Due to the national effort to support the NHS during the coronavirus pandemic, as of 24 March 2020, the Patient Safety Measurement Unit (PSMU) has suspended data collection from trusts. It is therefore not necessary for trusts to upload monthly data or highlight reports to this portal.

Phase 2 of the Maternal and Neonatal Safety Improvement Programme was launched on 9 March. For the time being, only essential and coronavirus-related activities, including maternal and neonatal deterioration improvement work, will continue.

Your data remains valuable to us and is crucial to evaluating the National Patient Safety Improvement Programmes. We will be in touch as soon as we can about how future data collection and reporting will take place. Thank you for your support.

To add an Improvement plan, you can follow these steps after logging into the PSMU website:

Click on Workstreams


Select Maternity & Neonatal


Select the MatNeo Improvement Portal option-


Click the following Button '+Add Primary Driver'


Step 1 - Select your primary driver and input the overarching programme aim


Step 2 - Select your secondary drivers


Your new project (for example the Diabetes Project created above) will be added onto the list of programmes that are related to your trust. Scroll to the new project that you are working on and click on the 'Improvement Plan' Button to populate your plan for the first time or to update your plan incrementally. 

This should take you to web page where you can see 5 tabs namely: General Tab/ Measurement Plan Tab / Communications Plan Tab / Team Tab / All Tab 


The General Tab:-


Each of the 9 text boxes under this tab has a little descriptive section which summarises what that particular section is about. You can populate the relevant text boxes by typing the content that makes up your plan. If you had typed your text in word, you can copy from word, select Edit in the improvement plan and ‘Paste as text’ option from the drop down menu that appears. 

Text Box 1 - Project Aims


You are expected to add all your aim statements in the Project Aims text box (shown above) to develop on your overarching aim for that programme of work. We encourage you to populate Specific, Measurable, Agreed-upon, Realistic & Timed (SMART) aims into the text box.

Text Box 2 - What did your Baseline Data tell you about this topic area


This is your diagnostics section. You will present your background and context guided by your baseline data. For example, we have looked at this rate and that rate which are at x% and y% respectively etc. This is where you give everyone else an opportunity to understand why you started the project. You can add charts etc. You can use this section to articulate what your data is telling you about the clinical option that you are seeking to improve.

Text Box 3 - Improvement Approach


This section is about process and how you are going to undertake the work. This is where you think about the Quality Improvement tools that you might want to use, how you bring those together, defining your data collection plan, and the practicalities of how you are going to do it as part of the programme.

You might know that you will need a bit of process mapping to understand a particular pathway for example. It might be that you are going to follow a PDSA cycle (Plan Do Study Act) for example. Your approach or anything else you wanted to focus on such as demand and capacity (for example) is mentioned in this section.  Document the methodology, tools and approaches that you will be taking throughout this project.

Text Box 4 - Additional to your aim statement what do you want the project to achieve.


Please outline the milestones, deliverables, and other intended impacts of the project. This is really additional information in addition to your aim statements. This section is about the benefits that your project will bring. For example, you could mention that, ‘Whilst your aim statement was to do xxxx, your project will provide the following benefits..’


Text Box 5 - What is in the scope of the project


This is about specifying the boundaries of your project. It helps you to build your focus. It is about really being clear about what is in scope and what is outside the scope of the project. What exactly are you working on and what are you not working on?


Text Box 6 - What is out of the scope of the project area



This is basically building on the above text box to be sure to think through what the project excludes. Thinking about this will help prevent scope creep where the project gets bigger and bigger beyond initial aims.

Text Box 7 - Risks & Contingencies


This is about limited resources, realistic delivery time-frames and managing expectations of your stakeholders. Think about mitigations and capacity. Think about what it is that you might encounter anticipated problems and mitigations.

Text Box 8 - Support and Resource Required


This is almost like an action plan. You might have already identified risk. Make sure you capture it in here. When you have completed all risks, you need to have already communicated that to line manager. They need to understand what your concerns are as they might be aware of privileged information which will help mitigate your risks. Get sign-off from your manager for the risks you have identified etc.

What needs to be in place? What assumptions have you made and what do they require? Staff time, equipment availability etc. are detailed in the above text box. Mention some of the support that might be required e.g. You might identify areas of training, process mapping, SPC chart or learning opportunities that you have previously identified.


Text Box 9 - Sustainability and Spread


How are you going to sustain your outcomes over time? This is about a benefits realisation plan. What kind resources might you need? What strategies do you have to keep the project delivering? Think about how you will spread the best practice, learning etc. Have you made changes that will affect roles etc? Describe what needs to be sustained.  


Measurement Plan Tab


This is about what data you will require, what metrics you will use, who is responsible for capture of the data into the system, how often, risks and mitigations, lead and date due. The earlier you think about things, the better. Outcome measures and process measures may be useful here.



Communication Tab


The comms plan is straight forward. It builds up into a cumulative plan as you add more plans.


Team tab


The minimum required for the team fields is the name. If the email is incomplete, it will not be saved.

 Everything we have entered in any of the four tabs (General/Measurement Plan/Communication Plan/Team) will populate into an improvement plan. You can work on it collaboratively as a team. You can amend information, update records and develop your plan iteratively as your programme progresses.

 If you want to see all tabs in one view you can do so within the All tab. From here, you can also right click and print your updated improvement plan.