Getting to know you better………….
Hello everyone, Thank you for such a fantastic welcome.
I am covering the Deputy Head for Workforce and Education post, across site. I am lucky that I know a fair few people and have met lots more already.
For those people I've yet to meet, a little about me. I'm a midwife, a sister a mother, and (more recently) a grandmother. I am very lucky.
In my working life, I've been in more of a strategic role for the past few years as Clinical Lead Midwife for BLMK Integrated Care Board. Alongside, I also had a regional role in NHS England - East of England, as Lead for Midwifery Continuity of Carer and Personalisation. Prior to that I have been a Matron for both Community and Inpatients and have worked across all areas of maternity.
I would like to really get to know how best I can support the Maternity team and am keen to listen - both to staff and to our service users: I am a PMA, so please do stop me if you see me. There has been a lot of change all around us, some change is exciting, other change is harder for us all. If you think I can help you, please ask me. I am delighted to be working with you, striving for excellence for our staff and families to be proud of our wonderful maternity service.
Hello everyone,
My name is Lorraine Hawkins, and I am very excited to have just started in post as Consultant Midwife across both sites.
I have had the warmest welcome from all staff, and I really look forward to working with you all and learning about the great work you all do every day.
I qualified as a midwife in 2001, and have worked in different roles in maternity. My most recent roles were labour ward coordinator, ward manager and, this last year, as seconded Consultant Midwife which I absolutely loved. The four pillars of my role involve supporting and leading in clinical environment, leadership, research and education.
I am a Professional Midwifery Advocate, which I am very happy to be continuing here. The last several years have been a very difficult time for all with many challenges, but also many celebrations that you are warmly sharing with me on my journey around the Trusts.
It is a privilege to be part of this amazing maternity team and I look forward to hearing your ideas and how I can support you all to continue to provide compassionate, safe care for all.
ANGELA WEATHERLEY DEPUTY HOM WORKFORCE & EDUCATION
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LORRAINE HAWKINS CONSULTANT MIDWIFE
Good luck to Sarah Brazier in her new exciting role
COMMUNITY
Liberty team have a new Team Leader due to start in September, Lyanne Roxborough, and an additional 3 team members: Michelle Brown, Anna Starcevic, and Paige Treasure.
We hope to launch in October once the guideline is ratified.
We would like to say well done to all our NQM who are nearing the end of their rotation in community. They have learned so much and we are sad to see them move on. We look forward to welcoming the next cohort and hope they find their rotation to be as enjoyable and valuable as others have. Good byes & good lucks go out to: Elis Feasey, Stacey Reid, Lucy Westcott, Morgan Walters – we have enjoyed watching you grow and develop, wishing you every success as you near the end of your preceptorship!
I’d like to say a big thank you to community teams for supporting our international midwives to integrate into the teams. Sarah Addai, Priscilla Karikari, Joyce Addo & Joana Williams are all thriving in community practice and very much enjoying it.
A very warm welcome to our lovely Cohort 13 of Internationally Educated Midwives. We are very excited to support you on your journey.
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IEM
Last year, the Gemini Multiple Pregnancy team at the L&D which was established in 2020 to provide specialist care to families expecting twins, set up a monthly tea and coffee morning held at St Thomas’ Church in Luton for families who are expecting and those who have recently had twins (and more)!
These monthly sessions have created an inclusive, close knit community of individuals going through similar experiences, has cultivated ongoing friendships and provides an opportunity to seek guidance from the Gemini team if needed.
Hazel Cathcart, Head of Midwifery at the L&D and Roxy Vidal, Community Matron, attended the special anniversary event held on 14 July to talk to the families and celebrate this wonderful milestone.
Head of Midwifery, Hazel Cathcart, said: “I’m so proud of our Gemini team who continue to go above and beyond for families in our care. It was an honour to be invited to the celebration, to see in person the product of Debbie and Nicki’s hard work and speak to our service users who only had positive things to say!
