Bradford District and Craven Better Births Community Engagement Events in Bradford and Airedale November 2021 Powerpoint

Maternity Voices Partnership (MVP) – Main Meeting
Thursday 4th November 2021 on Zoom

Present: Laila Ahmed (CNet), Jenny Pratt (CNet) (minutes), Abbie Wild (Act As One Better Births) Charlotte Hamilton
(Bradford Breastfeeding Buddies), Julie Newbold ( Bradford Breastfeeding Buddies) Alison Brown (Better Start
Bradford), Arshad Hussain (15 Steps Review Lead), Sara Hollins Head of Midwifery (Bradford Royal Infirmary), Masira
Hans (Mind in Bradford & WHN Chair ), Sarah Worsted for Rush Shaw (BD&C CCG), Caz Merrett ( Bradford Doulas), Katie
James (Perinatal Peer Support Services), Zafar Kayani (Betterstart Bradford), Fazeela Hanif (Highfield Community
Centre), Lorraine Pryce (Bradford Doulas), Ann Orr Midwife Matron ( Bradford Royal Infirmary), Debi Gibson (Deputy
Head Midwife Airedale General), Naz Kazim (Keighley Association for Women and Children), Shelley Franklin King
(Bradford Doulas).

Apologies: Aliya Fazil (Chair of MVP), Yazmin Shah (CNet), Samina Koser (CNet freelancer)

