In order to address recent Serious Case Reviews in Gloucestershire a new process has been implemented for community midwives to request and receive information for all new pregnancies to enable them to review relevant safeguarding / medical information held on GP systems.
The process is as follows:
1.Women book with midwife (consent to share information obtained)
2.Community midwife contacts Practice with completed to request patient summary of health information
3.Midwife reviews summary, documents relevant information in woman’s record and responds according to information shared
4.Midwife shreds GP Practice summary
This flow diagram demonstrates the management of bleeding and/or abdominal pain in early pregnancy in the Emergency Department in accordance with local EPAU guidelines.
From 20 July, all GP referrals to the Early Pregnancy Service at GHNHSFT should be made by email to:
firstname.lastname@example.org, giving the patient’s name, NHS number, CONTACT number and details of current problem. A telephone call giving the patients name and contact number should then be made to 0300 422 5549 as a failsafe.
Patients who are felt to be unstable should be referred for urgent assessment, via the hospital switchboard, to the Emergency Gynaecology team on 0300 422 2222 and ask for the Gynaecology consultant on call.
Please follow the resource link below to the Trust Guidelines developed to inform the reader of the processes to diagnose and manage patients who attend the early pregnancy clinic with pain or bleeding, or a history of a previous ectopic pregnancy.