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Clinical Governance
(Audit) Meeting Obstetrics CGM Fri 22 September 2023 14.00pm – 17.00pm COMET and online All welcome
CG338T Patient Controlled Epidural Anaesthesia in Labour
Minor amendment after SI to escalate any case of total spinal or significant high spinal to the consultant anaesthetist on call P12
Minor Amendment removal of community oxygen as midwives no longer carry O2. CG12T Newborn Feeding
CG25L Resuscitation and Immediate Care of the Newborn
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New Guidelines August—September 2023 SOP: Obstetric Cardiology Updated
& GUIDELINES
Merged and updated AUDIT
Good learning
Please read the updated guidelines & SOPs on the Staff intranet for PREP
opportunity
Big thank you to Sharon Sheridan for completing friends and family, this has had a huge impact on our figures.
Good luck and thank you to Elaine Scott (matron) who will be leaving in September.
Best wishes with her new job
Big thank you to Sally Jacobs who have done well with completing our monthly IPC our percentage on most are reaching 100%
In regards to a NBBS being taken and labelled with the incorrect baby sticker. This was flagged up by the national reporting system. The sample had to be repeated we apologises to the mother and explained what had happened. A set of twins that were born one was alive the other was a still birth.
Upon investigation we identified:
Community midwives were given stickers for the still birth baby and not for the baby that was alive
Community midwives labelled the sample with the incorrect sticker
Screening team sent sample to GOSH with incorrect sticker.
The incorrect sticker was for the stillbirth baby. In ALL AREAS we failed to check the NHS number on the stickers.
Please can we all be vigilant and check the NHS number as the identifier as this number is unique to everyone.
SCREENING TEAM
9 OVERDUE APPRAISALS!!!!!! PLEASE CONTACT YOUR LINE MANAGER TO COMPLETE YOUR APPRAISAL ASAP
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WARD
KWIP TEAM
The KWiP team have introduced CO Champions to thank and congratulate staff who are complying and supporting the service with the highest number of conducted CO readings and referrals to an advisor (bonus points for partner referrals). This will be awarded to the following on a monthly basis and hopefully announced in our newsletter and on our Marvellous Maternity FB page. We are doing this to celebrate the hard work of our staff here at Luton.
To acknowledge the multidisciplinary team we will award ….
‘We are so excited to welcome Becky to the team. She has been with us for 4 weeks now and is doing a fabulous job.’
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Amrita, Consultant CO Champion
The KWiP Team also welcome their new advisor, Becky Dobson
Emma, MCA/ MSW CO Champion
ANC, Team CO Champions
Rachelle Lund, Midwife CO Champion
I would like to extend a huge thank you to all for your support and patience with our ever evolving service.
Desta Wright-Brown Maternity Stop Smoking Lead
National Breastfeeding Week will be taking place from 18th24th September. This year will continue and build on last year's theme, 'Everyone has a part to play in helping mums to breastfeed'. This will include daily themes and activities showing how families, community, health and education services all have a part to play in supporting mothers to have the feeding experience they hoped for.
A new social media toolkit will be available two weeks ahead of National Breastfeeding Week (no later than Monday 4th September), to support partners engage with and promote the week. We will be back in touch to let you know when this is ready.
As well as a range of social and digital assets and leaflets on the Start for Life Breastfeeding page
Please note that, we will now no longer be holding the November 2 day Infant Feeding on 22nd / 24th November.
Ladka & Tanya, we will need to reschedule Charlotte Skyrme please onto new dates once we have some for next year. Sincere apologies for any inconvenience.
Public Health have recently launched Health an e-learning programme:-
‘The programme can be accessed on the NHS Learning Hub: Breastfeeding and Perinatal Mental Health programme and feedback can be shared with EoEHealthandWellbeing@dhsc.gov.uk.’
‘The programme aims to raise awareness of the links between breastfeeding and perinatal mental health, and the factors that can influence this relationship. It also provides tools and guidance to support staff to deliver self-reflective, person-centered care. It is aimed at anyone involved in providing support to families during the 1,001 critical days, including midwives, health visitors, infant feeding support workers, perinatal mental health specialists, psychological professionals and early years workers.’
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INFANT FEEDING TEAM
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INFOGRAPHICS
If you require support or training, please feel free to contact me on 07771 835 135.
I am more than happy to support you. Kelly – Patient Experience Midwife
Personalised tours have proved beneficial for women/birthing people and their families where there is previous birth trauma, mental health/anxiety, new to the area, or anyone who can benefit from a tour on a 1:1 basis. Please let me know if I can support any of the families you care for.
Recorded Patient Stories will be shared at team meetings and training sessions such as mat update to ensure we are really hearing the voices of the families we care for.
