Ann Holmes

1

Statutory supervision In the background In the
foreground In the round

• Ann Holmes
• Scottish Government Health Directorates
• Directorate for Chief Nursing Officer,
• Patients, Public and Health Professions

2
NHS Scotland

• Health Directorates
• Policy, strategy
• Health Boards
• National
• Education
• Resources marketing
• Improvement
• Information statistics
• Territorial - 14
• Local service delivery
• Urban,
• Remote rural

3
Vision
Quality strategy
Public health
Maternity early years policy
Maternity services Person centred Safe Effective
Quality improvement
Right care, right place, every time
4
Maternity services

• 60,000 births
• Variety of provision
• Consultant led units
• Large full range obstetric, neonatal, anaesthetic
  care
• Alongside midwife led units
• Smaller, more limited services
• Community maternity units (CMUs)
• Midwife led
• Antenatal, intrapartum, postnatal care
• Near and far!

5
Service principles

• Pregnancy birth normal life events ?
• Holistic approach ?
• Appropriate care lead professional ?
• Multi-professional ? multi-agency team work

Not an illness, normality model Self referral,
direct access
Social medical context Early identification of
need Timely, appropriate intervention

• Midwife led - healthy women, straightforward
  pregnancy
• Maternity team - women with complexity

6
Practice reality
External factors Demographic Professional Expectat
ions Fiscal
7
Raison d'être

• NHS Scotland Quality Strategy
• Caring compassionate staff services
• Communication explanation about conditions
  treatment
• Effective Collaboration, clinicians, patients,
  others
• A Clean safe environment
• Continuity of care
• Clinical excellence
• NMC Code, Rules, Standards
• Statutory supervision

8
My supervision journey
Expertise leadership

• In the background
• Local clinical lead role
• Focus on clinical skill
• Early leadership
• Basic understanding of regulation supervision
• SoMs
• Tap on the shoulder
• Minimal preparation
• Low profile
• Contact problem!

Clinical midwife Charge midwife
SoM preparation course
9
My supervision journey

• In the foreground
• Strategic leadership role
• Good understanding of regulation supervision
• SoMs
• Improved preparation
• Rising profile
• Emerging leadership
• Promotion advocacy
• Leadership programme
• Scottish LSA forum
• Consistency
• CEO SEND profile
• Regional approach

Consultant midwife
LSAMO role
Clinical midwife Charge midwife Research
SoM preparation course
10
My supervision journey

• In the round

Consultant midwife Midwifery advisor
NMC Midwifery Committee
Consultant midwife
LSAMO role
Clinical midwife Charge midwife Research
SoM preparation course
11
Supervision in action

• NHS Board profile
• CEO/SEND, audit NMC reviews
• SOM input, care services
• Clinical governance meetings
•  National integration
• Leadership
• LMSG agenda, leadership work
• SEND
• Midwifery Adviser links
• Workstreams
• Care pathways SWHMR
• Policy generation
• Key groups - SPSP telehealth
• HEI education research provision
• UK interface
• Midwives Supply Orders
• Midwifery 2020

• Complex agenda

12
In the future
Revalidation?
Organisation governance?
Nursing? Support workers?
Modernisation?
Independent Scotland?
Professional courage?
13
Professional leadership

• It takes a lot of courage to release the
  familiar and seemingly secure, to embrace the
  new. But there is no real security in what is no
  longer meaningful. There is more security in the
  adventurous and exciting, for in movement there
  is life, and in change there is power Alan
  Cohen author