1. Welcome / Introductions/Apologies
   Due to Aliya’s absence, Laila chaired the meeting, welcomed everyone and thanked
   everyone for attending. A round of introductions were then made.
2. Minutes of the last meeting and Matters Arising
   Minutes were agreed as correct, and actions were discussed.
   Action still to completed due to staff absences:
   ACTION: Yazmin to arrange for MVP banners to be dropped off at Airedale and BRI
3. Updates
   Sara Hollins (Bradford Royal Infirmary)
   Staffing
   Sara explained that things are difficult at the moment as, although Maternity Services are
   being invested in across the country, there is a national shortage of midwives and
   associated staffing. Sara explained that they have maximised the workforce that is out
   there but still haven’t been able to build up staff from natural losses. There is an increase
   of staff needing to take short term sick leave due to Covid. These concerns have been
   raised by the Executive Team to Tracy Cooper their Regional Manager. The priority is
   keeping women and babies safe and having processes in place to ensure this , however
   there may have to compromise on choice due to the staffing issue.
   Covid Vaccine
   Sara shared that the national uptake of the Covid Vaccine by pregnant women is poor and
   our area is particularly low. They are increasingly seeing pregnant women who are Covid
   positive. Every single woman on intensive care has not been vaccinated. BRI maternity
   have been running successful pop up clinics in the department. Sara would like more
   messaging to go out, particularly to dads and whole communities to support vaccinating
   pregnant women.  Sara explained that there are many complex reasons for people not taking up the vaccine
   and that we could share women’s experiences more widely but there is a balance between
   being sensitive and the weight of the danger.
   Hypnobirthing Service
   Launched hypnobirthing service. This is not a commissioned service and we do have to
   charge to cover staff time. Starting with very vulnerable parents and then hoping to roll it
   out wider.
   Theatre Build
   The theatre build is continuing and the Outstanding Maternity Services has its 1 year
   Anniversary Event on the 11th November.
   15 Step Review
   Update later from Arshad. These are small steps but they all add up. We are very proud of
   our relationship with our MVP members and this ongoing collaboration project.
   Naz from KAWCC said that she would like to see any Covid messaging to be available in
   Punjabi and Urdu.
   ACTION: Laila to pass this to the CCG Comms team.
   Debi Gibson (Airedale General)
   Staffing 
   Debi fedback that they are experiencing similar problems to Bradford. They have funding
   but are struggling with recruitment. They are increasing staffing of Band 2 & 3 to provide
   support. Middle management are on call but there is concern around staff wellbeing due
   to the staffing issues.  Debi stated that we do have links with Act as One and Bradford Universities but there is
   just not enough midwives out there.
   Covid Vaccine                                                                                                                                                                                                                              Debi stated that the situation is the same in Airedale as in Bradford.
   Arshad Hussain (Maternity 15 Step Review)
   Arshad shared with members that on 28th October we reviewed the Birth Centre and the
   Scan Department at BRI with Alison Brown, Bernie Morley, and Sara Hollins. The review
   went really well and the report and evaluation will be shared with everyone once it has
   been drafted by Alison Powel. We have 1 review left to do at the Neonatal Unit. We found
   lots of good practice and it was a really interesting visit. It is important to note that the
   midwives and nurses were very welcoming and we would like this to be taken back to the
   teams.
   At Airedale the review took place at the Airedale Maternity Assessment Centre, Ante-natal
   Clinic and waiting areas by Sarah Simpson, Wendy, Holly Vincent and Alison Brown. This
   also went very smoothly and the evaluation showed that a few things could be improved
   but nothing major. The next review will be on 16th December, we need 1 more mum and
   to decide on which department to cover. Once Holly has finished the report we will share it
   MVP members.
   Alison mentioned how well organised and well supported these visits have been and that
   having mums involved has been really impactful. Alison stated that she could see how
   seriously the review is being taken by both maternity teams.
   Laila Ahmed – CNet
   Strategic Board Updates
   MVP feeds into Better Births, Outstanding Maternity Services, Local Maternity Services and
   Regional Programme Boards. We have a number of core people who attend these to make
   sure the MVP voice is heard and that issues, themes emerging from members and MVP
   partners are shared on these platforms.
   Events
   We are excited to announce our first face to face event for 18 months. The Better Births
   Engagement Event is being held on Thursday 18th November 2021 at Keighley Central Hall
   (Main Hall). There is also be one for Bradford at the Carlisle Business Centre on Thursday
   25th November.
   The format for the events will be brief presentations from MVP Chair and BRI/AGH
   Maternity Teams, workshops around Digital Inclusion, Birthing Experiences ,Parent
   Education Classes, Covid Vaccine Information and a creative arts workshop.
   Due to Covid restriction ,there will be a limit of 50 places per event, and a limited number
   of stalls.
   These events are targeted at women & families who are pregnant or have had a baby in the
   last 2 years. There will be a specific recruitment from seldom reached communities .
   ACTION: YS – 15 Step Review reports to be shared with members.   ACTION: YS visit community bases to recruit parents and forward publicity for booking to members.
   Members News
   Bradford Doulas
   We are actively recruiting volunteer Doulas. Our staff team has increased and demand is
   increasing. The next training session is January 2022 so please encourage anyone
   interested to get in touch. Contact via 01274 223232 and
   https://www.facebook.com/BradfordVolunteerDoulas/
   Better Start Bradford
   Baby week is week commencing 15th November. We will be holding activities for mums
   dads and babies. Please check our website for further information
   https://www.betterstartbradford.org.uk
   Perinatal Peer Support Services
   Katie James has taken over as the new service manager from Gemma Smith. We are here
   to support people with perinatal health. Please forward any referrals. They will also be
   having activities in Baby Week. Full details on our Facebook page or please email
   [email protected] or phone 07966 926849.
   Highfield Community Centre
   We are holding a MOT health check event on 16th November with Covid vaccines, flu jabs,
   Blood Pressure monitoring, etc. This will include a Stay and Play session.
   Laila would like a stall at their event. Fazeela to email Laila.
   Keighley Association for Women and Children
   Holding an event with Modality on the 23rd November for Health Check sessions, Covid
   booster sessions and bloop pressure monitoring. Doctors will be present on the day to talk
   to people and promote the vaccine.
   Act as One Better Births
   On Self Care Week we will be at the Airedale Shopping Centre on 17th November 2021 and
   at the Broadway on the 18th November 2021 with information about Breastfeeding.
   Laila thanked everyone for attending and closed the meeting.

