Developing a Midwifery Led Unit on a Shoe String…

Dawn JohnstonPrev Head of MidwiferyDarent Valley Hospital

• Background

• Drivers

• People

• What do you want?

• What do you need?

• Resources (excluding staff)

Background

• Increasing birth rate • Expensive PFI building• Maternity Matters- choice• Recruitment of Midwives

Deliveries (babies)

2000

2200

2400

2600

2800

3000

3200

3400

3600

3800

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

3 Most important things in life are…

• Sex

• Power

• Money

People • Who do you influence?• What do you influence?• Need for more capacity• Increased revenue• More choice • Maternity unit of Choice • First in Kent

People • Who do you influence?• What do you influence?• Need for more capacity• Increased revenue• More choice • Maternity unit of Choice • First in Kent • Headline stuff…

What do we want?

• All singing all dancing MLU

• Dedicated area

• Designed accordingly

• Numerous facilities

• Numerous pieces of furnishings/equipment

• Piped whale music etc, etc.,

What do you need?

• More capacity to deliver increased activity

• Adapt current space (Maternity Ward)

• Suitable flooring

• Facility for water births

• Resuscitare

• Entonox, sonacaids etc

Resources…

• Expenditure vs. income

• Predictions of activity for whole unit and MLU – planned at 10% of all deliveries

• Develop business plan

• Capital costs were £27k

• Soft furnishings John Lewis

• Advertise – charity funds

MLU Landmarks…1st MLU Baby

100th MLU Baby

1000th MLU Baby