WC 17.10

Maternity Effective Handover

Week Commencing 17.10.2022

Trust

The Trust will launch its new UHCW SpeakUp app on Wednesday, 19th October 2022. Please come and join us to celebrate the
launch of the app in the Faith Centre, between 1pm – 2pm.
This app will enable staff to easily raise concerns with our network of Freedom to Speak Up Ambassadors and Freedom to Speak
Up Guardian.
“The app can be accessed by all staff, but it will be especially useful for those who don’t traditionally use computers in their day-
to-day jobs and wouldn’t email the Guardian or Ambassadors,” said Lorna Shaw, UHCW’s Freedom to Speak Up Guardian.

Trust

Please remember there
is Health and Wellbeing

support available on
Trust Nav including,
Hardship/financial

support, parking
assistance etc.

Trust

Neyber Financial Wellbeing
Money matters play a big part in your emotional wellbeing – particularly at this time of year. Support is available with Neyber; an
employee benefit that’s focused on helping you feel happier with your finances and could save you money on your monthly debt
repayments. This benefit has been in place at the Trust since 2016 and gives you access to affordable loans and free financial
education resources.
If you want to learn more about how to better manage your money, improve your credit score, have the confidence to make big
financial decisions or are considering how to access a loan then visit the Neyber Financial Wellbeing Hub at
www.neyber.co.uk/uhcw
A couple of things to consider before applying:
Consider if it’s the right time for you to take a loan and if the repayments are affordable
Check our eligibility criteria online to avoid disappointment and prevent affecting your credit score
The benefits package that Health Service Discounts have developed brings all NHS employees free access to a number of trusted
retailers and suppliers who are discounting their products and services in recognition of the job that all NHS employees do.
Users must register with the site to obtain access to the benefits. Registration is free. If you’re interested go to
www.healthservicediscounts.com

Trust

Trust

Women's and Childrens

I am writing to inform you that West Midlands Fire Service Officers are in the process of carrying out a fire safety audit of the University Hospital. The
preliminaries for the audit started on Monday 3rd October 2022. However, over the next 6 months the fire officers will be visiting the hospital on a one
day per month basis.

The inspecting officers will require access to all areas of the hospital and will be auditing the following areas on the dates and times shown below.

• Monday 7th November at 11am - the 6th floor plant rooms and then the 5th floor wards and departments
• Monday 19th December at 10am - the 4th floor wards and departments and if time permits the 3rd floor wards and departments

Additional dates and times will be notified to the Trust by the Fire Service and these will be circulated to you in due course.

Heads of Department, Ward Managers and Departmental Managers are responsible for the general day to day fire safety in their wards and departments.
It is therefore essential that you ensure that your ward/department/area is not found to be negligent from a fire safety perspective.

You are strongly recommended to take a detailed look around your area prior to the inspection to ensure that all is in order.

You are advised to use the week or so prior to the inspection of your area (when notified) to prepare and to brief your staff on what you require of them.
Ideally this should be done during forthcoming staff meetings / team briefings. You should ensure that you do the following: -

• ensure that your staff are briefed on the forthcoming fire safety audit and that they make a note of the date in their calendars / diaries.
• ensure that fire exit doors are unobstructed and clear
• ensure that internal fire doors are not wedged or propped open
• ensure that excessive amounts of combustibles are not being allowed to accumulate in your area/department
• ensure that your staff know and understand the fire safety procedures for the building (copy of the UHCW Fire Procedure is available to

view/download on the Trust eLibrary)
• ensure that all electrical items such as kettles, toasters, fridges etc are not being used within offices and that these items are only kept and used

within the officially designated kitchen/tea making rooms.
• ensure that the corridor escape routes in and around your area are clear of all obstructions and combustible items

Could I ask that Ward Managers and Heads of Departments make sure that this email is circulated to all their staff, particularly those staff who work
within the hospital and who do not have access to email.

If you have any concerns, then please don’t hesitate to get in contact with me.

Many thanks for your co-operation.
David Black
Trust Fire Safety Manager

Maternity

K2

PLEASE COMPLETE THE K2
INSTRUCTIONS AS A MATTER OF
URGENCY

K2

Care Pathways MW/CLC- Please remember to update the type of care if
changes occur from low to high or vice versa.

K2

K2

Maternity

Service users boost to the RCM!

Maternity services users’ voices have been brought into the heart of the RCM to strengthen its work.

They are joining midwives, student midwives and maternity support workers because we all share a
common goal: for maternity care to be safe and personalised and for both the workforce and service
users to be well cared for and supported.

