Implementing A Framework for Maternity ... - Scottish Government

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Transport in Acute Maternity Services 1. Ambulance transport in Scotland is currently provided by eight Operational Control Centres serving the relevant NHS Board Areas, although the number will reduce to three Regional Centres over the next two years. There is also a national Air Ambulance desk, located in Aberdeen. 2. Ambulances can be accessed in three main ways: the 999 emergency system, direct telephone numbers used by GPs and hospital-based clinicians, and by pre-book forms sent by mail or fax to the appropriate control centre. 3. Although maternity-related calls account for only a small amount of total ambulance service workload, any change to the organisation and delivery of maternity services will impact on ambulance provision and paramedical support. The implications of providing different levels of maternity care on a regional basis must be fully explored with the ambulance service, and staff should be equipped with the necessary confidence, education, skills and competencies to participate effectively to services for pregnant women and their babies. Principles 6.1 Paramedic staff must be trained and skilled to provide effective emergency care to women before, during and after childbirth. Training should include early recognition, and management, of obstetric and neonatal emergencies. 6.2 Paramedic staff should have access to multi-professional maternity care training. 6.3 Training should be practical in focus, and should include ‘hands-on’ experience under the supervision of an experienced clinician in the hospital setting, such as a midwife or obstetrician. 6.4 Paramedical staff should receive ongoing training and refresher courses to maintain and enhance skills and competencies. Whenever possible, these activities should be multi-professional. page 27
Neonatal transport 4. Approximately 1,000 babies are transferred across hospitals in Scotland each year. A report of a working group on neonatal transfer in 2002 concluded that current neonatal transport services were not sustainable. The Scottish Executive Health Department has accepted the conclusions in the report and has instructed Regional Services Planning Groups to implement the recommendations and, in particular, that by April 2003: • a 24-hour neonatal transport system should be set up in three regions of Scotland – North, South-East and West • newborn babies should only have to undergo one episode of transport • adequate staffing and equipment levels should be secured. page 28
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 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 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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