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MIDWIFERY-RESEARCH  April 2011

MIDWIFERY-RESEARCH April 2011

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Subject:

Re: National reporting of Perinatal and Maternal mortality

From:

"Stewart, Mary" <[log in to unmask]>

Reply-To:

A forum for discussion on midwifery and reproductive health research." <[log in to unmask]>, Stewart, Mary

Date:

Thu, 7 Apr 2011 15:17:13 +0100

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (272 lines)

Hi again everyone



Hot off the press!  Here's a press release that has just been published by the NPSA.  You can also find this on their website: 

http://www.npsa.nhs.uk/corporate/news/maternal-and-newborn-clinical-outcome-review/





Maternal and Newborn Clinical Outcome Review

Thursday 7 April 2011

 



Following the recent decision by the funding stakeholders* to discontinue  the procurement process for the Maternal and Newborn Clinical Outcome Review, it is vital that over the next few months we maintain a comprehensive and robust process for preserving the integrity of maternal and perinatal data associated with the Review.



 



The National Patient Safety Agency (NPSA) has already contacted the data collectors across the United Kingdom to inform them of the changes. Further information and support is being provided by the NPSA to assist the data collectors on how to manage the data collection process during this period, and details of the revised data requirements and arrangements for submission of data collections will be issued shortly.



 



Given the importance of this work, we are also delighted to confirm that the previously announced review panel for maternal and newborn will be chaired by Dr Sheila Shribman, National Clinical Director for Children, Young People and Maternity Services, Department of Health.



 



The names of the individuals to make up the full panel are now being confirmed and will be announced shortly, and will include representation from the devolved administrations in Northern Ireland, Scotland and Wales as well as experts from midwifery, obstetrics, gynaecology and epidemiology.



 



Detailed terms of reference for the review panel are now being drafted by the NPSA. The panel is expected to complete its review and make recommendations for the future management of the maternal and newborn work by the end of July 2011.



 



*The funding stakeholders are representatives from the funding organisations which include: NPSA, the devolved administrations (Channel Islands, Isle of Man, Northern Ireland, Scotland, Wales,) and the Department of Health in England. 



Very best wishes



Mary



Mary Stewart

Consultant midwife

Room J334

Chelsea and Westminster Hospital NHS Foundation Trust

369 Fulham Road

London SW10 9NH

 

Tel: 07872 423085



-----Original Message-----

From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Stewart, Mary

Sent: Thursday, April 07, 2011 11:35 AM

To: [log in to unmask]

Subject: Re: National reporting of Perinatal and Maternal mortality



Dear list members



 



Many thanks for all the responses to my concerns about the future of CMACE, the system for collecting data on maternal and perinatal mortality in the UK.  It is reassuring to know that so many people recognise how important it is to collect and learn from this information.



 



Over the past couple of days I have heard that active steps are being taken to ensure that a new and robust system will be put in place to replace CMACE.  I gather that there will be an official announcement later this month so, although I was the one who suggested writing an open letter to the press, I think it may be worth waiting a couple of weeks to see what emerges.



 



With very best wishes to all



 



Mary





Mary Stewart

Consultant midwife

Room J334

Chelsea and Westminster Hospital NHS Foundation Trust

369 Fulham Road

London SW10 9NH

 

Tel: 07872 423085

-----Original Message-----

From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of luyben

Sent: Thursday, April 07, 2011 8:25 AM

To: [log in to unmask]

Subject: AW: National reporting of Perinatal and Maternal mortality



Dear all,



I just wonder, if this needs a broader audience than the UK, and should be

signed by others as well.

I feel that it is a quality management instrument for maternity care that is

well- established and acknwowledged in the UK ad works quite well in

achieving its aims, but has also been exemplaric for other countries. For

me, the fact funding has been stopped seems also a sign of the high priority

that maternity care has in current society..



Best wishes, and have a good day,



Ans





-----Ursprüngliche Nachricht-----

Von: A forum for discussion on midwifery and reproductive health research.

[mailto:[log in to unmask]] Im Auftrag von Susan Fenwick

Gesendet: Mittwoch, 6. April 2011 20:57

An: [log in to unmask]

Betreff: Re: National reporting of Perinatal and Maternal mortality



Please include my name on any correspondence. I feel strongly that the

current system must be maintained.



Sue Fenwick

Midwife



On 18 Feb 2011, at 19:41, Deborah Caine wrote:



> I also echo Mary's comments and would be willing to put my name to any

correspondence. 

