Child and Maternal Health
Review Sub Group Updates
Since the beginning of the year, four Review sub groups, made up of key professionals and service user representatives, have been meeting regularly to scope out a set of recommendations for the Review. The four sub groups report into the Review Main Group which is chaired by Jane Grant, the Maternity and Neonatal Review Chair who is also Chief Executive at NHS Forth Valley.
Evidence and Data Sub Group
This sub group is considering the evidence base pertinent to the quality of maternity and neonatal services in Scotland, based on available evidence and data. They will also consider available data on internationally comparable maternity and neonatal services. The sub group is being supported by a researcher from Dundee University. The group will provide recommendations to inform the two models of care and workforce sub groups to improve quality, safety and choice in maternity and neonatal services.
The Chairs of the Evidence and Data Sub Group Professor Mary Renfrew, Professor of Mother and Infant Health and Director of Mother and Infant Research Unit, University of Dundee and Professor Alan Cameron, Consultant Obstetrician, NHS Greater Glasgow & Clyde and Vice President of Clinical Quality, RCOG said:
‘In the past, maternity and neonatal care hasn’t always been informed by the best evidence about how to create the right experience and outcomes for mothers and babies. So we’re conducting a set of rapid reviews to answer some of the key questions to help inform us how we need to design services to meet the needs of mothers, babies and families. We want their experience and outcomes to be as positive as they can be. That is the fundamental focus for the Evidence and Data Sub Group’.
Workforce Sub Group
This sub group is considering the current key workforce challenges and, based on the outputs from the other working groups, will determine the workforce requirement for safe and sustainable services across NHSScotland. The group will also consider professional culture in terms of workplace communications and compassionate engagement with service users. The group will provide recommendations to ensure we have a modern, flexible and efficient workforce that can deliver safe, effective and high quality maternity and neonatal services, that puts mothers, babies and families at the centre of care.The Chairs of the Workforce Sub Group Jacqui Simpson, Director of Regional Planning SEAT, NHS Lothian and Sharon Adamson, Director of Regional Planning, West of Scotland, said:
“The work of the subgroup is focused on future planning for maternity and neonatal services to ensure that we have a workforce in place to deliver safe, effective, high-quality and sustainable maternity and neonatal services for the future. We are concentrating on three key areas which include – the current workforce provision and future supply, the training and education required to support future workforce requirements and ensuring that the professional culture and behaviours within the workforce engender effective communication and relationships.”
Maternity Models of Care Sub Group
This sub group is looking at existing service shape, and current models of maternity care, in the national, regional and local context. The group will make recommendations for future models of care, mindful of balancing sustainability, person-centred care, quality, safety and choice, within the context of the current resource environment.
The Chairs of the Maternity Models of Care Sub Group Justine Craig, Head of Midwifery, NHS Tayside and Dr Steven Monaghan, Consultant Obstetrician, NHS Fife said:
‘We are excited to be given the opportunity to consider and recommend models of maternity care which are based on best available evidence and research, considering findings from a wide range of sources and reports. Addressing inequalities in models of care to improve the experience and outcomes for women and their families is our goal. Models of care which will create a positive, learning culture for all staff involved in the delivery of care which in turn will create an environment of high quality care is also a key area that the group is focused on’.
Neonatal Models of Care Sub Group
This sub group is looking at existing service and current models of neonatal care, in the national, regional and local context and will consider the needs of, and support required for families of newborn infants. The group will make recommendations for future models of neonatal care in Scotland, taking into account safety, quality and sustainability and patient-centred care within the context of the current resource environment.
The Chairs of the Neonatal Models of Care Sub Group Dr Helen Mactier, Consultant Neonatologist and Honorary Clinical Associate Professor, NHS Greater Glasgow and Clyde and the University of Glasgow and Dr Edile Murdoch, Consultant Neonatologist, NHS Lothian said:
“All of us involved in care of the newborn welcome this fantastic opportunity to consider all the available evidence, reflect upon our practice, and make recommendations as to how we can best provide world class services for all babies born in Scotland and their families.”
The sub groups will report their findings to the Review Main Group in the coming months with the Review reporting its final recommendations in the summer 2016.