1. Maternity Dashboard South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical Director

2. Transformational Elements
Network Priority
Outcome
Ambition
Transformational Elements
Reduction in perinatal morbidity and mortality (Domain 1)
Improved maternal outcomes and experience (Domains 3 and 4).
Improving maternal & perinatal outcomes and experience in the South West.
Developing a South West maternity dashboard to identify unwarranted variation in outcomes (September 2014).
Development of an agreed model of care to prevent and treat major post-partum haemorrhage, reduce stillbirth rates, pre-term birth and admission of term babies to NICU ( ).

3. National Priority NHS Mandate 2013-15
- Reducing infant mortality, neonatal mortality and stillbirths
- Women’s experience of maternity services
Reducing stillbirth rates is a priority of the National Clinical Director for Maternity and Women’s Health, Dr Catherine Calderwood

4. Background
Network requested example dashboards from acute trusts across the South West via South West HoMS
16 dashboards were submitted (inc. Dorset and Channel Islands)
Showed wide variation not only in the range of indicators measured but also in the criteria for an indicator. e.g. for 1 indicator there were 12 different criteria being used

5. Progress so far
Maternity Working group worked on establishing Maternity dashboard – includes 32 indicators
Detailed Technical Appendix has been produced to provide support and guidance to those supplying the data
In the first round of data collection, 13 out of 14 Acute Trusts submitted data
Data collection started in October

6. Dashboard Indicators Total number of babies born
Instrumental birth rate
PPH ≥1500 ml rate
Apgar at 5 min < 7 at term or over
Smoking at birth rate
Number of live births
Caesarean section rate
Rate of women requiring level 3 care
NICU admission at term or over
( on hold)
Obesity rates
Number of birth episodes
Elective CS rate
Preterm birth rate <37 weeks
Stillbirth rate
Rate of births resulting from under 18 conceptions
Birth episode rate by place of birth
Emergency CS rate
Preterm birth rate <34 weeks
Early booking rate for analysis by provider /CCG
Rate of birth resulting from conceptions in women aged 40 or over
Midwife to birth ratio
Robson group 1 rate
Preterm birth rate <27 weeks
Early booking rate for analysis by provider or by CCG
Female genital mutilation rate
Induction of labour rate
3rd & 4th degree tear rate
in unassisted births
Low birth weight rate at term or over in live born babies
Breastfeeding rate on transfer to health visitor (at days) (on hold)
Spontaneous birth rate
in assisted births
Low birth weight rate at term or over in stillborn babies
Breastfeeding rate at 6-8 weeks
(on hold)

7. Questions? Moving forward
Agree presentation of data with the working group
Work on setting thresholds
Use of the dashboard to identify and monitor improvement work within maternity services as a part of the Network work programme, e.g. reducing stillbirths, low birth weight babies, management post-partum haemorrhage
Questions?

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