Attachment 5
TRUST BOARD – OPEN SESSION / Tuesday 4 November 2014
Subject / Local Supervising Authority Midwifery Officer Audit Report
Prepared by / Belinda Cox, Midwifery Matron and Supervisor of Midwives
Approved by / Christine Perry, Director of Nursing
Presented by / Christine Perry, Director of Nursing
Purpose
To brief the Board on the Maternity Supervision Audit Report 2014. / Discussion /
Approval
Information /
Other
Trust Objectives
Safety / Quality / Efficiency / Workforce / Finance / Governance
/
Executive Summary
Supervision of Midwives is a statutory requirement. An annual review of the Trust’s supervision arrangements and effectiveness is undertaken by the Local Supervising Authority. The annual review was undertaken in January 2014 and the report received in September 2014. Areas of good practice included:
- Supervision caseloads are within the ratio recommended.
- Achievement of nearly all of the actions identified in the 2013 review.
- Investigations being led by a Supervisor from the University Hospitals Bristol NHS Foundation Trust Team.
- All Supervisors had met their Nursing and Midwifery Council requirements.
- To review the Weston Maternity Services Risk Management Strategy to clarify how incidents are reviewed by supervisors.
- To have a standing agenda item for supervision at each Risk Meeting.
- To complete a short highlights paper to share at relevant meetings.
- To publish and share the minutes/actions of the Supervisor of Midwives Meetings.
- To review and act upon the results of the Audit of Midwives views and experience of statutory supervision.
- To agree a method for annual record keeping audits by Supervisors of Midwives which will disseminate findings through supervisory and Trust governance processes and ensure appropriate individual feedback.
- For the LSA template to be utilised to structure the Director of Nursing briefings.
- To review the supervisory caseloads to reduce the size of those Supervisors who have a caseload greater than 15.
- Evaluate the effectiveness of the birth after thoughts clinic.
- To review the birth environment to facilitate a more homely atmosphere.
- For 95% of annual reviews to be completed by Supervisor of Midwives (allowing for long term sickness absence and maternity leave).
Key Recommendations
The Board is recommended to note the Review visit findings, the recommendations and the actions being taken in response to the Review.
Assurance Framework
Relevant to safety, quality and staff objectives.
Next Steps
The Action Plan delivery will be monitored through the Midwifery Supervision Meetings.
A further Annual Review will be carried out in 2015.
Corporate Impact Assessment
NHS Values /
- Working together for patients
- Respect and dignity
- Commitment to quality of care
- Compassion
CQC Regulations / Outcome 4: Care and welfare of people who use services
Outcome 7: Safeguarding people who use services from abuse
Outcome 12: Requirements relating to workers
Quality Impact Assessment / Not applicable
Financial Implications / None identified
Legal Implications / None identified
Equality & Diversity / None identified
Performance Management / None identified
Communication / None identified
Acronyms / Terms used in Report
(include all acronyms used in the report attached to the cover sheet)
CQC / Care Quality Commission
BAF / Board Assurance and Risk Framework
CRR / Corporate Risk Register
LSA / Local Supervising Authority
LSAMO / Local Supervising Authority Midwifery Officer
SoM / Supervisor of Midwives
ABC / Ashcombe Birth Centre
27 September 2018
K:\Board Papers\Board Papers 2014\4 November 2014\Open\Agenda Item 952 14 Local Supervising Authority Midwifery Officer Audit Report Cover Sheet.docx