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Progress Update on our Compliance with the Recommendations from the Ockenden Review

Our statement:

“We have carried out a rigorous self-assessment of our position against the seven immediate and essential actions set out in the interim Ockenden report. We are making good progress and report regularly through our internal governance structure and publicly to Board. It is important that high quality maternity services are available and that local families can have confidence in the care they will receive. We will continue to work with our Maternity Voices Partnership to ensure we have a good understanding of the views of those choosing to have their maternity care at University Hospitals Plymouth, and look at what more we can do to take action on the back of the CQC survey of patient experience. We want to ensure we listen to more service users and to this end we are planning to visit all of our local children’s centres in the coming months and meet informally with people to hear first-hand  of their stories and experiences.”

Our position with compliance against the seven themes:

 

Theme

Immediate actions

Compliance

1) Enhanced Safety

 

A plan to implement the Perinatal Clinical Quality Surveillance Model

Compliant

All maternity SIs are shared with Trust boards at least monthly and the LMS, in addition to reporting as required to HSIB

Compliant

2) Listening to Women and their Families

 

Evidence that you have a robust mechanism for gathering service user feedback, and that you work with service users through your Maternity Voices Partnership (MVP) to coproduce local maternity services

Compliant

Identification of an Executive Director with specific responsibility for maternity services and confirmation of a named non-executive director who will support the Board maternity safety champion

Compliant

3) Staff Training and working together

 

Implement consultant led labour ward rounds twice daily (over 24 hours) and 7 days per week

Compliant

The report is clear that joint multi-disciplinary training is vital. We are seeking assurance that a MDT training schedule is in place.

Compliant

Confirmation that funding allocated for maternity staff training is ringfenced

Compliant

4) Managing complex pregnancy

 

All women with complex pregnancy must have a named consultant lead, and mechanisms to regularly audit compliance must be in place

Compliant

Understand what further steps are required by your organisation to support the development of maternal medicine specialist centres

Compliant

5) Risk assessment throughout pregnancy

Risk assessment must be completed and recorded at every contact. This must also include ongoing review and discussion of intended place of birth. This is a key element of the Personalised Care and Support Plan (PSCP). Regular audit mechanisms are in place to assess PCSP compliance

Compliant

6) Monitoring Fetal Wellbeing

Implement the saving babies lives bundle. Element 4 already states there needs to be one lead. We are now asking that a second lead is identified so that every unit has a lead midwife and a lead obstetrician in place to lead best practice, learning and support. This will include regular training sessions, review of cases and ensuring compliance with saving babies lives care bundle 2 and national guidelines.

Compliant

7) Informed Consent

Every trust should have the pathways of care clearly described, in written information in formats consistent with NHS policy and posted on the trust website. An example of good practice is available on the Chelsea and Westminster website.

Partial compliance

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