Maternity Voices Partnership (MVP) – Main Meeting

Thursday 25th June 2020 on Zoom

Present: Aliya Fazil (Co-Chair), Laila Ahmed (CNet), Yazmin Shah (CNet), Jenny Pratt (CNet), Graham Carey-Briggs (NSPCC), Aamnah Rahman (Born in Bradford), Gemma Smith (Family Action), Abbie Wild (Bradford Royal Infirmary), Sara Hollins (Bradford Royal Infirmary), Julie Newbold (NCT), Alison Brown (Better Start Bradford), Ruth Shaw (CCG’S) Cathy Howell, (BTHFT), Sameena Khan, Waheeda Ghafoor, (Family Action), Maha Alomari, (City of Sanctuary), Shelley Franklin-King, Rachel Dennis (NCT), (Bradford Doulas), Sara Bennet, (Local Maternity Service ) Victoria Simmons (CCG’S), Jane Dickens (BDCT), Charlotte Hamilton, (Bradford Breastfeeding Buddies), Yasmin Begum (Roshni Ghar).

Apologies: Rachael Loftus (AFC-Baby Steps)

1. Welcome / Introductions/Apologies

The Chair welcomed everyone and thanked everyone for attending the first MVP Main Meeting to take place on Zoom.

This was our first meeting since the start of the covid 19 pandemic in March. The usual agenda format slightly changed to enable the sharing of information on what people have been doing and the challenges they have faced over the past few months.

2. Updates

Cathy Howell – Bradford Teaching Hospitals Foundation Trust

CH gave an update about Post-Partum Contraception. Concerns had been raised about the lack of contraception advice to women after giving birth due to the changes in services with the Covid 19 pandemic. The Postpartum Ward have been having conversations with women after birth around contraception following pregnancy and birth and to understand their options. Available are a booklet; condoms; progesterone-only pill, (which can be used while breastfeeding), the Depot Provera injection and the Implant. All of these can be administered before women go home. The team would like to make more Coils available in the future. They are also updating their website with more information to be available in the following languages: Urdu, Punjabi, Bangla, Hungarian, Slovakian and Polish.
A baseline survey is being carried out to find out what is being discussed on the wards at the moment. CH was pleased to announce that so far 60 members of staff have been trained.

Sarah Hollins – Bradford Royal Infirmary

SH expressed her thanks to the women and families using the Maternity Services in Bradford during the Covid 19 pandemic. They are currently reviewing the changes made to the service with staff. In collaboration with the LMS and MVP a service user’s evaluation survey has been devised to capture patient’s experiences during the Covid pandemic and government guidelines changes. Hard copy surveys will be distributed at the ward and there is a Survey Monkey link (below) and a request for all members to circulate to their contacts. The deadline for the survey monkey is 10th July 2020 and findings will be collated for mid -August and shared with BTHFT/LMS and the MVP.

• BBC Panorama has been filming at the Bradford Hospital Trust which should air in mid July 2020. It was very representative of Bradford and included people from Seldom Heard Groups.
• Home Birth Teams – have been closed due to the pandemic, but is now back open. Feedback has been very positive and people have been very understanding.
• The numbers of people very ill with Covid 19 has been very low coming through the Maternity Ward.
• Due to increased testing over the last few weeks, they have found that there has been many more people with asymptomatic symptoms coming through the Ward.
• Maternity Transformation launch is happening in about 3 weeks, SH will keep group updated about this. Would like to have service user engagement and if requested if the MVP could support with this.
• Looking at Maternity Pathways to reduce still-births and perinatal mortality outcomes.

Abbie Wild – Bradford Teaching Hospitals Foundation Trust

AW explained that they have 3 teams which were launched in March 2020. These are the Acorn Team for vulnerable clients with 4 midwives; the Amber Team covering the BD8 and BD15 area who are a mixed risk geographical team with 3 midwives; and the Multiples Team who cover multiples births.

Actions:

• CH to forward timeline of baseline survey to MVP
• SH/SB/LA to collate findings and share with MVP/BTHFT

3. Member Updates

Laila Ahmed – CNet

LA explained that we were looking at a way to move forward with the MVP Main Meetings. There will still be 3 Main Meetings alongside the 3 Voluntary Sector Partnership Meetings, small planning group to meet to discuss how VSP meetings can be adapted to include more Womens and family’s voices and stories. The MVP continues to share messages among our members and we will also be creating a calendar of Virtual Workshops and meeting dates.
The current ideas for topics include:
1. Foetal Alcohol Syndrome
2. Perinatal Mental Health
3. Maternity Care Staff question and answer session
These workshops would be aimed at individuals in the community, Voluntary Sector Organisations, and Maternity Care Services.

