NHS Long Term Plan - Maternity Provisions
The NHS has recently released their plan for the Health Service for the next 5 years with details on progress towards a new service model, prevention of health inequalities, improving care and quality outcomes, tackling workforce pressures and enabling digital progress. Within the plans are provisions for maternity and neonatal care.
The plan sets out the NHS aim to achieve 50% reductions in stillbirth, maternal mortality, neonatal mortality and serious brain injury by 2025. Detailed in the plan is how this will be achieved including:
There are also several other areas of focus within the plan that effect maternity. The plan sets out increasing provisions for expectant mothers, and their partners to reduce smoking with a new smoke-free pregnancy pathway including focused sessions and treatments.
To improve equality of care there are plans to implement an enhanced and targeted continuity of carer model to help improve outcomes for the most vulnerable mothers and babies with the aim to achieve 75% of BAME women receiving continuity of care by 2024.
To help address staffing concerns a national workforce group including a chief midwifery officer will be set up to support the workforce implementation plan. Every nurse or midwife graduating will also be offered a five-year NHS job guarantee within the region where they qualify and medical school places and changes to training for doctors will be explored.
The plan also details provision to help support and retain the current workforce through skills development and career progression, promoting flexibility and wellbeing, addressing bullying and harassment and improved mental health support for doctors.
The full plan is available here with the specific Maternity and Neonatal provision starting on page 46.
ACOG Practice Bulletin: Gestational Hypertension and Preeclampsia summary
ACOG have recently released a Practice Bulletin on Gestational Hypertension and Preeclampsia covering recommendations for prenatal assessment and perinatal management, including delivery. ObGProject has provided a summary of the bulletin including:
ObGProject also provide a test on the bulletin to allow you to check your understanding of the guidance both of which are available here.
The full ACOG practice bulletin list can be found here.