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Trust Board papers November 2012 - Barking Havering and ...

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EXECUTIVE SUMMARY<br />

TITLE:<br />

Maternity Update – September <strong>2012</strong><br />

BOARD/GROUP/COMMITTEE:<br />

<strong>Trust</strong> <strong>Board</strong><br />

1. PURPOSE: REVIEWED BY (BOARD/COMMITTEE) <strong>and</strong><br />

DATE:<br />

The purpose of this report is to provide the <strong>Trust</strong><br />

<strong>Board</strong> with an update on the monthly performance<br />

for maternity services <strong>and</strong> other key issues.<br />

The key areas to note are:<br />

• Births continue to be high at 781 <strong>and</strong> are<br />

red on the maternity dashboard.<br />

• The escalation policy was implemented<br />

once in September.<br />

• 88% of women were seen in the triage by<br />

a doctor within 30 minutes, in hours.<br />

• Out of hours triage achieved 57% however<br />

the data collection is not robust. A new<br />

Proforma has been devised <strong>and</strong><br />

implemented. Early results are showing<br />

significant improvements.<br />

• The OAU achieved 95%.<br />

• Women continue to be booked for delivery<br />

at Bart’s Health to reduce activity at<br />

BHRUT. The impact of this will commence<br />

in late <strong>November</strong> <strong>2012</strong>.<br />

• A caseload transfer of women is likely to<br />

occur in <strong>November</strong> <strong>2012</strong>, the impact of this<br />

on the deliveries will be in February 2013.<br />

• A formal consultation on TUPE of staff has<br />

commenced <strong>and</strong> will finish on 24 th October<br />

<strong>2012</strong>. It is anticipated that 11 wte staff will<br />

TUPE to Barts Health<br />

• NELC are undertaking an assurance<br />

review on 22 nd October <strong>2012</strong> to assess<br />

readiness for reduction in capacity,<br />

opening of QBC <strong>and</strong> closure of KGH<br />

• Full recruitment of midwives for Queen’s<br />

Birth Centre has taken place. The staff are<br />

competent <strong>and</strong> trained.<br />

• Discussions with Deanery continue with<br />

regard to timing of closure of KGH<br />

• Births are to be reduced to 8000 2013/14<br />

• There were 2 SI’s reported SI’s in<br />

September Full RCA are being<br />

undertaken.<br />

• Discussions have taken place with NELC<br />

as to the future structure of the<br />

performance report. The assurance<br />

framework, maternity dashboard <strong>and</strong><br />

exemption report will now replace the<br />

monthly reporting template The Directorate<br />

□ TEC …….….. □ STRATEGY…….…….<br />

□ FINANCE …… □ AUDIT ………………<br />

□ QUALITY & STRATEGY ………….....……<br />

□ CHARITABLE FUNDS …………………...…<br />

□ TRUST BOARD ………………….………….<br />

□ REMUNERATION …………………….…...<br />

□ OTHER …………………………..…….<br />

(please specify)

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