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July 2008
| Activity | Process | Timescale | Lead | Progress | Status | Actions taken/ required |
Establish support process for leading and supporting KCND | Identify key stakeholders; seek engagement; establish steering and implementation groups; allocate board funding for consultant midwife posts | May 2007 | MMcG AH | Completed | Completed |
Appoint consultant midwives (mainland) / identify lead (island) to progress implementation locally | Nationally agreed generic job profile; consultant midwives appointed by Sept 07 | January 2008 | HOMs | Completed (1 post at interview) | Completed |
Overview literature on midwife managed care and maternity care guidelines | Review literature and produce baseline report on evidence for steering group | July 2007 | CSO NMRU | Completed, disseminated | Completed |
Establish process for leadership and change management support throughout programme | Engage HOMS/Consultant midwives through tailored events; identify opportunities and barriers for implementation; leadership vision; modernising mw careers; role of mw; cultural change; plan multidisciplinary events as programme progresses | Ongoing | NES | CM leadership programme completed; multidisciplinary events held May/July 2008 | Green | NA |
Establish process for evaluating impact of KCND nationally | Identify key stakeholders; convene evaluation group; agree evaluation plan; develop research proposals; secure funding; report to steering group | Ongoing | CSO (HC) AH MMcG | Evaluation group convened; benchmarking complete; funding secured; PhD fellowship at advert | Green | NA |
Produce nationally agreed referral criteria from midwife managed to obstetric managed maternity team care | Convene multidisciplinary group to progress; produce antenatal, intrapartum and postnatal referral criteria based on those from EGAMS | 1st draft June 2008 Launch by Dec 08 | NHSQIS | Delay in 1st draft consultation - due end July/August | Amber | Work ongoing |
| Activity | Process | Timescale | Lead | Progress | Status | Actions taken/ required |
Produce nationally agreed care pathways for midwife managed care for the pregnancy year | Convene multidisciplinary group to progress; produce schedule for content of midwife managed antenatal and postnatal care; template for timing, content and provider of final examination; normal birth pathway including protocols for fetal and maternal monitoring, assessment of progress, mobility, nutrition and birth environment | 1st draft June 2008 Launch by Dec 08 | NHSQIS | Delay in 1st draft consultation - due end July/August; work on 6 week postnatal exam still to commence | Amber | Work ongoing, due to complete Dec 08 |
Implement midwife as first point of contact on confirmation of pregnancy and to undertake initial risk assessment and onward referral | Nationally engage RCGP Board implementation groups to progress locally | December 2009 | AH NHS Boards | RCGP engaged via steering group; GPs attended NES events Locally leads engaging with GP subcommittees and other stakeholders | Green | |
Implement midwife as named caseload holder for healthy women antenatal, intrapartum, postnatal | Implement lead professional for women based on ongoing risk assessment Board implementation groups to progress locally | December 2008 | NHS Boards AH | Local work ongoing to implement and address administrative issues, such as records coding for ISD returns Further guidance required around midwife as caseload holder/lead professional; guidance for dissemination to Board leads August 2008 | Green | |
| Activity | Process | Timescale | Lead | Progress | Status | Actions taken/ required | |
Discontinuation of admission CTG for healthy women suitable for midwife managed care | Implement evidence based care; Boards to progress, while awaiting nationally agreed normal birth pathway | August 2008 | NHS Boards AH | Implemented in 13 Boards Significant staff opposition in 1 Board; local plan in place; support offered; SGHD intervention may be required | Green RED | |
Identify training needs and deliver training related to draft national referral criteria and care pathways | NHS Boards to progress locally; engage NES and others as required | December2008 | NHS Boards | Ongoing locally while awaiting national pathways | | |
Launch national referral criteria and care pathways across NHS Scotland | NHSQIS to launch implementation of care pathways; establish process for review and inclusion in quality monitoring | Nov/Dec 2008 | NHSQIS SGHD | | | |
Implement national referral criteria and care pathways at NHS Board level | NHS Boards to implement criteria and care pathways locally | March 2009 | NHS Boards | | | |
Page updated: Wednesday, September 03, 2008