Maternity Care amp Perinatal Services Barbara Kuypers NHS England amp Health Education England Scope of Project What are our ambitions for Maternity Services for 2022 and what changes to Maternity Provision might we envisage ID: 339309
Download Presentation The PPT/PDF document "Personalised" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
PersonalisedMaternity Care & Perinatal ServicesBarbara Kuypers
NHS England & Health Education EnglandSlide2
Scope of ProjectWhat are our ambitions for Maternity Services for 2022 and what changes to Maternity Provision might we envisage.
Which key areas of service provision require development and what implications will this have for training and preparation of the workforce.
How will Trusts meet the NHS Mandate for Choice and Personalised Maternity Care and 1-1 care through out. What Models of care might be required.
What should commissioners be seeking when negotiating Service Level Agreements and CQUINsSlide3
Background – NHS Mandate
Offers women
choice of providers.
Reduces the incident and impact of post natal depression through earlier diagnosis, and better intervention and support.
That every women has a
Named Midwife
who is responsible for ensuring she has personalised, one to one care through out pregnancy, childbirth and during the postnatal period, including additional support for those who have a maternal health concerns.
The Mandate for Maternity supports improvements to the care and experience of women and families during pregnancy and in the early years for their children and asks NHS England to ensure that the NHS: Slide4
HEE Mandate
As part of this ambition, HEE should work with the NHS England and others to ensure that sufficient midwife and other maternity staff are trained and available to provide every woman with personalised, one to one care throughout pregnancy, childbirth and during the post natal period.
(
HEE Mandate
2012-15 (2.3.3
.).Slide5
Workforce RequirementsWork is already underway with the Centre for Workforce Intelligence looking at the multi-disciplinary workforce requirements for various key pathways of maternity care.
The project concentrates on the delivery of a wider workforce able to deliver the care and choices set out within the ambitions of the Mandate by putting in place the necessary actions and levers to ensure that there is an appropriate workforce in place to deliver the capacity and capability required by maternity services in 2022.
The project will therefore be included in the Mandate to Health Education England.
CfWI just published the Guidelines for Maternity Workforce Planning Pathway ToolkitSlide6
Future WorkforceSlide7
WHO MAY BE OUR FUTURE EMPLOYERS?Acute providers
Integrated Care
Public Health
Private hospitals Universities Self-employed
Social Enterprise
Local Authorities
Private Industry and sponsors for future health provision
Non-government organisationsPrivate, social & charitable enterprise
Schools and Educational departments
Social Services
Prison Services Slide8Slide9
Key Values for Women ChoiceContinuityControlSlide10Slide11
Personalised Maternity CareSlide12
Mental Health Support Needs
mentalhealthtoday.co.ukSlide13
Midwifery Managed PathwaysFor every Trust Maternity Unit to have an alongside Midwifery Led Facility that is modern and homely as part of their portfolio of services.For all professionals to understand and apply the findings of relevant research, i.e. the Birth Place Study and positively and actively invite well women to birth in Midwifery Led facilities.
For every Trust Maternity Unit to have a total midwifery managed route and pathway from booking to discharge and to include, ultrasound services to neonatal examination and discharge. That the commissioners especially reward or bonus this pathway. Slide14Slide15
Integrated Pathways of CareTo encourage models of care that enable integrated working and reflects a group practice philosophy in which midwives have ‘control’ of their time management. This might reflect an ‘independent’ social enterprise model for particular categories of women such as those that require additional mental health support (Hull) or for those that are reluctant to access traditional maternity routes of care (Sheffield).
To target particular groups of women who have social challenges and who require extra support throughout their pregnancy by multi-faceted teams (a little like the sure start model) which may include midwives and HVs (and social workers) working together longer into the PN period. Slide16Slide17Slide18
The emotional rollercoaster of pregnancy
(from DH Parents' views on the maternity journey and early parenthood, 2011)Slide19
Childbirth & Mental Health
Exacerbates pre-existing mental health disorders up to 50%
Poorly understood
Lack of trainingEmphasis on ‘wellness’Screening often ineffective
Medication advice poor
Stigma, labelling, shame & embarrassment
Fear of not being a ‘good enough’ motherFear from the ‘authorities’Great deal at stake
Midwives often first point of contactSlide20Slide21Slide22Slide23Slide24Slide25Slide26Slide27
Health Education England & Thames Valley
Influences the curriculae planning of all under and post graduate education and Perinatal Mental Health (PMH) is included in all Programmes.
Discussing with HEI’s about the need to develop PMH Training for existing workforce.
Supporting a project to develop mindfulness training for midwives and workshops for women.
HETV has supported post doctorate and intern opportunities.
Working to implement the ambitions of Personalised Maternity Care.Slide28
Today and 2022
Students.salford.co.uk
Named Midwife
Caseloading Models of Care
1-1 Care in Labour
Kings Fund Report and dissolution of Supervision of Midwives
Future Review of routes for Midwifery TrainingKirkup Inquiry and Duty of CandourWorkforce ToolkitsNHS England Review of Maternity ServicesSlide29
Total Midwifery Managed Pathways
Every Contacts Counts &
No decision about me without meSlide30
Thank you