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What you tell us about maternity services
We make sure that we are listening, engaging and involving patients in the planning and design of their local NHS. To do this, each programme of work has the infrastructure to engage and collect information from people through:
- individual participation - including case studies, interviews, pathway design and schemes,
- insight and feedback - through grass roots,
- public participation - an infrastructure of networks and approaches to working with communities (see below).
The insight and feedback you give us makes sure that we not only collect information but have the means and ability to use it to inform our commissioning activity and quality improvement. All this insight and feedback is pulled together in a system we call grass roots.
Grass roots pulls together information reported through NHS Choices, Patient Opinion, Healthwatch, complaints, local groups and direct patient, family and community feedback to help us understand your experience of local services. This information informs our CCG planning and decision making.
The following represents feedback received in to grass roots regarding maternal and women’s health from September 2014 – end October 2015. The number of responses received relating specifically to maternity services was 26 (this relates to patient feedback from 253 patients or carers and 39 staff).
As well as this, for each of our programmes of work, we tailor engagement to ensure we are reaching people who use local services. Specifically for maternity services, the maternity partnership and the women’s health network dive in deeper to understand experiences.
The Maternity Partnership
The Maternity Partnership covers Bradford District and Craven. It works with providers and commissioners of maternity services to make sure that services meet the needs of local women, parents and families.
Each year the Maternity Partnership conducts a series of focus discussion groups throughout the district to listen to the views and experiences of new mums and mums-to-be. The topics discussed are chosen by people who use the service. The aim of the focus groups is to gain insight into the views of women who are seldom heard and less likely to use other feedback mechanisms such as grass roots and the friends and family test amongst others.
Each focus group has a different theme, 2015/16 focused on personalised choice and 2014/15 focused on community midwifery, you can see the key themes from each of these groups below:
2015/16 focus groups, personalised choice:
- planning for pregnancy and first contact with health services in pregnancy,
- accessing services through the GP and practice nurse,
- perinatal mental health and safeguarding awareness,
- language support, cultural awareness and understanding of impact on practice,
- information and communication,
- contact with midwives throughout the pregnancy,
- antenatal service support and information,
- birth and delivery – environmental, staffing, involvement, support in decision making,
- follow up support including breastfeeding and contact with services.
2014/15 focus groups, community midwifery:
- access to and knowledge about midwifery services,
- the first appointment – expectations and understanding,
- frequency of contact,
- continuity of care,
- distance to travel and proximity to services,
- language, culture and information barriers,
- antenatal and postnatal care – understanding, expectations and services.
Women's health network
Bradford City CCG has supported the development of the Women's Health Network to enable key messages to be shared with women and develop a better understanding of health matters. Specifically, the network is helping us share messages relating to the importance of pre-conception care, diet and nutrition, accessing health services for children and preventative care (such as immunisations and screening) appropriately and in a timely manner.
The network has hosted a series of focus groups, workshops and events to build better understanding. Key themes include:
- access to services,
- lifestyle choices and health and well-being,
- experience of women from vulnerable and marginalised groups,
- shared decision making,
- communication and information in a timely manner.