Filter resources by focus area and profession

If you're working in one of the NHS England Patient Safety Collaboratives, we've tagged all of our resources according to the designated focus areas. We've also identified which resources we think are specifically useful to certain professions.

  • This content was commissioned exclusively for this Resource Centre

    UCLPartners, The Health Foundation

    This video discusses the impact of perinatal mental health problems on both maternal and child health from the perspective of both professionals and patients and discusses the use of a perinatal mental health value scorecard which enables health visitors to record the services they are providing for patients.  

  • This content was commissioned exclusively for this Resource Centre

    Professor Cathy Warwick, The Health Foundation

    This discussion paper by Professor Cathy Warwick, CBE, General Secretary of the Royal College of Midwives in the UK calls for a radical redesign of maternity services with continuation of midwifery care at the heart of service provision. She argues that transformation of maternity services will only be possible with courageous, flexible and adaptive leaders.

  • Government commissioned independent report

    This report investigated maternity services at Furness General Hospital from January 2004 to June 2013, and concludes the maternity unit was dysfunctional and that serious failures of clinical care led to unnecessary deaths of mothers and babies. It makes a series of recommendations for the wider NHS as well as Morecambe Bay.

  • National Institute for Health and Care Excellence (NICE)

    This table can be used to define and interpret cardiotocograph traces and to guide the management of the labour for women who are having continuous cardiotocography.

  • This content was commissioned exclusively for this Resource Centre

    Dr Daghni Rajasingham and Geraldine Joyce, Guy's and St Thomas' NHS Foundation Trust, The Health Foundation

    The changing demographics of the maternity population have driven complexity and risk in maternity care. In this video, Dr Daghni Rajasingam, Head of Service and Consultant Obstetrician, and Geraldine Joyce, Safeguarding Lead and Midwife at Guy's and St Thomas' NHS Foundation Trust, discuss the challenges that supporting vulnerable patients can present to maternity services. 

  • This content was commissioned exclusively for this Resource Centre

    Dr Edward Prosser-Snelling MRCOG, The Health Foundation

    Recurrent reports have called for improvement in the way in which obstetric teams work together. The cultural and organisational working practices that differ between these groups can make handover and teamworking a challenge. Dr Edward Prosser-Snelling's article examines the nature of teams and handover in obstetrics and provides some suggested areas for improvement.

  • Department of Health

    Midwifery 2020 has set out to develop an informed vision of the contribution midwives will make to achieving quality, cost-effective maternity services for women, babies and families across the United Kingdom.

  • HQIP

    This Confidential Enquiry identified substandard care in 70% of Direct deaths and 55% of Indirect deaths. Many of the identified avoidable factors remain the same as those identified in previous enquiries. Recommendations for improving care have been developed and are highlighted in this report.

  • World Health Organisation

    The WHO developed the Pilot Edition of the Safe Childbirth Checklist to support the delivery of essential maternal and perinatal care practices. The Checklist contains 29 items addressing the major causes of maternal death in low-income countries. It was developed following a rigorous methodology and tested for usability in ten countries across Africa and Asia.

     

  • The King's Fund

    The aim of the King’s Fund study was to obtain the views of women with recent birth experiences about the safety of the maternity care they received, to inform the King’s Fund inquiry into the safety of maternity services in England. 

  • Pediatric and Perinatal Epidemiology

    Evidence for staffing recommendations in labour wards is scant. This study aimed to test association between midwife workload with adjusted process of continuous electronic fetal monitoring (CEFM) and neonatal outcome indicators. This was a prospective workload study in 23 consultant-led labour wards in Scotland.

  • Royal College of Obstetricians and Gynaecologists

    This RCOG report on workforce planning outlines the way the service of the future can be provided and indicates the workforce and training that will be required to achieve this. This document provides a framework for the RCOG work on education, training, clinical standards and recruitment.

  • Royal College of Psychiatrists

  • Childbirth Connection

    More than 100 leading experts set out to answer this question, reaching unprecedented consensus on the steps and actions needed to reform this critical and costly segment of the US health care system. 

  • IRIS

    This is the first European randomised controlled trial of an intervention to improve the health care response to domestic violence. 

