National Maternity Strategy Implementation Plan

1 RefSpecific ActionsResponsible Start policy alignment with other relevant Director Health and Wellbeing collaboration between the Health and Wellbeing Programme and the Department of Education and Skills, in partnership with the HSE and PDST (Professional Development Service for Teachers).DoH Director, Health and Wellbeing with DES, HSE & and simplify current structures for the promotion of health and wellbeing in schools, including improving service alignment to support the delivery of SPHE and ensure the alignment of the Health Promoting Schools model with the Junior Cycle Wellbeing Director, Health and Wellbeing with DES, HSE & closely with the HSE to implement the World Health Organisation International Code of Marketing of Breast Milk Substitutes.

2 DoH Director, Health and Wellbeing Programme & a policy on the marketing of breast milk Health and Wellbeing Q2 2017Q4 the Infant and Follow-on Formulae regulations by the FSAI in partnership with the HSE Environmental Health , Health and Wellbeing, FSAI & the Implementation of the HSE Breastfeeding Action plan (2016 - 2021) and monitor progress in relation to breastfeeding targets; liaising with local breastfeeding committees, Maternity hospitals, community health services and voluntary breastfeeding organisations. National Breastfeeding Coordinator / Health and Wellbeing Division / the resource requirement to implement the Breastfeeding Action plan , in conjunction with the National Breastfeeding NWIHPQ4 2017 OngoingIreland sfirstNationalMaternityStrategy, CreatingaBetterFutureTogether providesaclearvisionanddirectionastohowI rishmaternityserviceswillbedeveloped, ,fromtherightprofessional,attherighttime andintherightplace, ,itproposesanewmodelofintegratedcarecomp risingthreecarepathways supported, , 'sfourstrategicprioritiesanddetailshowea chofthe77actionswillbeimplemented.

3 Essential building block to provide a consistently safe and high quality Maternity Breastfeeding Action plan 2016-20 is resourced and that a health and wellbeing approach underpins both Maternity policy and service that the WHO International Code of Marketing of Breast Milk Substitutes and subsequent relevant WHA resolutions are Maternity Strategy Implementation plan Health and WellbeingEngage with the education sector to ensure that a proactive approach to health and wellbeing begins early during school RefSpecific ActionsResponsible Start a Maternity network plan to implement the Breastfeeding Action plan , recognising the development of the new model of care and working with the National breastfeeding CEOsQ1 2018Q4 a baseline report on breastfeeding performance for each of the Maternity Breastfeeding CoordinatorQ1 2018Q2 the HSE Infant Feeding policy for Maternity and Neonatal CEOs/CHOsQ1 2018Q3 an Annual Report on Implementation of the Breastfeeding Action Breastfeeding CoordinatorQ1 2019 Ongoing a bespoke Make Every Contact Count (MECC) programme for Maternity hospitals/units in conjunction with Health and Wellbeing Directorate (health promotion and improvement).

4 This programme will focus on awareness and detection of issues associated with mental health, domestic violence, alcohol, tobacco, drugs and NWIHP/Health and WellbeingQ4 2017Q3 out a MECC training programme for all staff in Maternity hospitals/units. Group CEOsQ3 2018Q4 with Primary Care to see how the MECC training programme can be provided to GPs and PHNs with a view to ensuring consistency of approach across the shared model of CareQ2 2018Q4 and roll out a standardised education programme for women and staff in each Maternity network. The education programme will be developed in conjunction with the Nurture CEOs/Nurture ProgrammeQ3 2018Q4 and submit a business case for a minimum of one dedicated social worker for each Maternity NWIHPQ3 2017Q4 part of MECC training ( ) all staff will receive training in promoting health and wellbeing as part of postnatal CEOs/CHOsQ3 2018Q4 a working group reflecting public health nursing, primary care and midwifery to ensure a coordinated approach to postnatal care.

