Gill Phillips and Florence Wilcock's presentation in London and Leeds Nov 2017 as part of a day organised by Picker Europe, sharing the maternity survey results

1. Simple things count!
#MatExp Improving Maternity experience
Florence Wilcock & Gill Phillips & members of the #MatExp team
#MatExp

2. Introduction
Responding to a
need for change
Working collaboratively
across boundaries
Challenging existing
assumptions

3. Maternity experience
- five pilot workshops across London
#MatExp was ‘born’- A grassroots movement aimed at improving
maternity experience for families and the staff who care for them.

4. How?
Whose Shoes?® board game as a tool for dialogue
Scenario
sparks
conversation
Solutions
captured by
graphic
facilitation
Multi-
disciplinary
team and
users

5. The journey since • Today we are part of a much bigger #MatExp
community
• Active engagement across social media
• Over 40 trusts using WhoseShoes?® game to
talk to women and staff and spark improvement

6.  Embed film
In Their Shoes….themes from pilot workshops

7. Graphics by New Possibilities.
How can we achieve safe & personalised care?

8. Simple things count ...
 Plenty of simple things can make a difference to how a woman feels
about her birth.
 Memories of birth experience are life long

10. Graphics by New Possibilities.

11. Building relationships
Image by Tom Bailey

12. Link between staff experience and patient experience
Get to know your team!
Graphics by New Possibilities.

13. Ideas to try out
• Local Randomised coffee trial
• Monthly match people of
different disciplines & grades to
get to know each other and see
other perspectives
• Job swaps/shadowing

14. Multidisciplinary team work
includes women & families
Maternity Voice Partnerships
Do you have one? Are you a member?
How are you going to involve them in acting on this feedback?
Is there effective co- production?

15. National Maternity Voices

17. Have a new challenge each month
– like Leeds…
2017
January: Lithotomy challenge
February: Language challenge
March: Focus on young parents
Reflect and write about it – like Sarah Winfield

18. Young parents session
Leeds

19. Have you done the….
Lithotomy challenge?
How did it feel ?
Florence Wilcock’s famous
#lithotomychallenge

20. Turn it into a challenge to involve others…

21. What about the ….
Theatre challenge? Derby

22. Graphics by New Possibilities.

23.  #Hellomynameis WS theatre poem
Derby embed video

24. Copyright © Nutshell Communications Ltd. All rights reserved.
Impact of Language
What words do you
use?

26. Maternity Language blog by @JetlagJap
What we say…. What a mother hears….
Its not recommended…. I'm insane for thinking about it
There are risks…. My baby is in danger!
You are not in established labour I am pathetic and I'm wasting their
time
You are failing to progress/dilate…. I have failed I cant do this
You need to….. My choice and consent are irrelevant
Emergency Caesarean If I’m not under the knife in two
minutes my baby will die
There is an abnormality My baby is hideously deformed and
may die

27. • #Hellomynameis…..introduce yourself.
• Use the woman’s name e.g. NOT
‘Room24’, ‘the breech’ etc
• Don’t talk across her or turn your back
• Include the partner
• Explain what her options are & why you
are suggesting things
• Keep the door closed and reduce
interruptions
To keep human

28. What language would you like to BAN?
Graphics by New Possibilities.

29.  Guidelines are just that
 we can recommend and support decision
making but it is the woman’s decision
#breaktherules

30. Copyright © Nutshell Communications Ltd. All rights reserved.

31. Lewisham & Greenwich Ideas!
Whose Shoes? sessions for
Dads
Student midwives
Smokers
More groups planned…
A Place of birth poster

32. Alder Hey – 17 November 2017 – and Hillingdon...
– Dads need support too!

33. Kingston
 Poems and graphics
 Visual reminders

34. Wall displays

35. Maternity Graffiti

36. Theatres:
 Demystify theatres
 Baby straight to parents
 Optimal cord clamping
 Skin to skin

37. Obstetric Unit:
 ‘Complex’ women deserve a nice birth environment too!
 Birthing pool
 Balls & mats
 Telemetry

38. Copyright © Nutshell Communications Ltd. All rights reserved.

39. Ideas!
 Drop in sessions
 Teaching students & trainees
 Interviewing
 Induction for volunteers
 Road show!
 Library

40. Join the (social media) #MatExp community!
 Pledges to take action
 Work closely together
 Find people who share
your passion
 Share results
#MatExp

41. ‘Old power’ and ‘new power’ –
coming together through #MatExp

42. Make it FUN…
 Get creative
 Wall displays
 Graffiti board
 Cakes!

43. Steller stories –
advent calendar
Make it topical…

44. Anything is possible…

45. Anyone can make change
– professionals

46. lovingbaby.co.uk
Anyone can make change –
women and families
Leigh Kendall
#Hugoslegacy

47. Over to you…
On your tables you have some cards to spark
conversations.
We’ve chosen common topics we think you will be
tackling
We want you to think outside the box, brainstorm
some solutions

48. Graphics by New Possibilities.
Copyright © Nutshell Communications Ltd. All rights reserved.

49. Copyright © Nutshell Communications Ltd. All rights reserved.
Graphics by New Possibilities.

50. Grab those pens & get creative
 What are the challenges you face
as a maternity service with this
topic?
 What is an immediate idea to
improve this that you could try
out in your service tomorrow?
 What is an idea to improve this
that you could try out in your
service next month?
 Do you have any solutions to this
issue that you would be willing to
share with other units?

51. What ideas would you like to share with the room?
Graphics by New Possibilities.

52. What are you going to do differently?

53. From Alder Hey – Friday 17 November
Graphics by New Possibilities..

54. Spreading the learning…
• New second edition of toolkit
http://www.londonscn.nhs.uk/publication/matern
ity-experience-workshops-a-guide-for-running-
events/
• Best Practice case studies
http://www.londonscn.nhs.uk/publication/co-
producing-maternity-solutions-case-studies/
http://www.londonscn.nhs.uk/publication/matern
ity-co-designed-case-studies-nobodys-patient/
• Available to download from
London SCN publications

55. Thank you to the many women,
families and staff who have
made our work possible!

56. For more information
Flo Wilcock: @FWmaternity
Gill Phillips: @WhoseShoes
Join us! matexp.org.uk