Programme updates

Keeping you up to date with the progress of Bump is an important part of the programme and the latest update follows the Bump Board held on Tuesday 13 February 2018.

Clinical workstream updates:

Baby box
We have asked for a national steer on the Baby box initiative from NHS England and the Royal College of Midwives. The RCM has issued a survey to the Heads of Midwifery at Trusts across the country to gather feedback.

Birmingham Symptom-specific Obstetric Triage System (BSOTS)
BSOTS is in the process of being adopted at Heart of England NHS Foundation Trust (HEFT), alongside the RAG rating triage system. This has been well received so far.

Clinical guidelines
One of the key focuses of the programme is to develop one set of clinical guidelines which will be adopted across Birmingham and Solihull. This is a large task but progress is being made and the first five guidelines, detailing Reduced Fetal Movements, Vaginal Birth after Caesarean, SGA, Advanced Maternal Age and Hepatitis B, have now been created and reviewed. The guidelines will now be ratified and implemented across each Trust.

Infrastructure workstream updates:

Electronic Patient Record
Another key principle for Bump is the creation of a single maternity record which is accessible to all who provide care to women across Birmingham and Solihull. HEFT currently uses ‘BadgerNet’ while Birmingham Women’s Hospital (BWH) has predominantly paper-based records. Bump aims to implement BadgerNet at BWH across the maternity pathway and this is due to commence in May/June 2018. There will also be further improvements to the system at HEFT to ensure it is used consistently across all hospitals and pathways.

Digital strategy
As well as the implementation of Badgernet across the programme, there is also a wider digital strategy to ensure that women and staff have access to the high quality systems and technology. Future developments will include:
– Mobile and remote access to care records for staff
– Improved access to patient information
– Enhanced Bump website to provide the ability to self-refer, advice and guidance and a directory of services
– A single, memorable phone number for women to access services
– Use of innovative technology such as artificial intelligence

Maternity voices partnership
There is a national recommendation that all LMSs have an active Maternity Voice Partnership (MVP). It has now been agreed that this will be run by Birmingham South Central CCG and Gateway Family Services until March 2019. The MVP will give women a voice in their LMS and ensure that all care remains patient-focused.

Demand and capacity
It is widely known that as the population increases, so do the numbers of births which will take place over the next few years. As a system, it is vital to ensure we continue to monitor this and ensure that our hospitals have the capacity to cope with the rising demand. The model will predict specific levels of demand such as the number of antenatal/postnatal appointments, delivery suite and labour ward beds, MLU beds, elective and emergency caesarean sections, transitional care capacity and neonatal capacity.