1. London LSA Conference

2. Key Findings from London LSA Annual Report 14/15 and update. Jessica Read LSA Midwifery Officer for London 13 th November 2015

3. Key Figures for London LSA Birth rate: 130,820 Midwives: 6289 SoMs: 386 London Wide SoM: Midwife ratio: 1:15 19/22 Trusts appointed Full Time SoM Total MLU Births: 16% (range 12.3 - 21%) Home Birth rate: 1.7% C/S Rate across London: 28%

4. Maternal Death 31 2 Direct death (1 x MOH, 1 x AFE) 21 Indirect deaths Main causes of indirect deaths: 5 Cerebral event / haemmorhage 5 carcinoma / metastatic disease 3 Cardio-vascular causes / dissecting aneurysm 2011/122012/132013/142014/15 Numbers 2319 25

5. London LSA Activity Investigations

6. London LSA Activity Appointment of SoMs to Recruitment Agencies / First LSA Audit Jan 2015 Audit of Investigations (143: 13-14) Provision of external LSAPP / Collaborative working with St Georges and Kingston University Guernsey Benchmarking tool Documentation working group http://www.londonlsa.org.uk/

7. SoM challenges

8. SoM Challenges CQC Inspections / Increased Scrutiny/Special Measures Reconfigurations of services Increased complexity Future of Statutory Supervision; subsequent de- stabilisation

9. SoM Achievements SoM clinics SoM facilitated bespoke training packages Raising the profile: SoM email / Posters / supporting staff / Annual reports Use of Social Media Clinical Initiatives

10. This year………. Focus on the Safety of Mothers and babies Contributing to design of future model of Supervision Revise the Annual Review tool Evaluate the role of the FT SoM Motivate and encourage others

11. Thank You! …… to every Supervisor of Midwives in London who commits time and energy to protecting the women and their families of London and supporting midwives in practice.