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This conference emphasizes a comprehensive approach to enhance safety in maternity services. Its central objective is to learn and apply recommendations derived from recent independent reviews and implications of PSIRF, as well as experiences of implementation from an early adopters perspective. We will also be learning how maternity care is changing globally and the impact it has on safe and personal care. Another focus of this conference will be learning about the role of Maternity Voices Partnership in raising concerns over safety.
““Many people are still not receiving the safe, good quality maternity care that they deserve”
Care Quality Commission The state of health care and adult social care in England 2022/23 October 2023
“Women should feel confident that they will receive safe, effective, compassionate maternity care that focuses on their individual needs. That is the experience of many people. But too many families still face care that puts the safety and wellbeing of women and babies at risk… Maternity services have had more policy recommendations than any other health area. But there have still been major service failures… If we do not start tackling these issues differently, there will be more tragedies.”
Parliamentary Health Service Ombudsman March 2023
“The quality of maternity care is not good enough. Action to ensure all women have access to safe, effective and truly personalised maternity care has not been sufficiently prioritised to reduce risk and help prevent tragedies from occurring… our ratings as of 31 July 2022 show that the quality of maternity services is getting worse, with 6% of NHS services (9 out of 139) now rated as inadequate and 32% (45 services) rated as requires improvement. This means that the care in almost 2 out of every 5 maternity units is not good enough.”
Care Quality Commission State of Care October 2022
“It’s up to us as an organisation to govern ourselves when it comes to PSIRF; are we happy with the quality of the work we’re producing? What are we going to do with the safety actions and areas for improvement? We are not time bound to deliver something to our commissioners by 5pm on a Friday anymore; we are bound to deliver something for our patients involved in patient safety incidents. This shift in thinking has had a huge impact on how we manage all incidents in our Trust, not just serious ones.”
Lucy Winstanley, Head of Patient Safety & Quality West Suffolk NHS Foundation Trust February 2023
“The introduction of this framework represents a significant shift in the way the NHS responds to patient safety incidents, increasing focus on understanding how incidents happen – including the factors which contribute to them.”
Aidan Fowler, National Director of Patient Safety, NHS England, August 2022
“The NHS could be much better at identifying poorly performing units, at giving care with compassion and kindness, at teamworking with a common purpose, and at responding to challenge with honesty… unless these difficult vi areas are tackled, we will surely see the same failures arise somewhere else, sooner rather than later. This Report must be a catalyst for tackling these embedded, deep-rooted problems.”
Dr Bill Kirkup CBE Reading the signals: maternity and neonatal services in East Kent, the report of the independent investigation October 2022
This conference will enable you to:
Network with colleagues who are working to improve safety in maternity services
Reflect on national developments and learning and how you can accelerate improvements in your maternity service
Update your knowledge on the New Patient Safety Incident Response Framework and how it applies to maternity services
Self assess your service against the Local Actions for Learning, (LAfL) and Immediate and Essential Actions from the Ockenden Report
Develop your skills in PSIRF implementation and understand decision making in incident investigation
Ensure assurance and accountability for implementing the recommendations and learning from Ockenden, East Kent and Nottingham
Improving Maternity Care & Safety for Women from Black and Minority Ethnic Groups
Understand the role and ensure effective engagements with Maternity Voice Partnerships
Improve the way you embed the role of the MVP in services
Reflect on training and education in maternity services and how this can be supported and improved
Understand how you can nurture a positive culture and freedom to speak up in maternity care
Identify key strategies for improving leadership, teamwork and culture in maternity services
Learn from the Ockenden Report and implement recommendations regarding stillbirth
Improve investigation and learning from adverse outcomes
Self assess and reflect on your own practice
Supports CPD professional development and acts as revalidation evidence. This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes
