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The NICE guidance on Safe Midwife Staffing in Maternity Settings

Professor Jacqueline Dunkley-Bent Director of Midwifery & Divisional Director of Nursing at Imperial College Healthcare NHS Trust & Specialist Committee Member, Safe Midwife Staffing in Maternity Settings, NICE spoke at today’s Safe Midwife Staffing in Maternity Settings conference on:

• key elements of the new guidance and implementation in practice
• implementing the NICE Guidance for Safe Staffing in maternity settings
• ensuring all organisations have a plan for all midwife care to be delivered by registered midwives and includes step-by-step guidance on determining the number of midwives required and how to be flexible to unplanned variations
• staffing levels and patient safety: should there be guaranteed staffing levels?

NICE released the new guidance Safe Midwife Staffing for Maternity Settings on 27th February 2015, full information is here  

In her presentation Prof Dunkley-Bent outlined the recommendations for Trust Board and Senior Midwife Managers and discussed setting midwifery establishments and then reviewing regularly to ensure staffing supports the provision of a safe maternity service. 

In her presentation Prof Dunkely-Bent talked about:

Staffing vs outcomes

Guidance- recommendations for everyone and all have a part to play

Jacqueline has 82 million budget used to be 88 million-

Nice Way- “the trust board should ensure that the budget for maternity services covers the required midwifery staffing establishment for all settings including uplift”

Working with your specialist team so everyone knows how others work and what they deal with i.e. bereavement specialist having one day on the labour ward

Kings fund report is challenging to read

Escalation plan- stresses to look at this in detail and will inform and manager your peaks and troughs

What the guidance doesn’t tell us! NICE has not told us how to do this

NICE have not told us on anything on ratios on other areas- community

Qualified in 1988 and the debates that were happening then are still having now in 2015

Between now and 2032 Number of live births is projected to fluctuate between 680,00 and 730,000 births per year

The toolkits that NICE are proposing, everyone is submitting suggestions

Network and business plans need to be shared so everyone can work together along with supporting

Prof Dunkley-Bent’s full presentation is available for download at the end of this page.

Prof Dunkley-Bent has vast experience in healthcare provision. She has worked as a midwife and a nurse and held senior positions in education, leadership and management in the NHS and higher education. Jacqueline is currently Director of Midwifery and Divisional Director of Nursing for Women’s and Children’s services at Imperial College Healthcare Trust. She is visiting professor at Kings College London and London South Bank University. Whilst maintaining clinical practice, she has led the development of national maternity standards and guidance. She has worked as an expert advisor and consultant on behalf of NHS England and Monitor in various NHS organisations that had a higher than average maternal and perinatal mortality rate. Jacqueline is a member of the British Journal of Midwifery editorial board and is a council member of the Maternity and Newborn Forum at the Royal Society of Medicine. She was appointed to the London Clinical Senate Council in 2013. In more recent times, Jacqueline has worked as a subject specialist advisor for the NICE midwifery safe staffing committee.

Forthcoming events of interest:

This conference will be held again in London on 6 July 2015, contact us for the full programme.

Implementing The NMC Revised Code of Professional Standards of Practice and Behaviour for Nurses and Midwives
Tuesday 19 May 
Hallam Conference Centre, London

Improving the Quality of Perinatal Mental Health Services
Tuesday 19 May 
Hallam Conference Centre, London

Download: Prof Jacqueline Dunkley-Bent full presentation

10 March 2015


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