The Future of Maternity Services and Care

health & social care

08:45 - 16:40

Thursday 28 September 2017

Congress Centre, Central London

This Forum provides an opportunity to evaluate the implementation of the recommendations in the 2016 ‘National Maternity Review’, and discover how the progress of the pilot Trusts will further influence the national applications of recommendations. Participants will hear from key organisations that were instrumental in conducting the Review about how recommendations are working in practice to raise standards of maternity care, as well as from best practice case studies who will share lessons in providing safe, patient-centred care and support that will ensure a better experience for women.

Audience

This Forum is designed for the NHS and Health Sector including Directors and Heads of Nursing and Midwifery, Chief Nursing and Quality Officers, Clinical Directors, Consultant Midwives, Lead Midwives, Maternity Matrons, Heads of Quality and Compliance, Heads of Patient Safety, Nurse and Midwife Assessors and Professional Development Leads. This Forum will also be open to CCGs, Higher Education and the Voluntary and Private Sectors to encourage discussion and debate.

Key Speakers Confirmed:
  • Baroness Julia Cumberlege CBE, Chair, National Maternity Review
  • Dr Suzanne Tyler, Director for Services to Members, Royal College of Midwives
  • Dr Jo Black, Consultant Perinatal Psychiatrist, Devon Partnership NHS Trust and Associate National Clinical Director for Perinatal Mental Health, NHS England
  • Terri Hobbs, National Programmes Manager, Directorate of Education & Quality, Health Education England

*Click here to see the other speakers and detailed programme*

 

Policy Background

The Royal College of Midwives’ February 2017 ‘State of Maternity Report 2016′ highlights a number of growing issues for maternity care in the UK, including the fact that 33% of midwives in England are nearing retirement age, with a shortage of new trainees entering the profession. In addition, the rising number of women giving birth in later life is placing greater pressure on the NHS to provide specialised care. This reinforces the need for better workforce planning and personalised care, as recommended by the March 2016 ‘National Maternity ReviewBetter Births: Improving Outcomes of Maternity Services in England; A Five Year Forward View For Maternity Care’. 

‘Better Births’ introduced a total of seven recommendations including continuity of carer, investing in mental health care, and a new payment system to better compensate providers and commissioners for delivering the specialised care required by women. The Maternity Transformation Programme Board has been established to oversee the implementation of these recommendations, initially across seven pilot sites, and to support local transformation by ensuring implementations align with NHS Trusts’ Sustainability and Transformation Plans (STPs). Personalised Maternity Care Budgets are also being piloted, to establish how money can be best spent to provide women with the individualised care they need.

It is vital therefore that all healthcare professionals are able to successfully implement the recommendations of ‘Better Births’ to ensure maximum quality of physical and mental health maternity care for all patients, and eliminate substandard care and inconsistent advice.

View the Agenda

08:45

Registration, Refreshments and Networking


09:30

Chair’s Welcome Address

Professor Susan Bewley, Professor of Women’s Health, King’s College London (CONFIRMED)


09:40

Morning Keynote: Delivering Better Maternity Care with Improved Workforce Planning

  • Summarising how the National Maternity Review and subsequent Maternity Transformation Programme have influenced guidance issued by the RCM, to help recommendations be met
  • Working to improve the communications between maternity teams, to streamline workloads and to help provide continuity of carer for women
  • Developing digital resources, including apps and webinars, for women and families in maternity care, and training midwives to effectively distribute these as part of an improved standard of care
  • Exploring how better workforce planning has enabled the development of more realistic and effective workplans for commissioners, improving the quality of maternity care

Dr Suzanne Tyler, Director for Services to Members, Royal College of Midwives (CONFIRMED)


