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Maternity Transformation Programme 
Bulletin No.85:   17th September 2021

Maternity News
For a copy of the last MTP Bulletin and a listing for all previous MTP Bulletins please use this index link

HealthCare Safety Investigation Branch (HSIB) Latest report on Intrapartum stillbirth.

HSIB have published a report this week - Intrapartum stillbirth: learning from maternity safety investigations that occurred during the COVID-19 pandemic 1 April to 30 June 2020
In 2019, 24 stillbirth referrals were made to HSIB that met maternity investigation programme criteria between 1 April and the end of June. During this same period in 2020 there were 46 stillbirth referrals.
This latest HSIB report:

  • Describes the context within which the intrapartum stillbirths took place
  • Seeks to understand why we have seen this increase
  • Identifies learning to improve patient safety across the healthcare system
  • Shares that learning with NHS trusts across the country.

HSIB have made eight safety recommendations, five to NHS England and NHS Improvement, one to RCOG, one to NHSX, and one to DHSC.
A response to the safety recommendations is anticipated within 90 days of publication of the investigation report. 

New guide published to support mental health in maternity and neonatal settings
NHS England and NHS Improvement have published a new guide this week for healthcare professionals and commissioners to support mental health for new, expectant or bereaved mothers.
It describes the underpinning principles of good practice for supporting good mental health and psychological wellbeing in maternity and neonatal settings. It also considers the role of specialist maternal mental health services (MMHS) in supporting this function.

Please note the national perinatal mental health team will be hosting a third virtual implementation event for Maternal Mental Health Services on Wednesday 29 September, 13:00 - 16:00 - see Dates for your Diary and more details below

Baby Buddy 2.0 beta - new version of the NHS-approved Baby Buddy app - available to be used and tested by the public.  
A new beta version of Baby Buddy is available and a request has been made for user feedback to inform improvements and optimisation ahead of a public launch.
The beta Baby Buddy app can be downloaded here, and you can share can your feedback here.
The new version of the app includes:

  • Personalised daily information for mothers, fathers and other non-birthing parents to the 1st birthday
  • Choice of Place of Birth feature with Birth Choice UK data from every hospital across the UK
  • Digital Personal Care & Support Plans

If you are interested in testing Baby Buddy before it is publicly launched, or would like to know more about how PCSPs can be used in your LMS, please email

Baby Lifeline’s National Maternity Safety Conference 2021
The second annual National Maternity Safety Conference was hosted by Baby Lifeline on the 9th September.
The theme for the in person conference at the Hilton Birmingham Metropole was Getting Safer Faster.
The conference had a wide range of speakers including clinicians, parents, researchers, experts, charities and politicians working across the UK to improve maternity and patient safety.
A summary of the day and with links to other connected content can be viewed from the Baby Lifeline website here.

Dates for your diary

Next Week.....

Webinar: Maternity Incentive Scheme – Yr 4 (CNST) – safety action 2: submitting maternity MSDS data.
23rd September 13:00 – 14:00

A webinar to give guidance and support for the successful completion for safety action 2 is planned for an audience including digital midwives, MSDS data submitters, Regional Chief Midwives and HOMs and DOMs 
The webinar will give an introduction to safety action 2 and outline key available national resources such as:

  • Scorecard
  • Data Quality Submission Tool
  • Technical Guidance Videos
  • Drop In sessions
  • On-line resources

Presenters from NHSE&I, NHSD will be available to answer any queries or questions that you may have.
The webinar will be hosted as a teams event. Please email  to receive an invite and a link for the event.


Following weeks.......

Maternal Mental Health Services – implementation event
Wednesday 29 September 2021, 13:00 - 16:00
The national perinatal mental health team will be hosting an event for those involved in the design and delivery of MMHS, in Early Implementer sites, Fast Follower sites, and beyond! Hear the latest programme updates and learn from what sites have been doing. We will also discuss next steps and how to prepare for transformation funding shifting to CCG baseline funding from 2022/23.

Click here to register by Monday 20 September. For questions, email Please do share details of the webinar with colleagues and wider networks.

NHS Shine A Light on Coproduction Events
Wednesday 29th September Booking Link.  This event will shine a light on coproduction, showing what can be achieved when we work together with people with lived experience. Two projects will be showcased;

  • Guy’s & St Thomas Cancer Centre - Improving support for black men with prostate cancer and
  • Sussex Health and Care Partnership (SHCP) on Suicide Prevention Project. 

All events are 13:00 -14:30.
15th November 2021 Booking Link
18th January 2022 Booking Link
15th March 2022 Booking Link
We are always looking for showcasing our successful coproduction stories. If you wish to present at one of the above events then please get in touch at

Addressing Inequalities in Perinatal Care Conference
BAPM Annual Conference 2021
4 October 2021 9:00am to 5 October 2021 5:15pm
Programme schedule and links for tickets are on the BAPM website here.

Exploring the intersections between criminal justice and children’s social care during pregnancy and early motherhood
5th October 2021, 10:00 – 15:00  
Hosted by Birth Companions and Lancaster University's Centre for Child and Family Justice Research.
For more information and to book your free place visit the eventbrite website here

NHS England strategic events team: Health Inequalities Webinar Series
Webinars to help implement NHS Planning Guidance for 2021/22 

Session Date Link Bookings Close
Priority 1 and 2 session presented   
Priority 3: Ensuring datasets are complete and timely Thursday 30 September Register and further info 29 Sep @ 2pm
Priority 4: Accelerating Preventative Programmes Thursday 14 October Register and further info 13 Oct @ 2pm
Priority 5: Strengthening leadership and accountability Thursday 21 October  Register and further info 20 Oct @ 2pm

Diabetes in Pregnancy Conference 2021
16th November 1:30 - 4:15pm
This is the 10th year for the UK Diabetes in Pregnancy Conference. Full programe details can be viewed here and this year will include two LMNSs presenting:

  • Quality Improvement journey of Antenatal Diabetes Service at West Hertfordshire Hospitals NHS Trust
    Anku Mehta, Consultant Obstetrician and Gynaecology, Lead for Endocrine disorders in Pregnancy
    Angelina Ankomah, Specialist Diabetes Midwife
  • Maternity & Diabetes collaboration to improve outcomes: A MSE case study
    Marjorie Varney, Specialist Diabetes Midwife
    Angela Falltrick, Specialist Diabetes Midwife

A pdf for the programme can be downloaded here

Aide Memoir – Links to online resources 

National Maternity Dashboard
 RCOG – Landing Page for all Infection and Pregnancy guidance 
 RCM - Landing Page for all covid-19 guidance 
 SBLCBv2: Covid-19 information 
 Revised Guidance PPE – from PHE 
 HEE - Landing Page for Covid-19 training programme for health and care workforce 
NICE - landing page for all COVID guidance and resources
NHS Resolution – Covid-19 related guidance: including Early Notification and maternity incentive scheme Link

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