The Maternity Engagement Team is working with maternity units across the UK to ensure that multiple pregnancy families receive the correct level of clinical care.

The aim is to improve the outcomes for twin and other multiple pregnancies by ensuring multiple pregnancy care is delivered consistently and in line with national guidance – specifically NICE Quality Standard 46 (NICE QS46).

Unit adoption of this standard has proven to not only be an indicator of good practice but has shown to reduce still-births, neonatal admissions, neonatal deaths and emergency C-section rates.

We work with specialist midwives who visit maternity units and conduct an audit to assess the situation. An action plan is created to provide a platform for improving care. And support is provided throughout the year along with access to a wide range of resources. After 12 months a re-audit conducted to assess changes made and their impact.

In just 12 months, the 30 units that participated in the first phase of the project, funded by the Department of Health, saw a 5.8% reduction in neonatal admissions, equating to a cost saving of £51k per unit and a 3.1% reduction in emergency caesarean sections.  It has also been shown that over a longer time frame significant reductions can be seen in stillbirths. 

Twins Trust has committed to continuing this world first quality improvement project and the next step is to work with the remaining maternity units to:

  • Help  deliver the objectives from the recently revised Saving Babies Lives Care bundle (implementation of the care bundle has been included in the planning guidance and incorporated into the NHS standard contract for 2019/20)
  • Help  deliver the continuity of care elements from Better Births
  • Achieve compliance with the multiple pregnancy elements in the CQC inspection framework
  • Potentially save approximately £50k per u nit each year as a result of reduced neonatal admissions
  • Reduce emergency caesarean sections by 3%
  • Help achieve compliance with the 10 safety actions in the maternity incentive scheme which would secure a rebate of at least £122k per year.

We would urge all units to be part of the next phase of our Maternity Engagement Project. Please contact us on maternityengagement@twinstrust.org.