DHWM Legacy Document on West Midlands PCT Areas

Legacy Document - Infant Feeding: West Midlands PCT Areas

SOLIHULL

F.A.O: Other Government Departments / Local Authorities / WM Policy Leads

PCT Contact Details:...... Solihull PCT Lead person co-ordinating the project:...... Carmen Baskerville Role: ...... Breast Feeding Co-ordinator Address:Solihull Care Trust, Friars Gate, Stratford Road, Solihull, B90 4BN Email: ...... [email protected] Phone:...... 0121 7138924

Other key senior contact involved in infant feeding: Name and Role:...... Ian Mather, Consultant in Public Health Name and Role: Helen Kelly, Commissioning Manager ...... – Maternity and Children Email: ...... '[email protected]'; '[email protected]' Address:...... Public Health Department, Solihull NHS Care Trust ...... Commissioning Directorate, 3rd Floor, Friars Gate ...... Stratford Road, Solihull B90 4BN

Working in partnership with:...... Solihull Maternity Services ...... Children’s Centres . .Shares some commissioning of maternity services with BEN PCT ......

Progress towards achieving UNICEF UK Baby Friendly Initiative Infant Feeding Minimum Standards

The UNICEF UK Baby Friendly Initiative (BFI) staged approach towards accreditation for services under their awards scheme is a quality assurance framework. This sets minimum standards of care related to infant feeding for all mothers under Maternity, Community Health services and includes Children’s Centres services where applicable.

The BFI staged approach to accreditation for services is as follows:  Key-Certificate of Intent  Certificate of Commitment  Stage 1 Accreditation  Stage 2 Accreditation  Stage 3 Accreditation  Full BFI Accreditation

DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010 UNICEF UK Baby Friendly Initiative: (  See Appendix 1 for details)

Acute Trust: Certificate of Commitment::...... Birmingham Heartlands Hospital

PCT / LA: Key Milestones Stage 1: ...... Achieved

Progress in delivering proposals to improve breastfeeding services and rates

Validated Data as at Q4 09/10:

 Initiation Rates are 70.1%. There was a data quality anomaly at Qu.2 09/10 which was not repeated in Q 3 and 4 but may need investigation to ensure data quality remains exemplary  Initiation data completeness – currently excellent at 100%  Breastfeeding Coverage at 6-8 weeks – currently excellent at 99.5%, is above target and well above the national average  Breastfeeding Prevalence at 6-8 weeks is at 43.8%, just below the national average of 45.2% for the equivalent period  Breastfeeding drop off rate (the difference between initiation rate and 6-8 week prevalence rate in percentage points) is at 26.3% i.e. better than the national average of 27.5%  Early booking remains a challenge for Maternity Services  Solihull ‘Be a Star’ social Marketing Campaign to encourage young women to breastfeed.  Peer Support across the borough is delivered in partnership with Children’s Centres  Peer Support: Solihull is working with the National Childbirth Trust in a project to train peer supporters from within groups least likely to breastfeed. This commenced in Sept 2010.

Performance Against 6-8 week Prevalence Indicator:

RAG: RED

Breastfeeding initiation targets have been met. However, the 6-8 week prevalence stretched target has not been achieved. Plans for 2011/2 can be set at rates based on current excellent data coverage/completeness.

DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010  Appendix 1:

Progress towards achieving UNICEF UK Baby Friendly Initiative Infant Feeding Minimum Standards

The UNICEF UK Baby Friendly Initiative (BFI) is a staged approach towards accreditation for services. It is an awards scheme / quality assurance framework. This sets minimum standards of care related to infant feeding for all mothers under Maternity & Community Health services which also includes Children’s Centres services where designated.

