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Expert Group on Acute Maternity Services: Reference Report
ANNEX A: REMIT AND MEMBERSHIP OF EXpert group on acute maternity services
Remit of the group
The Group is tasked to produce a model specification for the provision of acute maternity services within the context of
A Framework for Maternity Services in Scotland, and essentially within existing resources. The Group should consider national, regional and local planning of maternity services, and promote innovative approaches to intrapartum care, consistent with the principles set out in the Framework. The specification will assist NHS Boards to plan and configure their acute maternity services.
The Group should review and summarise international approaches to intrapartum care and describe the present configuration of acute maternity services in Scotland. It should apply appropriate models of acute maternity care and delivery, consistent with the Framework, to Scottish geography and demography to ensure a woman-centred, safe service, available to women as close to their home as possible. The model service specification should describe how to maximise patient choice, whilst ensuring proper assessment and safe management of risk. The group should consider development of a regional approach to the management of high risk obstetric care, based on the hub and spoke model set out in the
Acute Services Review.
The Group should include in the model specification for acute maternity services
The range of professional skills required by the Scottish obstetric workforce, and practical proposals to achieve this;
Describe the range of maternity care providers, patterns of work and employment contracts;
Recommend arrangements for enhancing the skills and responsibilities of midwives;
Describe midwives' role and responsibilities in midwife led services, and how they can be deployed as consultants;
Identify innovative approaches to training and education for obstetric professionals; and
Describe the support services required for the development of modern maternity services in Scotland, and in particular arrangements for transfer between services, transfer and retrieval and telemedicine.
Membership of the Group
Chair: Mrs Mary Mulligan, Deputy Minister for Health and Community Care
Miss Gill Allan | Senior Clinical Midwife, Labour Ward, Ninewells Hospital, Dundee |
Ms Ann Bethune | Implementation Group for Maternity Services, Highland NHS Board |
Ms Yvonne Bronsky | Midwife & Service Manager, Women and Children's Directorate, Wishaw General Hospital |
Professor Andrew Calder | Chair of the RCOG Scottish Executive & Professor of Obstetrics and Gynaecology, University of Edinburgh |
Dr Alan Cameron | Consultant Obstetrician and Feto-maternal Specialist, Queen Mother's Hospital, Yorkhill |
Dr Jim Chalmers | Consultant in Public Health Medicine, Information Services Division |
Mrs Fiona Dagge-Bell | Senior Midwife, NMPDU |
Mrs Mareth Irving | Member of Maternity Services Liaison Committee, Dumfries & Galloway NHS Board |
Dr John McClure | Consultant Anaesthetist, Royal Infirmary of Edinburgh |
Dr Sheena MacDonald | General Practitioner, Earlston, Berwickshire |
Dr Graeme McLeod | Consultant Paediatrician, Royal Alexandra Hospital, Paisley |
Professor Stuart Macpherson | Postgraduate Dean |
Mr Gerry Marr | Chief Executive, Tayside University Hospitals NHS Trust |
Dr Andrew Marsden | Medical Director, Scottish Ambulance Service |
Dr Alan Mathers | Consultant Obstetrician and Maternal Fetal Specialist, Princess Royal Maternity Hospital, Glasgow |
Ms Anne Mitchell | Advanced Neonatal Nurse Practitioner, Simpson's Memorial Maternity Pavilion |
Dr Catriona Morton | General Practitioner Principal, Craigmillar, Edinburgh |
Mr John Mullin | Chairman, Argyll & Clyde NHS Board |
Ms Patricia Purton | Director, Royal College of Midwives |
Dr Judith Steel | Associate Specialist in Diabetes, Victoria Hospital, Kirkcaldy |
Dr Graham Stewart | Consultant Paediatrician, Royal Alexandra Hospital, Paisley |
Dr Tom Turner | Consultant Paediatrician, Queen Mother Hospital, Yorkhill |
Dr Ewen Walker | Consultant Obstetrician/Gynaecologist, Ayrshire & Arran Acute Hospitals NHS Trust |
Dr Mac Armstrong | Chief Medical Officer, Scottish Executive Health Department |
Miss Anne Jarvie | Chief Nursing Officer, Scottish Executive Health Department |
Marilyn Barrett | Directorate of Human Resources, Scottish Executive Health Department |
Dr Ian Bashford | Senior Medical Officer, Scottish Executive Health Department |
Dr Margaret McGuire | Midwifery Development Officer, NHSScotland, RCM |
Ms Jackie McRae | Head of Women and Children's Unit, Scottish Executive Health Department |
David Robb | Directorate of Human Resources, Scottish Executive Health Department |
Iain Ross | Women and Children's Unit, Scottish Executive Health Department |
Alexandra Simpson | Women and Children's Unit, Scottish Executive Health Department |
Mrs Jean Swaffield | Nursing Officer, Scottish Executive Health Department |
Education and clinical competency subgroup
Dr Margaret McGuire | Midwife (Chair) |
Dr Ian Bashford | Senior Medical Officer |
Mrs Jean Swaffield | Nursing Officer |
Dr Alan Mathers | Obstetrician |
Dr Ian Laing | Paediatrician |
Dr Mike Taylor | Director of Postgraduate GP Education |
Dr Catriona Morton | GP |
Dr Ewen Walker | Obstetrician |
Ms Gill Allan | Clinical Midwife, Ninewells |
Mrs Yvonne Bronsky | Midwife Manager, Wishaw General |
Mrs Fiona Dagge-Bell | Senior Midwife (NMPDU) |
Dr Graeme McLeod | Anaesthetist |
Mrs Monica Thompson | NES |
Remit
The Education and Clinical Competency subgroup was tasked to:
1. Describe and match the competencies and skills required for each model with each professional group:
a. range of professional skills;
b. professional group.
2. Identify education and training programmes and opportunities that will ensure:
a. that clinicians have the required skills, competencies, confidence and decision making skills to successfully implement the identified model of maternity care;
b. that clinicians maintain the necessary skills and competencies in order to delivery quality, evidence based maternity care.
3. Identify innovative approaches to the education and training of maternity care professionals.
4. Consider how demographics might impact on the nature of care provision, differing educational requirements and maintaining clinical skills and competencies.
5. Identify ways in which telemedicine can impact on the education and skill maintenance of maternity care professionals in remote and rural settings.
Risk management subgroup
Dr Alan Cameron | Obstetrician (Chair) |
Dr Ian Bashford | Senior Medical Officer |
Dr Sheena McDonald | GP |
Mrs Fiona Dagge-Bell | Senior Midwife, NMPDU |
Miss Eleanor Stenhouse | Senior Midwife |
Dr Graham Stewart | Paediatrician |
Dr Tom Turner | Paediatrician |
Dr Ian Lowles | Obstetrician |
Dr Margaret McGuire | Midwife |
Dr John McClure | Anaesthetist |
Dr Andrew Marsden | Scottish Ambulance Service |
Remit
The Risk Management Subgroup was tasked to:
1. Identify models of maternity care and apply appropriate risk assessment structures to each model.
2. Develop a regional approach to the management of high risk obstetric care (hub and spoke model).
3. Describe the support services required for the development of a modern maternity service, especially:
transfer between services;
transfer and retrieval;
telemedicine.
4. Identify and specify national and regional risk management strategies.
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