Quality Account 2010/11 - James Paget University Hospitals
Quality Account 2010/11 - James Paget University Hospitals
Quality Account 2010/11 - James Paget University Hospitals
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Question Area Conclusions Recommended Actions<br />
Antenatal Classes<br />
During Labour<br />
The Baby’s Birth<br />
Trust scores in comparison to other<br />
Trusts on issues relating to<br />
antenatal classes are more positive.<br />
Trust scores on issues relating to<br />
antenatal classes have improved<br />
compared to 2007.<br />
Trust scores in comparison to other<br />
Trusts on issues relating to labour<br />
are about the same.<br />
The Trust score on getting the pain<br />
relief wanted has remained about<br />
the same.<br />
Trust scores in comparison to other<br />
Trusts on issues relating to the birth<br />
of the baby are about the same.<br />
Review the provision of NHS<br />
antenatal classes given the high<br />
proportion of women not attending<br />
NHS classes and in particular, those<br />
not attending any classes at all.<br />
Examine alternative times and places<br />
for classes given the number of<br />
women saying they were not<br />
convenient.<br />
Ensure that women are told when<br />
partners/others can attend classes<br />
with them.<br />
Ensure that there are enough classes<br />
to meet women’s needs.<br />
Ensure that women are given a<br />
choice as far as is possible about<br />
whether they are induced.<br />
Examine ways of increasing the<br />
number of women able to move<br />
around and choose the position that<br />
makes them most comfortable during<br />
labour.<br />
Ensure that women are given pain<br />
relief in a timely manner to meet their<br />
needs.<br />
Consider whether the Trust’s level of<br />
caesarean sections can be brought<br />
down.<br />
The Staff<br />
Trust scores on issues relating to<br />
the birth of the baby have improved<br />
compared to 2007.<br />
Trust scores in comparison to other<br />
Trusts on issues relating to the staff<br />
are mixed.<br />
Trust scores on issues relating to<br />
the staff are mixed compared to<br />
2007.<br />
Ensure that women are cared for by<br />
the same midwives as far as is<br />
possible during labour and the birth<br />
of their baby and if possible by<br />
midwives they have met previously.<br />
Ensure that husbands and partners<br />
are able to be present for the whole<br />
of labour and the birth of the baby if<br />
requested.<br />
Examine reasons why some women<br />
feel they are left alone at times which<br />
they find worrying.<br />
Ensure that both verbal and written<br />
information is easily understood by<br />
women, and that all the information<br />
and explanations required are given.<br />
Ensure that all women are treated<br />
with respect and dignity, kindness<br />
and understanding during labour and<br />
the birth of their baby.<br />
<strong>James</strong> <strong>Paget</strong> <strong>University</strong> <strong>Hospitals</strong> NHS Foundation Trust<br />
<strong>Quality</strong> <strong>Account</strong> <strong>2010</strong>/<strong>11</strong> Page 51 of 62
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