex site Month MgSo4 MgSo4 MgSo4 MgSo4 MgSo4 MgSo4 Reason Staff eligible received not eligible received not given Training <30 wks <30 wks given <34 wks <34 wks Sept ‘18 1 1 - - - - - - Oct’18 1 - 1 - - - Unsure of Start dates training Nov’18 0 0 - - - - - 2 sessions Dec’18 2 1 1 - - - Del on MW 35% arrival Jan’19 2 2 0 - - - - O&G 30% MW 45% Feb’19 3 3 0 - - - - O&G 70% MW 45% Mar’19 4 4 0 3 3 0 - Engaged MDT Apr’19 1 1 0 - LW Co- Band 7 May’19 2 2 0 6 5 1 Del on Engaged arrival MDT

Project Support team feedback – May 2019 Hat-trick! We did it again Dearest PReCePT team, Words cannot express your outstanding achievement where uptake of MgSO4 has been sustained above the 95% stretch target for the past 3 months, I will be sharing your excellent work on this programme via ICHPs newsfeed and also our Patient Safety Board.

Challenges • Data recording • Management in Acute area e.g. Maternity Triage • Guideline & Staff teaching • Engagement from Neonatal Team • Clinicians time

Challenges • Cross checking the data through CMIS • Staff training at Skills and drills, LW Forum , Ad-hoc teaching , Teaching at handover • Role of LW Co-ordinator • Guideline update • Pre pack MgSo4 • NNU team communication with minimal feedback • Local lead clinicians commitments v/s project

Celebrate our achievement !! “Really PROUD of Team West Middlesex in protecting preterm infants and preventing Cerebral Palsy, over the past 4 months the teams excellent efforts have resulted in 100% uptake of MgSO4 in eligible women!”

Celebrate our achievement !! • Team C & W