james boyes - eco14: patient safety
TRANSCRIPT
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Maternal and neonatal health safety collaborative
Dr James Boyes
Quality Improvement Programme Manager
NW Coast Strategic Clinical Network
December 2017
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2016 Better Births report published
- Improve choice- Personalise maternity care- Improve safety
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- 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)
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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
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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
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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
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… 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
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Cheshire and Merseyside SATOD
(Wirral JSNA, 2015)
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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?
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