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The Royal College of Midwives | www.rcm.org.uk
Demand on maternity services whats going on? Closures as reported - - PowerPoint PPT Presentation
Demand on maternity services whats going on? Closures as reported - - PowerPoint PPT Presentation
Demand on maternity services whats going on? Closures as reported on 8 August 2017 2 2 The Royal College of Midwives | www.rcm.org.uk NICE Safe Staffing Guidance 3 3 Almost HALF of NICE Safe midwifery staffing for maternity services
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The Royal College of Midwives | www.rcm.org.uk
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NICE Safe Staffing Guidance
Almost HALF of maternity wards turn mums-to-be away because they don't have enough beds or staff The Mirror 3
NICE Safe midwifery staffing for maternity services (NG4) ‘Only consider service cancellations or closures as a last resort… Take into account the potential of cancellations
- r closures to limit women's choice and to affect
maternity service provision and the reputation of the
- rganisation.’
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The Royal College of Midwives | www.rcm.org.uk
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The context of maternity care in England
Birth rates are stable but complexity is increasing Changes to practice, improving women’s experiences The size of the maternity workforce needs to increase to meet demand Cuts to public health = ‘false economy’ Local authority services under pressure Use of costly agency staff
Recruitment & retention
Pay cap Disillusionment and stress No more bursary – lose
- ur mature students? –
and uncertainty over EU midwives
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Maternity is facing challenges like other parts of the NHS
Austerity Increasing demand
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The Royal College of Midwives | www.rcm.org.uk
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The trend in midwife numbers
19,000 19,500 20,000 20,500 21,000 21,500 22,000
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The number of midwives rose by only 79 WTE over the last year Midwives in England (NHS Digital) Monthly statistics
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The Royal College of Midwives | www.rcm.org.uk
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What’s happening in units? Explaining some IFS findings
Maternity Pathway Payment Tariff design hasn’t worked the way it was assumed Closures more likely on Thursdays & Fridays With e-rostering and smart mapping
- f activity this shouldn’t happen…
6 Caesarean sections rise with changing demographics
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The Royal College of Midwives | www.rcm.org.uk
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Taking demand & workforce planning seriously
- 20% of Trust Boards still
not reviewing midwifery staffing
- 50% Trusts who have
reviewed report staffing levels deemed safe or in line with NICE
- Heads of Midwifery rarely
present at Board meetings where midwifery staffing is discussed
- Boards must review
midwifery staffing annually
- Boards accountable for using
NICE-endorsed tools such as BR+
- Boards are accountable for
ensuring all prof guidance is used
- Organisations should
investigate staffing related incidents
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Robust workforce planning tools: NQB and NICE Safe Staffing Guidance; Birthrate Plus On the ground…
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