Present:
Grace Hopps( Head of Midwifery, Women's & Children's Services)
Gill Edmunds (Macclesfield Cradle Concern Manager)
Allyson Morton (Health Visitor)
Joe Ann Tarry (Student Health Visitor)
Liz Fickling (User/NCT Rep)
Dr C Stanley (Priorslegh Group Practice, Poynton)
Dr S Maund (Cumberland House Surgery)
Dr I Losa (Consultant Paediatrician)
Zoe Hanks (Secretary to South Cheshire NCT/User Rep)
Su Snook (User rep from Mid Cheshire MSLC)
Sara MacKian (User rep)

Apologies:
Sheila Ryan, Lyn Bailey, Jenny Hawkes, Elaine Alston, Margaret Malkin, Marion Grant, Donna Bramwell, Sue Dean

Introductions and welcome to Shelley Maund and Su Snook.

Minutes of last meeting held on 29th January 2007 agreed.

Matters Arising

• Plans for arent Education
  
  East Cheshire NHS Trust over the past three years has seen an increase in the number of deliveries. Over this time the caesarean section rate has been quite static. It was recognised that the current class sizes for couples was unacceptable, limiting valuable group dynamics to be fostered. It is aimed to refocus the programme on normality. The new course will standardise the programme for all classes within the Trust.
  
  Comments
  - Decision made to withdraw HV
  - Invite new breastfeeding mum to classes
  - Couples session
  - women usually sit with partner and don't mix
  - Split 2-hour session up for women only 1st hour and then partners
  - not feasible
  - Mix multips to share experience
  
  Comments to Lorraine Perry or Beverly Walsh on the review paper and the proposed new programme appreciated in writing by 8th May 2007.
  
  
• Water birth/Visiting times Questionnaire
  
  Current visiting times have been well supported especially the rest period - times to remain the same.
  
  Action plan for improving the use of water for relaxation and birth at East Cheshire tabled at the meeting.
  Comments
  - Push at parent education classes - video of water birth?
  - Article in local papers regarding visiting times and use of the pool
  - Advertise in each GP waiting room
  
  Information leaflet included in the 28-week antenatal pack. Marion Grant offered to update the leaflet. Final copy to be emailed to all members of MSLC.
  
  The group agreed on the action plan - Elaine Alston to pursue.
  

Agenda

• Strategy for Reducing Caesarean Section Rate
  
  Draft 2 document tabled at the meeting for information - happy to receive comments. Lorraine Perry and Beverly Walsh to produce final document.
  
  
• Voices Training
  
  Another Voices training day has been organised by the Cheshire & Merseyside Maternity Network at Liverpool Women's Trust on 26th June 2007.
  
  Four places have been allocated, delegate from medical, midwifery, commissioners and user representative. For further information contact Sheila Ryan.
  
  
• Breastfeeding Data
  
  The two Trusts have now merged. There has been no data for a number of months, PCT data up to March 06 - Guy Hayhurst and Margaret Malkin to pursue.
  
  A new Breastfeeding Strategy Group has recently been set up between East Cheshire Trust and Central and Eastern Cheshire PCT. The group is led by the Public Health Team and meet quarterly. The new group is aiming to develop and implement a strategic plan to increase initiation and continuation of breastfeeding. Grace Hopps to take issues to the next planned meeting in June. User input in the hospital group - Grace Hopps to contact Michelle Moran with Liz Fickling's details.
  
  Hospital Breastfeeding statistics
  
  

  	2005/06	2006/07	%
  At Delivery	62.6%	64.4%	1.8%
  Transfer to Community	67.7%	65.8%	1.9%
  Transfer to HV	66%	64.2%	1.8%

  
  
• MSLC Website
  
  Grace Hopps thanked Sheila Ryan and her friend for the fantastic job of organising the website - available on www.eastcheshire.nhs.uk under the heading Maternity/Obstetrics.
  
  
• Annual Report 2006/2007
  
  Agreed following amendments
  - spelling of Gill's name - Edmond
  - include date of Voices training
  - terms of reference to be reviewed in 3 years
  Sheila Ryan to update and forward to Chief Executives of the Trust, PCT and Director of Nursing & Operations
  
  
• Annual Plan 2007/08
  
  Draft plan discussed. Working group to undertake audit on the maternity unit - Marion Grant, Liz Fickling and a midwife to take forward.
  Take out details of the breastfeeding forum - hospital forum
  The group agreed the annual plan.
  
  
• Research Project
  
  Sara MacKian (user rep and Lecturer at the University of Manchester) carrying out health related research from a social science perspective. The aim is to develop research ideas around maternal health and wellbeing around themes of interest to parents and practitioners.
  Issues suggested - infant feeding
  Funding - research money
  Sara MacKian to pursue.
  
  
• Policies and Guidelines - available on the Trust Intranet
  
  Agreed since the last meeting:-
  
  Cardiac disease in pregnancy
  Discharge management SCBU
  Heated cot
  Use of Palivizumab
  Phototherapy
  PPH reviewed
  Temporary closure of SCBU
  ANC uncomplicated pregnancy reviewed and amended
  
  Policies awaiting approval at clinical governance:-
  
  Neonatal resuscitation
  Fetal blood sampling
  Transfer of women in the postnatal period to another unit
  Women who present for care outside the maternity service
  
  Policies out for Consultation:-
  
  Professionals obtaining consent for post mortems
  Caring for women who have suffered a stillbirth
  Symphysis pubis dysfunction
  Medical termination of pregnancy for fetal abnormality
  
  
• Any Other Business
  
  Payment to enable GPs to attend MSLC meetings - Jenny Hawkes drafted a proposal to the PEC which sets out possible GP payments in relation to backfill for locum cover. Feedback at next meeting from Jenny Hawkes.
  
  Transport Cheshire & Mersey 8am - 8pm Monday to Friday for mothers and sick neonates, hopefully will expand.
  
  Website photographs - Zoe Hanks to take photographs of members of the group at the next meeting for the website.
  
  Maternity Matters - Grace Hopps to report at the next meeting.
  
  
  Date of Next Meeting
  
  Please note the re-scheduled meeting is now on Monday 16th July 2007 at 12.30pm in Conference Room 1, Conference Suite. (Cancel 2nd July 2007)
  
  Please send items for the agenda to Sheila Ryan before 16th April 2007.
  
  
  Minutes from Previous Meetings (in PDF format)
  
  MSLC Minutes 29th Jan 2007