World Patient Safety Day 2021

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Greater Manchester and Eastern Cheshire

Local maternity System

#maternityGM

 

World Patient Safety Day 17th September 2021

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World Patient Safety Day 17th September 2021

The objective of World Patient Safety Day is to raise global awareness about patient safety and encourage global solidarity and action.

The theme of the second World Patient Safety Day is:

Maternal and Newborn Care

This year’s slogan, “Act now for safe and respectful childbirth”, calls on all stakeholders to accelerate the actions necessary for ensuring safe and respectful childbirth. The safety of procedures and the quality of healthcare settings are areas that still lag behind despite significant progress towards this goal in recent years

Maternal health refers to the health of women during pregnancy, childbirth and the postnatal period. 

Each stage should be a positive experience, ensuring women and their babies reach their full potential for health and well-being. 

Although important progress has been made in the last two decades, about 295 000 women died during and following pregnancy and childbirth in 2017. This number is unacceptably high.

The most common direct causes of maternal injury and death are excessive blood loss, infection, high blood pressure, unsafe abortion, and obstructed labour, as well as indirect causes such as anemia, malaria, and heart disease. 

Most maternal deaths are preventable with timely management by a skilled health professional working in a supportive environment. 

Ending preventable maternal death must remain at the top of the global agenda. At the same time, simply surviving pregnancy and childbirth can never be the marker of successful maternal health care. It is critical to expand efforts reducing maternal injury and disability to promote health and well-being.

Every pregnancy and birth is unique. Addressing inequalities that affect health outcomes, especially sexual and reproductive health and rights and gender, is fundamental to ensuring all women have access to respectful and high-quality maternity care.

In this special edition of the Maternity Safety Newsletter you will find national updates, international statistics and clinicians with important safety messages. There is so much great work going on in the maternity safety arena across Greater Manchester and East Cheshire(GMEC) and we should be proud of what we are trying to do to protect women and their families from avoidable harm in their pregnancy journey.

 

Chantal Knight

Maternity Safety Lead

GMEC Strategic Clinical Network/health Innovation Manchester


The Bigger Picture

unicef

What is the picture internationally around maternal outcomes?
• Globally every day, approximately 830 women die from preventable causes related to pregnancy and childbirth.
• 99% of all maternal deaths occur in developing countries.
• Skilled care before, during and after childbirth can save the lives of women and newborn babies.
• Between 1990 and 2015, maternal mortality worldwide dropped by about 44%.
Most maternal deaths are preventable, as the health-care solutions to prevent or manage complications are well known.
As part of the Global Strategy and goal of Ending Preventable Maternal Mortality, WHO is working with partners towards:
• addressing inequalities in access to and quality of reproductive, maternal, and newborn health care services;
• ensuring universal health coverage for comprehensive reproductive, maternal, and newborn health care;
• addressing all causes of maternal mortality, reproductive and maternal morbidities, and related disabilities; and
• strengthening health systems to collect high quality data in order to respond to the needs and priorities of women and girls; and
• ensuring accountability in order to improve quality of care and equity.
(taken from Maternal Health | WHO | Regional Office for Africa)


mH

National Maternity Transformation Programme

MTP

One of the key ambitions of NHS England is that England will be one of the safest countries in the world for women to be pregnant, give birth and transition into parenthood. In March 2021, NHS England board announced further investment of 95.6 million in order to support the realisation of this ambition. A suite of safety resources have been produced by NHS England supporting maternity services to meet with 7 immediate and essential actions (IEAs) as laid out in the Ockenden report . This includes an assessment and assurance tool to inform Trusts of their position against the 7 IEAs; the implementation of a revised perinatal quality surveillance model; a ‘How to guide’ for transforming maternity safety designed for maternity and neonatal services; a Non-Executive role descriptor in line with recommendations from the Ockenden report (1) and including key responsibilities in supporting the Board maternity Safety champion; the development of a core competency framework for multi-disciplinary training within maternity and neonatal services and a Safety Champions toolkit.

NHS England is pleased to have been able to announce the distribution of just over £9 million of funding to enable every maternity site to be able to employ a band 7 super-numery midwife to provide additional support to NQ midwives. Alongside this our retention workstream is supporting a piece of work to standardise a preceptorship framework across England to ensure that all NQ midwives have access the same preceptorship offer. Approximately £4.5 million is being distributed across services to support the international recruitment of midwives.

