james boyes - eco14: patient safety

Maternal and neonatal health safety collaborative

Dr James Boyes

Quality Improvement Programme Manager

NW Coast Strategic Clinical Network

December 2017

2016 Better Births report published

- Improve choice- Personalise maternity care- Improve safety

- Mothers & Babies: Reducing Risk through Audits & Confidential Enquires (2012)

- Each Baby Counts (2015)- Better Births (2016)- Sign up to Safety: Spotlight on Maternity (2016)- Safer Maternity Care (2016)- Saving Babies Lives Care Bundle (2016)- Avoiding Term Admissions into Neonatal Units

(ATAIN) (2016)- Implementing Better Births: A Resource Pack

(2017)- Perinatal Mortality Review Tool (2017)- Getting it Right First Time (2017)- Maternity Safety Strategy (HSIB) (2017)

Local Maternity Systems & the NW Coast SCN

• Reduce variation to improve clinical outcomes

• 2 STPs within the region

• 13 Providers (9 + 4)

• Regional Clinical Experts Group

• Various Special Interest Groups

• Safety Collaborative

Key Themes

• Learn from incidents & share that learning

effectively

• Work collaboratively

• Reduce variation

• Measure what we do (data and

dashboards)

• Evidence based improvement

• Change culture & workforce

How is the collaborative structured?

8

National Learning Set

(Trust Improvement)

Trust

Trust

Trust

Trust

Trust Trust

Trust

Local Community of

Practice

(System Improvement)

NWC SCN Safety SIG

TrustTrust

Trust

Trust

SCN

/

LMS

… the Secretary of State announced a national ambition to halve the rates of stillbirths, neonatal and maternal deaths and intrapartum brain injuries by 2030, with a 20% reduction by 2020

Saving Babies Lives Care Bundle (2016)

NW 4.85

NW 4.55

Cheshire and Merseyside SATOD

(Wirral JSNA, 2015)

Smoking Cessation

• 10.5% nationally 16/17

• 6% national target set (07/17)

• Blackpool @ 25% SATOD

• Trend is a reduction in rates but NWC still significantly higher than the national average

• Population & depravation

• Public Health & inter-agency working

• Resources & support

• Roles & responsibilities of each partner within this initiative?