W/C 31.01.2022 Maternity Effective Handover

Maternity Effective Handover

Week Commencing 31st January 2022

Trust

Have your say on our organisational strategy

for 2022-2030

• We have been on an incredible journey over the last
few years and have achieved so much together in

delivering outstanding healthcare.
• As a Trust we have greatly benefitted from our

partnership with the Virginia Mason Institute and

have strong foundations in place from which to build.
• Better never stops and through our new

Organisational Strategy we will be mapping out the

next stage in our improvement journey.
• Staff are also invited to a series of engagement

sessions to learn more about the strategy and how

they can get involved, dates and times are below,

including an open session today (27th Jan) from

14.15 to 15.00 for all members of staff.
• It is vital that everyone at UHCW is able to have

their say and help shape our aims and aspirations

for our staff, patients and communities for the next

eight years.

Trust

Have your say on our organisational strategy for 2022-2030

• https://survey.sightx.io/406e8d60ad88482275a6044f4ae101ed26b46e5db3093

15fe36b67c1f722f604 (open via google chrome)
• Staff are also invited to a series of engagement sessions to learn more about the

strategy and how they can get involved, dates and times are below. All sessions

are open to all staff to attend.
• Please complete the survey by Monday 28th February 2022.
• We will publish our final strategy in April 2022 including a summary of feedback we

have received.

Trust

Annual Leave and carry forward arrangements for 2022/23

• Covid-19 has continued to place extra demands on the organisation and in the last
12 months you may have needed to cancel annual leave to support your service
area and patient care. As we respond to the continued emergency demands of the
pandemic and work to rebuild capacity, reduce waiting lists and treat our patients
as quickly as we can, a revised approach to annual leave will enable you to:

➢ sell back up to five days of annual leave (to be paid in April 2022) and/or;
➢ carry forward up to five days of annual leave into 2022/23 (from 1st April 2022 to 31st

March 2023)

• It is important that wherever possible annual leave should be taken in order to
support your health and wellbeing, and leave already booked and approved prior
to this announcement should continue to be taken. In the event of any exceptional
circumstances where staff have additional annual leave to be carried into 2022/23
due to service pressures, the current exceptional circumstances process allowed
for in our Time Off policy will continue to apply.

• Line managers will hold individual discussions with you in the coming weeks and
any queries should be directed to them in the first instance. You can also contact
your Workforce Business Partner for further clarification.

Trust

Reminder for staff on the process for receiving PCR test

results

• Staff are reminded to be patient and compassionate when awaiting PCR
test results carried out as part of the staff testing and isolation procedure.

• Results are being provided as quickly as possible and any abuse directed
towards staff providing this valuable service will not be tolerated. Staff are
also reminded to follow the process outlined in the Standard Operating
Procedure, which includes registering your test via Swiftqueue as this
helps to further speed up the delivery of results.

Trust

Please continue to avoid car sharing where possible to help

prevent the spread of infection

• Despite restrictions easing in the community around the wearing of face
masks, staff are reminded that we are continuing to follow infection
prevention guidelines to prevent the spread of Covid-19 across our Trust
sites.

• Please avoid car sharing where possible when travelling to and from work
and if you need to travel with colleagues, please ensure that you wear a
face mask during the journey and keep windows open rather than using air
conditioning.

• If you need to use air conditioning, turn off the air recirculation switch.

Womens and Childrens

Womens and Childrens

Maternity

RCM Open Advice surgeries to be held at UHCW on 23/02/22 and 7/04/22

Maternity

Maternity

Planned meal changes on Ward 24

• From Tuesday 1st February the way meal times are conducted on ward 24 will change. This is
due to a high volume of patient feedback that diabetic patients have lack of choice in meal
options, these changes are designed to ensure diabetic women are able to choose a meal to
suit their requirements.

• Change to Breakfasts
• As you are aware on ward 24 women have a choice of croissants and cereal for breakfast.

Diabetic women receive eggs and toast to meet dietary requirements – originally this was
ordered via a slip. From Tuesday 1st Feb 2022 ward 24 will receive a tray of eggs, it will be the
responsibility of the Morning HCA to decant the eggs into smaller portions and deliver them to
the patients requiring a diabetic breakfast. This process will mean diabetic women will receive
their breakfast more promptly. Please note: only diabetic women are entitled to eggs/toast
(Type 1/Type 2/GDM).

