Impact of NHS Health Reforms FWT – A Centre for women

1. Impact of NHS Health Reforms FWT – A Centre for women Presented by Christine McNaught – FWT Centre Manager Noreen Bukhari – MAMTA Programme Manager FWT - Impact of NHS Health Reforms

2. Invitation to host the event in partnership with CWV • Aims of our presentation: • Overview of the organisation – who we are and what we do • Overview of the MAMTA Health Programme – commissioned until March 2013 • Impact on women’s health in the city • Conclusion – what next / strategies in place

3. WHO WE ARE AND WHAT WE DO • FWT- A centre for women. 22 years supporting all women of Coventry & the surrounding areas. • Specialism of supporting BME women, isolated and hard to reach women in moving forward • Social, Health and Economic programmes – run by women, for women • Holistic engagement, confidence building, training, employability and healthcare • Value for money, high impact, flexible and innovative solutions • Award winning organisation – Coventry Compact (6) • Partnership working, multi-agency, networks • Sit strategically – CWV, VAC, TSA, CAB

4. MAMTA – Child & Maternal Health • MAMTA • Child & maternal health service for BME women. Empowering women to take control of own and children’s health for past 11 yrs • Work with and support health professionals using evidence based initiatives in pregnancy and early childhood as part of Infant Mortality Project. • National Context • BME groups generally have worst health outcomes and the socio-economic position of BME groups is the main factor that drives health inequalities • DOH / Public Health White Paper - Infant Mortality rates twice as high within BME groups • DOH recommends improving services for BME groups • Local Delivery • MAMTA commissioned by NHS Coventry to contribute to reducing health inequalities & Infant Mortality focusing on Foleshill. Rates were higher than national average – improving but work still vital. • 29% increase on birth rate in Coventry since 2001 in most deprived wards and ethnic groups. MAMTA responding to need in supporting BME women inc 2012 work in Hillfields as well as Foleshill. Diverse communities – addressing their needs. • Help women overcome barriers to access health services - cultural, confidence, knowledge of system, language support, family issues/ trust. FWT - Impact of NHS Health Reforms

5. MAMTA – Child & Maternal Health • Total number of women supported and engaged (IMPACT) • 18,106 user contacts/interventions were made (April 02-Sept 12). = £38.66 unit cost per life changing intervention – Value for money!!! • 2008 - 2012 • 1722Women only antenatal classes • 6586Supported on breastfeeding by MAMTA • 1021Babies are safe sleeping (09) • 575Signposted to smoking services (09) • 1038Women who are monitoring foetal movements (09) • Last 6 months • 12Reduced movements called labour ward - 6 months • 177Women & children on Healthy Start- 6 months • 210 Professionals trained for Healthy Start April-September 2012 • 87% of our users are breastfeeding for up to 6-8 weeks

6. MAMTA – Child & Maternal Health • Increased knowledge around maternal and child health • Change behaviour and improved outcomes for mum and baby • Staffing - bi–lingual, peer model that users trust • Educated & directing women on wider range of health care determinants • Bridging the gap between women in community and health care • External Achievements • Compact Awards 2010, ‘OSCA’- UHCW 2008, • Media national and local • Partner of the Coventry City Council Reducing Health Inequalities Beacon Award 2008/9 • Recognised as good practice • Evaluations & reports

7. MAMTA – Child & Maternal Health • FWT & MAMTA future - Strategies • MAMTA Commissioned until March 2013 • 1st April 2013 ??? • Negotiations with Health Commissioners • National funding picture – all programmes • Commissioned Needs Analysis – user group and stakeholders • Loss of expertise – Health professionals at FWT • Inability to support Joint Health and Wellbeing Strategy • Capacity issues