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What do our staff say about ethnicity at work?

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What do our staff say about ethnicity at work?

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Voluntary, Community and Social Enterprise in Norfolk 

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Voluntary, Community and Social Enterprise in Norfolk 

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Who Provides our Health Care in Norfolk and Waveney?

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Who Provides our Health Care in Norfolk and Waveney?

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Births in Norfolk and Waveney during 2020-21

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Births in Norfolk and Waveney during 2020-21

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National reports into Maternity services have shown that some people have better pregnancy outcomes than other people depending on their ethnicity, whether they live in poorer areas or whether they have protected characteristics.

Maternity and Neonatal services need to do some work to improve equity for women and babies.

Equity means all mothers and babies will achieve the same health outcomes no matter what ethnicity they are or where they live.

We can do this by responding to each person’s unique health and social situation – by maximising support as health inequalities increase – so that care is safe and personal for all. This will help us ensure that England is the safest place to be pregnant, give birth and start parenthood.

The MBRRACE-UK reports into mother and baby deaths show worse outcomes for those from Black, Asian and Mixed ethnic groups and those living in the poorest areas.

NHS England has responded to these findings by issuing guidance to Local Maternity and Neonatal Systems (LMNS) for an Equity and Equality Strategy to include an action plan which will address how they are going to make care more equitable for our most at risk women and babies.

The Action Plan is split into 5 priorities and this is what we are going to do to achieve them…

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Complete the work planned to the specifications set out in the 'NHS England Equity and Equality Guidance for Local Maternity Systems' document

This means we are going to...

Complete an Equity and equality analysis (covering health outcomes, community assets and staff experience)

Publish this Padlet

Develop a Co-Production Plan

Write a co-produced equity and equality action plan and publish this.

Follow this link to see what we have done...

Maternity Equity and Equality - Norfolk and Waveney ICS (improvinglivesnw.org.uk)

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ACCELERATE PREVENTATIVE PROGRAMMES WHICH ENGAGE THOSE AT GREATEST RISK OF POOR OUTCOMES 

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Priority 4a: Accelerate preventative programmes to engage those at greatest risk of poor health outcomes,  Understand your population and co-produce interventions

Understand the local population – its health outcomes and community assets.

• Understand staff experience, using Workforce Race Equality Scheme (WRES) data.

• Use this understanding to plan co-production activity to design interventions to improve equity for women and babies and race equality for staff.

This means we are going to...

Understand the local populations maternal and perinatal health needs

Map the community assets

Understand the experience of maternity and neonatal staff by ethnicity using WRES data

Set out a plan to co-produce interventions to improve equity

Priority 4b: Accelerate preventative programmes to engage those at greatest risk of poor health outcomes with a focus on maternal mortality, morbidity and experience

LMNS are asked to ensure equity in access, experience and health outcomes for women from Black, Asian and Mixed ethnic groups and those women living in the most deprived

areas. They may consider other protected characteristics and inclusion groups.

This means we are going to...

Implement maternal medicine networks to help achieve equity.

Offer referral to the NHS Diabetes prevention programme

Implement NICE Clinical Guideline 110 'Antenatal care for pregnant women with complex social factors'

Implement Maternal Mental health services with a focus on access by ethnicity and deprivation

Ensure personalised care and support plans are available to everyone.

Ensure the Maternity Voice Partners (MVPs) in your LMNS reflect the ethnic diversity of the local population

Priority 4c:  Action on perinatal mortality and morbidity

LMNS are asked to address the leading causes of bad outcomes and deaths which happen in pregnancy and up to a year after pregnancy in babies from Black, Asian and Mixed ethnic groups and born to women living in the most

deprived areas. LMNS may consider other protected characteristics and inclusion groups.

This means we are going to...

Set up targeted and enhanced Continuity of Carer

Set up a smoke free pregnancy pathway

Set up an LMNS Breastfeeding strategy

Set up a culturally-sensitive genetics service for couples who are blood relatives

Priority 4d: Support for maternity and neonatal staff

LMS are asked to:

• equip maternity and neonatal staff to provide culturally competent care

• ensure maternity and neonatal staff experience race equality in the workplace

This means we are going to...

Roll out multidisciplinary training

When investigating serious incidents, consider the impact of culture, ethnicity and language

Implement the Workforce Race Equality Standard (WRES) in maternity and neonatal services.

Follow this link to see what we have done...

Maternity Equity and Equality - Norfolk and Waveney ICS (improvinglivesnw.org.uk)

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ENSURE DATABASES ARE COMPLETE AND TIMELY

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This means we are going to...

Make sure data submitted to Maternity Services Data Set (MSDS) contains a valid postcode for mother at booking

Make sure data submitted to MSDS includes a valid ethnic category

Produce a maternity data dashboard

Lining up of Neonatal Badgernet IT system and Maternity IT System for data sharing

Follow this link to see what we have done...

Maternity Equity and Equality - Norfolk and Waveney ICS (improvinglivesnw.org.uk)

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This means we are going to...

Make sure there are Personalised Care and Support Plans in all trusts

Obtain a Digital bid to fund digital gifting scheme in collaboration with Norfolk Libraries

Launch a deprivation monies project in collaboration with third sector organisations

Follow this link to see what we have done...

Maternity Equity and Equality - Norfolk and Waveney ICS (improvinglivesnw.org.uk)

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This means we are going to...

Increase support for at risk pregnant women

Reach out and reassure BME women with tailored communications

Discuss vitamins, supplements and nutrition in pregnancy with all women

capture of ethnicity and risk factors

Follow this link to see what we have done...

Maternity Equity and Equality - Norfolk and Waveney ICS (improvinglivesnw.org.uk)