Overnight Visiting
Guideline for overnight visiting completed
Recliners ordered through charitable funds
Wrist bands ordered (yellow)
Boxes prepared for ward areas including register and etiquette booklet
Launched on 1 August 2023
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PATIENT EXPERIENCE MIDWIFE Total responses = 331 Delivery Suite/MLBU 18 DAU - 14 Ward 32 112 Ward 33 186 Community - 1
STUDENT MIDWIVES UPDATE
Your clinical practice facilitators (students)
rebecca.sims@ldh.nhs.uk anna.hutchings@ldh.nhs.uk caroline.hoyle@ldh.nhs.uk
Student supervisor & assessor preparation - study day
This study day is for midwives new to student supervision and for those who wish to become student assessors. The day includes:
A self-study booklet and attendance at sessions concerning the SSSA, the new documentation, and how to raise concerns with a struggling student.
Group and individual activities involving coaching, the learning environment, practice-based scenarios and how to give effective feedback.
If you are interested in attending, please contact the team.
Student attendance and sickness
A reminder for shift leaders: please mark onto the off duty/staffing boards any students that have not arrived for their shift. It is important that we know who is on site at all times. Students must follow the trust sickness reporting policy, and the bleep holder will pass sickness forms to the team; absences not reported will be marked unauthorised and the student will lose the practice hours. Attendance is monitored and the team will follow up all absences. Students are informed prior to the shift who they are working with – if they do not know please ask them to check their e-roster
Student survey – clinical placements
All students have received a survey asking about their placement experiences and the support they receive. Results will be shared in the next newsletter.
What information does the student receive prior to placement?
Our 3rd year students are nearing the end of their course, and 14 will be starting as Newly Qualified Midwives in October. Congratulations to you all – you made it!
Power hour – we need you!
Students are encouraged to attend the daily power hour in the sitting room on ward 32 at 12pm. Students must use this time for collaborative, peer assisted learning and reflection; as a supervisor you can set them tasks/subjects to learn about (e.g. which might relate to clinical care they have been involved in during that particular shift). The student should then share their findings when they return to you at 1pm. We are looking for enthusiastic staff members to come and join in with the sessions:
Is there a topic you are passionate about that you would like to share with the students?
Are you a specialist, who would like to do a short teaching session about your speciality? Have you noticed a common area that students seem to lack knowledge?
If so, please get in touch with the team and discuss any ideas you have to help us make this learning opportunity as useful as possible.
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Orientation day
Induction handbook
Medicines management book
Reading list
List of policies/guidelines
MORA and feedback booklet
Named assessor for the year
Named daily supervisors
List of expected skills in each year
Available study days and learning opportunities
FULLY BOOKED
Human Trafficking and Modern Day Slavery Bespoke Study Day
The day will be held at the Comet Lecture Hall on Wednesday 13th December 2023. 09.00-16.30. This is face to face training only. There are 100 spaces that will be allocated on a first come, first served basis. There is now a waiting list.
IF YOU’RE UNABLE TO ATTEND, PLEASE CONTACT
KATARINA MAGLIONE
SAFEGUARDING
SAFEGUARDING LEVEL 3
DATES TO FOLLOW
Birth Trauma Awareness Week: 16-22 July
Birth trauma differs from one person to the next. Often the trauma is minimised or compared to others experiences as not being as bad therefore the trauma may not be processed or validated leading to reoccurrence of this trauma in the next pregnancy.
The Ocean Team at Bedfordshire Hospitals is here to support pregnant women and birthing people to navigate their way through their pregnancy or following birth trauma or loss. Alongside the midwifery and obstetric teams, the Ocean Midwives provide support with trauma informed birth plans, exposure work, coping strategies, hypnobirthing, accompanying to appointments and providing a safe place to talk about their experiences and empowering them to move forward in this new pregnancy.
If you think you have someone suitable for Ocean support, please complete the perinatal form and send to: elft.bedlutonocean@nhs.net or call us on 01234 290120.
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RISK & GOVERNANCE
Overview
4 (3 are overdue) RCA’s 6 PSIRF learning (Patient Safety Incident Response Framework) X1 MDT X1 AAR
HSIB cases:
Risk
1 X new casecooled baby-No HIE (accepted by HSIB due to Parental concerns)
Luton-There are 32 open risks. A reduction in those scoring over 15 or above from 7 to 3.