Victoria Simmons – Head of Engagement Bradford and Craven CCG

• People and community organisations experiences of health care services are still being collated is being fed back to grassroots channels. Victoria hopes to feed back further information relating to maternity services at the next MVP main meeting.

Maha Alomari – City of Sanctuary

Maternity Stream Update

• Working with Refugees and Asylum Seekers who have given birth in the UK.
• Please refer any members of the community that are struggling to access services.
• Referrals come from Midwives and self-referrals through word of mouth.

Gemma Smith – Family Action

Perinatal Support Service Update

• Able to offer a telephone service or video call service.
• Waheeda Ghafoor is offering group therapy work virtually.
• There has been a reduction in referrals which is a concern.
• Can work outside the normal geographical area at the moment.

Shelley Franklin- Kelly – Bradford Doulas

• Still supporting women over the telephone and on video calls.
• Unable to attend births but they are still taking referrals.

Aamnah Rahman– BIB Update

AR updated the group about the research that BIB has been doing around Covid 19 and how it affects children and their families. They are carrying out a project around immunity tests on BIB children and one parent. This soft research is looking at behavior changes and the positive or negative results. The information will be fed into Gold Command structure.
Aamnah also raised the issue of fake news and the impact on BAME communities being more at risk, as making them a target group alongside Roma and Asylum Seekers and Refugees. Many communities are receiving their information from sources outside this country. LA has seen similar fake news coming from the US and the far right groups being circulated in the UK. This misinformation is seen across all communities. AF explained that the NHS have been providing Myth Busters on Facebook. Please check and spread these Myth busters.

Julie Newbold – NCT

Breastfeeding Support Update

• Not doing face to face support but have continued with telephone calls or video calls and Facebook messenger.
• Also doing 2 Zoom calls a week to support women in the community.
• Not as many referrals as they would’ve expected. Mainly through word of mouth. Have had some referral from Health Visitors. Midwife referrals have stopped altogether.
• Sarah Hollins – people are leaving hospital sooner than normal so exposure to these women is not as long as before.

Sarah Bennet – Local Maternity System Update

• Delivering with partners the Better Birth Maternity Transformation Programme.
• New Perinatal Mental Health work stream with the West Yorkshire and Harrogate Mental Health Learning Disability and Autism Programme, looking to transform Perinatal Mental Health Services.
• Keen for service users to join the group who have lived experiences.
• Please contact SB if they have anyone who would like to join.
• Prevention Agenda -in the next few months there will be outputs from lots of expert groups about how to transform the health prevention messages. Want to engage groups that we don’t normally engage with on how to frame these public health messages.
• Digital Activity – every hospital in the area currently uses a different system and the ultimate aim is to join those systems up.

Jane Dickens Update

• MVP would like Jane to run a workshop.
• JD would like more connection with Midwifery.
• JDs contact is on maternity leave and other Midwives have been reallocated into core services and Jane has not found a contact in the hospitals to take over. This request can be forwarded to the Hospital contacts on the MVP group.
• Activity at the moment includes ideas for promotion of International Breast Feeding Week (first week in August) and Black Breast Feeding Week (last week in August)
• Request from MVP – photos of mums and dads with babies, with consent to have a bank of pictures that is representative of the District.
• JD is delivering Breast Feeding Basics Training virtually across the District. Raising awareness and educating society. To access this email JD or book through the training department of the Care Trusts.
  Sub group to meet and discuss format for virtual VCS meets

Actions:

• YS to circulate dates for future virtual meets and workshops
• YS and SFK to discuss anxiety with pregnant women outside this meeting.
• SH to raise this with Ward/Community Midwives
• JD/YS to arrange date
• JN to forward Breastfeeding support service info to be shared on MVP FB
• AF to collect postnatal and perinatal info from groups and drop them to maternity ward

4. Chat Box Text

From Aliya Fazil: Survey Monkey link:
https://www.surveymonkey.co.uk/r/N6HTHDD?fbclid=IwAR2F2v5VyqlaiCEtv-blQWRfftqDGMOSEubd88CAZnV0HJbvN8CbCmP5hd8. = SURVEY NOW CLOSED

From Sarah Bennett: The new contraception offer for women is excellent. It would be really good to co-produce some evaluation from the women’s perspective in addition to the hospital audit.

