Better Births Review
Following a national review of maternity services in 2016 a report ‘Better Births’ was published which sets out plans to make care safer and give women greater control and more choice.
The requirements of Better Births, are:
Improve choice and personalisation of maternity services so that:
- All pregnant women have a personalised care plan;
- All women are able to make choices about their maternity care, during pregnancy, birth and after their baby is born;
- Most women receive continuity of the person caring for them during pregnancy, birth and after their baby is born;
- More women are able to give birth in midwifery settings (at home and in midwifery units)
Improving the safety of maternity care so that all services:
- Have reduced rates of still birth, neonatal death, maternal death and brain injury during birth by 20% and are on track to make a 50% reduction by 2025 as outlined in NHS England’s ‘Saving Babies Lives, A Care Bundle for reducing stillbirth’.
- Are investigating and learning from incidents and sharing this learning through their LMS and with others;
- Are fully engaged in the development and implementation of the NHS Improvement Maternity and Neonatal Quality Improvement Programme.
Christine Morris, Executive Nurse and Senior Responsible Officer for the Local Maternity System said: “Better Births gives us a fantastic opportunity to look at the services we currently offer women during and after their pregnancy, and what we can do to make them safer and more personalised”.
Our Local Maternity Transformation (LMS)
The LMS has been set up in response to NHS England’s Better Births report which sets out a vision for safer, more personalised maternity care that reflects women’s choices and offers continuing joined-up care.
NHS organisations, Healthwatch and local councils, are working together as a Local Maternity System (LMS) to design and implement improvements in maternity and neonatal services.
Healthwatch Telford and Wrekin and Healthwatch Shropshire
Healthwatch Telford and Wrekin and Healthwatch Shropshire are the independent consumer champions created to gather and represent the views of the public in relation to health and social care. They listen to the local community, hearing about their experiences across Telford & Wrekin and Shropshire and use this feedback to help improve services for everybody.
Telford and Wrekin Clinical Commissioning Group (TWCCG)
Telford and Wrekin CCG brings together the 14 GP Practices in the Telford and Wrekin area. We are working to make sure local health services are the best they can be. But GPs are not doing this alone. Within the CCG we work with a team of professional managers and with patient representatives. We also work with our external partners. These include health service providers, like hospitals, Telford and Wrekin Council and the voluntary sector.
Shropshire Clinical Commissioning Group (SCCG)
Shropshire CCG is responsible for Shropshire healthcare services. They are led by family doctors in Shropshire’s 41 GP Practices and are responsible for buying a wide range of health services for their patients. They are committed to involving the people of Shropshire in all major decisions about developing healthcare in the county.
Telford and Wrekin Council and Shropshire Council
Shropshire Council and Telford and Wrekin Council have the responsibility for public health enabling residents across the county is to live longer, healthier and more fulfilled lives by focusing on preventing ill health and early deaths. By sharing advice and support they can help you and your family make healthier lifestyle choices. All local authorities have a duty to improve the health of the population they serve. They are the lead commissioner for services such as Health visiting, School nursing, sexual health and substance misuse services.
Shrewsbury and Telford Hospital NHS Trust
Shrewsbury and Telford Hospital Trust is the main provider of district general hospital services for nearly half a million people in Shropshire, Telford & Wrekin and mid Wales.
Their main service locations are the Princess Royal Hospital in Telford and the Royal Shrewsbury Hospital in Shrewsbury, which together provide 99% of their activity.
Both hospitals provide a wide range of acute hospital services including accident & emergency, outpatients, diagnostics, inpatient medical care and critical care.
This is the start of a new chapter for maternity services in Shropshire, Telford and Wrekin. Through the work of this plan a range of professionals will work together with women and their families to re-build trust and to provide assurance in relation to the quality and safety of services. We will ensure we listen to and learn from each other, constantly improving services and experiences and developing a learning culture.
Shropshire, Telford and Wrekin have established a Local Maternity System (LMS) to ensure service transformation happens at a local level. This Plan describes how the LMS will transform local maternity services by 2020/21. We have developed this LMS plan in partnership with stakeholders to ensure the vision we propose is realistic. However, we know that we need to develop co-production even further and is something we will strive to do, embedding co-production at the heart of all activity as this plan is progressed. Co-production will become ‘business as usual’ by 2020/21.
There are a number of appendices to accompany the Plan, which are now available.
More Women and their families will:
- Be healthier during their pregnancy and will have a better understanding of how to keep themselves and their baby healthy
- Have better information about pregnancy and parenthood that is personal to their circumstances
- Have support with their emotional wellbeing throughout their pregnancy and after their baby is born
- Have more choice in the care they receive and will feel involved in decisions about their care
- Be able to access a wider range of services closer to home
- Know the midwife caring for them throughout pregnancy, birth and after the baby is born
- Give birth in a midwifery led setting
- Be involved in how services are designed and delivered
- Feel proud of the services they deliver
- Work within a learning culture and receive regular training alongside those they work with
- Be well supported by service leaders
- Act as advocates for the women they care for and feel empowered to deliver great service
Services will be…
- Designed and delivered in partnership with women and their families
- Working better together through community hubs
- Constantly learning and improving
- Sharing more information with each other
The development and delivery of this plan is overseen by the Shropshire, Telford and Wrekin (LMS) Programme Board. The Shropshire, Telford and Wrekin LMS Programme Board is accountable to the Shropshire, Telford and Wrekin Sustainability and Transformation Plan (STP) Board. To view the minutes of the LMS Programme Board please click here.
Currently, in Shropshire and Telford & Wrekin, there is a lot going on which is affecting our Maternity Services and a leaflet has been produced to help explain the different strands of work, with separate organisational responsibility, and how they all fit together.
To view this leaflet please click here.
To view the infographic please click here
How you can get involved
The NHS in Shropshire and Telford & Wrekin is asking women, their partners and families and health professionals who are working in maternity services to get involved in shaping local maternity services.
We need the experiences and views of women, their partners and families who have recently used the services to help us understand what women and their families need at every stage of their journey.
“We can’t do this successfully without the input of women, their partners and families who have used or are currently using the services. Working together we can try to make every woman’s experience of the care they receive before, during and after pregnancy a more positive one.”
Maternity Services at Shrewsbury and Telford NHS Hospital Trust (SaTH)
Shrewsbury and Telford NHS Hospital Trust deliver local maternity services that allow genuine choice, personalised care and ensure that the experience of care is of high quality.
The trust is committed to making sure that women and their families are involved in making choices about their journey throughout pregnancy, birth and parenthood, by giving good and timely information.
NHS Choices is a great source of information for the options available to you when it comes to choosing where you would like to give birth as well as a full list of maternity services available to you locally.
The Which? Birth Choice tool has been developed to help women and their partners make confident and informed decisions when planning where to give birth.
As per quality statement 1 of NICE QS105 on intrapartum care the Which? Birth Choice tool highlights the birth settings available. The tool encourages women to consider out-of-hospital setting where appropriate, in-line with the recommendation that for women planning to give birth at home or in a midwife-led unit there is a higher likelihood of a 'normal' (vaginal) birth with less intervention.
Expectant parents are intended users of the tool. Supported by the Royal College of Midwives we also promote the tool as a resource that midwives can use when talking to wormen about their options.
Other useful information
For information on Public Health Nursing Service please click here.