Simon Ash Profile picture
Passionate about #OBAnes and #patientsafety (#OBcritcare special interest). Father of 2 future Jedi. Views my own. he/his #heforshe 🇿🇦🇮🇪🇨🇦

May 16, 2023, 12 tweets

@DOckendenLtd presents at #Anaesthesia2023 on the Ockenden Report - a year on, have we made progress? #OBAnes

What were the key messages of the Ockenden Report from @DOckendenLtd? Final report March 2022 (distributed amongst #OBAnes at @IWKHealth @DalAnesthesia - learnings valuable even across the pond): failures of quality of care & governance; failure of external bodies to monitor;… twitter.com/i/web/status/1…

What did the media say? Overall coverage fair, balanced and commended by families.
And Nottingham? Maternity review is underway… themes continue.
#Anaesthesia2023 #OBAnes (prelude to #OAA23ASM)

What are the challenges facing UK maternity services? (what are they in your country/ province/ state/ county/ town/ hospital? - pretty sure some are the same!) Short staffed & burnt out; more complex parturients; inequalities & deprivation; underfunding… all made worse by… twitter.com/i/web/status/1…

What themes were identified wrt #OBAnes at Shrewsbury and Telford NHS Trust? Some of these could occur in #AnyAnes practice.
How were anaesthetic cases identified? Only 68 cases (too many, while very few) and maternal deaths 😱. Look at the anaesthetic review triggers.… twitter.com/i/web/status/1…

Are #OBAnes truly part of the MDT, or are they epidural jockeys/ gas peddlers? Just being viewed as a technician = badness. #AnyAnes consider wider picture, and should be involved early. Anaesthesia should be made aware & given time to contribute to #patientsafety. Good summary… twitter.com/i/web/status/1…

Immediate and essential actions (FIFTEEN) for ALL maternity units - 10 key areas (3 include anaesthesia): workforce, postnatal follow up & documentation. Words of colleagues #Anaesthesia2023 #OBAnes (prelude to #OAA23ASM)

Feedback from NHS colleagues after final @DOckendenLtd report
#Anaesthesia2023 #OBAnes (prelude to #OAA23ASM)

Next steps. Across England we’re seeing change. 3 examples of maternity teams working toward the 15 IEA’s - many more, so little time. #Anaesthesia2023 #OBAnes (prelude to #OAA23ASM)

We must listen to staff on the ground - drums are beating well before problems revealed. @DOckendenLtd Report has allowed staff to feel free to come forward at Nottingham. We have to also recognize the results of increasing deprivation and it’s effects on maternity care… twitter.com/i/web/status/1…

Take aways, take home messages and hope from @DOckendenLtd! #Anaesthesia2023 #OBAnes (prelude to #OAA23ASM)

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