10:00

Special Keynote: Improving Perinatal Mental Health Support

  • Reviewing the impact of the National Maternity Review on bringing perinatal mental health higher on the agenda for midwifery practitioners, and ultimately improving perinatal mental health
  • Highlighting the importance of incorporating mental health guidance into the delivery of mainstream maternity care
  • Sharing initiatives to support women who are planning for pregnancy, who may use medication to maintain good mental health or have shown active symptoms of a mental health disorder, to stay well throughout and following pregnancy
  • Advising on how to ensure increased mental health support is financially sustainable, both for continuity of care and in long term maternity planning

Dr Jo Black, Consultant Perinatal Psychiatrist, Devon Partnership NHS Trust and Associate National Clinical Director for Perinatal Mental Health, NHS England (CONFIRMED)


10:20

Case Study: Working in Collaboration to Deliver Quality Mental Health Services

  • Achieving an ‘Outstanding’ inspection report from the CQC, providing a model for others in delivering excellent mental health services as part of maternity care
  • Understanding the need to provide specialist mental health care for women who are considering pregnancy, as well as during antenatal care and the first post-partum year, in order to ensure the safety of both mothers and babies
  • Collaborating with two other London Trusts to form the multidisciplinary Pan London Perinatal Mental Health Network that provides standardised training and an ‘Electronic Hub’ to share best practice across Trusts
  • Outlining the Network’s Principles of Care, including good communication and service provision that is matched to individual women’s needs, and how other Trusts can implement similar effective structures with limited budgets

Dr Sarah Taha, Chair, North East London Perinatal Mental Health Clinical Network and Jo Maitland, Perinatal Mental Health Training and Service Development Lead and London Perinatal Mental Health Network Coordinator (CONFIRMED)


10:40

Key Supporter Session: Digital Transformation with MIA Maternity - A Mobile App by Midwives, for Midwives

  • Shortlisted by the RCM, BJM and HSJ in 2016, MIA Maternity is a clinical app that replaces inefficient paper processes with a secure tablet solution
  • Harnessing innovative digital technology for savings in time and money for better patient care
  • Reducing paper processes, travel and agency spend for more efficient workflows
  • Staff satisfaction: A case study on how one Trust reduced their Bradford score by 74% by digitally transforming their service

Nigel Elson, Commercial Director, Isosec (CONFIRMED)


11:00

Questions and Answers Session


11:20

Refreshments and Networking


11:40

Case Study: Piloting the New Approach to Midwifery Supervision

  • Becoming one of six pilot sites to pioneer the new model of midwifery supervision in England, aiming to improve staff development and overall employment experience
  • Sharing lessons from working with independent maternity provider, One to One North West, as the sole pilot site to explore how the new model can be deployed for independent midwives working across large areas
  • Understanding how to provide effective supervision for midwives that includes professional development plans which incorporate best practice antenatal and postnatal physical and mental health care for women
  • Outlining recommendations from the pilot period to be implemented in maternity care and practice nationally going forward

Carmel McCalmont, Associate Director of Nursing and Head of Midwifery, University Hospitals Coventry and Warwickshire NHS Trust and Alison Talbot, Associate Director of Midwifery, Women and Children, George Eliot Hospital NHS Trust (CONFIRMED)


12:00

Case Study: Improving Patient Experience Through Innovative Communication Projects

  • Successfully winning £65,000 in funding from the NHS England Maternity Challenge Fund to expand the Communication Matters in Maternity project
  • Developing bespoke training packages for current and new staff to better understand the needs of women who use the Trusts’ services
  • Creating workshops for clinical and practice educators to continue improving communication skills among staff
  • Sharing lessons from developing a successful business case for project funding, and encouraging others to apply in future rounds of the Maternity Challenge Fund to discover new ways of improving maternity services

Sascha Wells, Head of Midwifery, University Hospitals of Morecambe Bay NHS Foundation Trust (CONFIRMED)


