A best practice toolkit for continuity of carer
The London Strategic Clinical Network published a best practice toolkit for continuity of carer as part their suite of toolkits on maternity. This work was part of their wider remit to reduce variation in outcomes and improve experience of care for women and their babies in London.
The toolkit outlines the rationale for increasing access, auditable standards, key factors for implementation and sustainability. There are also four case studies for caseloading and team midwifery taking place in London with an outline of the service, the model of care and key messages for success:
1. Guy’s and St Thomas’ NHS Foundation Trust on continuity of care models for pregnant women with medical and psychological conditions
Providing women with continuity of care from a small team of midwives has ensured high risk women have a multidisciplinary care plan. This improves access to specialist care whilst promoting normal birth, preventing unnecessary appointments, readmissions and the likelihood of pre-term birth.
2. Imperial College Healthcare NHS Trust on achieving antenatal and postnatal continuity
Within one year 82 per cent of women’s antenatal and postnatal appointments were with the named midwife or buddy within the specified teams.
3. King’s College Hospital NHS Foundation Trust on case loading midwifery care
Achieving 18 per cent caesarean section rate, 30 per cent homebirth rate and 88 per cent exclusive breastfeeding at six weeks.
4. Royal Free London NHS Foundation Trust on antenatal and postnatal continuity for complex women
Improving outcomes for complex women – increasing birth weight, reducing neonatal complications and improving women’s engagement with services.