Standard Operational Procedure: (Intrapartum care by Poppy ... · continue to provide continuity in the antenatal and postnatal period to individual women but the team will have a

Author: Donna Parris Date: May 2019

Job Title: Poppy Team Lead Review Date: April 2021

Policy Lead: Group Director Urgent Care Version: V1.1 April 2019 V1.0 ratified 5/4/19

Location: Policy hub/ Clinical/ Maternity / Professional guidelines / MAT-SOP-029

This document is valid only on date last printed Page 1 of 8

Standard Operational Procedure:

(Intrapartum care by Poppy team)

(MAT-SOP-029)

Approval

Approval Group Job Title, Chair of Committee Date

Maternity & Children’s Services

Clinical Governance Committee

Chair, Maternity Clinical

Governance Committee

5/4/19 &

3/5/19

Change History

Version Date Author, job title Reason

1.0 18/02/19 Donna Paris, Team Lead

Annette Weavers Better

Births Project Midwife

Trust requirement

1.1 24/2/19 Donna Paris, Team Lead Live change to clarify

intrapartum care provision

at weekends and add

appendices






Standard Operating Procedure: Intrapartum care by Poppy Team (MAT-SOP-029) May 2019

1. SCOPE AND PURPOSE

1. This QMP specifies the service provision by the Poppy team in offering intrapartum

care as part of a continuity of carer pathway through pregnancy, labour and in the

postnatal period for those women eligible for care by this team of midwives

2. This services aims to enhance care to women with complex social needs in the

intrapartum period through a modified team approach. The named midwife will

continue to provide continuity in the antenatal and postnatal period to individual

women but the team will have a collective responsibility to provide intrapartum care

to a defined cohort of women

3. The team aims to care for 5 women per month in the intrapartum period in all care

settings representing approximately 40% of their total caseload

4. This enhancement by the team will contribute towards the 20% target for women

accessing a continuity of care model within this service (Refreshing NHS plans

2018/19).

Document control

Document control is an essential part of a quality management system. 1 A robust system for the regular review and updating of all guidelines, protocols,

policies and procedures has been agreed by the Maternity Clinical Governance Committee and is monitored through this forum.

2. AUTHORISED STAFF

2.1 Poppy team midwives

2.2 All staff working within the maternity service

3. PROCEDURE

3.1 Intrapartum care will be offered by midwives from the Poppy team participating in

a shared on call overnight rota 3-4 times per week (each midwife carries out one on

call per week). During the day intrapartum care will be provided by the woman’s

named Poppy midwife or another member of the Poppy team, where possible. This

service will be between Monday to Friday over the 24 hour period where

overnight on call is available. At the weekend, one midwife is on duty for

essential antenatal and postnatal care during the day. Intrapartum care during this







period will be at the discretion of the Poppy midwife on duty. The off duty will be

available on Optimize.

3.2 Any woman who fits the criteria for Poppy team care (GL889) and booked for RBFT

intrapartum services can be offered continuity of intrapartum care with the exception

of:

Those women who do not engage with getting to know the team of midwives

3.3 Each midwife will discuss continuity of carer in the intrapartum period including how

to get to know the team. The midwives will document women’s choices for labour

care. Every eligible woman will be given information about the service and midwife

availability (see Appendix 1). Team communication will take place each month

identifying the women eligible for intrapartum care by them; this information will be

recorded on the team’s caseload sheet

3.4 Women will be encouraged to ‘get to know’ the team through attendance at

antenatal clinics, parent information classes and coffee mornings

3.5 When in labour, women will call the labour triage telephone line (unless booked for

home birth); the triage midwife will advise the woman as necessary and arrange for

early labour assessment. A ‘Poppy team folder’ will be maintained in the triage area

identifying those women who are to receive intrapartum care by the on call Poppy

team midwife. This information will also be placed in the woman’s maternity records

and also in her handheld records. The on call Poppy team midwife will be notified

via the assessment midwife of established labour and requirement to attend the

woman.

3.6 The service will be monitored via the continuity metrics agreed by the maternity

service and LMS. The data will be collected via CMIS. A service evaluation will be

carried out after 6 months from implementation.






Appendix 1 – Poppy Team leaflet













Appendix 2 – Poppy Team quick look reference guide







Appendix 3 – Poppy Team Intrapartum care referral form

Documents

Standard Operational Procedure: (Intrapartum care by Poppy ... · continue to provide continuity in the antenatal and postnatal period to individual women but the team will have a