1. HSE Home Birth Service
Clinical Professional Seminar & workshop for healthcare professionals

2. Safe, quality services for mothers, babies and midwives The Clinical Governance Agenda
Siobhán Sweeney
Project Manager Clinical Governance Group, HSE Home Birth Service
Designated Midwifery Officer,
HSE South (Cork & Kerry)

3. Head + Heart + Hand
‘Everyone in healthcare has two jobs when they come to work everyday: to do their work and to improve it’
Source: Batalden, professor of paediatrics and a senior fellow of the Institute of Healthcare Improvement

4. Governance for Quality and Safety
What is …..
Is described as:
the system through which healthcare teams are accountable for the quality, safety and experience of service users in the care they have delivered.
For health care staff this means:
Specifying the clinical standards you are going to deliver and showing everyone the measurements you have made to demonstrate that you have done what you set out to do.

5. Birth Moved from Home to Hospital
Home Birth an Alternative Model
“Safe Choice”

7. Safety & Strengthen Teams

8. Clinical Governance System
Policies and Guidelines
Monitoring & Audit
Protection
Woman
Self Employed Community Midwife (SECM)
HSE
Partnership
Clinical Governance Project

9. Terms of Reference
Develop the eligibility criteria for SECM to have their name placed on the list of midwives available to provide the home birth service on behalf of the HSE
Approve the inclusion of the individual midwife onto the HSE list of SECM, a review of the application
Maintain ongoing review of all methods of Competency Assurance in collaboration with the Bord Altranais agus Cnaimhseachais na hEireann for SECM
Maintain ongoing clinical review of the performance of the service
Review the Tables 1 – 6 for eligibility for women accessing a home birth
Oversee the development of systems of clinical governance for home birth services
Submit an executive report biannually to Chair of National Implementation Committee

10. Clinical Governance Group
CGG Membership:
Independent Chair
HSE lead Midwife
Obstetrician
Director of Midwifery
Centre of Nursing & Midwifery Education
States Claims Agency
Quality Improvement Division
Nursing & Midwifery Board of Ireland
Primary Care Service Manager
Designated Midwifery Officer
Project Manager
NISG Membership:
Chair Director of the ONMSD
Service Users x 2
Self Employed Community Midwife
Director of Midwifery
Obstetrician
Neonatologist
Department of Health
Public Health Nursing
National Contracts Office
Primary Care Management
Quality & Safety Primary Care
Consumer Group
National Lead Midwife
Chair CGG
Designated Midwifery Officer

11. Clinical Governance Project
Aim - Model of Excellence
Process
Commissioned Primary Care
Sponsor ONMSD
Definition
Deliverables
Plan
Submissions
Project Divided
Subgroups

12. Project Outputs Policy Statement Clinical risk assessment tool
Policies, Procedures & Guidelines
Legislative Data Base & Audit tool
Communication update

13. Project Process Subgroup Terms of Reference
Development of Policy and Guidelines
Eligibility Criteria
Approval of SECM & CPD
Midwifery Practice Guidelines & Obstetric Emergencies
Newborn Screening, Vit K, Transfer of care
Feedback survey, information leaflet and list of stakeholders
Water Birth, Perineal Repair, Record keeping,
Policy for governance for safety & quality
PPG Quality Assurance Group
National Implementation Steering Group

14. Project Assurance Legislative Database of Evidence Clinical Audit Tool
recognising and enabling choice and shared decision making;
supporting women in their choice of place of birth;
recognising birth as a normal physiological process;
promoting quality and safety of midwifery practice;
and effective and transparent governance of the home birth service’.
National Perinatal Epidemiology Centre (NPEC)
National Incident Management System (NIMS)
Serious Incidents Recommendations

15. Governance for Quality & Safety
Procedures
Processes
Values
Safe
Culture
High Quality
Professionalism
Woman Centred
Partnership
Assurance
Accountable

17. “The birthing process is a very special and unique experience, to be relaxed and confident within your own home with the care and attendance of a known midwife has made the birth of my beautiful boy a precious and enjoyable experience”