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BREAKOUT 2: TAKING ACTION TO CLOSE THE GAP (11:10 - 12:25)
WORKSHOP OBJECTIVES
• Presenter builds on break out 1, but then takes
the gap and describes their action plan to
refine their work, expand their projects, and
close the gap
• Using the Closing the Gap Action Planning
form, participants are invited to create a plan
for closing the gap that they identified in Day
One
• Have fun!
SOME IMPORTANT NOTES
• Our discussions today are about learning, not
about performance, so…
• sharing your challenges and failures can be just
as important as sharing your wins and
successes.
MEETING NORMS REFRESH
•
•
•
•
•
•
Suspend judgment as best you can.
Respect one another.
Seek to understand rather than persuade.
Invite and honour diverse opinions.
Speak what has personal heart and meaning.
Go for honesty without going on and on and
on.
Site Sharing:
Reflecting on Our Work to Date
“There is a clear correlation between poorer pregnancy outcomes...
in women who book later for antenatal care, attended infrequently
or never attend for care.
At present in Scotland, women and babies who are at the greatest
risk of poor health outcomes are the least likely to access and/or
benefit from the antenatal health care that they need.” (A Refreshed
Framework for Maternity services 2011).
Ensure that women experience positive pregnancies which result in
the birth of more healthy babies as evidenced by a reduction of 15%
in the rates of:
• stillbirths (from 4.9 per 1000 births in 2010 to 4.3 per 1000 births
in 2015)
• infant mortality (from 3.7 per 1000 live births in 2010 to 3.1 per
1000 live births in 2015)
PROJECT GAPS
Promote enhanced interactions between parents
and their unborn baby, resulting in improved
attachment as well as strengthening
engagement with maternity services.
*Resulting in a decrease in Do Not Attend rates at
antenatal appointments in the Wishaw locality
by March 2015.
*Resulting in a increase in attendance at antenatal
appointments in the Wishaw locality by March
2015.
REVISED DRIVER DIAGRAM
Aim
Decrease in Do
Not Attend
rates at
antenatal
appointments in
the Wishaw
locality by
March 2015.
Primary
drivers
Engagement
with Maternity
Services
Secondary
drivers
Willingness to
attend
1)
Ability to
attend
(organisational
skills)
2)
Understanding
value of
services
provided
Awareness of
impact of lifestyle
on unborn baby
resulting in
positive
choices/changes
Promote enhanced interactions between
parents and their unborn baby, resulting in
improved attachment as well as strengthening
engagement with maternity services.
Specific Change
Ideas
Relationship
with staff and
service
Available
information
Cultural Norms
3)
Ideas:
Ante natal
text prompt
reminder
with date and
time.
Provide
information
on what to
expect at
appointment.
Promoting
positive
messages
during
pregnancy.
Focused Improvement
Concepts
Increase
Uptake with
texting service
Guidance
Engagement
Impact of the intervention
Examples of Texts sent
I have developed my sense of
smell; can hear more and I am also
beginning to remember things. I am
getting to know and I am soothed
by my family’s voices. I like when
you talk, sing and play music and
respond to my movements.
01698354966
29 weeks
Keep us both healthy – you should
have an appointment with your
midwife around now. I have now
grown to around 42cm long and
can react to light. Why not try
shining a torch over your tummy,
play music or read me stories and
see how I respond?
01698354966
Between 31-32 Weeks
Appointment (Prim)
Data
Feedback from mothers
Like the baby development
messages. The text messages
would encourage me to talk to
my baby.
Liked all the messages I have
received, I would recommend
the service.
I especially liked the baby
development messages. I would
recommend the texting service.
I really like receiving the
messages as I have a 1 year
child, so don't always have time
to read or refer to my book
Data
Number of women signed up to service (29 total)
35
6 women
recruited
30
13 new recruits
15
10
First month of
recruitment
8 in total since
launch
11-Jul14
20
15-Jun14
5
15-Oct14
15-Sep14
0
12-Aug14
Count
25
2 new recruits 1 of
the midwives on
A/L
Learning for improvement
• Challenges around E-Health / IT – 11 page
information governance form to send a text
message!
• Uptake of text message service is high – seen
as a normal way to engage with a service
provider
• Impact on clinic time by discussing sign up
• Scaling up could be challenging
Table Reflection and Discussion
part one
• Using the action planning form – sketch
out milestones, next actions, and
structural things they need to do to move
their dots and close their gap – 20
minutes
• Action planning questions on next slide
Table Reflection and Discussion
1. What's the next action or task for each to
move them forward.
2. What assets can we draw upon within our
partners or the community to move this
work forward?
3. Who needs to be involved?
4. What do you need for others?
5. What are predicted barriers and what are
your ideas for overcoming them?
Table Reflection and Discussion
part two – 20 minutes
• Discussing as a table, participants are
invited to share their action plans
• What were common theses about your
next actions to move things forward?
• What can you do in the next 2 weeks
to move existing projects forward and
start new ones?
• Where do you need help or support?
REPORT OUT
• What did you discover in your action planning?
• What surprised you?
• What ideas are you taking home from your table
discussions?
• For all of us as leaders are there leadership issues to
consider?
– Or leadership issues we need to escalate?
THEMES FROM THE ROOM
• PLEASE INSERT HERE (DURING SESSION):
– Top 5 emerging themes based upon facilitator themes from
tables.
Parting Thoughts
• Today was about closing the gap
• Take your plans to CPP action planning, to
close the gap you’ve identified
• Head into the action period with clarity
about what you need to do!
Thanks for a great session!