Maternity Transformation Programme
Bulletin No.72: 4th June 2021
For a copy of the last MTP Bulletin and a listing for all previous MTP Bulletins please use this index link
Emerging evidence on impact of COVID on outcomes
The findings of an NMPA study into maternal and perinatal outcomes of pregnant women with COVID at the time of birth has been published. It finds evidence to suggest that COVID infection at the time of birth is associated with higher rates of stillbirth, preterm birth and emergency caesarean delivery. The 3,500 women who tested positive for COVID-19 around the time of birth covered by the study were twice as likely to have a stillbirth, and the rate of premature birth was also twice as high when the mother had COVID-19 at the time of birth.
Whilst there is still much to learn about the impact of COVID on outcomes, this gives an important reminder of the need to keep women, babies and their families safe – in particular the importance of vaccination for pregnant women and the use of testing to ensure that we continue to prevent onwards transmission of Covid-19. FAQs are available regarding the use of testing in maternity services.
Rural LMS Network - 9th June 10:30-12:00
A Virtual meeting of the Rural LMS Network is taking place on 9th June 10.30-12.00. The Network is intended to allow those LMSs who primarily cover rural communities to address the particular issues that they face and share learning.
If you would like to attend, please email email@example.com
Equity: Births and infant mortality by ethnicity
The ONS has published trend data from 2007 to 2019
for England and Wales. The data show:
- The stillbirth rate and infant mortality rate for each of the ethnic groups have fluctuated but generally decreased from 2007 to 2019 following the national trends.
- Babies from the Black ethnic group have the highest rates of stillbirths and infant deaths, with babies from the Asian ethnic group consistently the second highest.
- A higher proportion of live births within the Asian, Black and Any Other ethnic groups were in the most deprived areas compared with the White ethnic group.
- For most ethnic groups, immaturity-related conditions are the main cause of infant mortality, however, for Bangladeshi and Pakistani ethnic groups the main cause is congenital anomalies.
National Maternity Dashboard - February 2021 maternity data published
The maternity services dashboard brings together maternity information from a range of different sources to support the aims of the Maternity Transformation Programme. The dashboard presents data at Trust level and helps clinical teams in maternity services to compare performance with their peers on a series of Clinical Quality Improvement Metrics (CQIMs) and National Maternity Indicators (NMIs), to help identify areas that may require local clinical quality improvement.
data has been uploaded and available to view here
All February 2021 published data
is available from the NHS Digital website here
Care continuity between midwifery and health visiting services: principles for practice
A PHE document has been published to act as a tool to support local practice implementation and improvements in the care continuity between midwifery and health visiting services.
provides evidence and good practice examples about improving care continuity between midwifery and health visiting services. It is relevant to providers of midwifery and health visiting services (including clinical staff and managers) and service commissioners working within integrated care systems and local authorities.
Personalised Care in Maternity Services eLearning
A free eLearning course on personalised maternity care delivered by the Personalised Care Institute is available and open to all. Developed with obstetricians, midwives and services users, the course is live and can be accessed by registering and clicking this link
The course discusses how healthcare professionals can support women
to make safe and informed decisions during their antenatal care and delivery. Using a case-based approach
, it discusses consultation skills and methods which healthcare professionals can use as well as the IDECIDE
tool, due to be launched later in 2021.
The course also covers the Montgomery court case, which fundamentally changed the test for consent in the UK.
More information and link to register here
Twin & Multiple Pregnancy webinars - presenting a 20 minute talk, followed by time for discussion and questions from the audience.
Wednesday 16th June 2021, 6pm - 8pm
- Weight gain in twin pregnancy - Yariv Yogev
- Maternal medicine cases in multiple pregnancy - Surabhi Nanda
More information and link to sign up here
Previous webinars can be viewed here
Courses available from the East of England Local Government Association in the coming months include:
Digital Maternity Programme - Request for Information (RFI)
NHSX are initiating a Digital Child Health and Maternity Programme to develop a baseline understanding of the market place. This will help NHS providers procure Digital Maternity Services to support NHS England and Improvement ambitions. NHS England / Improvement and NHSX are committed to working with maternity system suppliers to identify what digital technology-based solutions can be offered for women, their families and partners, and the health and social care professionals supporting them during pregnancy.
This information will be made available to Maternity Providers to help procure a maternity system with a desired level of functionality appropriate for local and national ambitions.
A request for information (RFI) will be issued by close of play 11 June 2021, with responses requested by 9 July 2021.
Estimated date for publication of contract notice is 29th October.
For more information, dates for webinars and registration please see the gov.uk site here
To register as a supplier go to the health.atamis.co.uk landing page.
Dates for your diary
NHS 10 Steps: Developing engagement plans - with a maternity focus
8th June, 0930-1600
This course presents the well-established 10 Steps model that sets out what must be considered when developing engagement plans and building partnerships with people and communities. For this session we are targeting people working in Local Maternity Services – while the content will be the same as other 10 Steps sessions, having a targeted audience means discussions can focus on this area of work.
Working with people and communities is one of the most important ways we can ensure that the NHS meets the needs of patients and the public. By engaging with people in meaningful discussion of the collective challenges we face, and of how to overcome these, we can tap into the diverse experiences, insights and ideas that patients and the public bring. (This engagement includes, for example, working with Maternity Voices Partnerships.)
Book your place here
PMRT training webinars (Parent Engagement in Reviews)
Weds 16th June
“Parent Engagement in Review and the Perinatal Mortality Review Tool (PMRT) –
Sands, the stillbirth and neonatal death charity, is offering live, free webinars outlining the key principles, pathway and resources to support parent engagement in the hospital review of their care as outlined by the PMRT. Designed to support professionals across multi-disciplinary teams whether they have had training in bereavement care or not, the 1.5 hour session will also provide an opportunity for professionals to share ideas for solutions to barriers in communicating hospital review to bereaved parents. To register go to: https://parent-engagement-in-review.eventbrite.co.uk
PMH LTP Commissioner webinar - Friday 18 June
To support delivery of the NHS Long Term Plan ambitions for Perinatal Mental Health, NHS England will be hosting a webinar for mental health and maternity commissioners on Friday 18 June, 9 – 11am.
This is an important moment to take stock of perinatal mental health commissioning. In this webinar, attendees will:
- Hear from Claire Murdoch, National Mental Health Director at NHSE/I about recovery, funding and expectations on delivering the perinatal mental health LTP ambitions in 2021/22
- Gain insights into implementing the perinatal mental health delivery plan in an ICS context
- Reflect on the lived experience of women in the perinatal period
- Hear an update on Provider Collaboratives in perinatal mental health
- Reflect on how recent national research from the pandemic can help inform the expansion of perinatal mental health services
- Hear from a Maternal Mental Health Service on how co-production has informed service development
To register for the workshops please follow the link below.
Commissioning for better perinatal mental health outcomes - Next steps to delivery of LTP ambitions – Friday 18 June 2021, 9am-11am
Aide Memoir – Links to online resources