1. Supervision of Midwives LSA Conference McAfee theatre, RJMH, Belfast 6 May 2015 Practice, Evidence and Toolkits Verena Wallace LSA Midwifery Officer

2. Welcome Safety and quality in Maternity Care

3. Changes in practice… Enjoy

4. Changes to Supervision of Midwives NI LSA reviews by NMC: - 2008/9 - 2011 New MR&S (2012) - 2014 Morecambe Bay, Guernsey… and PHSO, Law Commission.. Mid Staffs and Francis…

5. Supervision of Midwives What’s it all about? Reflection Enable choice Support Prevent poor practice Leadership Advocate Women and babies Experience Emotional intelligence

6. Looking back; NI in the last 7 years... More SoMs; range of expertise, first regional maternal death guideline, LSAdb, notable practice - annual review toolkit, award winning MHHR, audits, NMC reviews, evidence based practice, midwives and medicines, user involvement, LSA conferences, Bond Solon, national guidance, workshops, LSA briefings…

7. NMC and King’s Fund Report; 28 January 2015 Recognition within the report and at NMC Council meeting that supervision of midwives has a wider role to play within the midwifery profession and is highly valued by many midwives.

8. Looking forward The LSAMO Forum UK notes the decision taken on Wednesday 28 January 2015 by the Nursing and Midwifery (NMC) Council 1 to accept the recommendation from the recent report, ‘Midwifery regulation in the United Kingdom’ (The King’s Fund, January 2015) 2, that statutory supervision should no longer be part of its legal framework. While this historic decision will affect the statutory aspect of supervision of midwives, it was clearly stated that supervision of midwives has a wider role to play within the midwifery profession and is highly valued by many midwives. The heart of midwifery practice is the care of the woman and her baby and it is important that the identified, valued aspects within supervision endure. The continuation of advocacy and supporting choice for women as well as supervisors’ contribution to midwifery support, development and leadership will enhance and influence future midwifery practice in the UK.

9. LSAMO Forum UK Legislative change whilst not immediate, will proceed as required. The LSAMO Forum UK welcomes the opportunity to work with the CNOs of the four countries of the UK during the transition period to ensure that what is good about the current framework of supervision of midwives continues to be integral to the provision of care to women and their families in the future. In the interim prior to legislative change, the LSA Midwifery Officers will endeavour to continue to meet the NMC statutory requirements and we look forward to working with women, supervisors of midwives, midwives, the CNOs and other health service stakeholders to help us achieve this aim.

10. National - The revised Code Effective from 31 March 2015 http://www.nmc- uk.org/The-revised- Code/

11. Regional – Donaldson Report DHSSPS website http://www.dhsspsni.go v.uk/ Consultation

12. 10 recommendations 1.Coming together for world- class care 2.Strengthened commissioning 3.Transforming Your Care – action not words 4.Self-management of chronic disease 5.Better regulation 6. Making incident reports really count deaths of children from natural causes should not be classified as Serious Adverse Incidents; a duty of candour should be introduced a limited list of Never Events should be created 7. A beacon of excellence in patient safety 1. - we recommend the establishment of a Northern Ireland Institute for Patient Safety, 8.System-wide data and goals 9.Moving to the forefront of new technology 10. A much stronger patient voice

13. Ernest Shackleton Difficulties are just things to overcome, after all.

14. CS Lewis

15. And finally… Thank you and safe home