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Do you have any examples of quick wins or local projects that could be scaled up? 

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Do you have any examples of quick wins or local projects that could be scaled up? 

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Please do write each idea as a seperate tab on the channel :) Thank you!

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In terms of “quick” wins I would have said the following (and I think I did at previous meetings);

Survey of WM data assets which would be useful for HOPE-WM

Development of an Integrated Data Platform (IDP) using assets identified above

Use of IDP above to undertake descriptive analyses to assess the extent of maternal inequalities in WM in order to identify/prioritise opportunities for intervention development and which can then be used to evaluate future interventions.

Keith Abrams, U. of Warwick

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Study to increase uptake of maternal vaccinations in communities / groups where uptake is low using co-design methods.

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Need Tier 3 type interventions for pregnant women living with obesity. Such a golden opportunity to affect weight, diet and lifestyle of whole family but no resources to signpost women to.

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While BSOTS is implemented in many maternity units in effect in many places there has no been the investment in space, staffing and training for it to work effectively- so it is following through on the CQC recommendation to use it as a benchmark and agree matrix to ensure safety cross the region

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Decision support for induction of labour    

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Decision support for induction of labour    

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Develop a decision support aid using co-production to support decisions around induction of labour. Produce training materials for clinician staff and information tools to ensure alternatives are clearer. Evaluation of the impact on decision making and clinical outcomes. BWC have used a similar process using their MVP and are currently piloting it.

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Agree a standard list of determinants which is assessed and recorded at each interaction. Develop pathways for referral. These elements are currently recorded with high degrees of variation. A standardized approach would enable a clear picture of the needs of the population to be drawn and would inform focus and development of services. This must include training for staff.

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Antenatal and Postnatal classes for parents

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Antenatal and Postnatal classes for parents

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Coproduction of the content and the design. For the NHS to take back responsibility for the development and delivery of these courses to quality assure the information that is delivered.

As many antenatal classes have been stripped back providing very limited access to women or have been palmed off to third party providers with little accountability regarding the suitability of content or design, women lack important information regarding pregnancy, childbirth and parenthood. This information should be spread throughout pregnancy in accessible amounts and the content should be co-produced to ensure that clinicians and women have input into the design. e.g. first trimester could include information on hyperemesis, screening, miscarriage, healthy eating and other lifestyle issues (smoking/alcohol/folic acid etc...) optimizing maternal medical conditions and appropriate referral to secondary care early if necessary. Would need to find out what women want to know about this early on in their pregnancies but not be overloaded. A similar model for second trimester and third trimester.

If they could be designed to provide the option of being delivered locally and by the same individual or small group of individuals there is the possibility that this could also be a means of providing community and support for women and families throughout pregnancy and early infancy. Postnatally they could also provide information and support for infant feeding, maternal child interaction, early childhood development, perinatal mental health and perineal health and contraception.

The outcomes of women and families could be followed up to demonstrate impact.

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What is apparent in listening to these inspiring community-led maternity service initiatives is that there are multiple situations where certain communities have the same resources as other communities yet they are more active and getting better outcomes. What sets these groups or communities apart? What are they doing differently? The Positive Deviance Approach

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Cambridge Core - Medicine: General Interest - The Positive Deviance Approach