Scottish Government

Appointment of consultant midwife (mainland) / lead (islands) to progress implementation locally

1. Grampian: appointed, completed

2. Highland: appointed, completed

3. Orkney: identified, completed

4. Shetland: appointed, completed

5. Western Isles: identified, completed

January 2008

Completed

Identify priority KCND objectives for NHS Board area

1. Grampian: priorities identified

2. Highland: priorities identified

3. Orkney: priorities identified

4. Shetland: priorities evident

5. Western Isles:

March 2008

Completed

Implement midwife as first point of contact on confirmation of pregnancy and to undertake initial risk assessment and onward referral

1. Grampian: underway, implemented for 32% women

2. Highland: audit of current practice underway

3. Orkney: underway, partially in place

4. Shetland: underway, 0% GP practices currently

5. Western Isles:

December 2009

G

G

G

G

Implement midwife as named caseload holder for healthy women antenatal, intrapartum, postnatal

1. Grampian: implemented, record on SWHMR

2. Highland: implemented most areas, audit planned

3. Orkney: implemented

4. Shetland: consultant midwife starting Nov 08

5. Western Isles:

December 2008

G

G

G

AMB

AMB

Additional time required locally in some boards

Discontinuation of admission CTG for healthy women suitable for midwife managed care

1. Grampian: already current practice, completed

2. Highland: auditing current practice, anticipated

completed

3. Orkney: already current practice, completed

4. Shetland: already current practice, completed

5. Western Isles: implemented, completed

August 2008

Completed

Activity

Individual NHS Board progress

Timescale

Status

Actions taken/ required

Identify training needs and deliver training related to national referral criteria and care pathways

1. Grampian:

2. Highland: scoping underway with lead midwives

3. Orkney:

4. Shetland: consultant midwife starting Nov 08

5. Western Isles:

December 2008

G

Implement nationally agreed referral criteria and care pathways

1. Grampian:

2. Highland: trialling pathways, contributing to

consultation

3. Orkney: contributing to pathways consultation

4. Shetland:

5. Western Isles:

March 2009

Contribute to national evaluation of KCND

1. Grampian: data collection Dec 08

2. Highland: data collection Dec 08

3. Orkney: data collection Dec 08

4. Shetland: data collection Dec 08

5. Western Isles: data collection Dec 08

Ongoing

G

G

G

G

G

Produce 3 monthly progress reports for national Steering Group

1. Grampian: received

2. Highland: received

3. Orkney: received

4. Shetland: received

5. Western Isles: no report

Ongoing

G

G

G

G

RED