SEL Maternity Vision: Our ambition is for mothers, babies and their - PowerPoint PPT Presentation

SEL Maternity Vision: Our ambition is for mothers, babies and their families to experience joined up, high quality care during and after their pregnancy. They should be supported to make choices that are right for them, and where risks or complications mean additional intervention is required the care is safe with a good outcome. Draft in progress | 2

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- This is our integrated system model. - Local Care Networks are the foundation of the whole system model providing person centred services to populations - The petals are the pathways providing services to cohorts of people and drawing on specialised services - The orange circles represent key features - Mental health is embedded throughout the whole system model. It is considered within Local Care Networks and each of the petals. Maternity Cancer Mums-to-be will receive a personalised service, continuity of Early Condition focused care and a range of birthing Geographic detection midwife cohorts midwife teams options for high risk for low risk mothers mothers Improve patient outcomes through prevention and early detection and Self care Children and young people diagnosis of cancer; Managed care Children will be able to access more stronger support for Personalised care & young specialised services through Acute people living with and Care coordination H people Person children's integrated CYP beyond cancer SSPAU community teams SPOA Children’s Integrated Community Team Strong confident communities are a critical Rapid response part of the foundation of Diagnostics “home ward” support the model. Initiatives will seek to build community Specialist Elective Response resilience so that they Care Urgent & Clinic Centres Planned support local people to be A rapid response team will make emergency care physically and mentally care sure patients who need urgent healthy and take care of and emergency care will receive peoples social needs. the treatment they need in the right place at the right time and will support patients to return Patients who need planned home and move back to local care across SEL will health and care services receive consistent quality and outcomes regardless of the setting. 19

South London London Perinatal Maternity Mental Health Network Network South East London STP SEL Maternity Stakeholders Governance structure Strategic Planning Group SEL Maternity Network SEL Sustainability & Transformation Plan STP Executive Group South London Neonatal Maternity Delivery Network Group SEL STP Maternity Projects 5

STEP 1 – Stocktake & understand STEP 2 – Governance & STEP 3 – Defining Action STEP 4 – Delivery Alignment Mechanisms/Vehicle COMPLETE ONGOING STARTING Sep 2016 – FY20/21 Review and reform existing OHSEL Developing a starter for ten on SEL governance and structures to reflect STP health and care system Maternity Provider and CCG visits to shift. Define the purpose and value add of work programme to share with SEL understand strategic direction, SEL level forums. health economy. Deliver defined programme of review effectiveness of current work with progress assessed OHSEL activity and understand areas Plan to convene SEL User representatives, Over the next few months work through STP governance where a SEL approach could support Providers and Commissioners in July 2016 with the system to prioritise areas structures. transformation/ add value. at Maternity network meeting to review of focus, agree actions, consider and refine SEL work plan. resource requirements and reprioritise where necessary. 6

16/17 Focus 1. Preparing for a 2. Access to 3. Continuity of healthy and Midwifery confident antenatal support midwifery-led care pregnancy by 10 weeks 5. Implementing 6. Implementing 4. Increasing out of London Quality Saving Babies Lives labour ward births Standards Care Bundle 7. Postnatal and 8. Perinatal Mental 9. Supporting Neonatal Care health Activities 7

STP Commitments: Full access to local STP Commitments: Meeting standards set out STP Commitments: Standardised information specialist perinatal mental health services in the national maternity review on birth setting choices (16/17) (19/20) STP Commitments: identifying high risk STP Commitments: Maternity performance STP Commitments: Creating continuity pregnancies before 10 weeks dashboard STP Commitments: Increased out of labour STP Commitments: Standardised maternity STP Commitments: Promoting choice ward births (18/19) specification, including mental health (17/18) STP Commitments: 20% reduction in stillbirths STP Commitments: Saving Babies Lives care STP Commitments: Local continuity of care (19/20) bundle implementation (17/18) ambition achieved (18/19) STP Commitments: Agreed obstetric consultant cover trajectory (17/18) 8

Draft in progress | 9

• Delivery • We have lots of pockets of transformational practice within SEL relating to continuity of care, electronic notes, birthing units and we need to understand where the opportunities are to adopt these at scale. • In particular we are keen to explore continuity and integration of care pathways for women with high medical or social complexity and develop outline business cases for delivering at a south east London scale. • Understanding how maternity services interface with strengthened primary care and local care networks 10