REPORT TO PUBLIC TRUST BOARD (PUBLIC)
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REPORT TO PUBLIC TRUST BOARD (PUBLIC)
Achieving safe and appropriate midwifery staffing through
TITLE
implementation of Birth Rate Plus – implementation plan
AUTHOR Penny Snowden, Director of Midwifery
EXECUTIVE
Jo Bennis, Chief Nurse
SPONSOR
DATE OF MEETING 13th April 2021
PRESENTED FOR Decision
PURPOSE OF THE REPORT
For the Trust Board to approve the Birth Rate Plus Implementation Plan as part of
the Ockenden Report recommendations.
EXECUTIVE SUMMARY
The interim report into Maternity Care at Shrewsbury and Telford Hospital NHS
Trust known as the Ockenden Report was published in December 2020. In
February 2021, all Trusts were required to submit their progress against the twelve
clinical priorities which incorporated the seven immediate and essential actions.
One of those priorities was in relation to midwifery staffing with particular reference
that each Trust Board was required to approve a Birth-Rate Plus Implementation
Plan.
COMMITTEES/SUBGROUP WHERE THIS ITEM HAS BEEN CONSIDERED
Executive Directors - 24th March 2021
RECOMMENDATIONS
1. Trust Board to approve the attached Implementation Plan.
1STRATEGIC GOALS THIS REPORT SUPPORTS (Check all that apply)
Delivering outstanding care and experience √
Recruiting developing and retaining our workforce √
Improving and developing our services and infrastructure √
Working together with local health and social care providers
Delivering financial sustainability
RISKS RELEVANT TO THE PAPER
Risk ID Risk Description
001,005 Delivering Outstanding Care and Experience
006, 007 Recruiting, Developing and Retaining our Workforce
OTHER IMPLICATIONS OF THE PAPER
Legal/ Regulatory Regulation 12 : Safe Care,, Regulation 18: Appropriate
Relevance: staffing, Regulation 17 Good Governance Fundamental
Standards of Care Part 3 Health and Social Care Act, 2008
(updated 2014)
NHS Constitution The NHS aspires to the highest standards of excellence and
Delivery professionalism
Freedom of This report can be released under the Freedom of
Information Release information Act 2000
Equality and Diversity Implications (Check all that apply)
Ag Gend Ethnic Disabil Pregnan Marriag Religi Sexual Gender
e er ity ity cy/ e/ Civil on/ Orientat Reassign
Maternit Partners Belief ion ment
y hip
X
No Equality and Diversity Implications
2Midwifery Staffing Birth-rate Plus Implementation Plan
Key
BLUE GREEN AMBER RED White
Completed On track for delivery to Action not being Outstanding New Action – not yet
timescales implemented within commenced
timescales
Created: 8/02/2021, Updated March 9th 2021 Updated March 23rd 2021
No Objective Action Lead Timescale Progress Evidence RAG
(embedded or
required)