16 Incident Date 14th Feb Maternal Death 9343 HSIB REF:MI-023023 STEIS 2023/6378 11th June 2023 Cord prolapse on antenatal ward, baby born in poor condition and therapeutically cooled 18403 MI- 028270 STEIS 2023_11709 3rd June 2023 Maternal Death – Collapse at home 17703 MI-028731
27th June 2023 Uterine Rupture, Baby cooled 20167 MI-028995 STEIS 2023/12619 4th June 2023 Baby cooled 20837 MI-029491 STEIS 2023/13174
to HSIB on 06/07/2023 30th July 2023 Intrapartum stillbirth 22997 MI-0330810
2023/14729 Serious Incidents
STEIS-2023/12333
Reported
STEIS
Register
HSIB
RCA’s
Baby born in poor condition and therapeutically cooled after Spontaneous Vaginal Delivery)
Admission to ITU following emergency c-section and return to theatre due to intra-abdominal bleeding at 28/40
Term admission to NICU and baby intubated following IOL, Urgent csection
Every week as part of an MDT we review cases where mothers have suffered a Stillbirth or Neonatal Death. I have been looking at themes from these meetings and thought it would be useful to send out the themes/reminders on one email.
Firstly I would like to say thank you for your feedback last week in regards to the VTE practice alert that I sent out. I have asked the Audit & Guidelines Midwife to look into this for me, once I have feedback from this, we will make sure it is circulated to you all.
Reminders
Antenatal Care
Please make sure that there is documented evidence that the mother has been given a reduced fetal movement leaflet to the woman that is in a language appropriate for her. Please that this is discussed with her at every antenatal clinic visit.
If the mothers first language is not English, please document in her antenatal notes if you have used language line (with in number) or if an interpreter is present.
Please make sure that if the mother meets the criteria for screening for gestational diabetes that this is documented in the notes or on her window.
Intrapartum Care
The mother’s progress in labour should be monitored on a partogram
Postnatal Care
Please use the Stillbirth ICE profile for taking initial blood tests after giving birth (this includes the Kleihauer blood test).
If you have any questions in regards to any of these, then please do not hesitate in contacting Sally Sloane or the Risk Team.
PLEASE LOOK AT THE FOLLOWING REPORTS:
SAVING BABIES’ LIVES: VERSION 2
MBRRACE-UK: MOTHERS AND BABIES:
CNST Maternity Incentive scheme: Year five
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26th June 2020 W138526
10th September 2020 W141886
24th December 2020 W147266 Neonatal Death 10th November 2020 W148971 Cooled Baby (Rejected
5TH May 2022 W174064 IUD at 35+6 (Diabetic) 8th February 2023 16007
by HSIB)
Teamwork
We work mindfully and collaboratively to create a well-organised, professional and supportive atmosphere that achieves the possible outcomes for all. We do this by:
Communicating effectively and respectfully with our colleagues
Valuing all contributions and taking the time to listen to each other
Making decisions together to provide the best possible service for all
Honesty & Openness
We are open, authentic and have integrity in all we do by:
Openly sharing constructive feedback with others in a kind and empathetic way
Understanding the impact and value of our role on patients, colleagues and carers
Supporting colleagues to learn and reflect when things don’t go as expected
Respect
We respect colleagues, patients and carers by actively listening, responding, and providing everyone with a voice to create a positive work atmosphere. We do this by:
Showing empathy and understanding when communicating with others
Valuing the importance of everyone’s role within the team
Taking the time to actively listen and respond to patients, colleagues and carers
Respecting each other as equally capable, independent people
Inclusivity
We are fair and inclusive and appreciate the diversity within our community:
Supporting the diverse communities we serve in our working life
Confidently challenging discriminative behaviour
Considering different needs in order to provide fair access to our services
Ensure that our workforce has equal access to opportunities
Valuing People
We value patients, colleagues and carers by showing care and empathy. We do this by:
Acknowledging everyone’s efforts and successes
Taking the time to care for our own wellbeing and check in on others
Encouraging a supportive community that enables everyone to make a difference
Excellence
We share knowledge, information and support each other to develop, innovate and learn. We do this by:
Being open to challenges and improvement
Acting on and embracing constructive feedback
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PMA TEAM
Appraisals
I will continue to support the senior management team with completing appraisals. If you need your appraisal, please contact your line manager or myself.
