Presentation by Andrea Whitehead, Service Development Midwife, Lancashire Teaching Hospitals and Lynne Walker, Public Health Midwife, Lancashire Teaching Hospitals at Maternity and Neonatal Learning System: smoking in pregnancy event on Wednesday 11 September at Haydock Park Racecourse.

1. Smoke Free Pregnancies
At
Lancashire Teaching Hospitals
Andrea Whitehead – Service Development Midwife
Lynne Walker – Public Health Midwife

2. Background
• MatNeo – wave one
• Public Health Midwife
• National drivers
• April 2019 - Coaching for a culture of continuous
improvement
• Culture survey
• Multidisciplinary project team

3. • Reviewed current process
• Baseline data
• Model for Improvement
• Driver diagram, PDSA cycles
• Performance boards
Project Aim
Reduce the percentage of women at LTHTR smoking at time of giving birth
from 10.5% to 9% by April 2020.

5. Information Trolley

6. Challenges / Lessons learned
Collecting
data
Resource
Culture
communication
Service user
input

7. What’s next ?
Focus on
36 week
CO
monitoring
NRT prescribing
Continue to
promote VBA
for smoking
in Pregnancy
training/mak
e training
mandatory?
Improving
referrals to
Stop
Smoking
Service
Smoking
champions
Electronic
maternity
documentation
System
Improve
smoking
assessment
on admission
CO monitoring
at all visits?