1. A Dual View of Midwifery IT 12 th June 2012 Patricia Reilly IM&T Systems Support, Training and Development Manager

2. Background  Qualified Midwife 1997  IT Project Midwife 1999 – 2002  IT Development Manager 2002 – 2004  IT Training, Support and Development Manager 2004…..

3. Midwifery Data Collection – What?  Hospital Episode Statistics (Maternity Tails)  Payment by Results  Clinical Negligence Scheme for Trusts  Data Set Control Notices  Smoking  Breastfeeding  Screening  Key Performance Indicators  Local Initiatives  Research and Development  Specialist Midwife Data Collection  Patient Management  Risk Management

4. Midwifery Data Requirements The Future…. Maternity & Children's Data Set  Over 1000 data item requirements – phased and incremental approach  Phase 1 due May 2013  No scheduled plans for subsequent phases  Will includes data relating to:  Maternity Care Plans  Dating scan  Antenatal Screening Tests  Structural Fetal Anomaly screening  Labour & delivery  Postnatal Demographics  New born Screening  Maternal and Neonatal Death

5. Midwifery Data Requirements The Future….WHY? Maternity & Children's Data Set  Record, compare and improve outcomes and safety  Improve clinical quality and service efficiency  Commission services in a way that reduces inequalities  Improve accountability by providing comparative information to service users  Provide activity data for Payment by Results  Support regulation  Increase the understanding and dissemination of best practice  Meet data set standards AND……  Enable midwives to care for their patients…maybe?

6. Midwifery Data Collection The Challenges  How can we find the time - we are looking after patients  How can we get access to systems - The majority of Midwifery care is in the community and midwives have to access a multitude of systems  How can we ensure easy data entry – we are not IT experts  How can we avoid duplication of data - it is a waste of time and frustrating

7. Midwifery Data Collection The Challenges  How can we ensure effective communication  To women and their families  Between Midwives  To Diagnostic Services  To Consultant Care  To Primary Care  To Social Care and Child Protection  To Anyone else?

8. Countess Overall IT Strategy  Robust, highly integrated system with access to:- patients’ details clinicians’ notes treatments etc.  Pathways guide doctors & nurses  Electronic Documentation  Electronic ordering & reporting  Results and letters to GPs  Over 2,000 networked PCs  Around 200 operating remotely

9. Developments for Midwives  Status Boards  Patient Alerts  Mobile Solution for Community

10. Status Board

11. Community Data Collection

13. Benefits for Community Midwives  Complete redesign of Infrastructure makes access via mobile devices quick, easy and secure  The ability to record Clinical Outcomes ensures key clinical information is shared between community staff and acute trust staff  Community staff no longer return to site to enter data saving time and money  Community midwifery activity is now available for statistical analysis

14.  Understand all the challenges  Challenge the one size fits all approach  Influence procurement  Understand the impact of change on system users  Ensure effective training and support is in place  Ensure clinicians understand the Why!  Ensure effective communication between IT and clinicians to minimise frustration!  Provide Translation services? Midwifery Data Collection How can clinicians working in IT influence?

15. Midwifery Data Collection How can clinicians influence IT?  Engagement!

16. Midwifery Data Collection What can IT do next?  Listen to requirements  Understand the challenges from the multitude of views  Clinician  Information Services  IT Infrastructure  IT Applications team  Supporting Services  Primary care  Social care  Work together to provide a solution  National Solution?