Maternity, children and young people health services
Maternity, children and young people services cover a wide range of different services, such as antenatal care, support during and after birth, neonatal care, community and hospital paediatric services, GP services for parents and children and mental health services for parents and children.
A sample of what people told us
|"More needs to be done to support women who want to breast feed"
||"Ensure community and hospital antenatal services are joined up. Ensure patients are provided with explanations for decisions being made. Support people to remain physically and mentally healthy during pregnancy"
|"More support throughout pregnancies - especially around the MH effects on parents. The difficulties of caring for a demanding baby and how to manage lack of sleep. This can be worked into the safer sleeping programme to expand the service to ‘safer parenting’"
||"To keep continuity with the same Midwife for patients during their pregnancy"
|"Better education on healthy diet for families / young children"
||"Better post birth support. Involve dads more. Help new parents understand what advice to follow - conflicting advice between midwife, health visitor and family"
|"For NHS maternity staff to have a better understanding of safeguarding and what it means to work alongside Children’s social care"
||"Recognise the importance of children’s centres and the role they play in bettering the lives of children and families"
|"More prevention advice would be good, how to stay healthy during pregnancy, how to cope during first few weeks etc."
||"More compassion when delivering bad news especially about loss"
What we know
- We need to work together across health and social care to develop a local response to the “Better Births” National Maternity Review and ensure services are safer, more personalised, kind, professional and more family friendly.
- Ensure women at risk of premature delivery receive the right care in the right place at the right time leading up to the birth of their child.
- We need to improve services for Vulnerable Children (including Looked After Children)
What we are trying to achieve
Deliver safe, kind, family friendly, personalised care with improved outcomes for children, young people and families.
- To reduce the numbers of stillbirths and neonatal deaths by 20% in 2021 and 50% in 2025
- Achieve 20% of women receiving continuity of carer during pregnancy
- Increase access to specialist perinatal mental health services
- Continue working in a multi-disciplinary way across the Local Maternity System (LMS)
What we have done so far
When we identified that, across Coventry and Warwickshire, local Children and Adolescent Mental Health Services were disjointed, impacting on the mental health and wellbeing of looked after children, we worked to commission a single service and treatment pathway to support looked after children, with the aim of improving their mental health and wellbeing.
We recognised that safeguarding in primary care can sometimes be a challenge for practices who are not well connected to the wider health and social care system. We introduced a number of initiatives to reduce risks to vulnerable children and adults so that they are more easily identified and safeguarding teams can meet needs more effectively. Regular vulnerable family meetings provide a multi-agency approach and opportunities for shared decision making and an improved understanding of the wider family rather than the individual in isolation.
In July 2017, we spoke to over 100 new and expectant mothers who attended an event as part of a holistic educational programme which promoted parent/baby health, as well as highlighting the potential risks of co-sleeping. We worked in partnership with three local hospitals, Coventry and Warwickshire Partnership Trust and two local authorities and the Baby Box producer to organise and host this event and support the work of local health visitors and family nurses, who play a pivotal role in providing education, support and advice to families from the birth of their baby until the child starts school.