In this Shared Insights session we provided an overview of the implementation of the Ockenden Immediate and Essential actions.
Rachael Morris, Partner at Browne Jacobson spoke on how this session would mark World Patient Safety Day which this year has a theme of safe maternal and newborn care. She provided an overview of the implementation of the Ockenden Immediate and Essential actions.
Amelia Newbold, Risk Management Lead at Browne Jacobson provided an overview of how Heads of Legal can support clinical improvement work.
We were delighted to be joined by Dr Angie Doshani Consultant Obstetrician and Gynaecologist at University Hospitals of Leicester NHS Trust (UHL) and Elaine Broughton, Head of Midwifery at UHL, who spoke about the impact of Ockenden at their Trust, the practical steps they have taken to implement the actions required, and shared practical tips for disseminating learning.
The Shared Insights were:
Rachael Morris provided an overview of the four Ockenden Recommendations this session would focus on:
Communication is a thread running through all of those issues.
Amelia Newbold discussed how improving maternity safety cannot be achieved by clinical staff within maternity units acting alone – it is much wider in scope and we all have a part to play. She explained how Heads of Legal can support clinical improvement:
Dr Angie Doshani discussed the importance of reassuring the public that Trusts have learned from their past mistakes and ensuring learning is embedded and shared.
She spoke of the importance of culture within Trusts and how working as a team is key. Improving morale and having visible leadership on the shop floor is also important along with improving communication between team members.
We heard practical tips and ideas for sharing learning and experiences with staff including ‘tea-trolley’ and ‘sweet trolley’ learning, ‘good news papers’ and regular safety walks.
Amelia Newbold discussed the importance of ensuring consent discussions are tailored to individual circumstances and documented. It is important to remember that consent is an ongoing process– during the antenatal period there is a considerable amount of time to have those discussions. Documenting as much detail as possible of those discussions is key.
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