Implementing A Framework for Maternity ... - Scottish Government

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Implementing A Framework for Maternity Services in Scotland Overview Report of the Expert Group on Acute Maternity Services
Foreword Our National Health Service is changing fast and rising to the challenge of providing modern health care in the 21st Century. It is responding to a rapidly changing environment in which new learning, new technology, and new skills can revolutionise how we care for Scotland’s people. Giving every child in Scotland the best possible start in life is a top priority for the Scottish Executive. And that starts with our maternity services, before, during and after childbirth. The care and welfare of women during pregnancy, childbirth and post-natally has a profound impact on the wellbeing of our nation, not just in terms of delivering healthy, happy babies, but also in determining the profile of our national health for a very long time thereafter. As in the rest of the developed world, the Scottish birth rate is falling. The age at which our women become pregnant for the first time is increasing. Increasing medical specialisation, necessary restrictions on the number of hours doctors and nurses work during shifts, and improvements to training for doctors all impact on the shape and size of our workforce. Fewer births, shifting patterns of need and a changing workforce - all these factors have significant implications for the shape of our maternity services in future. In February 2001 the Executive launched A Framework for Maternity Services in Scotland. That was based on consultation with maternity services’ professionals and users. It set out principles and practice for a modern, responsive and effective service and reflected the views and wishes of the women and their families who use that service. We have made much progress in taking forward implementation of the Framework. But we still have more to do. I set up this short-life Expert Working Group on Acute Maternity Services (EGAMS) to examine how we should apply the principles set out in A Framework for Maternity Services in Scotland to maternity services during childbirth. The Group comprised representatives from the Royal College of Midwives and the Royal College of Obstetricians and Gynaecologists, other medical and nursing professionals, NHS Board and Trust management, the Scottish Ambulance Service and the Scottish Executive Health Department. I attach great importance to our maternity care and chaired the Group myself. page ii
Page 1: Implementing A Framework for Matern
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 14 and 15: Principles 1.1 Acute maternity serv
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
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Implementing A Framework for Maternity ... - Scottish Government

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