SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

6.3.3 Theme 3: Clinical vision and proposals
The clinical vision is to improve the standard and consistency of care across North West London.
Figure 6.4: Theme 3 – Clinical vision and proposals
Feedback received
Stakeholders who
provided this
feedback
Our consideration of the feedback
DMBC reference
Greater assurances
required that planning
for home births has
been considered
Royal College of
Midwives
Hillingdon LINk.
The maternity working group that met pre-consultation supported the
development of proposals for maternity (this included the considerations for
home births).
The maternity CIG proposal is for a sector wide collaboration to increase staff
and develop a homebirth service in NW London in line with the national
evidence. The national evidence demonstrates that Homebirth is safe and
recommended practice. Other regions of London demonstrate much more
success in homebirth midwifery led births. NW London will ensure it is a true
option for women. The CIG is recommending that there is a Midwifery led
homebirth community facility for all women in NW London.
Homebirths: Chapter 7d
The midwifery team from the Maternity Network has agreed to form a network
to coordinate homebirths and is currently exploring workforce requirements to
support this.
Can six neonatology
and five paediatric
units be staffed
NCAT
Chelsea &
Westminster
Hospital.
The proposals were developed with consideration for workforce
requirements. The paediatrics working group which met pre-consultation
provided assurances that six neonatology and five paediatric sites can be
staffed in the short-term. If during implementation it becomes clear that this
model of staffing is not sustainable beyond the short term, then the NW
London Paediatric Network will need to alert all stakeholders and work with
them to provide an alternative suitable model of care on one or more of the
sites, for example a short stay paediatric unit.
Paediatric workforce:
Chapter 7c
The Paediatrics CIG has undertaken work to consider the implications are for
both activity and staffing levels and this work is detailed in their report. The
CIG is recommending six neonatology and five paediatric units.
6. Consultation, feedback and how we responded 77