Memorandum by Addenbrooke's NHS Trust
Maternity Services (MS 58)
Rosie Hospital Profile
The Maternity Service is part of Addenbrooke's
NHS Trust and is based in the Rosie Hospital, on the South side
of Cambridge City Centre. It is a purpose built Maternity Unit
offering a combination of inpatient and outpatient facilities.
The accommodation was built in 1983, is pleasant and functional
and the overall impression supported by both users and local review
is of a popular and efficient service.
The Rosie Hospital provides maternity services
to the local and regional populations of Cambridgeshire and Huntingdon,
North Essex and East and North Hertfordshire, Suffolk and Bedfordshire.It
also functions as a tertiary referral centre accepting referrals
from surrounding Trusts for women and babies with complex medical
problems. Currently undertaking 4,500 deliveries annually, with
35% of the referrals originating from outside Cambridgeshire.
Antenatal care is provided both in the
hospital and community and shared between Obstetricians, Midwives
and General Practitioners. Women are offered full antenatal screening
services and a smaller number offered antenatal diagnostic services.
There are facilities for day care surveillance and inpatient treatment.
Community based staff have access to these facilities, and to
the advice of the hospital based team.
Intrapartum care is hospital based, for
the majority of women. In 2002, 3.95% of women in the Cambridge
Health District chose to have a home birth attended by community-based
midwives.
Postnatal care is largely shared between
the hospital and the community. The average length of stay (LOS)
in hospital for 1999 was 2.77, for 2001, 2.47 days and 1.81 by
the end of 2002. LOS has decreased during this period of time
as a change in policy, regarding early discharge, was introduced
in 1999. Following transfer home the women are supported postnatally
by their community midwife for up to 28 days. The GP then reviews
the woman and her baby between six to eight weeks.
Midwives are the largest group of qualified
staff at the Rosie, undertaking 59.6% of deliveries in 2002 and
present at 100% of births. Midwives work in both hospital and
community, the majority, 75%, working primarily in the hospital
setting. The remainder work primarily in the community but support
the hospital when necessary.
Supervisors of Midwives—there are
15 Supervisors of Midwives within the Rosie, who are currently
working to try and raise the profile of Supervision. The group
of Supervisors includes a combination of both Managers and Clinicians.
Consultant Obstetricians—there
are 10 Consultant Obstetricians at the Rosie who each plan and
oversee the care of a caseload of women. Doctors in training provided
the major part of direct care, however the emphasis is shifting
to a Consultant delivered service.
Senior Consultant Anaesthetic presence
is available in both the Delivery Unit and Obstetric Theatre throughout
the week, providing consistent and excellent care. Twenty-four
hour "on call" cover is also provided. There is a comprehensive
pain relief service, anaesthetic support for the elective and
emergency theatre activity, and active involvement with Obstetricians
in the management of women requiring "high dependency care".
The service benefits from the close proximity
of the Neonatal Intensive Care Unit and the support of the Neonatology
team of medical and nursing staff. Joint planning for care between
Obstetricians and Neonatalogists is well developed, as are the
discussions around the tertiary part of the service where both
the mother and baby are transferred to the Unit from the wider
catchment area.
The Maternity Service is supported by other
key clinical specialities such as Neonatology, Obstetric Anaesthesia,
Radiology, Pathology, Genetics and Professions Allied to Medicine.
The Maternity Service supports the training
and education of medical, midwifery, nursing and other groups
of staff and the qualified staff are involved in development of
training programmes, examinations and assessments.
THE UNIT
Rosie Outpatients: Obstetric, Gynaecology,
Family Planning and Genetics O/P clinics.
Rosie Scan Department: Obstetric and
Gynaecology scans.
Daphne Ward: Fetal Day Assessment; Assessment
of pregnancy (16/40); Emergency gynaecology; Early Pregnancy,
Reproductive medicine.
Delivery Unit: 14 Delivery Rooms, with
a Birthing room (incl Pool) and High Dependency Unit being currently
developed.
Rosie Theatres: 2 x obstetric theatres
adjoining Delivery Unit.
Ante/Postnatal Wards: Christine Ward
and Lady Mary Ward.
Community Teams: four teams serving the
population of Cambridge Health Authority.
Neonatal Intensive Care Unit—with
nursery and transitional ward.
SPECIALIST MIDWIFERY
POSTS
Consultant Midwife
| 1.0WTE |
| Practice Development | 1.0WTE
|
| Research Midwife | 1.0WTE
|
| Midwifery Risk Manager | 1.0WTE
|
| Maternal Fetal Medicine Counsellor | 1.0WTE
|
| Ultrasound midwives | 3.2WTE
|
| CIS Project Midwife | 0.6WTE
|
| Bereavement Counsellor | 0.6WTE
|
| NVQ Co-ordinator | 0.8WTE |
| |
| 
