<p>Legacy Document - Infant Feeding: West Midlands PCT Areas</p><p>SOLIHULL</p><p>F.A.O: Other Government Departments / Local Authorities / WM Policy Leads</p><p>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</p><p>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</p><p>Working in partnership with:...... Solihull Maternity Services ...... Children’s Centres . .Shares some commissioning of maternity services with BEN PCT ...... </p><p>Progress towards achieving UNICEF UK Baby Friendly Initiative Infant Feeding Minimum Standards </p><p>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.</p><p>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</p><p>DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010 UNICEF UK Baby Friendly Initiative: (  See Appendix 1 for details)</p><p>Acute Trust: Certificate of Commitment::...... Birmingham Heartlands Hospital</p><p>PCT / LA: Key Milestones Stage 1: ...... Achieved</p><p>Progress in delivering proposals to improve breastfeeding services and rates </p><p>Validated Data as at Q4 09/10: </p><p> 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.</p><p>Performance Against 6-8 week Prevalence Indicator:</p><p>RAG: RED</p><p>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.</p><p>DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010  Appendix 1:</p><p>Progress towards achieving UNICEF UK Baby Friendly Initiative Infant Feeding Minimum Standards </p><p>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.</p><p>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 </p><p>DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010 QUARTER 1, 2010/11</p><p>INFANTS BEING BREASTFED AS % OF ALL INFANTS DUE A CHECK</p><p>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</p><p>PERCENTAGE OF INFANTS WHOSE BREASTFEEDING STATUS IS KNOWN - DATA COMPLETENESS (COVERAGE)</p><p>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</p><p>DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010 QUARTER 2, 2010/11</p><p>INFANTS BEING BREASTFED AS % OF ALL INFANTS DUE A CHECK</p><p>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</p><p>PERCENTAGE OF INFANTS WHOSE BREASTFEEDING STATUS IS KNOWN - DATA COMPLETENESS (COVERAGE)</p><p>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</p><p>DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010 Data Quality for Qtr 2</p><p>PCTs failing validation at 2010/11 Q2 for 6-8 week breastfeeding</p><p>PCT with less than the required level of coverage (90%) (Quarter actual, year to date or forecast outturn):</p><p>Heart of Birmingham Teaching PCT (5MX, West Midlands HA) Sandwell PCT (5PF, West Midlands HA) North Staffordshire PCT (5PH, West Midlands HA)</p><p>Submitted by Caroline Mansell Regional Infant Feeding Co-ordinator September 2010</p><p>DHWM Legacy Document J:GOWM/OPMS/Legacy Docs/Solihull 0.2 Dec 2010</p>