Scottish Government

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

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

Event held with HOMs to plan exit strategy from funding for CM posts, links to early years and midwifery 20:20 agendas

Green

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

Benchmarking analysis completed; ongoing data collection agreed; evaluation plan drafted; PhD fellowship appointed

Green

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

Consultation completed; final drafts anticipated Dec 08; launch by March 09

Green

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

Consultation complete; final drafts anticipated Dec 08; launch by March 09

Green

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

National work required to facilitate communication between professionals

December 2009

AH

NHS Boards

AH

RCGP engaged via steering group; GPs attended regional events

Work progressing locally with stakeholders

Proposal in partnership with e-health team

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

National work required to ensure provision of relevant information

December 2008

NHS Boards

AH

Local work progressing; slow in some Boards, recommend shifting timescale; obstetric opposition NHS Borders, should resolve locally

Interim solution agreed (record on SWHMR, board data collection); proposal in partnership with e-health team for longterm solution

Amber

Shift timescale to July 09

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 obstetric opposition NHS Lanarkshire; local and national plans in place

Green

RED

AH meet lead MWs; PO for RCOG liaising with Obs team

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

Green

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

March 2009

NHSQIS

SGHD

Implement national referral criteria and care pathways at NHS Board level

NHS Boards to implement criteria and care pathways locally

March 2009 onwards

NHS Boards