Revalidations
Well done to everyone who has completed their revalidation. For September, 45 colleagues have been supported.
Sessional PMAs
I’ve started to support the sessional PMAs to gain confidence after COVID and staff shortages. On the ****** Jessica Giblin joined me for the day, where we did a trolley run with healthy goodies, and the PMA booklet.
The sessional PMAs will be available shortly to support with HSIB interviews, revalidation and to be the ‘listening ear’.
The sessional PMA phone number will be made available shortly.
Regional PMA news
Keely and myself met with the East of England Regional Lead PMA at the end of July to edit the PMA booklet for Maternity staff, this is so it can be made available to all East of England PMA Teams to share with their colleagues. The East of England region covers from Norfolk to Watford, Southend to Milton Keynes. Changes made were for Trusts to include their own Trust values, referral into the PMA team and generic wellbeing services.
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REVALIDATION WORKSHOPS 4th September 2nd October 12:00-13:30 MMR
Scan to contact the PMA team
20 NEW BUILD UPDATE Keep an eye on this link. Updates and news will be posted here. Acute services block and new ward block - LDH - Intranet (bedsft.nhs.uk)
The partogram needs to be completed as below in every woman’s labour notes
EDUCATION TEAM
APPRAISALS!!!!!!
PLEASE CONTACT YOUR LINE MANAGER TO COMPLETE YOUR APPRAISAL ASAP
Training:
Fetal Monitoring study day
Supporting Physiological Birth
Bespoke NLS, BLS, Manual Handling
Diabetes Study day
Suture Study
Please book via your line manager/ Training/Education team
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CORD BLOOD BANK
UPCOMING NEWS
Just to let you know that the Score Survey will be out in October. It will cover the many things, such as, help initial cultural conversations to start socialising the survey results with our teams and support you to start improvement planning based on the survey results.
This will be for all staff to complete.
More information will follow.
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Counter fraud newsletter: Summer 2023
The latest edition of Notice Fraud has been published. Please visit the intranet to read and learn more about current fraud trends to protects yourself and our patients (Bedford / Luton).
Responding to incidents with PSIRF
In the coming weeks, we will be changing how we respond to patient safety incidents in line with new national standards. We will no longer be using the Serious Incident Framework and will instead follow the Patient Safety Incident Response Framework (PSIRF).
Under PSIRF, we consider the system surrounding an incident rather than focusing on individual decision-making. We are looking at how we can get better at involving staff, patients and families in improving patient safety and ensure we respond proportionately to incidents.
Once implemented, Trust will prioritise review of incidents with the greatest opportunity for learning and improvement. Over the next few weeks, we will share our response plan, which outlines our Trust Priorities for investigation along with guidance documentation to explain what you can expect if you are involved in a learning response and how to use the new tools undertake a system-focused investigation.
If you have any questions or would to discuss PSIRF in more detail please contact PSIRF@bedsft.nhs.uk
Stop sepsis, save lives
World Sepsis Day is Wednesday 13 September. This year, we will be raising awareness by holding staff drop-in sessions to share information around sepsis. There will be games, activities and freebies available! The drop-in sessions will be held on:
18 September, 10am to 2.30pm, Committee Room, Bedford
20 September, 10am to 2.30pm, COMET Lecture Theatre, L&D
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INSIDE NEWS
Message from Wendy Matthews OBE, Regional Chief Midwife and Director of Message from Wendy Matthews OBE, Regional Chief Midwife and Director of Nursing East of England
Dear all,
The months are motoring on and here we are in the height of summer. I really hope that you will have time to read through the newsletter, as it demonstrates what amazing work is being undertaken by all the maternity and neonatal teams in the East of England, despite all the industrial action. Such a tremendous amount of work has been achieved and this is down to everyone working so hard with enthusiasm and positivity. A great big thank you. It is so exciting to see teams learning from one another through the various forums, workshops and quality improvement initiatives that are now in place. If you think we don’t have a forum for your particular interests then do let us know and we will see what can be done to address this.
