Overview
Four NHS trusts in Hampshire and Isle of Wight (SHIP) collaborate to provide a Local Maternity and Neonatal system (LMNS). This service includes a telephone triage helpline supported by midwives.
SHIP LMNS maternity care starts with an invitation to download the Healthier Together maternity app via the Apple App store or Google Play store. This app provides information and guides women and pregnant people via a symptom checklist to support, and signposts to the appropriate service. Symptoms are coded into red (emergency services), amber (e.g., care of the midwife via MTL), or green (self-support advice) categories. Midwife triage via the MTL manages the flow of pregnant people and their access to the maternity day assessment unit (MDAU) for those who need face-to-face care.
The MTL improved maternity care within the SHIP LMNS and delivered benefits in efficiency, access, and communication, and in the operational flow of women and pregnant people through their maternity journey. Positive impacts on the use of 999, NHS 111 and the systems emergency departments were achieved. The implementation of MTL has relieved demand for other maternity services. Pregnant people and midwives were positive overall about both the HT app and MTL. The evaluation highlighted considerations for commissioners regarding how the MTL pathway meets the needs of women under 20 weeks pregnant, a change already being implemented by the service, and that some women bypassed the HT app and called MTL directly.
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