> 

> Deborah 

> 

> Stewart, Mary writes: 

>> Dear Nicola Thank you so much for raising this important and worrying

development.  I quite agree that we should all be concerned about the

potential loss of the current system for auditing maternal and perinatal

mortality: I think it is an aspect of health care of which the UK can be the

most proud. Do you think it would be appropriate to write an open letter of

concern to one or more of the national newspapers?  I think it is important

that this situation is acknowledged as widely and publicly as possible. Very

best wishes Mary Mary Stewart

>> Consultant midwife

>> Room J334

>> Chelsea and Westminster Hospital NHS Foundation Trust

>> 369 Fulham Road

>> London SW10 9NH Tel: 07872 423085

>> ________________________________

>> From: A forum for discussion on midwifery and reproductive health

research. [mailto:[log in to unmask]] On Behalf Of Miller,

Nicola

>> Sent: Wednesday, March 30, 2011 11:22 AM

>> To: [log in to unmask]

>> Subject: National reporting of Perinatal and Maternal mortality Dear list

members, I am writing to voice my concern about the current absence of a

national monitoring auditing system for perinatal and maternal mortality. In

January 2011 it was announced that CMACE (formerly CEMACH) had lost its bids

in the NPSA tendering process for both the maternal and newborn health

programme and the child health programme.  CMACE held its final conference

series in March Saving Mothers' lives 2006-2008 to launch the 8th triennial

report into maternal death.  The conferences were of a very high standard

and sold out to an international audience. We looked forward to a new system

to be launched by MBBRACE-UK by April 1st 2011; however, at the last moment,

we have been told by the NPSA that this plan has been changed.

>> https://www.npeu.ox.ac.uk/mbrrace-uk The National Patient Safety Agency

(NPSA), Department of Health in England and representatives from the

devolved administrations have agreed to discontinue the procurement process

for the Maternal and Newborn Health programme with immediate effect.... An

expert group will be established to determine the appropriate scope and plan

for the future of the Maternal and Newborn Health programme, ensuring it

meets anticipated requirements, delivers first class output and value for

money. In the interim maternity unit co-ordinators have been told to

continue collecting data and to hold it until the new systems are in place.

My concerns are threefold: *              Firstly, that the results of a

tendering process can be so easily abandoned.  That a group (MBRRACE-UK)

judged to have a better plan than the current internationally renowned

service provider (CMACE), can have that responsibility immediately revoked.

*              Secondly, that this leaves a position where there is no

ongoing surveillance of the fundamental public health outcomes of perinatal

and maternal mortality. *              Thirdly, that whilst we are told to

continue to collect data, the CMACE 2010 perinatal forms must be scarce by

now, the 2011 forms were revoked and the maternal mortality paperwork was

issued only on notification.  All the CMACE paperwork has CMACE addresses on

it and this produces data protection issues as it increases the risk of data

being sent to now empty offices. In some regions there are data collection

services available to maternity units and there, data collection should

remain ongoing and secure.  I understand that this information has been sent

to all maternity units and I am interested to learn what systems are being

put in place to ensure that this data is protected until a new system is

instated.  Otherwise national denominators will be lost and a sustained

period of detailed reporting will be broken. With concern, Nicola Miller RM

PhD  This email has been processed by SmoothZap -

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This e-mail is confidential and may well also be legally privileged.

If you have received it in error, you are on notice of its status.

Please notify us immediately by reply e-mail and then delete this message from your system.

Please do not copy it or use it for any purposes,

or disclose its contents to any other person: to do so could be a breach of confidence.

Any views expressed in this message are those of the individual sender,

except where the sender specifically states them to be the views of the Trust.

Thank you for your co-operation.



This footnote confirms that the message has been swept for computer viruses by

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of virus code; please ensure that you have up to date virus detection software before opening

any E-mail messages or attachments.



Chelsea and Westminster Hospital NHS Foundation Trust



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If you have received this email in error please notify the originator of the message.



Any views expressed in this message are those of the individual sender.



Scanning of this message and addition of this footer is performed

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[log in to unmask]:



This e-mail is confidential and may well also be legally privileged.

If you have received it in error, you are on notice of its status.

Please notify us immediately by reply e-mail and then delete this message from your system.

Please do not copy it or use it for any purposes,

or disclose its contents to any other person: to do so could be a breach of confidence.

Any views expressed in this message are those of the individual sender,

except where the sender specifically states them to be the views of the Trust.

Thank you for your co-operation.



This footnote confirms that the message has been swept for computer viruses by

McAfee VirusScan Enterprise Edition: whilst every care is taken to avoid the transmission

of virus code; please ensure that you have up to date virus detection software before opening

any E-mail messages or attachments.



Chelsea and Westminster Hospital NHS Foundation Trust



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If you have received this email in error please notify the originator of the message.



Any views expressed in this message are those of the individual sender.



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