From Julie Newbold: Will the workshops be aimed at service users or professionals?

From Aamnah Rahman: BiB could probably pick the research around contraception, there is a new Covid study aimed at all pregnant women having their baby at BRI so it could all be linked. Josie Dickerson and Sally Bridges are the people to contact.

From Alison Brown: We can promote these via our zoom antenatal groups if we can have the appropriate contact details.

From Victoria CCG Engagement Lead: I think these workshops sound great, as a really good way to reach out to people in the community and offer them something that will be of interest and value to them (probably much more than a formal meeting).

From Graham Carey-Briggs – PIM- NSPCC: Pregnancy In Mind, is offering virtual sessions with women, who are experiencing anxiety and depression. We are working with a number of women specifically.

5. Future MVP Zoom meeting dates:

MVP Public Platform – for all things maternity (VSCOS and individuals ) on Tuesday 8th September 2020 – 10:30-12:00

Main MVP meeting – Thursday 1st October 2020 – 10:30 -12:00

To download a PDF of the minutes please click here:

Main Meeting 25.06.20

Please get in touch by email mailto:[email protected]

Website: https://cnet.org.uk/projects/engaging-people

Or on Social Media

Facebook:  https://www.facebook.com/BDCMaternityVoices/

Twitter: https://twitter.com/BradCravMVP

Please get in touch by email mailto:[email protected]

Website: https://cnet.org.uk/projects/engaging-people

Or on Social Media look for

Facebook:  https://www.facebook.com/BDCMaternityVoices/

Twitter: https://twitter.com/BradCravMVP

Bradford Districts and Craven Maternity Voices Partnership (MVP) Main Meeting

Tuesday 17th March 2020, 10.00 – 12.00 a.m. at CNet

Agenda

1. Welcome, introduction and apologies

2. Minutes of last meeting and Matters Arising

3. Active Discussion Section

Seldom Heard Groups – Helen Green CNet, update on work around Teenage Pregnancy within central Eastern European communities

Workshop around strategic priorities and themes for 2020 – 2023

4. Updates:

Voluntary Community Sector Partners Group – 14th February Meeting
Bradford
Airedale

5. Member News

6. Dates of future MVP main meetings in 2020

Tuesday 21st July Tuesday 24th November

To download a PDF of this Agenda please click here:

Agenda MVP Main Meet – 17.03.20

Maternity Voices Partnership (MVP)

Voluntary Sector Partners Meeting

Friday 14th February 2020, 10.00am – 12.00pm at CNet

Present: Graham Carey Briggs ( NSPCC), Masira Hans ( Sharing Voices), Alison Brown ( Better Start Bradford), Alia Fazil ( Co Chair & Bradford Doulas), Laila Ahmed ( Engaging People , CNet), Tilly Rathnell ( Project 6), Shelley ( Bradford Doulas), Rubie Ahmed( Bradford Doulas), Rachael Dennis ( National Childcare Trust)

Apologies: Yazmin Shah (CNet)

1. Introductions and Matters Arising

Aliya Co – Chair welcomed everyone to the meeting, this was then followed by a round of introductions.

The minutes of the last meeting were agreed as an accurate record.

2. MVP Priorities and Strategic Themes

The current strategic priorities and themes are:

• Breastfeeding
• Infant mortality
• Continuity of carer
• Perinatal mental health
• Seldom heard groups
• Healthy Lifestyle Choices – cross cutting theme

These were set prior to the maternity voices partnership launch which took place in March 2018. These priorities were set for a two year period and the partnerships intention was to review these priorities during Spring 2020.

Members were asked in small groups and then at a larger group, on what they felt the priorities should focus on over the next two years.

Members were ask to consider the existing headings, should these priorities remain the same, should any be removed and which if any new priorities needed adding.

There was discussion around different models of maternity care (the medical model and the social model), it was felt that an ideal scenario would be to have a balance from both perspectives and approaches.

There was a general consensus that the existing strategic themes were still of relevance for now and the foreseeable future. Members felt that there was scope to include an overarching theme around positive experiences for women and their families.

Action:
Workshop notes on themes and priorities to be shared at MVP Main meeting in March for discussion and to be finalised.

