| Activity | Individual NHS Board progress | Timescale | Status | Actions taken/ required |
Appointment of consultant midwife (mainland) / lead (islands) to progress implementation locally | 1. Ayrshire & Arran: appointed, completed 2. Dumfries & Galloway: appointed, completed 3. GG&C: appointed, completed 4. Lanarkshire: appointed, completed | January 2008 | Completed |
Identify priority KCND objectives for NHS Board area | 1. Ayrshire & Arran: key priorities identified 2. Dumfries & Galloway: key priority identified 3. GG&C: key priorities identified 4. Lanarkshire: key priorities identified | March 2008 | Completed |
Implement midwife as first point of contact on confirmation of pregnancy and to undertake initial risk assessment and onward referral | 1. Ayrshire & Arran: underway, implemented 2/3 women 2. Dumfries & Galloway: underway, implemented 32% GP practices 3. GG&C: underway, implemented 23% GP practices 4. Lanarkshire: underway, implemented 0% GP practices | December 2009 | G G G G | |
Implement midwife as named caseload holder for healthy women antenatal, intrapartum, postnatal | 1. Ayrshire & Arran: completed, recorded on SWHMR 2. Dumfries & Galloway: underway alongside community teams 3. GG&C: underway alongside service redesign from Dec 08-Dec09 4. Lanarkshire: underway, completion anticipated Nov 08 | December 2008 | G AMB AMB G | Additional time required locally in some boards |
Discontinuation of admission CTG for healthy women suitable for midwife managed care | 1. Ayrshire & Arran: current practice, completed 2. Dumfries & Galloway: current practice, completed 3. GG&C: implemented, completed | August 2008 | Completed |
| 4. Lanarkshire: significant obstetric opposition, currently no support to implement, national intervention required | | RED | AH met mws; PO liaise with obs team, MMG with DNS |
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. Ayrshire & Arran: some training underway 2. Dumfries & Galloway: underway, audit tool developed 3. GG&C: training completed for local pathways 4. Lanarkshire: information days planned Oct/Nov 08 | December 2008 | G G G G | |
Implement nationally agreed referral criteria and care pathways | 1. Ayrshire & Arran: piloting draft pathways 2. Dumfries & Galloway: contributing to pathway consultation 3. GG&C: contributing to pathway consultation 4. Lanarkshire: contributing to pathways consultation | March 2009 | | |
Contribute to national evaluation of KCND | 1. Ayrshire & Arran: data collection Dec 08 2. Dumfries & Galloway: data collection Dec 08 3. GG&C: data collection Dec 08 4. Lanarkshire: data collection Dec 08 | Ongoing | G G G G | |
Produce 3 monthly progress reports for national Steering Group | 1. Ayrshire & Arran: received 2. Dumfries & Galloway: received 3. GG&C: received 4. Lanarkshire: received | Ongoing | G G G G | |