Statement by Dr Alison Graham, Medical Director


Statement by Dr Alison Graham, Medical Director

Mandatory training is training which all staff must complete in order to fulfill their role. All staff have access to undertake optional additional training courses. The K2 study package element of the Cardiotocography (CTG) training is an annual mandatory training requirement for midwives. All midwives within Ayrshire Maternity Unit who are required to interpret CTG results have completed this training and do so on an annual basis. The K2 study package is a nationally recognised quality controlled training package.

The multidisciplinary sessions were part of additional optional training which staff were encouraged to attend but were not mandatory.

In terms of learning and improvement, NHS Ayrshire & Arran has already:

  • seen a 50 per cent reduction in our crude stillbirth rate from 7.5 per 1,000 in 2013 to 3.2 per 1,000 in 2016. Presently, we are in the top ten hospitals in the UK for correctly detecting these ‘at risk’ babies;
  • invested significantly in additional maternity staffing:
    • £1 million in midwifery staffing
    • one whole time equivalent (WTE) consultant obstetrician
    • one WTE clinical risk midwife;
  • fully participated in the National Maternity Improvement Collaborative since March 2013 showing sustained improvement across a suite of improvement measures - for example, teamwork, communication and collaboration, carbon monoxide monitoring offered at booking appointments, smoking cessation services offered, and management of sepsis;
  • participated in a national study (THISTLE*) examining the benefit of simulation-based training for obstetric emergencies (PROMPT*); and
  • contributed and engaged with recommendations from national initiatives such as Each Baby Counts* and MBBRACE.