The Maternity and Neonatal Safety Improvement Programme (MatNeoSIP), was renamed following the launch of the NHS Patient Safety Strategy in July 2019. It was previously known as the Maternal and Neonatal Health Safety Collaborative. For more information visit NHS Improvement’s page on the collaborative.
Please bookmark this page for your reference as it will be updated throughout the collaborative. Click below on the topic you are interested in…
About the Collaborative
Locally, we are working in partnership with our Local Maternity Systems (LMS) and other partners including:
- South West Maternity and Children’s Network
- South West Neonatal Operational Delivery Network
- South West Academic Health Science Network
- Better Births Gloucestershire
Download maps of our local learning system region which covers the West of England and Somerset.
The South West Clinical Maternity Network have produced very helpful frequently asked questions on Local Learning Systems.
Watch this video produced by the South West Neonatal Operational Delivery Network: A guide for parents on what to expect when on a neonatal unit
We aim to:
- improve the safety and outcomes of maternal and neonatal care by reducing unwarranted variation and provide a high quality healthcare experience for all women, babies and families across maternity and neonatal care settings in England
- contribute to the national ambition, set out in Better Births of reducing the rates of maternal and neonatal deaths, stillbirths, and brain injuries that occur during or soon after birth by 20% by 2020
Resources for Trusts in Wave 3:
Driver diagrams and change packages
- National driver diagram
- Increasing the proportion of smoke-free pregnancies
- Improve the optimisation and stabilisation of the very pre-term infant
- Improve the detection and management of diabetes in pregnancy
- Improve the detection and management of neonatal hypoglycaemia
- Improve the early recognition and management of deterioration of either mother or baby during or soon after birth
Save the date for our 2020 events:
- Wednesday 4 March 2020, West of England Learning System Event 6, Holiday Inn Filton, Bristol
- Wednesday 13 May 2020, West of England Learning System Event 7, Holiday Inn Filton, Bristol
- Wednesday 8 July 2020, West of England Learning System Event 8, Holiday Inn Filton, Bristol
- Wednesday 14 October 2020, West of England Learning System Event 9, Holiday Inn Filton, Bristol
March 1 2018, National Sharing Day. Plenary presentation
May 9-11 2018, Wave 2 Learning Set 1 (Manchester). Guidebook access MN18.
July 3 2018, Local Learning System 1 (Bristol). Slides and Output report
September 11-13 2018, Wave 2 Learning Set 2. (London). Guidebook access W2LS2.
October 10 2018, Local Learning System 2 (Bristol). Slides
January 16-18 2019, Wave 3 Learning Set 3 (Bristol). Guidebook access W2LS3.
February 2019, Local Learning Set 3 (Bristol). Slides
May 8-10 2019, Wave 1 Learning Set 1 (Bristol). Guidebook access W3LS1.
March 25 2019 — Launch event in London.
May 8 2019 — National Learning Set 1. Guidebook access W3LS1
May 22 2019 — Local Learning System 4, Bristol. Slides
July 2019 — National Learning Set 1. Guidebook access W3LS2
October 2019 — Local Learning System 5, Bristol, Slides and worksheets on reliability
November 2019 — National Learning Set 3, Guidebook access W3LS3
March 9 2020 — National Learning and Sharing event, Manchester
Watch and Read
Introduction to Quality Improvement Training
At the Learning level the subject may be new to you. You will gain an understanding of the subject and know where it fits within the improvement process. You do not have to have developed competency in all areas before you move onto the next level. It is important to be aware that you could be at the Learn level in one subject, such as Measurement, but in the subject of Using PDSAs you may be at the Lead level.
Watch and share this video from Dr Mike Evans on QI in healthcare.
Read one of Sonia Sparkles’s sketchnotes in particular her excellent illustrated guide to QI produced with East London NHS Foundation Trust.
Watch Human Factors: A Quick Guide.
Online training through the Improvement Academy Bronze QI training
Attend an “Anyone for tennis? Introduction to QI” workshop
Improvement Academy: Human Factors Bronze level
Applying your Quality Improvement knowledge in practice
At the Living level you will be starting to apply your knowledge and will be on the road to developing your skills in practice. You may find that you feel your confidence and skills transitioning from being a novice user of the skills progress you to becoming a confident implementer. You will be using the knowledge and skills in your improvement work alongside others in the project team or independently. You will be aiming to feel that you are “living” the skills in your day to day improvement work.
Watch an introduction to Quality Improvement in 4 objects — a Russian Doll, a lamp, a tally sheet, and scales and then read the supporting blog post.
Access the MINDSET QI toolkit at http://mindsetqi.net
Read our Guide to Quality Improvement: a handy, A5 sized handbook, which explains what QI science is all about and how it can be used to deliver safer and better patient care
Apply for the Q network at https://q.health.org.uk/join-q/
Hard copy run chart poster from 1000 lives wales.
NHS Scotland Culture safety discussion cards
Online training through Improvement Fundamentals
1. Quality improvement theory
2. Quality improvement tools
3. Measuring for quality improvement
4. Spreading quality improvement
Access IHI Open School (contact your improvement lead for password)
Join NHS Horizons School for Change Agents.
Leading yourself and others in quality improvement
At the Leading level you will be confident that you are able to lead yourself and others in the implementation of a subject area. It may be that you lead a new improvement team through the exercise of writing a driver diagram. You do not need to be a leader in your job role to be a leader of QI – anybody in the improvement team can progress through the competency levels of the 3 Ls and become a Leader.
