Monday 10th October 2011 Transforming Maternity Services Mini-Collaborative Introductory WebEx Call Call Facilitator : Cath Roberts Insert name of presentation on Master Slide

Agenda 1 Welcome and introductions 2 Updates from Health Boards 3 Monthly Reports 4 Transforming care 5 Sepsis 6 Stories from Women 7 LS3 8 AOB

‘Could this woman have sepsis?’ Should this be another column? Progress Definitions Track & Trigger Early Warning System MEOWS/NEWS Use the language you and your staff are familiar with ‘Could this woman have sepsis?’ Should this be another column?

Whiteboard example….

Monthly Progress Reports Score Explanation Evidence required Expected Period of time for completion Exemplar total time in months from start of programme No activity – no contact from Organisation   1 Organisation programme lead and team identified by Local Health Board or Trust and confirmed with 1000 Lives Plus Programme Manager Names and contact details supplied to programme manager. Monthly PM report table 1 populated. Within 1 month of the time organisation is notified of the programme 2 Local team has met and agreed terms of reference and action plan. Programme Manager is in receipt of TOR and action plan. This confirms that the programme is now offically up and running in the Health Board or Trust Within 1 month after Level 1 is complete 3 Local implementation and data collection strategy agreed and conforms to the 7 steps of measurement. Programme manager has received a document or documents that outline the implementation and data collection strategies. Within 1 month after the programme level data requirements are agreed by the 1000 Lives Plus programme team 4 Data collection has commenced and programme data tool populated with baseline data for relevant areas. Testing is underway in the pilot area / population. Programme manager has received a copy of the programme data tool that contains some data for all relevant measures. This may be supplemented by written material highlighting actions undertaken or lessons learnt. No longer than 1 month after strategies agreed

SECONDARY DRIVERS/INTERVENTIONS To transform the quality and safety of patient care in maternity services across Wales. Patient and Family Centred Care Teamwork and Vitality Safety and Reliability Releasing Time to Care (Value-added care) Increase patient satisfaction to at least 95% - Support and involve patients and families - Create patient-centred healing environments - Ensure patients’ physical comfort - Optimise care transitions to home or elsewhere - Maintain patients’ Privacy and Dignity - Provide emotional and spiritual support Transformational Leadership Increase staff satisfaction to at least 95% - Empower ward managers to create teams with the ability and authority to act and transform care. - Build capability for Innovation and improvement in frontline staff and middle managers - Optimise communication across the care team - Improve physical environment for staff and reduce injuries - Establish, oversee and communicate system level aims for improvement - Align measures, strategy, projects and leadership learning system - Channel leadership attention to quality improvement and safety - Build the right team - Engage medical staff in improving care at all levels - Align quality projects to finance Increase the percentage of time healthcare staff spend in direct/value-added care to 70% - Understand measurement for improvement - ‘knowing how we’re doing’ - Empower staff to develop a ‘well organised ward’ - Enable staff to identify ‘patient status at a glance’ Reducing mortality and harm during pregnancy by improving the recognition and response to the acutely deteriorating woman and reducing the risk of venous thromboembolism. PRIMARY DRIVERS SECONDARY DRIVERS/INTERVENTIONS CONTENT AREA Transforming Care Driver Diagram

Sepsis ‘Beware of sepsis-be aware of sepsis’ What are we trying to achieve? Existing work – Wales/UK Track and trigger – validation/NEWS What is the definition of sepsis in pregnancy Does this differ Antenatal, labour, postnatal Sepsis bundle - clarity

Why stories? Inspiration Provide the why we do what we do! human element Learning Generating dialogue identifying needs creating improvements feedback outcomes Education Provides a focus on the patient not just the outcomes Stories from women Media Change a public mindset Endorse good work Draw attention to work

Learning Session 3 24th November 2011 Ideas for inclusion Sepsis update/Outreach teams Information for women – ways of communicating Storyboard Community/day unit interventions update Internal/external communication Measures Womens satisfaction Sharing success – presenting work/publishing/posters WHO checklist?

AOB? Dates for your diaries… Webex Calls all 4-5pm 18th October - Sepsis 9th November - Community focus Learning Session (LS): Full day in Cardiff Thursday 24th November 2011

Thank you! Any questions? Cath Roberts - Maternity.collaborative@wales.nhs.uk Phil Banfield – philip.banfield@wales.nhs.uk Vicki Evans-Park – victoria.evans-park@wales.nhs.uk