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

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# Standard Adapted from source<br />

22<br />

23<br />

24<br />

25<br />

26<br />

27<br />

28<br />

During labour, birth and immediate post-natal care all women and<br />

their families/birthing partners to be spoken with in a way that they<br />

can understand by staff who have demonstrated competency in<br />

relevant communication skills.<br />

During labour, birth and immediate post-natal care all women (with<br />

assistance from birthing partners where appropriate) to be given the<br />

opportunity to be actively involved in decisions about their care.<br />

During labour, birth and immediate post-natal care all women and<br />

their families/birthing partner are introduced to all healthcare<br />

professionals involved in their care, and are made aware of the roles<br />

and responsibilities of the members of the healthcare team.<br />

During labour, birth and immediate post-natal care all women and<br />

their families/birthing partner are to be supported by healthcare<br />

professionals to understand relevant birthing options, including<br />

benefits, risks and potential consequences to help women make an<br />

informed decision about their care. All healthcare professionals are<br />

to support women‟s decisions to be carried out.<br />

During labour, birth and immediate post-natal care all women (with<br />

assistance from their birthing partners where appropriate) are to be<br />

made aware that they can ask for a second opinion before making a<br />

decision about their care.<br />

Women to receive care during labour and birth that support them to<br />

safely have the best birth possible.<br />

During immediate post-natal care women to receive consistent<br />

advice, active support and encouragement on how to feed their<br />

baby.<br />

NICE (2012) Patient<br />

experience standards<br />

CQC (2010) National<br />

maternity survey<br />

(LHP standard 21)<br />

CQC (2010) National<br />

maternity survey<br />

(LHP standard 22)<br />

NICE (2012) Patient<br />

experience standards<br />

(LHP standard 23)<br />

NICE (2012) Patient<br />

experience standards<br />

(LHP standard 24)<br />

NICE (2012) Patient<br />

experience standards<br />

(LHP standard 25)<br />

Midwifery 2020<br />

Measuring Quality<br />

Work stream<br />

(LHP standard 26)<br />

CQC (2010) National<br />

maternity survey<br />

(LHP standard 27)<br />

Given the co-dependencies with paediatric services and neo-natal units, clinicians<br />

recommended that maternity units should be co-located with A&Es and paediatric units.<br />

7.3.4 How we considered feedback to refine the standards<br />

During consultation we received feedback about the standards for care in NW London. Full<br />

details of all the feedback can be found in Sections 7b, 7c and 7d of this chapter and is<br />

summarised in Chapter 9. The standards detailed above incorporate all this feedback. In<br />

summary this is how we responded to the feedback:<br />

Updated standards for maternity, paediatrics, and emergency and urgent care were<br />

discussed and agreed at the Clinical Board on 6 December. Key changes included:<br />

o No changes were made to the out of hospital standards<br />

o Maternity: 24/7 consultant cover for all units, not just those with over 6,000<br />

births<br />

o Paediatrics: standards are consistent with LHP standards<br />

o Urgent and emergency care: the proposed standard UCC specification has<br />

been further developed to provide details which describe the conditions that<br />

UCCs should treat, those that are excluded, the service models and transfer<br />

protocols, staff competencies, quality standards and governance<br />

arrangements<br />

7a. Clinical vision, standards and service models 122

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