12:20

Case Study: Providing Outstanding, Patient-Led Maternity Care

  • Achieving an ‘Outstanding’ rating in the April 2016 CQC inspection, demonstrating a clear focus on safety, patient-led care and exceptional Trust-wide learning
  • Translating the current best practice in continuity of care from hospital to community to improve the continuity of carer rates for local maternity services
  • Outlining the role of the neonatal outreach nurses, whose work was highlighted as particularly noteworthy in the inspection, and how they balance the need for personalised care with budgetary constraints
  • Sharing lessons from becoming one of only thirteen Trusts in the country to achieve a ‘level three’ award for the Clinical Negligence Scheme for Trusts (CNST) in just three years, demonstrating a very low perinatal morbidity rate

Dr Cate Bell, Head of Research, Western Sussex Hospitals NHS Foundation Trust (CONFIRMED)


12:40

Questions and Answers Session


13:00

Lunch and Networking


14:00

Afternoon Keynote: Reviewing the Impact and Implementation of the National Maternity Review

  • Reviewing the implementation of the National Maternity Review, and its impact on improving maternity services
  • Exploring the changes in how care is delivered, so that a more personalised service is provided with a greater continuity in carers, and how this benefits women as well as increases midwife retention rates
  • Understanding the importance of all Trusts investing in both antenatal and postnatal mental health care
  • Looking at the network model of the provision of neonatal care and how this impacts or interacts with the maternal choice agenda in the provision of maternity care
  • Highlighting the need for further improvements in workforce planning so that all local health and care partners can effectively implement Sustainability and Transformation Plans (STPs)

Baroness Julia Cumberlege CBE, Chair, National Maternity Review (CONFIRMED)


14:20

Special Keynote: Health Education England Maternity Workforce Transformation and Maternity Safety Training

  • Updates from Health Education England’s national maternity programme and key focus areas
  • Discussion on the development of maternity workforce transformation strategy
  • Information on Maternity Safety Training Fund programmes being delivered by NHS trusts

Laura Marshall, Maternity Safety Training Programme, Health Education England and Clara Haken, Consultant Midwife and Senior Maternity Fellow, Southampton, Hampshire, Isle of Wight and Portsmouth (SHIP) Maternity Academy (CONFIRMED)


14:40

Case Study: Effectively Transforming Local Maternity Services As An Early Adopter Area

  • Becoming one of seven Early Adopter areas of new innovative maternity care practices that will create a single access point to services and instil more effective use of electronic records
  • Understanding how the first of nine workstreams in the Transformation Programme process aligns with the implementation of the Trusts’ Sustainability and Transformation Plan (STP), to focus on local change as a key enabler of national improvements to maternity care
  • Sharing the proven financial and health benefits of providing continuity of carer, with more health concerns being raised and addressed with the trusted midwife at an earlier stage, preventing future complications
  • Disseminating best practice in providing specialised maternity care that meets the needs of women in the area, and how to successfully budget for this care, including through efficient workforce planning

Charlotte McClymont, Better Births Early Adopter Programme Manager, North Central London Local Maternity System and Programme Manager, Population Health, UCL Partners (CONFIRMED)


15:00

Questions and Answers Session


15:20

Refreshments and Networking


15:40

Panel Session: Ensuring a Holistic Approach to Maternity Care

  • Understanding the need to further invest in quality postnatal mental and physical health care, which will help reduce visits to A&E and GPs long term
  • Promoting the benefits of excellent maternity care being available in local communities to increase its availability to those who need it, and reduce numbers visiting hospitals
  • Working with HEIs to ensure that trainee midwives are equipped with the skills needed to provide the personalised care outlined in the National Maternity Review, and that optimum numbers are being trained and subsequently employed where they are needed

Dr Rayah Feldman, Senior Policy and Research Officer, Maternity Action (CONFIRMED)

Professor Debbie Carrick-Sen, School of Nursing, University of Birmingham and Clinical Professor of Nursing and Midwifery Research, Florence Nightingale Foundation (CONFIRMED)

Patrick O’Brien FRCOG, Council Representative, Royal College of Obstetricians and Gynaecologists (CONFIRMED)


16:20

Questions and Answers Session


16:40

Chair’s Summary and Close

*Programme subject to change


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