• Lunch/Dinner ordering process
• Ward 24 is changing to the ordering system in line with the rest of the hospital. This will mean

the ward will receive picker slips daily, these slips should be handed out to women on the
evening. This will give women the opportunity to choose their own meals; the slips must be
collected by 08.30 in the morning and handed to the ward hostess. If the slips are not collected
in time this could result in no meals being delivered to the ward. These slips should be
collected via Ward Clerk (Weekdays) and HCA (weekends).

Maternity

Planned meal changes on Ward 24

• Please Note: As W24 is a 20 bedded ward, 20 meals must be ordered daily in order to
prepare for new admissions. For example if on the 03/02/22 there are 15 women on the ward,
the person responsible for collecting the slips must complete a further 5 slips requesting a
choice of meal options, to anticipate for new admissions. The W24 Trolley will also have a
selection of meals for the over flow patients from ward 25.

• Delivery of Meals
• The patients on W24 will no longer attend the lunch or dinner trolley to collect their meals;

instead the HCA with help from Midwives and students will deliver the chosen meal to the
appropriate bed space. If there are then any new admissions on W24 they will then have the
opportunity to choose their meals. Finally the overflow women from W25 will then come to the
trolley to choose their meals via the old method (Patient gets tray and chooses from the
trolley)

• We understand that this change may seem very different and overwhelming. We expect to
have a few teething problems in the beginning however this process will be ultimately more
beneficial for our antenatal patients who require additional requirements. Attached is a copy of
the order form.

Maternity

Award named in honour of outstanding training offered by Dr Neil Vanes

• When several of his junior colleagues put him forward for a Trainer of the Year prize, Dr Neil Vanes

narrowly missed out.
• But the judging committee was so impressed by his nominations that they decided to create an award

in his honour – and make him the first winner!
• The Vanes Award will now be given out each year by the West Midlands Obstetrics and Gynaecology

Trainees' Committee.
• Chair Jay Ghosh told Neil: “The committee were genuinely moved by the high regard in which your

nominators clearly hold you.
• “In honour of being one of the first non-consultant trainers nominated, and certainly the first by so many

separate juniors, we decided to create an award in your honour and for you to be the first recipient.
• “Thank you for being such an outstanding trainer, you clearly mean a great deal to your colleagues and

your efforts are greatly appreciated.”
• Trust Grade Doctor Neil, who has been at UHCW since 2012, will pick up his award at a presentation

ceremony in May.
• He has been responsible for practical hands-on clinical training with junior doctors and midwives,

assists in providing teaching sessions, organises attendance at mandatory training sessions for junior

doctors and has been a maternity safety champion for the last five years.
• He is also a clinical personal tutor and clinical teacher for Warwick Medical School. Neil took on all

these responsibilities voluntarily.
• “It is an honour to be given this award in recognition of the dedicated training provided,” he said.
• “It recognises the hard work all staff within O&G provide to women in a caring and compassionate

environment.”

Maternity

Maternity

K2 - The BIG 3

• Over the next few weeks we would like to raise the awareness of three

aspects of K2 documentation:
• The purpose of this is to ensure maternity documentation is completed

following an inpatient spell, which will in turn improve our data reporting

and compliance.

1. K2 Shoulder Dystocia Wizard

2. K2 Intrapartum free text documentation

3. K2 SGA documentation
• You have been emailed 3 very simple user guides with further information.
• If you require 121 training / demo / support please get in touch with the

Digital Midwife Team.
• Thank you for your on-going support.

Maternity

Born Before Arrival (BBA’s) Documentation

• We have identified a trend in missing information for BBA’s.
• Please ensure you ask the family for a summary of the birth details when

inputting details onto K2.
• For example:

➢ Approximate time of birth
➢ Onset of labour details and approximate time
• We are responsible for reporting this data locally and nationally.