The network is currently being scoped and co-created with staff and members with a view to
launching in early 2023.

Chair Emma Taylor was appointed in June and is currently listening to staff and RCM members
through conversations, focus groups and a survey, to ensure that the Network really serves the work
of the RCM.

Your support is needed with this engagement exercise, so please complete and share this survey
with your networks https://www.surveymonkey.co.uk/r/RCMSVN1

For more information contact Emma directly on [email protected]

Feedback

My wife, recently gave birth at UHCW in the early morning on
3rd October. Both mum and the baby are doing fine. We had
previously been featured as one of the families on the BBC
programme Hospital last year, when we lost our previous baby,
Nora. One of the midwives asked if we could send a few
photos of the new baby, so that people involved last year
could share the happy outcome this time.

We're now happily settled back home!

Please could I also take this opportunity to say thank you very
much for the care and kindness everyone at UHCW has shown
us, both this time and
previously: from Prof. Quenby and her team; to Steph the
bereavement midwife; to Julie and Siobhan our midwives this
time; to Flick our midwife last time; and of course to everyone
else at the UHCW labour ward over 1st-3rd October. We have
nothing but praise for everyone who's looked after us.

Feedback

Maternity

Please can the Pathway to Excellence
Ambassadors and People Supporters
contact Gaynor, Suzanne or Louise C with
regards to helping staff with the Staff
survey and preparations for the CQC visit.

Gaynor Armstrong
Director of Midwifery

Maternity

Reminder to Ward 25 staff to ensure parents are
confident with feeding before they are discharged home
To ensure that if feeding concerns are raised
Raise awareness of and provide education to midwives
about tongue-tie symptoms
All Ward 25/Labour Ward staff to be reminded of basic
orientation to the ward areas including to provide call
bells & jugs of water

Sharon Gouldingay
Modern Matron for Antenatal and
Postnatal inpatient services

Maternity

Keep an eye out for the new IOL guideline which will be
launched next week.
Major changes include offering Propess, Prostin gel and
Foleys balloon catheter.

Foleys balloon catheter can be utilised and the women can
return home for the 18 hours to try to get into labour.
At the back of the guideline there are easy to read flow
charts which should be read and utilised.

More info to follow…..

Louise Clarke
Consultant Midwife- Better Births
Advanced Clinical Practitioner
PMA Professional Midwifery Advocate

Maternity

NHS England were made aware of a potential
patient safety issue where a CTG monitor
unexpectedly went into wireless mode and was
picking up the fetal heart reading from a monitor in
an adjacent room, rather than the baby it was
intended to be monitoring. Although no harm
occurred, we want to take rapid action to share this
information via various networks, to ensure action
can be taken to prevent similar incidents from
happening elsewhere.

Telemetry equipment is not to be used on the
Labour ward until further advice is received.

Helen Coleman
Labour Ward Manager

Maternity

If a baby has no NHS number please inform the labour ward clerk. If
there is no clerk available, it is the responsibly of the midwife caring for
that patient to ensure that an email is sent to child health and that the
screening team is copied in, this should be completed before the baby
leaves labour ward. They will need mum’s details, hospital of birth and
date and time of birth.
I have provided the emails for both child health and screening.
Please feel free to contact me if you need any more information.
[email protected] [email protected]

Maggie Burns
ANNB Screening Coordinator

Maternity

Maternity

Vaccination in pregnancy: COVID-19, flu and pertussis

All healthcare professionals have a responsibility to inform and encourage
pregnant women to get vaccinated against COVID-19, flu and pertussis. On 20
October, Professor Jacqueline Dunkley-Bent, Chief Midwife for England, is
hosting a masterclass for midwives and fellow NHS professionals, to give
objective advice on vaccination, based on the best available evidence. National
experts will give talks on the risks of COVID, flu and pertussis around
pregnancy; the science behind vaccination; common questions and concerns;
and what professionals can do to safeguard women, parents and babies.

The webinar will take place on Thursday 20 October, 9:30am – 10:45am. For
further details and to register: Vaccination in pregnancy masterclass for health
professionals: COVID-19, flu and pertussis | NHS England Events

Best wishes
Janet Driver - Regional Chief Midwife for the Midlands

Maternity

Maternity

Maternity

Maternity

Maternity

Maternity

Maternity

Maternity

University Hospitals Coventry and Warwickshire (UHCW) NHS Trust is joining health partners across
Coventry and Warwickshire in encouraging parents-to-be to quit smoking.

