2. SPECIALIST MIDWIFERY SERVICES Supporting vulnerable pregnant women with complex needs

3. Main Principle To protect babies and Children at risk of significant harm

4. OVERVIEW OF THE SERVICE Communication with the wider multi-agency team/partnership working Escalation where appropriate Information Sharing Consistency Robust Multi agency Planning Reduce Poor outcomes medically & Socially

5. To increase engagement and continuity To provide a preventative strength based approach in the hopes of reducing fear and stigma Provide a consistent evidence based approach Strengthen the evidence to make informed decisions and birth plans Aims of the Service

6. Information Sharing Factual Shared with parents Not withheld Documented

7. Challenges Resistance to change and challenge Barriers to multi agency working Working within a timely manner Working within existing resources with increasing referral rates

8. Strengths Reducing risk and harm to babies High Standard Partnership working Increased engagement Timely birth planning Midwifery safe guarding lead

9. Future Developments Devon wide pre birth baby policy Perinatal mother and baby beds in locality Devon health visiting in partnership programme Multi agency guidance for all vulnerable groups Enhanced Training