1. Our Passion, Your Care. Progress Report East Suffolk July 31 st 2014 Linda Page Breastfeeding Co-ordinator Ipswich Hospital

2. Our Passion, Your Care. What has happened ? Post of breastfeeding co-ordinator continued Hospital staff training for stage 2 assessment CQUIN audit of feeding choices Breastfeeding liaison post since February Users concerns taken to max - fax. 4/5 BFI standards audited. Breastfeeding Friendly Venues in Ipswich Borough.

3. Our Passion, Your Care. Organising training / staff updates Supporting mothers and staff with difficult breastfeeding challenges Looking at re admissions for weight loss Updating hospital displays Policies / guidance to comply with BFI standards Actions from audit results Looking at developing practice. Supporting BfN hospital peers – Breastfeeding Co-ordinator Role

4. Our Passion, Your Care. Training for BFI stage 2 All except 8 maternity & 18 NICU staff trained Paediatricians / Obstetricians now get in induction From October staff introduced to the new BFI standards Previously trained staff in updates from September. BFI will assess in January 2015

5. Our Passion, Your Care. CQUIN Audit CQUIN to explore feeding choices. Women mostly chose to breastfeed 73% of 178 women Decided before pregnancy 76% felt they had enough information to choose Influenced by health, previous experience, going back to work 42% met a BfN supporter 94% reported that made aware of where to access support after discharge. Stopping because of common concerns not lack of support by staff.

6. Our Passion, Your Care. ECCG funded post from Feb to reduce drop off 30 hours to proactively contact after discharge Audit showed those advised /signposted continued. Future ? Under discussion hope to continue Rates at 14 days have risen/ drop off fallen to 10% from 15% Breastfeeding Liaison Post

7. Our Passion, Your Care. Tongue Tie & breastfeeding Users unhappy about attitudes of department Users told to formula feed NHS access limited at WSH Regional training for recognition proposed by Public Health England. LP met with providers Helped them to gain an understanding of why. Audit of outcomes by the department To meet with Mr Minocha Not commissioned to explore other avenues to provide good services in Region.

8. Our Passion, Your Care. BFI Audit Audit of 4/5 new BFI standards. Staff met knowledge & skills for stage 2 Care for NICU babies highlights some shortcomings. Care for formula feeding mothers needs development but 84% had skin to skin & 72% for an hour or for as long as wished. Breastfeeding mothers few shown how to hand express before discharge.

9. Our Passion, Your Care. Breastfeeding Friendly Venues Teamed up with public health / environmental health Links on the Health & Well Being website / hospital site Disseminated to MW’s & HV’s & CC’s. Help to overcome women’s concerns about BF in public Premises promise to support women / provide a welcome.

10. Our Passion, Your Care. Future Building on progress improve support through audit. Achieve an equitable service for TT division in Suffolk Ensure all staff have training /skills to support/manage feeding. See breastfeeding becoming the norm in Suffolk