1. Transforming Maternity Services Mini-Collaborative
LAUNCH
3rd March 2011
Prof Jean White
Nursing Officer,
Welsh Assembly Government

2. Introducing … 1000 Lives Plus
1000 Lives Plus aims to improve patient safety and reduce avoidable harm, waste and variation across NHS Wales.
1000 Lives Plus - Making safety a priority

3. A National Programme
1000 Lives Plus will align with several other national programmes in the five year Strategic Framework for NHS Wales
It draws together existing work from the 1000 Lives Campaign and Intelligent Targets
1000 Lives Plus - Making safety a priority

4. What’s new? Increased emphasis on patient-centred care
Ongoing commitment to working across primary and secondary care
New clinical areas targeted for improvement
Local aims for reducing mortality and harm
Safer care for every patient – every where in Wales
1000 Lives Plus - Making safety a priority

5. Supporting organisations
1000 Lives Plus will support organisations by:
Providing tools, techniques and interventions to reduce local harm and mortality
Delivering mini-collaboratives for each new programme area – which will be phased in over a period of time
1000 Lives Plus - Making safety a priority

6. Transforming Maternity Services Mini-Collaborative 3rd March 2011

7. What are we trying to achieve?
Reduce mortality and harm by improving the recognition and response to the acutely deteriorating woman.
OVERALL AIM:
To improve experience and outcomes for mothers, babies and their families within Maternity Services
Reduce mortality and harm from venous thromboembolism in pregnancy and the postnatal period.

8. Why change?
Evidence and practice from the UK and
abroad has shown that harm in maternity
services is often related to:
poor communication
failure to plan
poor team dynamics
lack of standard responses to clinical information and emergent situations
The Health Foundation

9. Saving mothers lives 2006-8 Why change?
Sepsis: Leading cause of direct maternal death
Top Ten recommendations:
Communication
Multidisciplinary specialist care
Clinical skills and training
Specialist clinical care: identifying and managing very sick women
Genital tract sepsis
Existing evidence base for acute management
Links with existing mini-collaborative

10. Venous Thromboembolism
Why change?
Venous Thromboembolism
Still a major cause of mortality and morbidity
Strong evidence base for assessment of risk and thromboprophylaxis
“Epidemic of obesity”
Links with existing mini-collaborative
Prevention is better than cure!

11. Implementing a series of care bundles:
What changes can we make that will result in this improvement?
Implementing a series of care bundles:
Admission bundle
Recognition bundle
Response bundle
Sepsis six bundle
Patient involvement
Clinical competence

12. How will we know that the change is an improvement?
Measurement is a critical part of testing and implementing change.
Measures tell a team whether the changes they are making actually lead to improvement.

13. Transforming Care links
Transforming Care will empower maternity clinicians to take ownership of the wards they work on and make positive changes for the good of the women they care for.

14. Progress
Today’s launch….
All Health Boards in Wales have signed up for this programme
Learning Session 1
How to Guide

15. Next steps
Ongoing support…
Strengthen links with Transforming Care Programme
Develop community interventions
Explore possibility of additional intervention

16. Learning Sessions (LS)
Future dates….
Learning Sessions (LS)
Full days in Cardiff
LS1 Friday 4th March 2011
LS2 Tuesday 7th June 2011
LS3 Tuesday 6th Sept 2011
Webex Calls all 4-5pm
Thurs 14th April 2011
Thurs 14th July 2011
For further details please contact:
Cath Roberts: Programme Manager Tel or
Philip Banfield: Faculty Lead

17. To conclude
This programme provides an opportunity for maternity units in Wales to learn from each other by sharing practice that improves safety for women. It aims to ensure the provision of reliable and consistent care to all women, every time.

18. Acknowledgements Health Boards Polly Ferguson National Steering Group
National Groups
Members of the 1000 Lives Plus team

19. If we can improve
care for one patient,
then we can do it for ten.
If we can do it for ten,
then we can do it for a 100.
If we can do it for a 100,
we can do it for a 1000
And if we can do it for a 1000,
we can do it for everyone in Wales.