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

Sub-Theme Organisation Support Concerns/Comments Actions
raised
significantly greater investment in Community
Midwives and their recruitment and retention than
is currently modelled in the SaHF proposals.
will ensure it is a true option for women -
this will be promoted in the NW London
midwifery home birth and community
model.
Space and
investment
Royal
College of
Midwives
NHS NWL will need to commit additional funding to
upgrade and improve the physical environment of
existing maternity units. This is because some
units, particularly Chelsea and Westminster, will
need additional physical space in order to cope.
We would have expected the consultation process
to have developed concrete proposals for
significantly increasing the home birth rate.
There is a discrete finance work stream
that as part of the Business Case will
ensure that suitable provision is made for
any required capital investment.
The proposal is for an increase in and the
development of a homebirth service in NW
London in line with the national evidence.
Space/
Location
Royal
College of
Midwives
Support retention of Queen
Charlotte. Oppose transfer
of maternity to CXH from
Chel West.
There are reasonable
clinical grounds for
discontinuing obstetric
services at Ealing Hospital.
The current level of activity
(2970 births in 2010/11) is
below that of the other
consultant-led units in NWL
and is probably insufficient
to sustain an obstetric
service that is not colocated
with other major
hospital services, such as
A&E. Furthermore, because
of the central location of
Ealing within North West
NHS NW London will need to commit additional
funding to upgrade and improve the physical
environment of existing maternity units. This is
because some units, particularly Chel West, will
need additional physical space in order to cope
with any increase in demand for services while
other units are in urgent need of modernisation.
There is a discrete finance work stream
that as part of the Business Case will
ensure that suitable provision is made for
any required capital investment.
7d. Work of the Maternity CIG 203