How are we doing?

Find out what our data tells us about maternity services in Bradford. 

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Smoking cessation

Our aim is to encourage pregnant women to stop smoking during pregnancy, ideally altogether.

Why measuring smoking cessation is important

Each year, in the UK, smoking during pregnancy is associated with up to 2,200 premature births, 5,000 miscarriages and 300 perinatal deaths. Smoking during pregnancy also increases the risk of babies developing a number of other conditions, including;

  • respiratory conditions,
  • attention and hyperactivity difficulties;
  • learning difficulties, and;
  • problems of the ear, nose and throat.

Therefore, making sure babies are protected from tobacco smoke means that children have a healthy start in life.

What are the smoking cessation rates in our CCG?

Smoking cessation is measured by the number of women smoking when first pregnant in comparison to the number of women smoking at time of delivery. 

We are working with partners across health and social care to help women who are planning to have a baby or are already pregnant to quit smoking as we recognise that there is a need for improvement. 

National average - 10.4%

In our CCG - 10.1%

What we are doing to work with expectant mothers to support and encourage them to stop smoking

Public health have funded a smoking cessation midwife and we have clear opt out referral process for pregnant women in to the smoking cessation service.

Neonatal mortality and stillbirths

Why measuring low birth weights is important

Preterm birth and being small for gestational age are the reasons for low birth weight. Preterm birth is also the most common direct cause of newborn mortality. Both are also important indirect causes of neonatal deaths.

Low birth weight is considered to be a factor in 60-80% of neonatal deaths. Therefore, by improving the care of mothers during pregnancy, during childbirth, for babies of low birth weight we can help reduce neonatal and infant mortality rates.

What we are doing to improve the health of mothers and maternity services in Bradford

We are working with Bradford Hospitals NHS Foundation Trust to continually improve maternity services. Locally, we have our Every Baby Matters Partnership Group who meet to address the ten recommendations outlined by the Infant Mortality Commission Report in 2006 when infant mortality rates were very high. We also have Better Start Bradford (a £49million research programme over 10 years) to provide evidence based projects for pregnant women and young children in the three most deprived wards in the district and share the learning across Bradford. We are also engaged in work at a Yorkshire and Humber level aimed at reducing stillbirth rates.

  • 9.7 neonatal mortality and stillbirths per 1,000 births

Experience of maternity services

Why measuring experience is important - the friends and family test (FFT)

Patient experience is measured through the Friends and Family Test (FFT). This is a survey given to all patients about the quality of the care received – asking if they would recommend the service to family and friends. The results of the FFT helps give services and commissioners a better understanding of patient needs. It is an enabler in helping to improve services. 

What are the friends and family test results in Bradford?

In November 2016, 13.1% of patients asked responded to the FFT. Of these 100% reported that they would recommend maternity services to friends or family.

Find out more about the friends and family test in the video below from NHS England.

 

Care Quality Commission (CQC)

The 2015 Care Quality Commission (CQC) National Maternity Services Survey assessed patient experience across the entire maternity pathway. This includes antenatal, intrapartum and post natal.

In 2015, women in our CCG, reported a score of 78.5. We recognise that this needs to be improved as it falls within the 2nd to lowest quartile in England.

Choice over maternity services

The Five Year Forward View promises to “make good on the NHS’ long standing promise to give patients choice over where and how they receive care” and is supported by the national maternity review “Better Births”, which outlines a vision for maternity services to offer personalised care, centred on the woman, her baby and her family and based around their needs and their decisions, where they have genuine informed choice.

  • reports of the composite score from the CQC maternity survey for our CCG is equal to 63.7% which indicates a need for improvement.

Note: Results from the latest survey of 2015 will be updated on a 2 yearly basis instead of 3 yearly, due to a review undertaken by the CQC regarding their patient survey programme

What we are doing to improve choices in maternity services to secure care that is personalised and centred on the woman, her baby and her family based on needs

We commission services which provide the four choice guarantees outlined in Maternity Matters:

  1. choice of how to access maternity care
  2. choice of type of antenatal care
  3. choice of place of birth (home birth, midwifery led care & obstetrician led care)
  4. choice of place of postnatal care

However, we recognise there is much to do to ensure all women are fully aware of the choices available to them and are enabled to make informed decisions around their care options.  In support of this and to achieve delivery of the additional requirements relating to choice and personalisation outlined in Better Births, the five year forward view for maternity services we have established a Maternity Programme Board which will link into the West Yorkshire & Harrogate Local Maternity System.

Caesarean section

Why measuring caesarean sections is important

A caesarean section is an operation to deliver a baby, it can be a planned or an unplanned operation:

  • planned (elective) – where a medical need for an operation become apparent during pregnancy or it is requested by the mother in advance.
  • unplanned (emergency) – when circumstances before or during labour mean that a ceasaran section must be performed.

Rates of cesarean section in our CCG

For quarter 2 2016/17:

Bradford Teaching Hospitals NHS Foundation Trust

  • total births - 1,556
  • planned caesarean - 8.6%
  • emergency caesarean - 13%
  • total caesarean - 21.6%

Airedale NHS Foundation Trust

  • total births - 559
  • planned caesarean - 10.7%
  • emergency caesarean - 14.3%
  • total caesarean - 25%

Breast feeding initiation by provider

Why measuring levels of breast feeding is important

Levels of breast feeding are measured at delivery and in the 6-8 weeks following birth. In the UK, 73% of mothers start breastfeeding. Breast feeding provides health benefits for both mother and baby and helps build a strong emotional bond. It also reduces the risk of: 

  • infections, with fewer visits to hospital
  • diarrhoea and vomiting, with fewer visits to hospital
  • sudden infant death syndrome (SIDS)
  • childhood leukemia
  • type 2 diabetes
  • obesity
  • cardiovascular disease in adulthood

What are the levels of breast feeding in Bradford?

In Bradford, breast feeding rates are assessed at delivery and at the postnatal checkup which happens in the 6-8 weeks after birth.

Bradford Teaching Hospital Foundation Trust - 74.1%

Airedale NHS Foundation Trust - 77.8%

What we are doing to improve the health of mothers and maternity services in Bradford

We are working with the Strategic Breastfeeding Group and Better Start Bradford to identify opportunities to increase breastfeeding rates. Providers continue to work to maintain Baby Friendly accreditation.