1. Ipswich Hospital NHS Trust Progress to BFI Tania Browes Midwifery Manager, Community Services Ipswich Hospital

2. First Steps to Baby Friendly Initiative Breastfeeding Guideline re written to comply with BFI standards and made it a Policy. 4 staff sent on Train the Trainer course to deliver 2 day course. Maternal Antenatal & Postnatal documentation updated to evidence required information giving. Guidelines for reluctant feeders / hypoglycaemia updated. Rewritten for stage 1 assessment Progress driven by PCT CQUIN to achieve stage 1 BFI PCT BF co-ordinator worked alongside staff & NBFG.

3. Progress to date Midwifery & Neonatal Staff training began October 2011 Prioritised the Postnatal ward staff & community midwifery support workers. Work on policies & mechanisms to achieve BF standards Stage one award achieved in February 2013. Some staff were reluctant at first but enthusiasm grew and practices such as skin to skin and hand expression becoming common place.

4. New Initiatives Feeding Cue Posters designed, visual aid for parents and prompt for staff Parents Guide to the Policy displayed in all areas Give it a Go social marketing materials in use. Pumps updated to support mums who need to express BFN local peer helpers recruited to visit the wards daily to give information and support to mums.

5. Current Work Since July, Breastfeeding Co-ordinator employed to work along side staff & progress towards stage 2 by 2015. We continue to train staff. Paediatric and Obstetric staff induction sessions from August 2013. Audit of staff knowledge following training showed we are meeting all BFI standards. Also highlighted areas where more work is required. Very encouraging so far.

6. Challenges ahead Complete staff training Amend policies to better reflect BFI practice ( stage 1 recommendation ) Continue audit of effectiveness of training & care given to women, plan work to bridge any gaps. Record keeping of care given especially antenatal information giving. Keeping Going.