30. Alison Wright - personalised maternity care. Opportunities and challenges.
Today I am talking to a ‘Fab Obs’. #FabObs is the hashtag we use in our #MatExp social movement - an obstetrician who ‘gets it’. Listening to what matters to women. Finding ways to prioritise, obviously, the safety of mother and baby, but really listening to women – and indeed helping them tease out the choices and birth options. And today that #FabObs is Alison Wright. Alison is the immediate past Vice-president of the RCOG (Royal College of Obstetricians and Gynaecologists) – a big advocate for the RCOG women’s network, embedding women’s voices into every aspect of the college‘s work. Forward-thinking and exciting. Alison has led the development of ‘I decide’ - a tool enabling women to think through choices and decisions in labour. As well as being a champion of maternity experience, Alison is also ‘just’ an everyday ‘Obs and gynae’ doctor. Lemon lightbulbs 🍋💡🍋 LISTENING to women and families throughout their birth journeys and pregnancy Providing personalised care in maternity services, in times of staffing pressures and recruitment difficulties Personalised care means different things to different people Teasing out what matters to you - #WMTY Being honest with women, sharing information about difficult topics eg anal sphincter tears Largely, women want to know what might happen. Don’t assume they don’t Information is key! It gives controll Creative methods useful for sharing information and breaking down barriers to engagement Tim Draycott’s innovative work on the Odan device ‘I decide’? - a clever acronym - check it out! Nadine Montgomery ruling re informed consent Shoutout for Florence Wilcock, champion of personalised care; co- founder of #MatExp Involving Maternity Voices Partnerships and NHS Resolution in teasing out the future Should we be looking to solve problems in the short or long term? The RCOG Women’s Network is influential Perceived tensions between what women want and what clinicians want. Actually, we all want the same thing! Shadowing other healthcare professionals is really useful - (mutual) shadowing an antenatal teacher #NoHierarchyJustPeople is a key #MatExp mantra Blue light - the Obs Pod Emergency! Family Integrated Care - new #WhoseShoes work 😀 Let’s encourage all obstetricians to get involved! To have a seat at the table! Ask the obstetrician 🍋💡🍋 Relationships matter. Form a relationship with your obstetrician People don’t like the unexpected - easier to deal with if you know what might happen “If you start being a patient advocate, you ’ll never have a career in medicine!“ ⏩ Huge shift in thinking! Bring together the patient experience and the clinician’s experience through coproduction Important not to swing too far ⏩ everyone has choice, do whatever you like! 😬 No dumping! Healthcare professionals need to accept responsibility, to steer choice sensibly Informed choice. But make it realistic. What would you do in my position? Clinicians have responsibility to give evidence from their experience, their opinion. We’re all on the same side! Let’s work together! Obstetricians are a key part in this! We LOVE it when you leave a review! If you enjoy my podcast and find these conversations useful please share your thoughts by leaving a review (Spotify or Apple are easiest to leave a review - navigate via 3 dots) and comment on your favourite episodes. Connect with me - Gill Phillips - on LinkedIn, especially if you are interested in our brand new #CYPWhoseShoes resources or our well-established #MatExp (maternity experience) work. I tweet (not so much these days!) as @WhoseShoes and am on Instagram as @WhoseShoesUK and @WildCardWS. Please recommend 'Wild Card - Whose Shoes' to others who enjoy hearing passionate people talk about their experiences of improving health care.
Embed this episode
What this episode covers
Today I am talking to a ‘Fab Obs’. #FabObs is the hashtag we use in our #MatExp social movement - an obstetrician who ‘gets it’. Listening to what matters to women. Finding ways to prioritise, obviously, the safety of mother and baby, but really listening to women – and indeed helping them tease out the choices and birth options. And today that #FabObs is Alison Wright. Alison is the immediate past Vice-president of the RCOG (Royal College of Obstetricians ...
Chapters
- 2:35 The importance of LISTENING to women and families throughout their birth journeys and pregnancy
- 3:00 Providing personalised care in maternity services, in times of staffing pressures and recruitment difficulties
- 3:30 Personalised care means different things to different people. The NHS long-term plan …
- 4:46 Teasing out what matters to you … #WMTY
- 6:40 We need to be honest with women. We need to share information about difficult topics eg anal sphincter tears.
- 7:02 Largely, women want to know what might happen. We mustn’t assume that they don’t.
- 8:14 Information is key! It gives us control.
- 10:00 Creative methods useful for sharing information and breaking down barriers to engagement
- 11:10 Innovation. Tim Draycott’s work on the Odan device
- 12:03 What is ‘I decide’? Following the Nadine Montgomery ruling re informed consent and choice
- 14:01 ‘I decide’ is an acronym. What does it stand for?
- 15:28 Shout out for Florence World Cup, champions personalised care
- 16:07 Inclusive! Involving Maternity Voices Partnerships and NHS Resolution in teasing out the future
- 16:39 Should we be looking to solve problems in the short term or also the long term?
- 17:20 We still need to make sure that things work in the short term!
- 18:14 The RCOG Women’s Network
- 18:22 Perceived tensions between what women want and what clinicians want. But actually, we all want the same thing
- 19:35 Shadowing other healthcare professionals is really useful. Alison talks about (mutual) shadowing an antenatal NCT teacher, and what she learnt
- 20:37 It is good to cut across the hierarchy! #NoHierarchyJustPeople is a key #MatExp mantra!
- 20:50 Shoutout to #FabObs Flo, Florence Wilcock, co-founder of #MatExp
- 21:42 Blue light - the Obs Pod. Emergency!
- 25:20 Family Integrated Care. Some new #WhoseShoes work. 😀
- 26:35 Let’s encourage all obstetricians to get involved! To have a seat at the table!
- 26:52 Ask the obstetrician!
- 28:00 Relationships matter. Form a relationship with your obstetrician
- 29:30 People don’t like the unexpected. It is easier to deal with if you know what might happen
- 30:09 “ if you start trying to be patient advocate, you will never have a career in medicine!“
- 31:00 Huge shift in thinking! coproduction!
- 31:40 Bringing together the patient experience and the clinicians experience through coproduction
- 32:44 Important not to swing too far in the other direction – everyone has choice, do whatever you like!
- 33:00 No dumping! Healthcare professionals need to accept responsibility, to steer choice in a sensible way
- 33:52 It is all about informed choice. But make it realistic. What would you do in my position?
- 34:50 Clinicians have the responsibility to give me evidence from their experience, their opinion.
- 36:19 We’re all on the same side! Let’s work together! Obstetricians are a key part in this!
No transcript yet.