Better Births/The Long Term Plan and Safer maternity care
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This document summarizes key priorities and initiatives from the National Maternity Ambition and Long Term Plan to improve safety in maternity care in the UK by 2025. Key areas of focus include reducing stillbirths, neonatal and maternal deaths by 50% by expanding continuity of carer models, improving postnatal physiotherapy access, strengthening infant feeding programs, and providing better integrated mental health support for new mothers. The goals are to address disparities in outcomes and provide safer, higher-quality care for all women and babies.
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Better Births/The Long Term Plan and Safer maternity care
- 1. www.england.nhs.uk 1 Chief Nursing Officer for England’s Summit 13 March 2019 Sarah-Jane Marsh Chair, Maternity Transformation Programme Board NHS England and Chief Executive, Birmingham Women’s and Children’s
- 2. www.england.nhs.uk Better Births/The Long Term Plan and Safer maternity care Professor Jacqueline Dunkley-Bent Head of Maternity Children & Young People #BetterBirths Twitter @dunkleybent
- 3. National Maternity Ambition To reduce the rate of stillbirths, neonatal and maternal deaths, and brain injuries occurring during or soon after birth by 50% by 2025; and 20% by 2020 Reduce PTB from 8% to 6% Maternity Transformation Programme A cross-system programme set up to implement the vision set out in the National Maternity Review – NHS Long term plan
- 4. www.england.nhs.uk The importance of safety in maternity - facts • 700,000 babies born in UK 2016 Conclusion: We need to make care safer 1123 babies met Each Baby Counts criteria 11% (124) intrapartum stillbirth 76% (854) Severe brain Injury 13% (145) Early NND 2014-2016 9.8 women per 1000 died during or up to 6 weeks post partum MBRRACE 2018 71% of babies might have had a different outcome with different care
- 5. www.england.nhs.uk Maternity (Source: NHS Resolution Annual report and accounts 2017/18)
- 6. www.england.nhs.uk 2019/20 Maternity Safety Priorities Workstream 2: National ambition Better Births recommendations Programme delivery: SBL CB CNST 10 PMRT MNHSC Atain HSIB EBC-L&S etc Relationship building Using Champions proactively at all levels. Training and learning: 1) Training the workforce 2) From reviews and investigation 3) Mandatory training 4) Pre-registration Workforce 1. Training 2. Support when things go wrong 3. Communication and relationship building Culture User involvement Single reporting portal
- 7. www.england.nhs.uk The journey to a national maternity safety ambition 2010 2016 – Better Births 2010 - NHS Mandate & Outcomes Framework 2015 – Kirkup Report 2015 – National Ambition 2016 – Safer Maternity Care Action Plan 2014 – Five Year Forward View 2017 – Progress and next steps 2019 - Long term Plan
- 8. – Postnatal physiotherapy • What: Women have access to multidisciplinary pelvic health clinics and pathways • How: LTP funding for additional midwives / midwifery time and physiotherapists to further support high quality care for women experiencing physical complications • Why: incontinence/ prolapse/pain • When: Full rollout 2023/24 Continuity of Carer • What: Continuity of carer for most women by 2021 - targeted to those who will benefit most • How: LTP funding for additional midwives / midwifery time and training • Why: Maternal mortality: Black women x5, Asian women x2, most deprived x3,- Stillbirth rate increasing for Black babies - 121% ↑, Neonatal mortality: Black babies 50% ↑, Asian 66%↑, deprived areas x2
- 9. Long term plan Infant feeding • What: All maternity providers who do not already deliver an evidence based infant feeding programme will be supported to do so • How: support providers to adopt and deliver an evidence based programme • Why: UK breastfeeding rates at 6-8 weeks compare unfavourably with other countries in Europe & in London, 84% of children were breastfed at 6-8 weeks from October to December 2017. The average rate in the North East was 32% • When: Rollout to commence from 2019/20 improving mental health • What: Women who experience mental health difficulties from maternity experience will receive integrated maternity reproductive health and psychological therapy. • How: LTP funding for funding for specialist mental health midwives and perinatal psychologists - integrated models of care between maternity, reproductive health and psychological therapy • Why: Mental health problems in pregnancy and the first year after birth are experienced by up to 27% of women in the UK - support for tokophobia and PTSD • When: -Rollout from 2021 onwards