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Hemel Birth Centre

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ITEM 4
DAVID LAW & SUSAN
COLE PRESENTATION
Hemel Birth Centre
David Law, Chief Executive
Susan Cole, Interim Head of
Midwifery
Some History
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HBC opened its doors in spring 2003
Births peaked at 370 per annum
Temporary closure December 2005
SHA review summer 2006
Maternity Services in west
Hertfordshire
• 5,556 births (06/07)
• Alexandra Birthing Centre at Watford General
Hospital (1184 births 06/07)
• One of the highest water birth rate in the UK
• Support home births (2.5/3% current)
• Staffing levels – 162.3 WTE midwives
• MSLC involvement
Hemel Birth Centre – the future
• Criteria for maternity services in Hemel Hempstead
– Must be clinically safe, based on evidence of
demand and appropriate clinical midwifery practice
– Clinically equitable across west Hertfordshire
– Must not adversely affect the main west Herts
obstetric service
– Financially viable and sustainable with a critical mass
of more than 500 births per year
– Integrated with the community based midwifery
service
– Must not exceed £200,000 and be contained with
existing revenue streams
Hemel Birth Centre – the future
• All options have pros and cons
• Scenarios for consideration
1. Reopen HBC: open a maternal resource
centre, reorganise community midwifery to
support service
2. Permanent closure: increase capacity within
ABC
3. Permanent closure: open a maternal
resource centre with a larger community
midwifery team to support home birth
A Maternal Resource Centre
• Centralise midwifery services for NW
Hertfordshire in one central base
• Group practice care would replace GPbased care
• Comprehensive ante and post natal
services, including day assessment, post
natal care, breastfeeding support and
parent education
Engagement and consultation
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Informal discussion already begun
90 days plus – but in two phases
Discussion with service users and service providers and GPs
Events planned include; breastfeeding groups, toddler groups,
fathers groups, netmums on-line discussion, Baby CafГ©, ante
natal yoga groups, NCT classes
Information via community midwives, ante natal groups and
health visitors
MSLC – HBC focussed meeting 18 June
NCT support
GP liaison
Formal consultation
Same timescale as Acute Services Review
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