A programme to support improvement in the quality and safety of maternity and neonatal units across England – formerly known as the Maternal and Neonatal Health Safety Collaborative.
Aims of the programme
The Maternity and Neonatal Safety Improvement Programme (MatNeoSIP), was renamed following the launch of the NHS Patient Safety Strategy in July 2019. It was previously known as the Maternal and Neonatal Health Safety Collaborative.
MatNeoSIP is led by the National Patient Safety team and covers all maternity and neonatal services across England. It continues to be supported by 15 regionally-based Patient Safety Collaboratives.
The programme aims to:
- improve the safety and outcomes of maternal and neonatal care by reducing unwarranted variation and provide a high quality healthcare experience for all women, babies and families across maternity and neonatal care settings in England
- contribute to the national ambition, set out in Better Births of reducing the rates of maternal and neonatal deaths, stillbirths, and brain injuries that occur during or soon after birth by 50% by 2025.
Our support offer
We support frontline staff to create the conditions for continuous improvement, a safety culture and a national maternal and neonatal learning system.
Our support offer is spilt into three annual waves, 44 trusts took part in wave 1 and now in the second year of the programme, we are working with 43 trusts across England. Nominated improvement leads from each of these trusts will build their knowledge of improvement theory by attending nine days of learning sessions during the wave.
- Combined wave of trusts (1, 2 and 3)
- National driver diagram – Sets out the areas of focus for the combined wave of trusts.
The leads will then share their learning with trusts in waves 2 and 3, as we work with them during the second and third years of the programme. Through our support they’ll apply these new ideas and approaches to improve clinical practices, ensure a reliable quality of care and measure improvement and impact.
We visit and support each trust to build local capacity in quality improvement and provide structured support to local teams to assess their assess services and develop plans that lead to measurable improvement.
We intensively coach each trust to run one or more quality improvement projects on one of the five areas of clinical excellence to improve.
These driver diagrams and change packages are a resource that maternal and neonatal healthcare staff can use as part of a systematic improvement approach to improve services for women and babies. The change packages relate to the five clinical priorities outlined in the national driver diagram and set out change ideas, concepts and interventions that can be tested to accomplish the stated project aim.
These five drivers are underpinned by a strong focus on safety culture, systems and processes, engaging with staff, women and families, and learning from both error and excellence.
Improving the proportion of smoke-free pregnancy
Optimisation and stabilisation of the very preterm infant
- Driver diagram and change package – Improve the optimisation and stabilisation of the very preterm infant
Detection and management of diabetes in pregnancy
Detection and management of neonatal hypoglycaemia
Early recognition and management of deterioration of mother or baby
- Driver diagram and change package – Improve the early recognition and management of deterioration of either mother or baby during or soon after birth
Local learning system (LLS) forum
The local learning systems are ‘improvement forums’ where individuals, across different professions, and from different organisations, come together to share and learn about improvement approaches and outcomes.
The idea is to create learning systems to encourage the sharing and adoption of good practice that will enable maternity and neonatal systems to flourish. Some improvement work, such as smoking cessation, will also benefit from a system level approach in order to deliver a sustainable solution.
To find out more about joining your local learning system please email firstname.lastname@example.org.
Background to our work
The programme (then known as the Maternal and Neonatal Health Safety Collaborative) was announced by the Department of Health in October 2016 and supports the aims of our Better births maternity review and the maternity transformation programme.
The maternity transformation programme has nine workstreams, covering a range of topics. The Maternity and Neonatal Safety Improvement Programme falls under Workstream 2: Promoting good practice for safer care.
If you would like further information, have any questions about the Maternal and Neonatal Safety Improvement Programme, or to get in touch with your local learning system, please email email@example.com.