North East England Local Maternity Systems (LMS): Public Health Prevention Priorities
PHE ePoster Library. Scott B. Sep 12, 2019; 274424; 222
Becca Scott
Becca Scott
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Abstract
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Abstract Introduction
Prevention is central to achieve Better Births in the NE. Both LMS boards, with the NE ADPH, agreed seven ‘must-do' priorities to improve population health within maternity services. Focussing on tobacco, alcohol, breastfeeding, perinatal mental health, healthy weight, immunisations & making every contact count (MECC), a funded LMS Prevention Coordinator has been leading the work with Heads of Midwifery to embed priorities into clinical pathways.MethodologyAudits were completed for the seven ‘must-do' priorities using NICE guidance/alternative evidence frameworks establishing a baseline. A regional LMS prevention conference was held focusing on smoking and alcohol. Audit findings and recommendations were shared so delegates could consider progression and implementing improvements.The LMS prevention coordinator has guided all maternity providers to devise locality level plans. Partnership working has been essential: maternity staff, local women, Clinical Commissioning Groups, Local Authority, voluntary sector and clinical networks.
Results
1. Tobacco dependency: Regional pathway development and changing the narrative - supported by integrated care system chief officers 2. Perinatal mental health: workforce training programme being cascaded3. Alcohol: Regional pathway development 4. Immunisations: Standardised commissioning being progressed5. Breastfeeding: All units progressing to level 3 unicef 6. MECC: Piloting workforce toolkit7. Healthy weight: audit completed,awaiting national work to be published ConclusionLeadership from an LMS strategic governance group has ensured the LMS prevention coordinator has been able to progress the work, addressing inequalities and developing standardised approaches to improve population health within the maternity pathway. External funding details
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