Maternity Services West/North West of Ireland
With the establishment of the West/ North West Hospital Group, senior management identified the need for imminent change in the delivery of maternity services in the region. Maternity services were being delivered over five sites and faced considerable challenges in their ability to deliver safe, high-quality services that meet the needs of women and their families in a sustainable manner. Issues like reduced budgetary expenditure, staffing, the European Working Time Directive, medical and technological advances, rising public expectations and the desire to improve the quality of care, all had an impact on the need for change and a review of services in the region.
The Health Partnership was commissioned by the CEO of the West/North West Hospital Group on behalf of their board to make recommendations that would ensure that maternity services in the region would provide efficient, high quality and safe care in a sustainable way in the future.
The Health Partnership’s contribution
Establishment of the West/North West Hospital Group provided the opportunity for University Hospital Galway to become the main tertiary maternity centre (hub) for other maternity centres (satellites) in the region, with the associated reconfiguration of facilities. To support this model, The Health Partnership developed possible reconfiguration scenarios that included Obstetrical and Midwifery Led Units, Ambulatory Satellite Midwife Led Clinics and Outreach Obstetrical Led Clinics at each of the satellite centres. Further work on the promotion of Midwifery Led Units was recommended.