Increasing the Knowledge and Learning
from all Causes of Avoidable Harm and
Examples of Excellence
Project Title:
Part 1: Improve recognition, interpretation & response to
CTG
•CTG meetings
•Fresh Eyes
Part 2: Streamlining antibiotic usage for mums in labour &
babies in the first hour of birth
•Communication between teams
•Clinical Guidelines
Work with Staff to Improve the Work
Environment to Support Staff to Deliver Safe
Care
Project Title: Reviewing skill mix on postnatal ward to
improve staff & patient experience
•Birth rate Plus
•Learning from excellence
Spreading the Word
Twitter Updates
Local Newsletter –
‘Risky Matters’
E-journal
Communications Department
Next Meeting- Bristol 20-22nd Sept 2017
• Share our draft LIP
• Collaborate with 45 other NHS trusts
• Case Studies & Workshops
• De-briefing Training
• Return with finalised LIP
Plan of Action
• Formulate team of champions (TOC) for each improvement project
• Home & Away Teams
• Patient involvement
• Each TOC to be supported by at least one member of LIT
• Process Mapping for specific projects
• Communities of Practice – end of wave 1
• Hold regular meetings for progress updates
• Weekly Roaming Boards
• Share, support & implement LIP
Acknowledgments
• Exec support
• Maternity & Neonatal Teams
• Maternity Risk Team – Nikki McNulty & Donna Adams
• Medical Illustration
• Communications Department
• Local Change Makers
• Regional Collaborative Representatives
The Grand Round -
feedback
Newsletter to Staff informing
of the results.
What next… Off to Bristol!
20th – 22nd September 2017
Second 3 day Learning Set.
Bristol: 3 Day
learning Event –
Agenda
Day 1
Bristol: 3 Day
learning Event –
Agenda
Day 2
Bristol: 3 Day
learning Event –
Agenda
Day 3
Networking with
other trusts on
Wave 1
All user Email:
Staff emailed / invited to daily
CTG meetings on Labour Ward.
Quality of Care (QOC) Re-launch
13/11/2017: Site Visit to UHCW
All User Email:
Staff emailed with a
MANIC update
20/12/2017
The new CTG
classification
was launched
on Labour Ward
Meeting with Ann Abbassi: 22/01/2018
What next… Off to Birmingham!
Safety Culture Training Day: 15/01/2018
Poster Submissions – January 2018
Poster: 1st draft
Poster – 2nd draft
Final Poster – January 2018
What next… Off to Manchester!
31st January – 2nd February 2018
Third 3 day Learning Set.
Maternal and Neonatal Health Safety Collaborative 3-day
learning event for "Wave 1" trusts:
Manchester: 3
Day learning
Event – Agenda
Day 1
Manchester: 3
Day learning
Event –
Agenda
Day 2
Manchester:
3 Day
learning
Event –
Agenda
Day 3