Common Issues Identified at the Three CSIP Events: East of England, South Central, South East Coast

1
Common Issues Identified at the Three CSIP
Events East of England, South Central, South
East Coast

• Fiona Mackay
• Workforce Development Consultant
• East of England

2
CSIP Event in Each Region

• Aims of the Event
• To launch the Maternity Matters Policy at a local
  level.
• Initiate discussion on the impact of the choice
  guarantees.

3
CSIP Event in Each Region

• Feedback
• Good networking opportunity
• Useful to have an opportunity to air issues in
  safe environment
• Wealth of expertise and good practice

4
Baseline across the Three SHAs

• Mixture of provision
• Low home birth rate
• Dont have choice for all at local level
• Dont provide enough support for the most
  vulnerable

5
New Challenges

• Commissioning
• Payment by results (PbR)
• Close working with other organisations in new
  locations
• Closer working with women (choice)
• Development of current services within existing
  resources
• Increasing births (capacity) and increasing
  complexity

6
The Workforce Challenge

• Organisation and professional cultures
• Geographical variations
• Working Time Directive
• Modernising Medical Careers
• Local population and social factors
• Local reorganisation/reconfiguration
• Availability and Capacity

7
Opportunities

• Political will sustain change
• Raises the profile of midwifery
• Clarity of roles and training
• Payment by Results normality v LSCS
• Team Work

8
Maternity Care Pathway
9
Key Actions Required

• 1. Involvement
• Tariff
• Role of Maternity Support Workers
• Maternity Teams

10
Other Issues Identified

• How do we guarantee and measure real choice?
• How do we market choice to new mothers?
• How do we increase access to mothers from all
  communities?
• How do we measure a mothers satisfaction with her
  choice and the service provided?
• Mothers choice and the impact of that choice on
  the workforce

11
What Next?

• Key to meeting the choices of mothers in the
  future is an understanding of the communities we
  serve.