Evaluation of Maternity Safety Support Project - NHS Improvement

Closed 20 Feb 2019

Opened 21 Jan 2019

Results expected 28 Feb 2019

Feedback expected 29 Mar 2019


Background to the Project:

The publication of NHS England, The Five Year Forward View (2014) asked for a Review of Maternity Services across England, which culminated in the new vision for Maternity Care as outlined in the document Better Births (2016), this in turn has resulted in an increased focus on how women and their families receive care and the outcomes of their care during their contact with the NHS. 

The Secretary of State at the time, subsequently launched in November 2016, the National Maternity Safety Ambition to reduce the number of stillbirths, perinataldeaths, maternal deaths and babies born with brain injuries by 50% by 2025. 

In support of the safety ambition a number of Trust delivered initiatives were announced including the Saving Babies Lives Care Bundle and the Maternity and Neonatal Health and Safety Collaborative.  With an increased national focus on improving outcomes for women and babies in maternity services, the former Secretary of State asked for targeted support for Maternity Units that are challenged and may have been rated Inadequate overall or for the Safe and/or Well Led domains by the CQC. 

This project sets out to support any development needed to improve governance, staff engagement, and increased responsiveness to women’s voices, leadership and quality improvement in order to affect sustained change in the five Care Quality Commission domains: safety, effectiveness, responsiveness, caring and well led.

The project has been managed alongside the emergence of new policies from government departments and internal changes within NHS England and NHS Improvement.  A maternity improvement advisor was appointed for each identified Trust or those considered significantly challenged by NHSi, to act on behalf of NHSi and to support each Trust to deliver improvements in the quality and safety of their services for patients at pace and in way that sustains change.

The Maternity Improvement Advisors work primarily with the executive clinical directors and the divisional leaders to deliver the outcomes required from special measures and improvements in the quality, safety and sustainability of services for women and their families.  Their role is advisory, working closely with the leadership of both the maternity service and the trust, but without cutting across the jurisdiction or responsibilities of their respective Boards.


Why We Are Consulting

The Evaluation Survey:

Each of the NHS provider organisations who are part of the MSSL project will be included within the evaluation of the programme. The evaluation is to inform how the future of the project can be improved and which areas of support require further development or investment.

Your MSSL Maternity Improvement Advisor will also welcome a later discussion with in each organisation (to include: Director of Nursing, the DoM/HoM, Lead clinician et al) with the aim to identify the key successes and challenges of the project as identified by the survey responses. These elements will allow some quantitative and qualitative feedback to NHSI as to the impact of the work undertaken within the Maternity Support Offer and to consider any learning from the initial approach and to influence future work of the Maternity Improvement Team as other Trusts join the Programme.

The Maternity Advisory Support Team would like to thank you in anticipation of your feedback which will help us improve for the future.

What Happens Next

Please complete the survey and submit by Wednesday 20th Februrary 2019.

NHS Improvement will then complete an analysis of the findings and write a synopsis report to disseminate back to the Trusts aligned to the programme.

Thank you for your participation.