Our celebration of excellence in March set the standard for a positive Spring and Summer. With so many nominations for our staff and MNVP’s it was a challenge to choose the winners. The launch of the three year delivery plan for maternity and neonatal services on 30th March has given us a framework in which to base our future work plans and bring maternity and neonatal services closer together. The maternity services insurance scheme Clinical Negligent Scheme for Trusts (CNST) year 5 has also been launched to help support Trusts improve their services and also Saving Babies Lives Care Bundle version 3 is now available.
The newsletter outlines the many quality improvements and safety initiatives that are underway, please do feel free to join any of these work streams, we love having staff particularly from the Trusts involved and sharing to make those improvements in maternity and neonatal services. The perinatal equity and equality learning over the last year again demonstrates how far we have come, but still lots of work to do to ensure women and pregnant people and staff get the best possible outcomes.
Many of you will be familiar with your digital midwives who continue to do a fantastic job at improving our digital services to make it easier for you to do your jobs. We now have some wonderful examples of paper light systems in place. Great news on the workforce front, we continue to have the most midwives ever working in the EOE standing at 2597, the vacancy rate has reduced from 18.3% to 11.2%, the leaver rate for midwives has reduced from 8.1% to 6% and for MSW 17% down to 11.5 %. We still have more work to do as we would like to have no vacancies.
Finally huge thanks to you all, every person plays a part in delivering excellent maternity and neonatal services. I hope that you have some wonderful breaks over the summer.
24 OUTSIDE NEWS
Wendy
Just a reminder to you all that you can report GOOD CARE on Inphase, it is not just for incidents!!
Recent good care that I have heard or read are from:
Thank you for all your hard work and the care you have given to women!
Let’s continue to support each other and praise each other, especially in the hot weather and a very busy unit!
Ward 31, Ward 32 and Theatres (L&D)
“The treatment and care I received during my visits or admissions to Ward 31 and Ward 32, was amazing. I could not fault the staff for all care and treatment I received. Especially Norah who I believe works between Delivery Suite and Ward 31. She has no idea how much she eased my anxiety. Natalie (Martin), who was my main midwife on the day I delivered my beautiful daughter, was amazing. The team in theatre were amazing and I wish I could thank them all individually. Especially as I lost 1400mls of blood after delivery. They helped me remain calm, considering what was going on.”
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RAISE & PRAISE
ROSE AWARD
Well done to Ashleigh Todd (W33) who received the 2nd runner up Rose Award in August
Ward 31 & 32 (L&D)
“Just wanted to send some positive feedback for the staff working on Ward 31 and 32 on the 7-8 July, in particular the midwives Keri McGrath and Gemma Smith and student midwives Symone and Erica. I felt my concerns were taken seriously, despite some neutral test results. I felt things were dealt with really thoroughly, I felt held in mind and was updated clearly throughout. It reduced my worry about having to be there a lot.
Thank you all.”
Ward 33 (L&D)
“Lauren and Charlotte were absolutely fantastic. Very knowledgeable, talked us through difficult looking techniques, and how to improve current feeding. Performed a tongue-tie observation and then discussed the pros and cons of the procedure. Very measured and thorough. Completed the procedure straight away and returned to monitor progress. An invaluable service! This was our number 1 concern post-birth and they put our minds to rest. Incredibly approachable, we would recommend this service to all new mothers.”
Maternity and Volunteers (L&D)
Maternity (L&D)
“I would like to say thank you for all the support and care during the time I spent in the Maternity Department. Our baby was born in March and I will be always grateful for the way we have been treated and for the care we received. The Staff were very professional, caring and kind, I felt safe.
“Special thank you for the care of:
Rosa (Diabetes Specialist Midwife)
Ward 32 midwives: Francesca, Abigail, Millie, Maggie (STMW), Lauren
Delivery suite midwives: Rochelle, Kirsten (STMW), Sylvia
“You have been amazing, thank you so much, brilliant team.”
“When I visited Luton and Dunstable Hospital for the first time, I had the most wonderful experience. I had not been in the entrance for more than 60 seconds and a gentleman in a volunteer top (who clearly was in the middle of something) asked if I needed any help. He did not just provide me with directions but walked me part of the way.
“Once I arrived at the Maternity ward, a nurse asked if she could help me and then said she would be able to take me where I needed to go. I also noted other staff members smiling at me.
“I have no doubt that every single employee often experiences tiredness and fatigue and therefore I could not let the day pass without saying THANK YOU. Thank you for a wonderful experience and thank you for all you are doing to bring in and sustain new life.”
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