1 To ensure that To commission a full external DOM/HOM Complete Final report received 18th
the Organisation Birth-rate Plus review of March
is informed of midwifery staffing North West Anglia
the required NHS FT_ Final BR+ Report revised 18.03.21.pdf
midwifery To draft a paper for the ET DOM Complete Presented paper at
staffing resource that summarises the Birth- Executive Meeting on 10th
to safely care for rate Plus Report and the high March MIDWIFERY
women and their level Plan STAFFING REPORT TO EXECUTIVE TEAM MEETING 02
babies
To formulate the Midwifery DOM COMPLETE Trust Board paper drafted
Biannual Staffing paper that and waiting submission to
includes the results of the April Board Bi annual Staffing
BR+ final report for Board Paper March 2021 22.docx
Meeting on the 9th March
2021
32 To ensure To complete a review of HOM/DOM Complete Structure reviewed.
adequate Leadership Structure to Additional Leadership roles
leadership inform the BR+ Investment outlined in the BR+ paper BR+ Posts.docx
competency and Appraisal for Executives to comment
capacity to To work with Finance HOM 28th Completed and included in See report
deliver the Business Partner to cost up February BR+ paper above
required quality leadership roles 2021
improvement in To include leadership DOM/HOM/ 30th April Being progressed
accordance with financial investment in the GM 2021
internal, local Investment Appraisal
and national To support DHOM on the DOM/HOM 3/02/2021 Course commenced
drivers for Aspiring HOM Course
change Agenda -
Preliminary Leadership Session to the Deputy HoM
3 To ensure that To formulate an Investment DOM/HOM/ 30th April Being progressed
clinical staffing Appraisal for Trust Approval GM 2021
funding is for Midwifery staffing based
compliant with on the Birth-rate Plus
the Birth Rate To present the BR+ DOM/HOM COMPLETE Email sent on the 8th
Plus Report Investment Appraisal paper February requesting an
to the Midwifery Strategic agenda item
Leadership Board on the 10th
March 2021
To present the BR+ Report to DOM COMPLETE Agenda item agreed for the See above
the Executive Team on the 10th March 2021 papers
10th March 2021.
To gain Trust Board support DOM 13th April Agenda item booked and
to implement the BR+ 2021 extraordinary session with
recommendations on 13th TB to explain BR+
April 2021 methodology
4To review the midwifery HOM COMPLETE Included on posts required
establishments in light of the
BR+ recommendations
4 To ensure that To propose the DOM COMPLETE COCO projection up to 51%
actual clinical commissioning of an external completed
staffing is recruitment agency as part of NW Anglia_revised
compliant with the BR+ Business Case to Core & CoC Summary_17.03.21.xlsx
the Birth Rate assist with recruitment
Plus Report To develop a recruitment and GM/HOM 31st May
retention work plan to 2021
operationalise the BR+
Business Case
To engage with regional and GM/HOM 30th June
national overseas recruitment 2021
projects
To report to the workforce GM/HOM 31st May
committee to oversee 2021
progress of recruitment of
staff and operational
management of staffing to
preserve safety of the
maternity service
To work with flexible staffing HOM COMPLETE This is in place
regarding long line booking of
bank and agency staff
5 To ensure that To commission BR Plus to DOM COMPLETE Report received See report
funded staffing include Continuity of Carer in embedded
resource appendix to final report above
supports the To include staffing DOM COMPLETE Included in Exec and TB See papers
implementation requirement in the BR+ papers above
5of Continuity of Report to support the COC
Carer implementation trajectory
To meet with National DOM/HOM COMPLETE Report Received See above
Continuity of Carer Lead
regarding BR+ figures for
Continuity of Carer to review
implementation plan and
trajectory
6 To improve To review Business HOM 31st May Review has commenced
workforce Continuity Plan (BCP) for 2021
governance to Staffing
preserve safety To ratify the new BCP for HOM 31st May
in view that the Staffing at Guideline Group 2021
service is not April 2021
compliant with To pilot Birth Rate Plus APP DHOM/Lead COMPLETE APP implemented on both
national on both units to monitor Midwife sites 28th December 2021
standards activity, acuity and red flags
To meet with BR+ team on a HOM/DHOM/ COMPLETE Support meetings in place
monthly basis to support Lead Midwife with Lead Midwife for
implementation phase Inpatients HH
To revise senior midwifery HOM 30th June Interdependency with
oversight of the unit through 2021 approval of BR+ investment
the day
To review out of hours HOM 31st July Interdependency with
management on -call 2021 approval of BR+ investment
To develop monthly HOM/DOM COMPLETE Integral to Trust monthly
workforce report that staffing report
summarise fill rates, red flags, Midwifery Safe
Staffing Report March 2021.pptx
reported incidents, mitigation,
etc. for Divisional Workforce
Meeting
6To develop a recruitment GM/HOM 31st May Interdependency with
trajectory and monthly 2021 approval of BR+ investment
progress report
To ensure that all risks HOM 31st May
regarding staffing are on the 2021
risk register
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