Phase Two of the Maternity and Neonatal Safety Support Programme in Wales (MatNeo SSP Cymru Report) is now underway. We’ve put together a summary of phase one to explore how it could impact neonatal care in Wales.
What is the Maternity and Neonatal Safety Support Programme in Wales?
At the request of the Welsh Government, the MatNeo SSP Cymru Report has been created with the help of the the maternity and neonatal community in Wales to identify opportunities to improve care and governance.
The Discovery Phase of the report was conducted between December 2022 and February 2023, and was put together by a team of maternity and neonatal safety support programme leads and champions. All the leads and champions involved are embedded in each health board across Wales and the Welsh Ambulance Service Trust, so they are heavily invested in and passionate about the outcomes of the project.
This initial phase was dedicated to conducting a detailed analysis of the current landscape of maternity and neonatal services in Wales. Areas of focus included work culture, leadership and learning, as well as workforce and clinical outcome measures for mothers and babies.
The Discovery Phase has taken an integrated approach to maternity and neonatal care, alongside pre-hospital care, as it seeks to pave the way for the future of care delivery across Wales. Improvement Cymru worked alongside the maternity and neonatal community throughout this phase.
Discovery Phase Findings
The Discovery Phase MatNeo SSP Cymru report has demonstrated numerous examples of good practice in maternity and neonatal services around Wales, many of which could be replicated or scaled to improve care for families around the country. With the provision of safe and equitable care at the heart of this project, the discovery that many services across Wales are already investing in successful improvement projects was welcome.
According to the findings of the discovery report, there are a number of health and wellbeing challenges for families in Wales that cannot be directly addressed by the NHS, such as obesity, smoking and low-income areas. However, the report has highlighted the possible actions that can be taken by the maternity and neonatal community to optimise outcomes for affected families. These actions will be addressed as part of the second phase.
The report also highlighted workforce challenges that are likely to require a combination of increased investment and creative solutions to tackle. Alongside recruitment, the report concluded that staff wellbeing, support and retention are all crucial factors in ensuring the workforce are appropriately positioned to deliver the optimum care to families across Wales.
Some of the more neonatal-specific priorities identified by the report include the incorporation of neonatology in multidisciplinary training, the full implementation of The National Bereavement Care Pathway, and joint coordination of ‘cot to community’ maternity and neonatal services.
According to the report summary, the challenges and opportunities discovered in this initial phase will require a combined approach from local, regional and national services, bolstered by a sustained and co-ordinated approach to making improvements and strong collaborative leadership.
Moving Forward
The report has confirmed that the purpose of the Discovery Phase was to highlight priorities and inform improvement activity as plans for Phase Two take shape.
Professor John Boulton, National Director of NHS Quality Improvement and Patient Safety, Public Health Wales NHS Trust, said: “This improvement Discovery Phase report and the MatNeo Safety Support Programme (MatNeoSSP) is a significant step forward for maternity and neonatal care in Wales, clearly outlining the path to improve the quality of care for mothers and babies throughout the journey of new life here in Wales.” The report concluded that plans for the second phase of the programme are already in development with the help of partner organisations across Wales. At present, the MatNeo SSP Cymru team is in the process of confirming how best to move forward with the priorities highlighted within the programme to ensure they can capitalise on the success of the initial phase.