Enhancing Transitional Care in Maternity and Neonatal Services at NHS Ayrshire and Arran
Improvement Hub
Enabling health and
social care improvement
Re-Introduction of Transitional Care
within the Maternity and Neonatal
Service, NHS Ayrshire and Arran
Caroline Blake, CMM, Neonatal and Maternity In Patient Services
Tricia Tennant, SCM, In-Patient Ward, AMU
Marie McNairney, NNU Co-ordinator
Aims and Measures
Our aim was to Introduce Transitional Care within the
Neonatal Ward and Maternity In-Patient Ward to all
relevant families by March 2019
Measures
Reduction in Term Admissions to the NNU
Family Satisfaction
PSDA Ramp
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Improvement methodology also used utilising PDSA in the identification and
training of appropriate staff
Testing, Implementing and Spreading
•
Testing
–
The Use of appropriate areas
–
Staff education
•
Implementing
–
Use of one family room in NNU
–
Designated cohort of staff in In-Patient ward trained
–
Guideline and training pack tested and implemented
•
Spreading
–
The use of family rooms in NNU
–
The use of four bedded area in In-patient ward
–
All MCA staff trained in In-patient ward
–
Designated cohort of midwifery staff trained in In-Patient ward
Teamwork & Engagement
•
Identified Team Leads (NNU & In-Patient Ward, AMU)
•
Identified Neonatal Buddy to work with MCAs in In-Patient Ward
•
One to One Training provided for staff who required additional
mentoring
•
Promotion and sharing of work discussed at department safety
briefs and AMU safety brief
•
Poster to allow staff to provide feedback visible in both
departments
Successes and Challenges
•
Success
–
Empowering parents
–
Avoiding unnecessary separation of mothers and babies
–
Increasing NNU capacity and allowing earlier repatriation
–
Increased opportunity for parental peer support
–
Commitment from the staff to make it work
–
Staff development (maternity care assistants developing skills)
–
Enhancing communication and collaborative work between
Neonatal and Maternity Services
•
Challenges
–
Identifying the correct environment (space)
–
Identifying the appropriate management structure
–
Staff engagement
PARENTAL FEEDBACK
Lessons Learned:
•
Never underestimate staff
acceptance to change
•
Appreciate the differences in staff
culture and behaviours
•
Communication is key
Next Steps
•
Embed and sustain
•
Badgernet
•
Increased parental empowerment
•
Early discharge to community (tube
feeding)
Lessons Learned / Next Steps
It’s here to stay
Alternative title and layout slides
This project focused on reintroducing transitional care within the Maternity and Neonatal Service at NHS Ayrshire and Arran, aiming to enhance family satisfaction, reduce term admissions to the Neonatal Unit, and improve the overall care provided to families. Key strategies included changes in ward setup, staff training, testing, implementing, and spreading best practices, as well as fostering teamwork and engagement. Successes included empowering parents, avoiding unnecessary separations, increasing NNU capacity, and staff commitment, while challenges included identifying appropriate space and management structures, as well as engaging staff effectively.
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Presentation Transcript
Re-Introduction of Transitional Care within the Maternity and Neonatal Service, NHS Ayrshire and Arran Caroline Blake, CMM, Neonatal and Maternity In Patient Services Tricia Tennant, SCM, In-Patient Ward, AMU Marie McNairney, NNU Co-ordinator Improvement Hub Enabling health and social care improvement
Aims and Measures Our aim was to Introduce Transitional Care within the Neonatal Ward and Maternity In-Patient Ward to all relevant families by March 2019 Measures Reduction in Term Admissions to the NNU Family Satisfaction
PSDA Ramp Change 4: Use of four bedded area in In-patient ward A P S D Change 3: Use of one family room in the In-Patient Ward Change 2: Altered the use of family room NNU A P S D Change 1: One parent in family room NNU Improvement methodology also used utilising PDSA in the identification and training of appropriate staff
Testing, Implementing and Spreading Testing The Use of appropriate areas Staff education Implementing Use of one family room in NNU Designated cohort of staff in In-Patient ward trained Guideline and training pack tested and implemented Spreading The use of family rooms in NNU The use of four bedded area in In-patient ward All MCA staff trained in In-patient ward Designated cohort of midwifery staff trained in In-Patient ward
Teamwork & Engagement Identified Team Leads (NNU & In-Patient Ward, AMU) Identified Neonatal Buddy to work with MCAs in In-Patient Ward One to One Training provided for staff who required additional mentoring Promotion and sharing of work discussed at department safety briefs and AMU safety brief Poster to allow staff to provide feedback visible in both departments
Successes and Challenges Success Empowering parents Avoiding unnecessary separation of mothers and babies Increasing NNU capacity and allowing earlier repatriation Increased opportunity for parental peer support Commitment from the staff to make it work Staff development (maternity care assistants developing skills) Enhancing communication and collaborative work between Neonatal and Maternity Services Challenges Identifying the correct environment (space) Identifying the appropriate management structure Staff engagement
Lessons Learned / Next Steps Lessons Learned: Never underestimate staff acceptance to change Appreciate the differences in staff culture and behaviours Communication is key Next Steps Embed and sustain Badgernet Increased parental empowerment Early discharge to community (tube feeding)
