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

Feedback received
Stakeholders who
provided this
feedback
Our consideration of the feedback
DMBC reference
Consider proposals
for the establishment
of freestanding
midwife-led units
(FMUs).
Royal College of
Midwives
Kensington &
Chelsea HOSC.
We considered the use of FMUs during pre-consultation and at the time
decided not to recommend them.
The maternity CIG reviewed the proposals post consultation again in the light
of RCM feedback. They agree that these can be important elements of
maternity provision. However, for Shaping a healthier future, since they are
proposing six maternity units with alongside midwife led units, they do not at
this stage consider there would be sufficient demand for a standalone or
birthing centre for the population of NW London.
Freestanding midwife
led unit: Chapter 7d
The Maternity CIG will ensure that there is a Midwifery led homebirth
community facility for all women in NW London. However, as Shaping a
healthier future is implemented, the requirements of pregnant women and
mothers will remain at the heart of their approach and should the need for
such a unit arise they will ensure it is properly considered.
To implement this approach the NW London Maternity Network will work with
the commissioners and providers, as well as the communities themselves to
enable a comprehensive homebirth service is across NW London.
Clinicians need to be
central to the
development and
implementation of
clinical proposals
Harrow HOSC/
Council
Kensington &
Chelsea HOSC.
We established three CIGs for maternity, paediatrics and U&EC, these
groups are comprised of clinicians and they meet regularly to consider
feedback received during consultation, develop the clinical standards and
consider implementation plans. Proposals are also peer reviewed by a wider
community of clinicians, including NCAT and the Clinical Senate.
The Clinical Board has continued to lead on making recommendations.
Development of
proposals: Chapter 5
and Chapter 9
Implementation of
proposals: Chapter 18
CCGs are working with the JCPCT through decision making process.
CCGs have detailed commissioning plans and are already implementing
services in their areas as part of their business as usual. We have worked
with these CCGs to continue the development of local implementation plans
for out of hospital care.
Over time CCGs will have accountability for the delivery of clinical proposals
6. Consultation, feedback and how we responded 80