We’ve created a list of resources for those working in Maternity and Neonatal – you can access it here.
Maternity and Neonatal
In 2017, there were 646,794 live births in England with 4.1 stillbirths and 2.8 neonatal deaths per 1,000 live births. Rates of stillbirths and neonatal deaths continue to fall. The care provided to mothers and babies in England is safe and of high quality. Our national ambition is to reduce the rate of stillbirths, neonatal deaths and asphyxial brain injury by 50% by 2025.
How can we learn more effectively?
The volume of insight being generated in maternity and neonatology will increase over the next few years with episodes of harm being investigated by multiple organisations:
- Each Baby Counts
- the Healthcare Safety Investigation Branch (HSIB)
- NHS Resolution, and
- Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries (MBRRACE).
This process will be simplified for organisations with the creation of a single portal for reporting episodes of harm.
The programme will also widen its remit to support the new elements in the Saving Babies’ Lives care bundle (2019): risk assessment, prevention and surveillance of pregnancies at risk of fetal growth restriction, raising awareness of reduced fetal movement and some aspects of reducing preterm birth. These improvements will increase not only effective recognition and response but also our ability to predict and prevent harm.
How can the system support effective improvement in the safety, quality and experience of care?
We have engaged with large numbers of healthcare workers from various professions to establish a foundation of leadership and capability for improvement across the system. Building on the improvement capability that now exists, work will increasingly focus on system-level improvement.
Our key programme objectives for 2020 to 2025 are to:
- scale up improvement based on the current five clinical priority areas
- support improvements in other areas as defined in the Saving Babies’ Lives care bundle
- develop an improvement pipeline using key national recommendations to inform future improvement work
- work with test organisations to support national adoption and spread
- further develop local learning systems
- develop a national maternity and neonatal improvement faculty to support improvement capability and safety culture awareness (building on culture surveys and clinical leadership across England).