Somerset Better Births – Early Adopter Site Helen Williams Yeovil District Hospital HoM @midwifehelen #somersettogether 1
Somerset 2
About us….. • Foundations of a local maternity system across Somerset • 2 consultant led maternity services – total 4700 births • 1 stand alone MLU, 1 alongside MLU, 1 planned MLU for 2017 • Home birth and vulnerable women’s teams • Different models of care traditional & integrated • Partnership working already in progress – Plus South West Maternity Clinical Network and Obstetric Network • Joint working on MDT perinatal mental health pathway • A Equip Supervision Pilot site 3 Aiming for the Best in the South West
Our Service Vision to secure early adopter status • Somerset Maternity Services unimpeded by organisational and professional boundaries • Realisation of Better Birth Ambitions - specifically improving postnatal & perinatal mental health care and digital information for improved choice and care • Achieved through a flexible workforce * Developing new roles/models of care * Improving continuity with a focus on the most vulnerable • Underpinned by enhanced digital technology 4 Aiming for the Best in the South West
Going digital … • The connected mother and family • A digital information pathway choice app – supporting women to make the right care choices • My baby, my pathway – accessible shared records • Effective, real-time communication with a named midwife/team • Self care programmes with information, signposting and access to support (baby movement, smoking, weight, wellbeing etc.) • Our deeply rural area require a mobile, flexible workforce that is digitally connected, with user-friendly, app based technology 5 Aiming for the Best in the South West
Improved postnatal and perinatal mental health care • Improved access and continuity of care • Develop existing vulnerable women’s teams strengthening links across organisational and professional boundaries • Develop a new postnatal practitioner role to support the most vulnerable working across maternity and health visiting boundaries linked to Nurse Associate Programme • Together with public health fully implement an MDT perinatal mental health pathway 6 Aiming for the Best in the South West
Wider Better Births Progress • Joint leaders away day to scope Better Births action plan & encourage collaborative working • 4 Action working groups; continuity of carer, safer care, postnatal and perinatal mental health, choice & personalization – taking plans forward alongside EA work. • Concepts include MY care & Baby Bus • Dragons Dens event • Progress Somerset LMS • Somerset “Whose Shoes ” event 7 Aiming for the Best in the South West
Progress to date & Next Steps… • Working up MOU , project plan & financial phasing • Setting up project and steering groups • Currently recruiting project manager • Recruit to IT, postnatal lead & practitioner roles • Appoint IT project lead • Project implementation plan • Project up and running 8 Aiming for the Best in the South West
Monitoring Somerset Maternity Network Better Births Programme Governance Structure Action Working Teams IT & Postnatal Care Clinical Obstetric Governance team Led by Matrons & Better Births champions, Frontline Practitioners Midwives, meetings forums Gps, Nurses, HV’s Postnatal Practitioners, drives changes forwards identifies successes and barriers to change -feeds into project group Better Births Project Group A Heads of Midwifery, Obstetrician, Matrons, HV Manager, Trust IT leads, Business Obstetric MSLC / A Managers, MSLC rep, NCT lead, business user c c meetings forums t Meets monthly, receives progress reports from action working teams provides t resource support and guidance. Reports quarterly to steering group . i i o o n Better Births Steering Group n CCG Maternity Directors of Nursing, Heads of Midwifery, Clinical Directors Transformation Forum Directors, CCG leads, Receives quarterly reports, provides strategic support and feeds results into STP and NHSE pathways CCG / Provider STP Governance Processes Trust 9 Aiming for the Best in the South West
...and finally • By working together, sharing our challenges, learning and successes, we aim to ensure that all Somerset women will benefit from equitable service provision and that the Better Births vision will become a reality. 10 Aiming for the Best in the South West
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