5 This approach will build on the experience of previous and existing collaborative arrangements for such care and will recognise regional CareQ1 2018Q3 health covered in actions 19 - support actions 11 - 13 refers. The Breastfeeding Action plan 2016-20 is resourced and care promotes health and wellbeing for the new mother and baby, supports breastfeeding and identifies and supports those at risk with a particular emphasis on mental care encompasses a holistic approach to the woman s healthcare needs including her physical, social, lifestyle and mental health RefSpecific ActionsResponsible Start a plan to support vulnerable women and families antenatally and women, family and infants postnatally, in conjunction with the local social inclusion CEOsQ1 2018Q3 Maternity network will, through the newly appointed social workers ( )

6 , review the number of women who are supported through the new pathway and supply the information to the NWIHP. The data derived from the review will determine if the service needs to be expanded and/or CEOsQ3 2018Q4 a communication plan to advertise the Implementation of the National Maternity Strategy , including timeframes for same. This will include details on where pilot initiatives are available, and how to access them. The existing HSE website will be used and updated as a matter of priority to explain the new model of care, in conjunction with other established web NWIHPQ4 2017Q2 a working group with representatives from birth healthcare professionals, communications, health and wellbeing (health promotion and improvement, public health) primary care, social inclusion and service users.

7 The group will review international experience of "best in class" women and infants' websites, and produce a prototype. The working group will include representatives from the Nurture Programme to ensure alignment between the NWIHPQ1 2018Q4 a comprehensive online resource to empower women to make informed decisions about their care, including details of the pathways of care and best available information on outcomes, the normal nature of giving birth, risk, benefits and consequences associated with the different birth settings. The availability of services at each individual Maternity hospital/unit/community setting will be clearly identified. The development of the online resource will dovetail with the Nurture Programme, which is developing a similar approach for 0-3 years, and similar platforms that are already operational.

8 This will ensure consistency of approach and best use of NWIHP/Nurture Programme managerQ1 2018Q4 prototype using a reference group to ensure comprehensive content and ease of use. This will include multi-lingual format, NALA approved NWIHPQ3 2018Q3 a communications plan to ensure that the new website becomes recognised as a reliable source of quality Lead NWIHPQ2 2018Q3 a social media Strategy to support and underpin the website, and ensure maximum coverage and Lead NWIHPQ2 2018Q3 the online resource and communications plan . An evaluation mechanism will be developed as part of the project to assess NWIHPQ3 2018Q3 dedicated resource will be tasked with content management of the website and social media Lead NWIHPQ3 part of MECC training ( ) all staff will receive training in identifying, raising and discussing domestic violence issues with women at ante-natal CEOsQ3 2018 OngoingMidwives, obstetricians and GPs are alert to the heightened risk of domestic violence during pregnancy and postpartum.

9 Women will be asked about domestic violence at antenatal and postnatal visits, when appropriate. This will be supported by appropriate training for frontline staff to ensure that all such enquiries and disclosures are handled correctly, and that referral pathways and support options for women who disclose domestic violence are supports are provided to pregnant women from vulnerable, disadvantaged groups or ethnic minorities, and take account of the family s determinants of health, socio-economic on-line resource for Maternity services is developed, to act as a one-stop shop for all Maternity related information; any information provided will be understandable and culturally RefSpecific ActionsResponsible Start Implementation of HSE policy on domestic, sexual and gender based violence framework for health sector response to domestic violence in all Maternity hospitals/units.

10 All women are screened for domestic violence as part of their antenatal social history in line with HSE CEOsQ1 dedicated pathway will be developed, with access to a community-based social work team to support women and infants who are at risk of domestic violence. Social workers appointed under recommendation will form a central part of the referral NWIHPQ2 2018Q4 referrals are made in line with National guidelines and supported by the appropriate community team. This includes child protection (Children First refers).Group current capacity across the Maternity networks regarding dietetic and endocrinology NWIHPQ1 2018Q4 a plan , in conjunction with the Maternity networks and clinical care programme for diabetes, to ensure that an appropriate model of endocrinology/dietetics support is available to each network.