3. Grassroots

The overview of feedback from grassroots patient around maternity care and services was shared with the group. The Grassroots Handbook details ways in which voluntary sector partners can feed back comments and the MVP postcard question 3 could also be used to gather the feedback and intelligence.

Members then completed a sticky note exercise noting maternity care service and feedback from women and families with which they work and have relationships with.
Action:
MVP Grassroots Handbook and Summary overview of feedback attached.

26 comments/issues collated via workshop and feedback through GR channels

Next GR overview report to be shared at MVP main meeting 17th March.

4. Walk the Patch

http://nationalmaternityvoices.org.uk/toolkit-for-mvps/gathering-feedback/walk-the-patch/

Walk The Patch is a volunteer led program to collect direct feedback from current maternity users on the antenatal and postnatal wards of maternity units. The aim is to provide a snap shot of Womens experiences of care on a certain day on the maternity wards and can be collected from women who have birthed in a centre or on a labour ward.

Yazmin will be leading on this piece of work and will be organising a walk the patch for spring/summer and a second in autumn/ winter. The idea would be to organise one for BRI and another for AG. Shelley asked if Walk The Patch could include home births situations also as it would be good to include this area also.

Action:
YS to contact Tina Mori BRI and Sarah Munsie (AG) and MVP members and co- ordinate visits, dates and recruiting volunteers.

5. Sharing news and good practice

Masira informed that the current maternity partnership boards are currently being reviewed in line with the review of the three CCG’s.
The single CCG (formerly Bradford City, Bradford Districts and Airedale, Wharfdale and Craven) entity is proposed to begin at the start of April. The format and composition of current partnerships and boards for the time are in transit.
The proposal will be for the perinatal mental health stream to be extended to two years (it was previously three years) and the offer will be in the future be extended to include fathers.

Alison stated that Better Start Bradford were in an extremely busy period as the programme hit its five year marker (halfway through the project programme). An open invite to Tell The Story so far will be held at Kala Sangham on the 30th March.
There is also now in place three district wide strategic planning groups: Workforce, Education and Dads Groups. Zakra Yasin at BSB is the contact for more information on these.
Alison also mentioned that the Dads Programme co- ordinated by Rachel Lofthus will now be focusing on the 0 – 4 year age range.

Rachael of NCT shared her story of good practice with members following a lengthy period of campaigning around perinatal mental health checks. It has just been announced by NHS England that they will set aside an allocated amount of funding for perinatal mental health six week checks for all new mothers.
This is exciting news following the campaigning and push to reinstate this funding.

Tilly of Project 6 gave details for a training programme she is delivering around foetal alcohol syndrome and is very keen to reach midwifery teams and health professionals. Whilst women were definitely being informed on the dangers of smoking , risk of obesity there was perhaps more confusion around the recommended alcohol intake for women when pregnant, and less awareness around the effects of alcohol consumption when pregnant ( long term effects for the baby/child).

It was proposed and agreed that Tilly would deliver an interactive workshop around the theme at the MVP main meeting on the 21st July

Feedback for Bradford Doulas by Aliya was of some joint training with Rape Crisis around domestic and sexual violence.

Action:
Masira to update group when new systems are in place.

To forward Tilly information on Midwifery Curriculum Stakeholders Group sessions organised by Bradford University

6. Dates and time for MVP Voluntary Sector Partners Group 2020

If you would like a slot to share or any present information/deliver a workshop then please contact Yazmin Shah

mailto:[email protected]

Tuesday 23rd June Tuesday 20th October

10:00-12:00pm at CNet Offices

To download a PDF of these minutes please click here:

Minutes MVP VSPG 14.02.20

Bradford District and Craven Maternity Voices Partnership (MVP) –
Voluntary Sector Partners Group

Friday 14th February 2020, 10:00 – 12:00, at CNet

Agenda

• Introductions
• Setting MVP priorities and strategic themes for 2020 and beyond
• Grassroots workshop
• Walk the Patch
• Sharing news and good practise

2020 meetings:

• Tuesday 23rd June 2020
• Tuesday 20th October 2020

10:00 – 12:00 @ CNet small meeting room

Thank You

To download a PDF of the Agenda, please click here:

Agenda MVP VSPG 14.02.20