Westminster Health Forum

Maternity services in England - patient safety, service delivery and policy priorities

Morning, Wednesday, 10th July 2019

Central London

THIS EVENT IS CPD CERTIFIED



This seminar will be a timely opportunity to discuss the next steps for improving maternity services in England - looking at personalisation of care, developing the workforce and reducing inequalities.


Taking place in the context of the NHS Long Term Plan, and a range of other policy initiatives and commitments, it will be an opportunity to discuss implementation issues and the impact on services and NHS staff.


The agenda and keynote speakers


  • Priorities for maternity services and implementing the NHS Long Term Plan - with Claire Mathews, Deputy Head of Maternity Services, NHS England
  • Regulating maternity services and improving standards - with Dr Nigel Acheson, Deputy Chief Inspector of Hospitals, CQC

Case study contributions from:


  • Andrew Canter, Chairman, National Maternity Support Foundation on the work that the charity has been undertaking to ensure that every NHS Trust with a maternity unit offers specialist bereavement support;
  • Linda Machakaire, Consultant Midwife, Lewisham and Greenwich NHS Trust on the efforts taken to widen patient choice in the maternity unit in Lewisham and Greenwich; and
  • Helen Ford, Lead Commissioner, Children and Maternity, NHS Gloucestershire Clinical Commissioning Group on the progress of Gloucestershire’s Perinatal and Infant Mental Health network.

Further sessions focus on:


  • Tackling inequalities and supporting child health - delivering care in the community and at home - with Lynne Reed, Head, Clinical Quality Improvement and Lead Nurse, Family Nurse Partnership;
  • Increasing access to mental health care for mothers and families - with Dr Heather O’Mahen, Senior Lecturer and Perinatal Clinical Psychologist, University of Exeter; Expert Advisor, Centre for Clinical Practice, NICE and Member, Perinatal Mental Health Clinical Reference Group, NHS England;
  • Key issues for the delivery of maternity services: patient choice, collaboration and quality of care - with a panel of speakers;
  • Priorities for patient safety and improving access to support – with Dr Clea Harmer, Chief Executive, Sands;
  • Learning from incidents: leadership, standards and progress of the Maternity Incentive Scheme - Denise Chaffer, Director, Safety and Learning, NHS Resolution;
  • Developing the maternity workforce: perceptions, multidisciplinary teams and personalising care - with Gill Walton, Chief Executive, Royal College of Midwives; and
  • Next steps for technology and digitising maternity records - with Martin Dennys, Programme Director, Digital Maternity Programme, NHS Digital.

Sessions will discuss the next steps for tackling inequalities in maternal and child health, looking at long-term funding, taking local approaches and personalising care.


It follows NHS England’s commitment to take stronger action on health inequalities - including implementing a targeted continuity of carer model to 75 percent of women from BAME communities and a similar percentage of women from the most deprived groups by 2024.


We also expect discussion on the Government’s expected response to the publication of the Health and Social Care Committee’s report on the first 1000 days of life, which called for a revised Healthy Child Programme to begin before conception and to extend beyond two and a half years, as well as ensuring that women see the same midwife and same health visitor for each visit.


As NHS England commits to increase the number of neonatal nurses and expanding the role of some allied health professionals to support neonatal nurses, delegates will assess the development of the maternity workforce - including the expansion of multidisciplinary teams and priorities for improving recruitment.


We also expect discussion on the interim NHS People Plan, which sets out future plans for strengthening the maternity workforce, including strengthening the image and perception of the nursing and midwifery professions.


Delegates will also assess the widening of access to services and priorities for improving postnatal care - including postnatal physiotherapy and perinatal mental health services for both mothers and fathers or partners.


We expect discussion on improving maternity safety - looking at increasing transparency and improving prevention, as well as creating and supporting a learning culture.


It comes as NHS England aims to halve the rate of stillbirths, maternity mortalities, neonatal mortalities and serious brain injury by 2025 and as every trust in England with a maternity and neonatal service is set to join NHS Improvement’s National Maternal and Neonatal Health and Safety Collaborative this year.


Further sessions include discussion on the next steps for regulating maternity services in light of the CQC’s 2018 survey of maternity services.


The survey found that while experiences of maternity services were generally positive, improvements in postnatal care had not been made between 2017 and 2018 - including the provision of information on possible emotional changes and physical recovery after birth, home visits from a midwife after birth, and staff awareness of the mother and baby’s medical history. Addressing these challenges will be central to discussion, ahead of the 2019 survey.


The agenda also includes discussion on the progress of the digitisation of maternity records, as the Government pilots the digitisation of records for 100,000 women by the end of 2019. Delegates will consider how to address barriers regarding data protection and workforce engagement.



Keynote Speakers

Claire Mathews

Deputy Head of Maternity Services, NHS England

Dr Nigel Acheson

Deputy Chief Inspector of Hospitals, CQC

Keynote Speakers

Claire Mathews

Deputy Head of Maternity Services, NHS England

Dr Nigel Acheson

Deputy Chief Inspector of Hospitals, CQC

Lynne Reed

Head, Clinical Quality Improvement and Lead Nurse, Family Nurse Partnership

Dr Heather O’Mahen

Senior Lecturer and Perinatal Clinical Psychologist, University of Exeter; Expert Advisor, Centre for Clinical Practice, NICE and Member, Perinatal Mental Health Clinical Reference Group, NHS England

Chairs

Sharon Hodgson MP

Shadow Minister for Public Health and Vice Chair, All-Party Parliamentary Group on Baby Loss

Baroness Cumberlege

Independent Chair, National Maternity Review, NHS England

Speakers

Denise Chaffer

Director, Safety and Learning, NHS Resolution

Martin Dennys

Programme Director, Digital Maternity Programme, NHS Digital

Andrew Canter

Chairman, National Maternity Support Foundation

Linda Machakaire

Consultant Midwife, Lewisham and Greenwich NHS Trust

Dr Clea Harmer

Chief Executive, Sands

Elizabeth Duff

Senior Policy Adviser, NCT

Gill Walton

Chief Executive, Royal College of Midwives

Helen Ford

Lead Commissioner, Children and Maternity, NHS Gloucestershire Clinical Commissioning Group