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The Triumphs & Challenges The Triumphs & Challenges as a Team of Supervisors of as a Team of Supervisors of

MidwivesMidwives

The Team of Supervisors of Midwives atThe Team of Supervisors of Midwives atNorth Bristol NHS TrustNorth Bristol NHS Trust

Southmead HospitalSouthmead Hospital

October 2012October 2012

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BackgroundBackground

The team of Supervisors of Midwives (SOM) at North Bristol NHS Trust (NBT) consist of 15 midwives from varying backgrounds who have a full caseload & participate in the on-call rota

In addition there is one educationalist SOM

One SOM working in Practice Development as part of her flexible retirement

One SOM is an antenatal screening co-ordinator

We currently have one student SOM and are in the process of recruiting for the next cohort of students in January 2013

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ChallengesChallenges

To maintain the number of SOMS (and To maintain the number of SOMS (and SOM:Midwife ratio) due to a recent increase in SOM:Midwife ratio) due to a recent increase in turnover - To develop a strategy for appointing and turnover - To develop a strategy for appointing and retaining SOMS and ensuring their ongoing retaining SOMS and ensuring their ongoing professional and personal developmentprofessional and personal development

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ChallengesChallenges

Supporting the staff Supporting the staff through a very busy year, through a very busy year, with a more complex with a more complex caseload of women and an caseload of women and an increasing birth rateincreasing birth rate

Supporting the staff Supporting the staff through extreme peaks of through extreme peaks of activity ‘fresh eyes activity ‘fresh eyes approach’ - including partial approach’ - including partial suspension of servicessuspension of services

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ChallengesChallenges

Supporting the staff through an organisational Supporting the staff through an organisational change which involved revising the skill mix change which involved revising the skill mix within the maternity serviceswithin the maternity services

midwives reapplying for their jobsmidwives reapplying for their jobs support with interview preparationsupport with interview preparation being re-bandedbeing re-banded The development, introduction and support of new roles The development, introduction and support of new roles

– MCA band 3– MCA band 3 Different ways of working – ‘letting go’ of the traditional Different ways of working – ‘letting go’ of the traditional

ways in order to embrace the new ways in order to embrace the new

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ChallengesChallenges Protected TimeProtected Time

Each SOM currently has 4 hours per monthEach SOM currently has 4 hours per month

Time is needed for activities such as:Time is needed for activities such as:o Monthly SOM meetingMonthly SOM meetingo Annual Supervisory ReviewsAnnual Supervisory Reviewso Investigating Drug ErrorsInvestigating Drug Errorso Undertaking Supported/Supervised PracticeUndertaking Supported/Supervised Practiceo Completing LSA AuditsCompleting LSA Auditso Meeting with women Meeting with women o ComplaintsComplaintso Mentoring Student SOMSMentoring Student SOMSo Meeting and supporting Student MidwivesMeeting and supporting Student Midwiveso Supporting Supervisees Supporting Supervisees o Audit and GuidelinesAudit and Guidelineso TeachingTeaching

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TriumphsTriumphs

Provide a 24 hour on-call systemProvide a 24 hour on-call system

Supporting two midwives, one internal and one Supporting two midwives, one internal and one external, through a supervised practice programme external, through a supervised practice programme with a successful outcomewith a successful outcome

Achieving CNST Level 3 – upholding standards Achieving CNST Level 3 – upholding standards through successfully achieving thisthrough successfully achieving this

Birth Afterthoughts Service for debriefing womenBirth Afterthoughts Service for debriefing women

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TriumphsTriumphs

Supporting staff involved in serious SI’s Supporting staff involved in serious SI’s including statement writing and debriefingincluding statement writing and debriefing

Supporting midwives caring for women who Supporting midwives caring for women who make choices and decisions against medical make choices and decisions against medical advice e.g. declining IOL, CS, VBAC at home advice e.g. declining IOL, CS, VBAC at home

Supporting women and their partners Supporting women and their partners making an informed choice for their labour making an informed choice for their labour and birth experience and birth experience

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TriumphsTriumphs

Introduction of notice boards informing Introduction of notice boards informing women and their families about Supervision women and their families about Supervision of Midwives and the role of the Supervisorof Midwives and the role of the Supervisor

Continuing development of a North Bristol Continuing development of a North Bristol Trust Supervisor of Midwives web pageTrust Supervisor of Midwives web page

NBT Supervisors have received positive NBT Supervisors have received positive feedback from the women who have feedback from the women who have accessed themaccessed them

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TriumphsTriumphs

Developing the extended role of the Midwife Developing the extended role of the Midwife and MCA on the Assessment Unit and MCA on the Assessment Unit

The SOMS at NBT have developed a new The SOMS at NBT have developed a new Guideline called ‘The Role of the Supervisor Guideline called ‘The Role of the Supervisor of Midwives on-call in Excessive Peaks of of Midwives on-call in Excessive Peaks of Activity’ to ensure clarity of the role of the Activity’ to ensure clarity of the role of the SOM at these timesSOM at these times

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TriumphsTriumphs

The Supervisors at NBT are involved with:The Supervisors at NBT are involved with:

Antenatal, Intrapartum & Postnatal Clinical TeamsAntenatal, Intrapartum & Postnatal Clinical Teams Normal Birth Working GroupNormal Birth Working Group Multiprofessional Safeguarding TeamMultiprofessional Safeguarding Team Clinical Governance and Risk Management ForumsClinical Governance and Risk Management Forums Clinical Negligence Scheme for Trusts (CNST)Clinical Negligence Scheme for Trusts (CNST) Directorate Health and Safety CommitteeDirectorate Health and Safety Committee PROMPTPROMPT Local maternity training – Local maternity training – Intrapartum Study Day, Maternity ½ Day Intrapartum Study Day, Maternity ½ Day

Update, Assessment Unit Study DayUpdate, Assessment Unit Study Day Audit and Guidelines Audit and Guidelines Recruitment process for student midwivesRecruitment process for student midwives Teaching sessions at UWE – Teaching sessions at UWE – Preparation of Supervisor of Midwives Preparation of Supervisor of Midwives

CourseCourse

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SummarySummary

The team of Supervisors at North Bristol NHS Trust The team of Supervisors at North Bristol NHS Trust have a vast and varied wealth of knowledge and have a vast and varied wealth of knowledge and

experience. experience.

Although we face a number of challenges, together Although we face a number of challenges, together as a team we will endeavour to ensure the safety of as a team we will endeavour to ensure the safety of

all Mothers and Babies in our care.all Mothers and Babies in our care.

The team of Supervisors aim to deliver high quality The team of Supervisors aim to deliver high quality evidence based standards of midwifery care.evidence based standards of midwifery care.

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Any Any Questions?Questions?