Memorandum by Trafford Healthcare NHS
Trust (MS 73)
SUMMARY
Trafford General Hospital is a District General
Hospital situated in the North of Trafford. The Maternity Service
moved into a purpose-built building in 1992. The Unit consists
of 24 beds providing in-patient care for ante-natal and post-natal
women. There are five birthing rooms, an Obstetric theatre, a
Special Care Baby Unit with eight cots and an Ante-Natal Assessment
Unit. Currently awaiting the new build for a Bereavement/Family
area. Adjacent to the Maternity Unit is the Ante-Natal Clinic
and Gynaecological Unit.
1. Staffing
There are four Consultant Obstetrician/Gynaecologists
(two of which are maximum part time) who participate in 1:4 on
call. There are five middle grade doctors who participate in 1:5
on call and five SHOs who participate in 1:5 on call.
Staffing levels are frequently depleted, especially
when sickness, annual leave and study leave occur. However, recruitment
is usually successful.
2. Midwifery
Head of Midwifery/Service Manager for Obstetrics,
Gynaecology, Well Adults & Sexual Health and Child Health
Directorates.
3 x "H" grade Midwifery managers—(Community
Midwifery, Labour Ward and In-patient Unit).
62.16 whole-time equivalent Midwives, (Community
and Hospital).
One Infant Feeding Co-ordinator.
Two midwives who provide care to young parents
(Teenage Pregnancy).
Two Community Midwives—who provide education
and support to women with drug/alcohol dependency, smoking cessation.
One Sure Start Midwife for Partington area.
Support staff of Heath Care Assistants, Ward
Clerks, Volunteers.
Recruitment in midwifery has only become a problem
within the last year, currently vacancies now running at approx
8%.
The Trust offers Flexible Working: long shifts,
part-time, job-share posts.
3. Models of Care offered
Consultant Care—all care provided by
Hospital Consultants.
Shared Care—(booked under a Consultant,
but the majority of care provided by midwives).
Domino care—Booked under a Consultant
but care provided by Community Midwives, including intrapartum
care and usually six-hour stay post delivery.
Midwifery Led Care—(women assessed at
low risk of complicated pregnancy plus labour who choose to receive
all their antenatal, intrapartum and postnatal care from Midwives)
currently being developed and to be implemented 1 April 2003.
Women in labour of less than 32 weeks gestation
are usually transferred to a Regional unit with NNIC eg Saint
Mary's, Manchester or Hope Hospital, Salford.
The Obstetric service is supported by 24 hour
cover of Paediatric and Anaesthetic teams.
COLLECTION OF
DATA
CESDI provides a comprehensive review of data
which is comparative between Units in the North West.
Hospital Computer system is used to generate
obstetric discharge letters, collects varied obstetric data.
Manual collection of data for monthly comparative
statistics.
Please note: Currently approximately 2,500 births
to Trafford residents per year of which approximately 1,500 deliver
in Trafford, about 850 deliver in Wythenshawe Hospital and 150
per year deliver in Saint Mary's, Manchester. However, most antenatal
and postnatal care is provided by Trafford Midwives.
Rosemary Connor
Head of Midwifery/Service Manager
Trafford Healthcare NHS Trust
Trafford General Hospital
Moorside Road
Davyhulme
MANCHESTER
M41 6JY
Tel: 0161 746 2132
Fax: 0161 746 2137
Email: Rosemary.Connor@trafford.nhs.uk
Activity
Year
April -
March
| Total
Deliveries | Elective
LSCS
| Emergency LSCS | Total
LSCS
| Forceps | Ventouse
| Vaginal
Breech | InductionsHome Births/
Dominos
| Perinatal
Mortality
Rate
per 1000
|
| 1992-93 | 1,255 | 92
| 123 | 215
(17% | 52
)(4%
| 140
) (11% | 7
)
| 377 | 18 | 8 |
| 1998-99 | 1,521 | 96
| 173 | 269
(17.6% |
10
) (0.6% | 164
) (10.7%
| 9
)
| 416 | 55
| 6 |
| 1999-2000 | 1,578 | 109
| 237 | 346
(22% |
31
) (1.9% | 132
) (8.3%
| 10
)
| 431 | 52
| 7 |
| 2000-01 | 1,485 | 118
| 274 | 392
(26.3% |
48
) (3.2% | 120
) (8%
| 9
)
| 416 | 40
| 4 |
| 2001-02 | 1,476 | 128
| 231 | 359
(24% |
30
) (2% | 120
) (8%
| 4
)
| 367 | 45
| 3 |
2002- Feb 03
(11 mths only | 1,373)
| 114 | 225 | 339
(24.6%
| 42
)(3% | 115
)(8.3%
| 7
)
| 333 | 20
| 7 |
March 2003
| 
