Maternity Record: Personalised Care
- Gavin Start
Version | v1.0 - March 2024 |
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Status | Published |
Important Information
Within this requirements catalogue we use the terms woman, women, and pregnant women. However, we recognise that some transgender men, non-binary people and people with variations in sex characteristics (VSC) or who are intersex may also access maternity services. Maternity services and delivery of care must therefore be appropriate, inclusive, and sensitive to the needs of everyone who accesses maternity services, including those who are trans, non-binary or intersex.
Contents
Capability M1.31
The solution must capture the informed consent process for any procedure, assessment or referral.
M1.31.1 - Informed Consent Process (Health Care Professional) |
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DCF Core Capability |
As a Health Care Professional I want to record the information shared, discussion with and consent from women for procedures, assessment and referral So that the consent is documented and the ethical and legal requirements are evidenced Acceptance CriteriaGiven that a Health Care Professional has provided the information (e.g. risks, benefits, or alternatives) to facilitate informed consent with the woman When the woman's consent has been confirmed or declined Then the Health Care Professional will be able to record on the system the consent given by the woman for any procedure, assessment, and or referral And the Health Care Professional will be able to share from the system, the consent given by the woman with other Health Care Professionals And the Health Care Professional will be able to meet Maternity Services Data Set (MSDS) requirements and record that screening was offered, regardless of whether consent was confirmed or declined And the Health Care Professional will be able to record if a woman subsequently withdraws their consent |
Standards Compliance |
STD080 SNOMED CT: UK Edition |
M1.32.1 - Informed Consent Process (Woman) |
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DCF Core Capability |
As a woman accessing maternity care I want to access the information shared and the discussions for consent to procedures, assessments and referrals before I provide consent So that information shared, discussions and consent are documented and the ethical and legal requirements are evidenced Acceptance CriteriaGiven that a Health Care Professional has provided the information (e.g. risks, benefits, or alternatives) to facilitate informed consent with the woman When the woman's consent has been confirmed or declined Then the woman will have access to their personalised support, information and decision making |
Standards Compliance |
STD080 SNOMED CT: UK Edition |
Capability M1.32
The solution should integrate fully with tools that support personalised care and support plans, and informed consent tools (e.g. iDecide) as these are developed and deployed nationally or locally.
M1.32.1 - Integration with Personalised Care Support Tools |
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DCF Transformation Capability |
As a Health Care Professional I want the system to be easily integrated with tools that support personalised care and support plans within the Trust So that I can get health data from such tools to enable me to provide safe, effective, personalised and equitable care Acceptance CriteriaGiven that a woman has received NHS maternity care When the woman subsequently engages with a Trust Then the Health Care Professional will be able to view on the system details of the care provided to the woman including their choices And the Health Care Professional will also be able to view information from tools that support informed consent, personalised care and support plans |
Standards Compliance |
STD029 Dictionary of Medicines and Devices |
Capability M1.33
The solution should enable a full pathway for women who are making decisions about their mode of birth (for example after a previous caesarean birth). It should enable appropriate education regarding birth options.
M1.33.1 - Decision Making for Mode of Birth |
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DCF Transformation Capability |
As a Health Care Professional I want to be able to record on the system the full maternity pathway including education, discussions, information shared, and outcomes for women making decisions about their mode of birth So that I can provide personalised care that is supported by informed decision making Acceptance CriteriaGiven that a Health Care Professional has access to the full maternity and neonatal pathways on the system When the Health Care Professional records on the system the details of the full maternity and neonatal pathways Then the system will guide and prompt the Health Care Professional on the appropriate course of action to support the woman through personalised care pathways And the system will also provide support for antenatal education regarding birth options |
Standards Compliance |
STD080 SNOMED CT: UK Edition |
Capability M1.34
The solution should allow clinicians to provide targeted links to health advice and information to the woman. It should be possible to update and amend these links and information and their trigger points.
M1.34.1 - Providing Information to Women |
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DCF Transformation Capability |
As a Health Care Professional I want to be able to use the system to provide targeted links and public health advice information to women So that I can record what was offered to, accepted by, and / or declined by women So that I can ensure that women are receiving relevant and timely information, and record what was offered to, accepted by, and / or declined Acceptance CriteriaGiven that a Health Care Professional is permitted to edit a woman's record on the system When there is a need to send the relevant health advice information to the woman Then the Health Care Professional will be able to send from the system, targeted links and public health advice information to women And the Health Care Professional will be able to record whether the health care advice was offered to, accepted by, and / or declined by a woman And data related to full smoking cessation and Nicotine Replacement Therapy (NRT) information will be captured in line with the Tobacco Strategic Data Collection Service (SDCS) submission requirements And the Health Care Professional will also be able to send electronic notification of any referral to appropriate services from the system Additional InformationThe solution should allow Health Care Professionals to issue public health advice on smoking cessation and healthy eating and record what the result was e.g. whether the woman was given advice, was offered and accepted or declined a referral to the smoking cessation unit and the results of a carbon monoxide test. The functionality should include electronic notification of any referral to appropriate services. For smoking the full smoking cessation information and details of quit support and Nicotine Replacement Therapy (NRT) information should be captured in line with the Tobacco SDCS submission requirements |
Standards Compliance |
Capability M1.35
The solution could have the ability for the maternity unit to send push notifications to the woman in their personal health record with relation to appointments and important information.
M1.35.1 - Push Notifications to women |
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DCF Transformation Capability |
As a Health Care Professional or Hospital Administrator I want to be able to send push notifications related to appointments and health advice information to women from the system So that women are actively engaged and fully informed about their planned maternity care Acceptance CriteriaGiven that a Health Care Professional or Hospital Administrator is permitted to edit a woman's record on the system When there is a need to send relevant health advice and information to the woman Then the Health Care Professional or Hospital Administrator will be able to send push notifications related to appointments and health advice information to the woman from the system |
Standards Compliance |