Watch Bill Lucas talk on the Habits of an Improver
Read Plot the Dots guide and access resources.
Watch videos at The Little Voice Inside
Wessex AHSN’s keys to positive practice
Online training through Future Learn Quality Improvement in Healthcare
Online training through the Edward Jenner programme
Host your own “Anyone for tennis?” session with a team
Developed based on the 3Ls model initiated by the South of England Mental Health Quality and Patient Safety Improvement Collaborative
Read and share resources shared through national and local learning sets:
- First steps towards quality improvement
- Bringing lean to life
- Leading Large Scale Change: A practical guide
- Plan, Do, Study, Act (PDSA) cycles and a guide to the model for improvement
- Guide to process mapping and summary
- A guide to support maternity safety champions
- Read a one-page guide from the Sheffield Microsystems Coaching Academy on clinical microsystems.
Smoke-free pregnancy resources
The Smoking in Pregnancy Challenge Group have a number of useful resources including
- A briefing on the use of incentive schemes to support pregnant women to quit smoking. The briefing should support the commissioning of incentive schemes and give both commissioners and practitioners a set of ‘lessons for practice’ to consider before launching such schemes: download here.
- Updated resources on the use of e-cigarettes in pregnancy:
- An updated guide for maternity and other healthcare professionals, including a summary of the evidence on e-cigarettes and suggested responses to some frequently asked questions: download here.
- A short key messages document for health professionals working with pregnant women and their babies: download here.
- An updated infographic for pregnant women: download here.
They have also recently set up a network of Smokefree Pregnancy Champions to bring together individuals from maternity settings who have responsibility for implementing national guidance on smoking in pregnancy to share practice and learning, receive regular updates on new research, policy development and resources, and feed into national discussions on supporting local areas to reduce SATOD rates.
A guide to being a Smokefree Pregnancy Champion can be found here along with an introductory letter from our Challenge Group Co-Chairs and the National Smokefree Pregnancy Champions, Jacqueline Dunkley-Bent and Viv Bennett.
- The National Centre for Smoking Cessation and Training has good resources and training videos, the link is: https://www.ncsct.co.uk/publication_ncsct_stp_pw.php
Deteriorating patient resources
As part of the programme, trusts carry out a survey on their safety, culture and leadership. Some resources to support the debriefing process.
Image from the Awkward Yeti
- Debriefing quick tips
- Interpreting and using your results
- An orientation to SCORE and debriefing from SW AHSN
- Debriefing case study from Primary Care Collaborative
- Debriefing sample agenda from Primary Care Collaborative
- Summary report on insights from culture surveys in Wave 1 and 2: Measuring safety culture in maternal and neonatal services — using safety culture insight to support quality improvement
- Guide developed from Waves 1 and 2: Implementing huddles and handovers — a framework for practice in maternity units
- NHS Scotland safety culture discussion cards
Culture simply means ‘the way we doing things around here’. It’s a way of quantifying what it feels like to come to work. A good culture usually means that people enjoy coming to work and feel like a valued member of the team. It’s not about what you do but the way in which you do it in terms of the interactions between people in a unit, team or department.
A good culture cannot be provided by leaders, although they do have a part to play. Culture is local and each member of the team needs to understand their role in supporting and contributing to a positive culture and work environment for everyone, every day. Leaders must drive the culture change by demonstrating their own commitment to safety culture and providing the resources to achieve a culture of safety.
Read the Just Culture guide from NHS Improvement.
Read Wessex AHSN’s keys to positive practice.
Watch this animation which shows the Circle of Care – a framework to help healthcare professionals think about, practice and demonstrate high-quality compassionate healthcare. This framework re-envisions compassionate healthcare by placing it in a broad social and interpersonal context, describing a multi-directional flow of care between healthcare professionals and their colleagues, patients and carers. Crucially, healthcare professionals must also care for themselves. Circle of Care was created as a result of a collaboration between the Simulation and Interactive Learning Centre (SaIL) at Guy’s and St Thomas’ NHS Foundation Trust (GSTT), and Clod Ensemble’s Performing Medicine programme.
Read about the connection between work-life balance and safety in this article by James Reason: three buckets model.
Read Safer Healthcare: Strategies for the Real World — this is a free e-book from Professor Charles Vincent and Dr René Amalberti.
Say thank you to a member of your team who has helped you today.
Print some Kudos cards — these are free-to-download cards that you can use for thanking and praising people in your team.
Reflect on how you share praise within your team. How do you pass on positive feedback from patients? How could you improve this?
Reflect on ways to improve communication within your team. You may want to discuss with a colleague or at a team meeting. One technique we have found helpful for these discussions is called TRIZ.
Read about human factors. Communication, teamwork, and resilience are some human factors which can affect safety. The environment in which individuals and teams work, as well as aspects of the task itself, can also have an impact. Human Factors in Healthcare: Common Terms published by the Clinical Human Factors Group is a great introduction to some of the terms used in this field.
Watch The Voice Inside videos and use in conversation with teams — these explore a number of cultural factors affecting maternity safety. The RCOG has also produced a great video on Human Factors and Situational Awareness.
Read the book Black Box Thinking by Matthew Syed or watch his talk.
Read the book How to Have a Good Day by Caroline Webb.
Read Human Factors in Healthcare by Debbie Rosenorn-Lanng — available in two parts (Level 1 and Level 2).
Watch videos on Human Factors produced by the Clinical Human Factors Group.
Ask a member of the AHSN team to present our human factors awareness session at a team meeting.