Implementing A Framework for Maternity ... - Scottish Government

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Contents Key Messages from the Expert Group 2 Introduction 5 The Expert Group on Acute Maternity Services (EGAMS) 5 The EGAMS’ findings 6 Provision of Acute Maternity Services 8 Regional services 8 Core principles of delivery in maternity services 8 Care networks 9 Assessing and Managing Risk 11 Risk assessment and management 13 Helping women to assess risk, weigh evidence and take decisions 14 Risks associated with levels of care 14 Education, Training and Workforce Issues 17 The competency approach 17 Continuing professional education and training 17 Workforce issues 19 Midwifery 20 Hospital doctors 20 General practitioners 20 Developing the maternity workforce – investing in skills 21 Principles 21 Remote and rural issues 22 Stakeholder Engagement 23 Information Management and Technology 25 Transport in Acute Maternity Services 27 Appendices: 1. Membership of Short Life Expert Group on Acute Maternity Services 29 2. Risk Assessment 32 3. Core Competencies for Health Professionals in Acute Maternity Services 44 Glossary 49 page 1
Key Messages from the Expert Group 1. Women must receive high quality care during childbirth. The care should be based on the available evidence about effective practice and should be woman and babycentred. A strong multi-professional team approach is vital for the delivery of a clinically effective and seamless service. 2. The principles in A Framework for Maternity Services in Scotland are robust and are based on best professional practice. All of the principles, including the tiered framework of levels of care provision at the time of childbirth (intrapartum) and for the new-born baby (neonate), should be fully implemented. 3. Maternity care professionals must work to promote the notion of pregnancy and childbirth as being normal life events, but must also have the skills to recognise when either the mother or baby is having problems. 4. One-to-one midwifery care should be the norm for all women during labour and childbirth. 5. The present provision and shape of acute maternity services is no longer sustainable in the light of changes in the number and locations of births in Scotland (demographic changes), training and workforce pressures, and the need to ensure clinically safe and cost-effective practice. 6. NHSScotland should provide services for childbirth as close to women’s homes as is consistent with safe clinical care and informed maternal choice. 7. Local planning and commissioning of maternity services, in particular childbirth (intrapartum) services, should take place within a regional context. This will help to ensure that local services reflect regional and national priorities. page 2
Page 1 and 2: Implementing A Framework for Matern
Page 3 and 4: Foreword Our National Health Servic
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
Page 58:
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