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

Priority Action Lead Monitoring Tool Current Risk
Rating
and treated in a timely way.
Risk rating
previous
month
100%Grade 1 LSCS are
performed within 30
minutes
Maintain high standard of
care for women. Women
cared for in appropriate
location.
Audit appropriateness of grading LSCS
Identify reasons why grade 1LSCS not
undertaken within 30 minutes
Once Birthing Centre is open ensure that low
risk women are encouraged to birth there.
Agree trajectory with NELC
D
Olorunshola
J
Richardson
Monthly monitoring report 54% 65%
% Births in Birthing Centre
Monthly Dashboard entry
Decision still
awaited on
opening of QBC
To ensure that maternal
and neonatal morbidity and
mortality is in line with
national targets
Revise maternity dashboard to include
national benchmarks.
S Lovell
Monthly Dashboard
Exemption reporting on outliers
3 2
Postnatal
Ensure that neonatal
readmissions is not an
outlyer
Audit pathway for neonatal readmissions
Revise pathway to ensure that neonates are
readmitted in the most appropriate
environment
M O’Leary
D Jones
Dashboard entry monthly.
Exemption reporting if outlying
1 2
To review discharge
pathway and reduce LOS
NPAN midwife rota 100% coverage
Pathway review through Clinical fellow
programme
Clinical
Fellows
Helen
Mansfield
Dashboard entry
Monthly performance report
87% coverage 87% coverage
Workforce
Strengthen the levels of
statutory supervision of
midwives within the Trust
Ratio of SOM to Midwives improves. Current
position 1:20.
D Jones
J Read
Shift in ratio towards 1:15 1:18 1:19
Review midwifery numbers Agree baseline based on Birthrate Plus D Jones 1:29 midwife to birth ratio 1:29 1:29
3