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Our maternity and neonatal work aims to improve maternity services for women and their families and drive local quality improvement to deliver safer care for mothers and babies.
The North Central London Local Maternity System is one of seven ‘Early Adopters’ chosen by NHS England to lead the way in transforming local maternity services, in line with the National Maternity Review.
The North Central London (NCL) Local Maternity System (LMS), brings together commissioners from five Clinical Commissioning Groups (Barnet, Enfield, Haringey, Camden and Islington), four provider trusts (North Middlesex, Royal Free, UCLH and Whittington Health) and maternity service users in north central London.
In line with the National Maternity Review, Better Births: Improving outcomes of maternity services in England, NCL LMS will plan improvements to maternity services for women, and their families, living in Barnet, Enfield, Camden, Haringey and Islington.
UCLPartners are supporting NCL LMS in delivering these improvements and will support an evaluation of the impact these changes have.
Strategic objectives of the programme
- Personalisation and choice – This will focus on standardising booking processes to ensure personalisation of care, based on women’s preferences for place-of-birth and ensuring equal access to services and consistent choices for all women.
- Improving community services – This will involve the development of two community based midwifery hubs, with an emphasis on improving continuity of carer in the ante and postnatal periods.
- An online Single Point of Access – This will be developed to ensure that the NCL LMS can effectively deliver high quality information about the choices available to pregnant women, and their families, from first contact at booking, and throughout the maternity care pathway. The Single Point of Access will support the development of a new payment system for NHS maternity care.
- Quality and safety – This focuses on sharing learning from audits and reviews, to drive local quality improvement and deliver safer care for mothers and babies. Health care professionals and maternity service users will work together to develop a safer working culture across the LMS.
- Collaborative working approach – This will be implemented to address ‘out of area’ and cross-boundary issues through the development of a mobile workforce, that can effectively work across the NCL LMS, improving continuity of carer and safety.
Watch this film about our progress setting up community hubs
Programme leadership: Charlotte McClymont, Programme Manager, UCLPartners
The London Neonatal Operational Delivery Network (ODN) brings together clinical expertise and the input of patients to provide specialist resources. UCLPartners hosts the London Neonatal ODN on behalf of NHS England. The network focuses on operational delivery and aims to:
- Ensure the delivery of safe, high quality and equitable neonatal services across the patient pathway
- Focus on the principles that support ‘Right Care’ to manage the right patient in the right place as close to home as possible
- Improve cross-organisational, multi-professional clinical engagement and patient/carer engagement to improve patient experience and outcomes.
PReCePT, which stands for The Prevention of Cerebral Palsy in PreTerm Labour, is an initiative has been designed to help reduce cerebral palsy in babies by administering magnesium sulphate (MgSO4) to mothers during preterm labour.
UCLPartners is working with trusts across the region to increase the use of magnesium sulphate for neuroprotection to 85% of eligible pre-term births. This work is part of a national ambition underway with all the AHSNs in the country to help reduce the rates of cerebral palsy. Read more about this work on our patient safety pages.
UCLPartners Patient Safety Collaborative is supporting maternity and neonatal teams in the region to work together to improve the outcomes and experience of babies and families. Read more about this work here.