Implementing A Framework for Maternity ... - Scottish Government

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Principles 1.1 Acute maternity services in Scotland should be planned and commissioned on a regional basis by Regional Service Planning Groups, taking account of NHS Boards’ local plans. The RSPGs should monitor implementation of regional plans by NHS Boards and Trusts. They should also work in alliance with other regions. 1.2 Regional Service Planning Groups should set up appropriate mechanisms to involve stakeholders in planning and commissioning maternity services within regions, led by dedicated Regional Maternity Services Co-ordinators. 3. Regional networks of acute maternity services should be underpinned by robust and effective multi-disciplinary and cross team working. They should become key centres for innovation, change and practice development, pursuing clinical excellence in all aspects of care and driving forward policy and research agendas. They should be exploring new ways of delivering services to meet their population’s needs, and should be in the vanguard of new and extended roles for clinical practitioners. Ultimately, they will set the standard for maternity services in Scotland. 4. But it is vital that they do not operate in isolation. Alliances, partnerships and networks with other regions will be necessary to ensure consistency in the standard of care delivered throughout Scotland. The EGAMS concluded that regional service networks should consider how best to ensure co-ordination and co-operation across regional services. Arrangements should be made to ensure that Regional Maternity Co-ordinators throughout Scotland meet on a regular basis. Care networks 5. Good communication and the integration of services are central to the provision of quality maternity care throughout Scotland. Local, regional and national networks provide a vehicle through which this can be achieved. 6. Networks allow maternity care professionals from different levels of service to work together to ensure the provision of high-quality, clinically effective services throughout Scotland. They enable professionals to look beyond the constraints of professional, organisational and geographical boundaries to develop services which are of a consistently high quality across the country, and foster a genuine multi-disciplinary approach. They also provide an infrastructure on which to base a framework of tiered care in maternity services with clear and explicit communication and referral pathways. page 9
Principles 1.3 Networks of maternity services should be developed throughout Scotland at local, regional and national level. 1.4 Networks should devise a framework of tiered care for maternity services in Scotland through mechanisms for regional planning. 7. An effective maternity network, operating at local, regional or national level, will develop systems to provide: • ongoing professional advice to maternity care professionals • vehicles for good communication between professionals • clear and consistent advice on key clinical topics, such as resuscitation and stabilisation procedures (appropriate for different kinds of maternity unit) • criteria for care and for transfer of care • criteria for escalation to high levels of intrapartum or postnatal care • criteria for access to specialist neonatal services • criteria for access to adult intensive care and high dependency settings • support for transport and transfer systems • comprehensive specialist outreach antenatal and postnatal care services. page 10
Page 1 and 2: Implementing A Framework for Matern
Page 3 and 4: Foreword Our National Health Servic
Page 6 and 7: Contents Key Messages from the Expe
Page 8 and 9: 8. There is no such thing as ‘zer
Page 10 and 11: Introduction 1. Scotland’s mix of
Page 12 and 13: 10. The report shows that in 2002,
Page 16 and 17: Assessing and Managing Risk 1. Risk
Page 18 and 19: Risk assessment and management 6. T
Page 20 and 21: Table 1 Levels of intrapartum care
Page 22 and 23: Education, Training and Workforce I
Page 24 and 25: Principles 3.7 A national, post-reg
Page 26 and 27: Developing the maternity workforce
Page 28 and 29: Stakeholder Engagement 1. The Scott
Page 30 and 31: Information Management and Technolo
Page 32 and 33: Transport in Acute Maternity Servic
Page 34 and 35: Appendix 1 Membership of Short Life
Page 36 and 37: Miss Eleanor Stenhouse Senior Midwi
Page 38 and 39: Exit examples for Level Ia-d: mater
Page 40 and 41: Exit examples Level Ia-d: present p
Page 42 and 43: Exit examples Level IIa: past histo
Page 44 and 45: Exit examples Level IIa: intrapartu
Page 46 and 47: Exit examples for Level IIb: presen
Page 48 and 49: Entry examples for Level III Matern
Page 50 and 51: Clinical judgement and decision-mak
Page 52 and 53: Additional competency which will be
Page 54 and 55: Glossary Accredited Certified as be
Page 56 and 57: Named Midwife A named, qualified mi
Page 58: Further copies are available from T

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