  • This content was commissioned exclusively for this Resource Centre

    Southmead Hospital Bristol, University of Bristol, The Health Foundation

    This paper describes the evidence for high quality training within maternity services using the example of training for managing shoulder dystocia using the PROMPT approach. It identifies key features of excellent training such as understanding underlying concepts, practising manual skills and training as a team rather than individuals and demonstrates how implementing such training can deliver a real impact on patient, especially neonatal, outcomes.

  • This content was commissioned exclusively for this Resource Centre

    Jean Ball, Marie Washbrook, The Health Foundation

    This paper outlines the challenges of workforce planning in maternity services, particularly in intrapartum care, where demand is highly variable. It discusses some of the key features particular to maternity workforce planning such as the gold standard of providing 1:1 midwifery care, the transfer of care from one community area to a different secondary care area and the “hidden” workload undertaken in intrapartum care units managing patients who are not in labour.

  • This content was commissioned exclusively for this Resource Centre

    Shashikant L Sholapurkar, The Health Foundation

    In this paper, written mainly for obstetricians and midwives with experience of intrapartum fetal monitoring, consultant obstetrician Mr Sholapurkar gives a detailed outline of the main approaches to intrapartum fetal monitoring and details why it is so critical to safe maternity care. He considers some of the controversies regarding its evidence base and examines future developments in fetal monitoring. 

  • This content was commissioned exclusively for this Resource Centre

    Joanna Cook, Susan Bewley, The Health Foundation

    This paper highlights the increased risk of domestic violence in pregnancy and discusses practical approaches to increase its recognition and management to improve the safety of women and children in this vulnerable period. These include embedding routine enquiry into practice and responses to reduce risk once domestic violence is reported or suspected.

  • This content was commissioned exclusively for this Resource Centre

    Philip Banfield, Catherine Roberts, Glan Clwyd Hospital North Wales, The Health Foundation

    This discussion paper considers how to detect maternal deterioration during both the antenatal and peripartum periods. It discusses the use and validity of early warning scores, the challenges of altered physiological parameters in pregnancy and the extension of the Sepsis Six care bundle used in non-maternity settings to the Sepsis Six Plus Two which can be applied in maternity care. 

  • Obstetrics & Gynecology

    This retrospective, observational study compared the management and neonatal outcome of births complicated by shoulder dystocia before (January 1996 to December 1999) and after (January 2001 to December 2004) the introduction of shoulder dystocia training at Southmead Hospital, Bristol, United Kingdom. The study found the introduction of shoulder dystocia training for all maternity staff was associated with improved management and neonatal outcomes of births complicated by shoulder dystocia.

  • BJOG: An International Journal of Obstetrics & Gynaecology

    This paper explores the effect of obstetric emergency training on knowledge. Furthermore, it assess if acquisition of knowledge is influenced by the training setting or teamwork training.

  • BJOG: An International Journal of Obstetrics & Gynaecology

    Confidential enquiries into poor perinatal outcomes have identified deficiencies in team working as a common factor and have recommended team training in the management of obstetric emergencies.

  • National Institute for Health and Care Excellence (NICE)

    Offers evidence-based advice on the recognition, assessment, care and treatment of mental health problems in women during pregnancy and the postnatal period (up to 1 year after childbirth), and in women who are planning a pregnancy.

  • Royal College of Psychiatrists

  • Maternal Mental Health Alliance

    Specialist Mental Health Midwives have a crucial role in effective perinatal mental health care. However, there are currently many maternity services without this important position, and where Specialist Mental Health Midwives do exist there are differences in their role, skills and experience.

  • Royal College of Psychiatrists

    This guide is about the commissioning of good quality perinatal mental health services. It has been written to assist specialised commissioners, as well as Clinical Commissioning Groups and Health and Wellbeing Boards.

  • LSE Centre for Mental Health

    This resource is the executive summary of a comprehensive report into the costs of perinatal mental health problems to the healthcare system in the UK, estimating that it costs a total of £8.1 billion long term cost for each one year cohort of births in the UK or £10,000 per birth.  

  • Reviews in Obstetrics and Gynecology

    This article provides health care practitioners and clinicians with the most current valid assessment and screening tools for evaluating pregnant women for intimate partner violence (IPV) in a health care setting. 

  • Centers for Disease Control and Prevention (CDC)

    This slide pack guides clinicians on possible presentations of partner violence including emotional abuse, signs to look for, questioning strategies and strategies for managing and supporting these patients.  It recommends screening tools to be used at regular intervals during pregnancy and includes advice on creating a safety plan.