The BFI staged approach to accreditation for services is as follows: Key Full BFI Accreditation  Stage 3 Accreditation  Stage 2 Accreditation  Stage 1 Accreditation  Certificate of Commitment  Certificate of Intent

DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010 QUARTER 1, 2010/11

INFANTS BEING BREASTFED AS % OF ALL INFANTS DUE A CHECK

Area Performance % Local Plan, Target % RAG Rating: Red R, Amber A , Green G, Grey GR (Data failed validation) BEN 40.9 39.7 G Coventry 123456 28.8 GR Dudley 28.1 33.1 R HOB 50.6 39.0 G Herefordshire 48.8 59.5 R North Staffs 123456 23.4 GR Sandwell 123456 36.7 GR Shropshire 39.6 50.0 R Solihull 41.1 46.0 R South Birmingham 45.3 42.1 G South Staffs 32.8 33.0 A Stoke-on-Trent 30.3 30.1 G Telford & Wrekin 26.4 29.4 R Walsall 26.3 30.8 R Warwickshire 43.0 53.4 R Wolverhampton 33.5 33.3 G Worcester 39.7 58.1 R

PERCENTAGE OF INFANTS WHOSE BREASTFEEDING STATUS IS KNOWN - DATA COMPLETENESS (COVERAGE)

Area Performance % Local Plan, Target % RAG Rating: Red R, Amber A , Green G BEN 98.3 95.0 G Coventry 78.7 95.0 R Dudley 95.5 91.0 G HOB 91.4 84.9 G Herefordshire 95.8 95.6 G North Staffs 89.6 91.0 R Sandwell 49.5 95.1 R Shropshire 95.4 95.0 G Solihull 96.7 94.4 G South Birmingham 98.3 95.0 G South Staffs 93.0 95.0 A Stoke-on-Trent 93.4 92.1 G Telford & Wrekin 90.5 95.0 A Walsall 92.6 93.2 A Warwickshire 99.3 91.6 G Wolverhampton 97.9 91.3 G Worcester 95.8 95.0 G

DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010 QUARTER 2, 2010/11

INFANTS BEING BREASTFED AS % OF ALL INFANTS DUE A CHECK

Area Performance % Local Plan, Target % RAG Rating: Red R, Amber A , Green G, Grey GR (Data failed validation) BEN 45.1% 40.7% G Coventry 37.1% 29.6% G Dudley 26.6% 33.9% R HOB Not valid data 39.5% GR Herefordshire 48.1% 59.5% R North Staffs Not valid data 24.0% GR Sandwell Not valid data 36.7% GR Shropshire 40.2% 50.0% R Solihull 39.7% 46.4% R South Birmingham 46.5% 42.1% G South Staffs 33.7% 33.0% G Stoke-on-Trent 30.1% 31.3% A Telford & Wrekin 35.7% 29.5% G Walsall 25.3% 31.9% R Warwickshire 41.8% 56.3% R Wolverhampton 36.6% 33.6% G Worcester 43.6% 58.1% R

PERCENTAGE OF INFANTS WHOSE BREASTFEEDING STATUS IS KNOWN - DATA COMPLETENESS (COVERAGE)

Area Performance % Local Plan, Target % RAG Rating: Red R, Amber A , Green G BEN 95.5% 95.0% G Coventry 93.7% 95.0% A Dudley 98.1% 92.0% G HOB 92.6% 86.3% G Herefordshire 99.9% 95.6% G North Staffs 98.3% 91.9% G Sandwell 93.7% 95.1% A Shropshire 100.0% 95.0% G Solihull 93.9% 94.4% A South Birmingham 93.3% 95.0% A South Staffs 98.9% 95.0% G Stoke-on-Trent 97.3% 93.2% G Telford & Wrekin 99.7% 95.0% G Walsall 95.2% 94.4% G Warwickshire 98.9% 93.0% G Wolverhampton 95.0% 92.6% G Worcester 96.2% 95.0% G

DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010 Data Quality for Qtr 2

PCTs failing validation at 2010/11 Q2 for 6-8 week breastfeeding

PCT with less than the required level of coverage (90%) (Quarter actual, year to date or forecast outturn):

Heart of Birmingham Teaching PCT (5MX, West Midlands HA) Sandwell PCT (5PF, West Midlands HA) North Staffordshire PCT (5PH, West Midlands HA)

Submitted by Caroline Mansell Regional Infant Feeding Co-ordinator September 2010

DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010