We overcame our challenges by Whats worked well What have been the challenges Any top tips NHS Lothian What worked well Highlighted to clinical management team Dissemination of change using SBAR ID: 1012202
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1. NHS LothianWhat have been the enablers?We overcame our challenges by:What’s worked well?What have been the challenges?Any top tips?
2. NHS Lothian – What worked well? Highlighted to clinical management teamDissemination of change using SBARHighlight resources and time requirements Both initially and as service embeds and developsMultidisciplinary team involvementSupport and enthusiasm at all levels within maternity servicesEarly engagement with Medical Physics teamClinical champion/sDaily input Aid in troubleshootingSupport staffEnsure process in place
3. ChallengesResourceIndividual packs for PILs and consent forms for ease of useDesignated space with computer, telephone and photocopyingFiling system for completed consent formsFormal process for return of machines being negotiatedStaffFace to face familiarisation and training crucial ReassuranceEmpowerment Process will be refined on local experience, feedback and requirement
4. Top tipsFamiliarisationPaperworkFlorenceRecruitmentDesignated time for staff training Elaine Jack – Cross site trainingSTART RECRUITMENT
5. Next steps Postnatal implementation pathwayEast Lothian (remote area)Use of Near me Pathways for Type 1 and type 2 diabetes and Multiple pregnancy patients Setup Consultant led HT clinic Preconception counselling PN debrief Referral into adult HT services as required
6. Evaluation Data-driven evaluationRoutinely recorded dataEvaluate patient pathway - uptake and equity of access Health economic evaluationQualitative research Semi-structured interviews with women and staffLothian, Lanarkshire and Highlands and Islands