Professor Jacqui Dunkley-Bent OBE

Chief Midwifery Officer

National Maternity Safety Champion

NHS England and NHS Improvement


Saving Babies Lives

SBL

The Savings Babies Lives Champions have continued to work with maternity staff to implement and support safe care.

 

Below- Chloe Hughes explains more…

chloe

My name is Chloe Hughes, I am the saving Babies Lives Champion for East Cheshire, my role is to coordinate the full implementation of The care bundle version 2, providing all the training and sharing best practice across the region.

In March 2020 we were top in the country for detecting fetal growth restriction allowing us to correctly plan the safe arrival of these babies at risk.

Working with champions across the region has been amazing, learning from each other and accessing the leading specialists to help achieve our aim.

I am also one of the 16 each baby counts local development leads from across the country, we have designed, tested and implemented a toolkit in our units to help improve psychological safety, identification, escalation and response to escalating concerns.

My latest role is RCM/RCOG fetal surveillance project midwife working with the ABC collaborative and this institute to reduce brain injury and intrapartum stillbirths.

Working with regional and National teams to make a difference, sharing excellence and collaborative working is the only way to make changes to provide safe care and reduce harm.


andi

Andi Robertson Smoking Cessation Midwife Oldham


Eileen

GMEC Safe Maternal and Newborn care :

  • We are working hard to improve the training that midwives and obstetricians receive relating to fetal heart monitoring in labour in order to improve decision making
  • We are developing new guidance to help with early identification and management of maternal Sepsis
  • We have developed our Uterine Artery Doppler training to support maternity units deliver the SBL pathway
  • We are supporting a number of midwives to undertake third trimester ultrasound scanning course to improve our capacity to undertake vital growth scans in pregnancy
  • We have developed pathways to ensure that pregnant or recently-birthed refugees coming into our City and surrounding areas are identified early and receive appropriate maternity care

Eileen Stringer

Clinical Lead Midwife     

Greater Manchester & Eastern Cheshire Strategic Clinical Network


karen

Karen Clough

Specialist Midwife in Public Health Surveillance

SBL Midwife

Oldham


Upcoming Events

Maternity Patient Safety Webinar

 

Friday 17 September 2021 marks the 3rd WHO World Patient Safety Day, which this year has the theme of 'Safe maternal and newborn care'.

The day presents a great opportunity to raise the profile of patient safety both within individual organisations, and of the work happening across the NHS to keep patients safe. We’ve had fantastic participation in previous years and are keen to make this year bigger and better.

As part of our own World Patient Safety Day activity, we will be hosting a ‘Improving patient safety in NHS maternity and neonatal care’ webinar. This free, online event will feature key speakers including Aidan Fowler, two National Maternity Safety Champions, Tony Kelly, National Clinical Lead for MatNeoSIP, Jacqueline Dunkley-Bent and Matthew Jolly.

The webinar will take place from 09:00 to 10:00 on Friday 17th September and is open to anyone to register Improving patient safety in NHS maternity and neonatal care (england.nhs.uk)

https://www.events.england.nhs.uk/events/improving-patient-safety-in-nhs-maternity-and-neonatal-care

Wendy Stobbs

Senior Programme Development Lead

Development & Delivery Team, Patient Safety Collaborative,

Health Innovation Manchester

 

MBRRACE -UK EVENTS


mbrace

 

 

 

 

The Annual MBRRACE-UK conferences will again be run virtually using an on-line platform. Bookings will open shortly - save the following dates

  • Date : Wednesday 13th October 2021

Virtual conference presenting the MBRRACE-UK 'Saving Lives, Improving Mothers’ Care' report 2021

  • Date: Thursday 11th November 2021

Virtual conference presenting the MBRRACE-UK 'Saving Lives, Improving Mothers’ Care' report 2021

To book your place

Booking Meetings | NPEU (ox.ac.uk)

 

Webinar: Maternity Incentive Scheme – Year 4 (CNST) – safety action 2: submitting maternity MSDS data. 23rd September 13:00 – 14:00 A webinar to give guidance and support for the successful completion for safety action 2 is planned for an audience including digital midwives, MSDS data submitters, Regional Chief Midwives and HOMs and DOMs  The webinar will give an introduction to safety action 2 and outline key available national resources such as:

  • Scorecard
  • Data Quality Submission Tool
  • Technical Guidance Videos
  • Drop In sessions
  • On-line resources

Presenters from NHSE&I, NHSD will be available to answer any queries or questions that you may have. The webinar will be hosted as a teams event. Please email england.maternitytransformation@nhs.net  to receive an invite and a link for the event.


wps 3