The Love Your Bump campaign uses messages from unborn babies directed to mums, dads and fellow
family members who smoke to ask them to stop.
A new webpage - https://www.happyhealthylives.uk/health-and-wellbeing/maternity-services/love-your-
bump/ - is available to signpost residents to local support services.

The maternity service at UHCW will also be promoting the campaign with posters and banners placed
around the department.

Rachel Harrison, UHCW Public Health Midwife, said: “Smoking during pregnancy can hugely increase the
risk of developing pregnancy and birth complications and beyond, including miscarriage, pre-term
pregnancy, stillbirth, lower birth weight or sudden infant death.

There is also a higher chance that children exposed to smoking develop asthma, autism or ADHD as well as
an increased likelihood that they will smoke in later life. It is most important thing that we can help
expectant mums to give up to improve their baby’s start to life.”

Smoking is an addiction and Coventry and Warwickshire’s experienced and friendly advisers are on hand
to help pregnant women kick the habit.
Smokers are three times more likely to quit smoking with support from the Stop Smoking in Pregnancy
Service than on their own.

Tracy Pilcher, Chief Nursing Officer for Coventry and Warwickshire Integrated Care Board and new Chair of
the Local Maternity and Neonatal System (LMNS), said: “The LMNS is the coming together of providers,
commissioners, public health teams and other partners to improve the health and wellbeing of our local
mothers, babies and their families.

“Second hand or ‘passive smoke’ is also damaging to the health of both baby and mother so supporting
those around them to stop smoking is just as important.

“Our LMNS Love Your Bump campaign is timed to coincide and reinforce the established annual Stoptober

.”campaign

Maternity

In conjunction with the LMNS and Stoptober we are running a Love your Bump Campaign in Maternity .
Please would staff:
• Ensure we CO check at every contact ( as CO can come from other sources & even when women smoke they still can be at

risk of faulty boilers / appliances )

• Discuss option of switching to a vape as being 95% safer than smoking for the short term as an option to quit – Please see
latest government report summary 29/09/22) Nicotine vaping in England: 2022 evidence update main findings - GOV.UK
(www.gov.uk) and also latest RCT trial Hajek et al ( 2022) Electronic cigarettes versus nicotine patches for smoking cessation in
pregnancy: a randomized controlled trial | Nature Medicine

Based on the evidence that the team reviewed, the conclusions were that:
• in the short and medium term, vaping poses a small fraction of the risks of smoking
• vaping is not risk-free, particularly for people who have never smoked
• evidence is mostly limited to short and medium term effects and studies assessing longer term vaping (for more than 12

months) are necessary
• more standardised and consistent methodologies in future studies would improve interpretation of the evidence
• significantly lower exposure to harmful substances from vaping compared with smoking, as shown by biomarkers associated

with the risk of cancer, respiratory and cardiovascular conditions
• communicating accurate information about the relative harms of vaping can help to correct misperceptions of vaping,

particularly among adults

• Please e-mail me [email protected] if any concerns/issues with referrals etc

Maternity

PRECEPT: When administering MgSo4 & Steroids reminder to complete the Antenatal Steroid and
Magnesium Sulphate Wizards on K2, so accurate and up to date information can be transferred across to
Badger Net.

Computerised CTG: All admissions with RFM alone must have a computerised CTG as this is part of Saving
Babies Lives recommendations and forms part of our CNST compliance. Please contact Wendy Taylor if you
need further training.

K2: Please remember it is your own responsibility to complete your K2 online learning before it expires:
Regular email reminders are sent out 6 weeks before it is due to be completed. Please liaise with your ward
manager or manager of the area you are working in if you are struggling to complete this mandatory training,
so you can be allocated time for this to be completed during your working day.

Fresh eye reviews: All fresh eyes and ears must be carried out every hour by a second independent
midwife /obstetrician to assess fetal wellbeing during intrapartum care including a full assessment of the
woman’s history. Please can you ensure at each review there is clear documentation that a 2nd
midwife/Obstetrician is present and they should be logging in to K2 with their finger print to confirm the
assessment.
You should not be completing your own fresh eye reviews, if there are no available midwives or
obstetricians to complete the review due to a clinical emergency you may complete it yourself and you must
document the reason why you have completed it and then ask a colleague to complete it asap (this will mean
there are two reviews completed for this Hour!) Please contact Wendy Taylor if you are really struggling to get
these reviews carried out. I am noticing that some midwives are still completing their own reviews which I am
monitoring closely as this performs part of our auditing criteria.

Clinical Risk

Clinical Risk