Commissioning and Maternity Services

1
Commissioning and Maternity Services

• Linda Brown
• Service Reform Manager
• Middlesbrough and Redcar Cleveland PCTs

2
Commissioning and Maternity Services

• NSF for Children, Young People Maternity
  Services (Standard 11)
• Maternity Matters
• Annual Operating Framework
• HealthCare Commission Review of Maternity
  Services and Womens experience
• NICE guidance
• CEMACH

3
Headline messages

• Local services are good
• Aim for further improvement
• Integration with Childrens Centres
• Locally accessible services
• Offering women choice
• Engage vulnerable populations
• Ensure safe and high quality services

4
What we have to do

• Maternity Matters reinforced NSF standards and
  set out 4 choice guarantees
• Choice of booking
• Choice of antenatal care
• Choice of delivery
• Choice of postnatal care
• By 2009

5
Maternity Matters

• Booking option for direct with midwife
• Antenatal Choice of location, not just GP
  practice (pilot commencing April)
• Delivery low rate of home birth
• Postnatal Choice of location/ links with
  SureStart/ Childrens Centres

6
What we have to do

• Annual Operating Framework 2008/09
• Increase of women booking by 12 weeks
• Workforce Assessment
• Booking target how to measure improve
• Government pledge 4,000 more midwives
• Local share?
• HealthCare Commission Review Best Performing
• HCC Womens Experience Generally good. Action
  Plan for improvement areas

7
What we have to do

• NICE substantial amounts of guidance on all
  elements of the maternity pathway
• CEMACH Saving Mothers Lives dedicated chapter
  for first time for Primary Care

8
Impact for GPs and PBC

• We need to agree new service delivery models to
  deliver the 4 choices
• To understand the potential impact on primary
  care of any changes
• We need to plan for the workforce and investment
  requirements in 2009/10
• Be clear on roles and responsibilities
• How we can work together to deliver safe, high
  quality maternity services