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Bevan Exemplar Cohort 9 projects

How Can Advanced Nurse Practitioners in Primary Care Practice Develop a Women’s Service to Improve Health Outcomes and Reduce Inequalities

Lucie Parry and Nia Boughton

Betsi Cadwaladr University Health Board

Following childbirth there is an opportunity to review women in a post-natal clinic in primary care. This is traditionally a role undertaken by a medic or a midwife. Whilst there are national guidelines for what is required as part of the clinic it has become evident that the post-natal needs of women was greater than just a physical examination. This is an opportunity to review physical and emotional wellbeing needs. Identifying concerns at the earliest occasion provides an opportunity to deliver support tailored to their needs. This can lead to improved outcomes not only for the woman but the whole family.

This project will develop a clinic template aimed at a service for women who have given birth based on women’s input, population need, and resources required. This will be delivered by nurses working at an advanced level of practice.

Through supporting women at an earlier opportunity there is the potential to reduce inappropriate variation and duplication of healthcare services. This project will attempt to streamline services and access to appropriate care when needed.

A clinic template will be developed and tested during this project. The template will follow guidelines on post-natal care and focus on a biopsychosocial model of care delivery. It will include areas of care that will allow an exploration of needs providing information to identy potential risk factors. This will form the basis of the clinic and will be adapted as it is tested following feedback from mothers and also input from the project team.

Digital technology will be utilised that meets the needs and development of the service to improve communication.

This project will provide opportunities to improve health outcomes for women and their families. There is a benefit for women, service providers and those working in the service. Engagement with women across hard-to-reach groups and those who do not currently attend is key.

Building resilience will be a focus through empowering women to create change and provide feedback and input to what they really need to manage their health and well-being.

The impact for the service will focus on a reduction in waste and duplication in that engagement is poor and often inappropriate appointments are offered and not attended.

Lucie Parry & Nia Broughton