Clinical Risk

Folic Acid and Tongue Tie

• There is lots of speculation about a connection between folic acid.
• The MTHFR gene mutation and the increase in infant tongue-tie

incidence.
• This topic comes up frequently in online parenting groups and sometimes

in the wider media.
• Folic acid supplementation is recommended to prevent neural tube

defects, such as spina bifida.
• To date there are no published research papers demonstrating a link

between folic acid supplementation and tongue-tie.
• This is an area of ongoing research.

Clinical Risk

PPE Breach
• Following a recent PPE breach please be reminded of the

importance of wearing eye protection (visor/goggles) as per
trust guidance for any patient contact within 2 meters in
addition to a mask.

Clinical Risk

HAND HYGIENE IS FOR LIFE NOT JUST COVID!

• Sadly as government guidelines are stepped down so it seems
does hand hygiene!

• Not only does it stop covid transmission both other infectious diseases so
we must never let our standards and compliance drop!

• A gentle reminder as we have let it slip.
• IPC and link nurses will be providing education updates over next few

days to highlight awareness again.
• Thank you, Fiona Smith

Clinical Risk

Birth Listening Clinic: Learning from Feedback

• Women attend LWT for early labour, or ?show and the medical team have
(without documenting) suggested that women follow up with their
community midwife as planned, irrespective of their reason for admission.

• This resulted in a woman expecting no further contact with the hospital /
team until then and made no further contact with LWT with any concerns
and subsequently has a BBA.

• Whilst she came to no harm this could have been a very different scenario
and we have had some cases where women have delayed contacting the
department for advice / support.

• When discharging from outpatient areas, we must ensure all women
has clear documentation, follow up plan and advice of what to do and
who to contact before they leave the department.

Clinical Risk

Risk Assessments on K2

• I have been auditing the rates of risk assessments conducted at booking -
100% which is fantastic!

• As part of the Ockenden safety recommendations, there is a target for a
risk assessment to be conducted at all antenatal appointments, I have

attached a screen shot of the report detailing this point.
• This has been made easier to do and to remember now as when you

conduct an antenatal consultation, the risk assessment button is above the
observations button – see attached image.
• I know it’s hard with all the other things you need to remember but if you
could get into the habit of performing a risk assessment before you

perform the observations at each antenatal contact that would be fantastic.
• Many thanks, Charlene Cole (Ockendon and CNST lead Midwife)

Clinical Risk

Risk Assessments on K2

Clinical Risk

Community Day 5 visits
• During the senior Midwives meeting on 31st January, the difficulty with staffing in community was raised.
• It was discussed that due to the current staffing deficit in Community and within the inpatient areas, we are

unable to facilitate all of the routine visits that we do at present. Vacancies and Covid absence have

contributed to this position.
• It was decided that we should omit the day 5 midwife visit for the Mother and arrange for the baby to be seen

by one of our HCA’s.
• Following on from this, there was a meeting this morning with Suzanne Wilson, Deputy HOM, and Louisa

Talbot Risk Manager to make plans to implement this.
• At the primary visit the midwife will assess the woman and family and if a midwife visit is needed on or around

day 5 this will be documented on K2 and a visit scheduled ensuring the reason for a midwife visit is clear.
• The midwife will identify risk factors, for example, sutures for removal or known safeguarding concerns.
• All other day 5 visits will be completed by the HCA.
• The HCA would complete the NNST, Weight and ask the Mother how she is feeling.
• If the HCA has any concerns during the visit this would be escalated to a Midwife or appropriate department

e.g. excessive weight loss or jaundice would be referred to neonates.
• If all is well the following visit would be a day 10-14 for discharge at a PNC or at home.
• If the baby has not returned to its birth weight at the discharge visit, a new HCA visit will be rescheduled for

the baby.
• The Midwife will discharge the Mother if all is well.
• If the cord is on or baby is jaundiced – appropriate action may include referral to neonatal team or follow up

telephone discharge if baby is at birth weight.
• Once the HCA is happy with the progress of weight gain, this information will be given to the Midwife and both

Mother and Baby will be electronically transferred to care of the Health Visitor before 28 days following

delivery.
• Verbal handover to the Health Visitor may be required.
• Thank you, Angela Doherty (Modern Matron for Outpatient Services)