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Maternity Services in NHSGGC

CORONAVIRUS (COVID-19)

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Key Recommendations

All women will have continuity of midwifery carer from a primary midwife Midwifery and obstetric teams will be a...

Continuity icon

  • All women will have continuity of midwifery carer from a primary midwife
  • Midwifery and obstetric teams will be aligned with a caseload of women and be co-located for the provision of community and hospital-based services
  • Specific details of the way in which continuity is managed will vary across settings (e.g. urban or rural) and population groups (e.g. women with particular social vulnerability). Different models of providing continuity should be audited and evaluated
  • Support and education for all staff to help them adapt to new ways of working.

Maternity and neonatal care should be co-designed with women and families from the outset Women will be given th...

Person centred icon

  • Maternity and neonatal care should be co-designed with women and families from the outset
  • Women will be given the information and support they need to make informed decisions
  • Services will put the mother, baby and family at the centre.

There will be a universal model of care that runs across the whole care continuum, whereby all women and babies r...

Multi-professional icon

  • There will be a universal model of care that runs across the whole care continuum, whereby all women and babies receive midwifery care and those with additional needs receive extra care.

Integrated team care for women, babies and families will, over time, take place in local community 'hubs' All wo...

Accessible icon

  • Integrated team care for women, babies and families will, over time, take place in local community 'hubs'
  • All women should have an appropriate level of choice in relation to where they give birth including at home, alongside or freestanding midwifery unit and hospital
  • Review the reasons for the increase in caesarean section rates and evaluation of the potential risks
  • Babies with moderate additional care needs should be cared for in postnatal wards, when possible
  • Priority given to the provision of high quality postnatal care
  • Achieving this new model of working will require considerable re-design of services, especially in the way that midwives work 
  • Maternity and neonatal services should be organised so that units providing the most highly specialised care are co-located 
  • Support for women and babies with the most complex needs 
  • Support for all women, in particular the most vulnerable, to improve their own health and the health of their baby, during pregnancy 
  • Review current access to perinatal mental health services to ensure early and equitable access is available to high quality services, with clear referral pathways 
  • Support for bereaved parents and families, before they leave the unit, with each maternity and/or neonatal unit having access to trained bereavement care staff.

Three to five neonatal intensive care units should be the immediate model for Scotland, progressing to three unit...

Neonatal care icon

  • Three to five neonatal intensive care units should be the immediate model for Scotland, progressing to three units within five years
  • Development of speciality neonatal support services within the community
  • Workforce planning, role development and high quality education and training for all neonatal staff.

Transport The transport team continue to be an integral part of the neonatal community Effective communication ...

Support icon

Transport

  • The transport team continue to be an integral part of the neonatal community
  • Effective communication and liaison should be routine between neonatal units and neonatal transfer teams.

Remote and rural care

  • All staff should have access to high quality training, support and rotation to larger units in order to maintain their skills.

Workforce

  • NHSGGC will undertake comprehensive workforce planning based on the new model
  • Education and training to ensure all staff are fully supported to deliver the new models of care
  • Development of quality improvement dashboards.

Data and IT

  • Development of the use of telemedicine in maternity and neonatal care
  • Development of a national data hub to coordinate neonatal and maternity data
  • Development of electronic maternity records.

Development of a single Maternity Network for Scotland Development of a single Neonatal Managed Clinical Network...

Wider implications icon

  • Development of a single Maternity Network for Scotland
  • Development of a single Neonatal Managed Clinical Network for Scotland
  • Evaluation of the impact of the more significant recommendations.