Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
Trust Board papers November 2012 - Barking Havering and ...
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Priority Action Lead Monitoring Tool Current Risk<br />
Rating<br />
<strong>and</strong> treated in a timely way.<br />
Risk rating<br />
previous<br />
month<br />
100%Grade 1 LSCS are<br />
performed within 30<br />
minutes<br />
Maintain high st<strong>and</strong>ard of<br />
care for women. Women<br />
cared for in appropriate<br />
location.<br />
Audit appropriateness of grading LSCS<br />
Identify reasons why grade 1LSCS not<br />
undertaken within 30 minutes<br />
Once Birthing Centre is open ensure that low<br />
risk women are encouraged to birth there.<br />
Agree trajectory with NELC<br />
D<br />
Olorunshola<br />
J<br />
Richardson<br />
Monthly monitoring report 54% 65%<br />
% Births in Birthing Centre<br />
Monthly Dashboard entry<br />
Decision still<br />
awaited on<br />
opening of QBC<br />
To ensure that maternal<br />
<strong>and</strong> neonatal morbidity <strong>and</strong><br />
mortality is in line with<br />
national targets<br />
Revise maternity dashboard to include<br />
national benchmarks.<br />
S Lovell<br />
Monthly Dashboard<br />
Exemption reporting on outliers<br />
3 2<br />
Postnatal<br />
Ensure that neonatal<br />
readmissions is not an<br />
outlyer<br />
Audit pathway for neonatal readmissions<br />
Revise pathway to ensure that neonates are<br />
readmitted in the most appropriate<br />
environment<br />
M O’Leary<br />
D Jones<br />
Dashboard entry monthly.<br />
Exemption reporting if outlying<br />
1 2<br />
To review discharge<br />
pathway <strong>and</strong> reduce LOS<br />
NPAN midwife rota 100% coverage<br />
Pathway review through Clinical fellow<br />
programme<br />
Clinical<br />
Fellows<br />
Helen<br />
Mansfield<br />
Dashboard entry<br />
Monthly performance report<br />
87% coverage 87% coverage<br />
Workforce<br />
Strengthen the levels of<br />
statutory supervision of<br />
midwives within the <strong>Trust</strong><br />
Ratio of SOM to Midwives improves. Current<br />
position 1:20.<br />
D Jones<br />
J Read<br />
Shift in ratio towards 1:15 1:18 1:19<br />
Review midwifery numbers Agree baseline based on Birthrate Plus D Jones 1:29 midwife to birth ratio 1:29 1:29<br />
3