LSA Audit 2012/13

Which Trust of Organisation do you Represent

50 45 40 15 10 5 0 35 30 25 20

25 17 30 16 12 7 17 11 5 17 8 8 20 11 18 13 8 11 9 9 18 20 13 9 20 10 7 14 6 6

Completed Surveys Total No of SOMs

How many midwives do you currently supervise ? 15 10% 4 2% 10 6% 64 41% 64 41%

0 - 5 (a) 5 - 10 (b) 10 - 15 (c) 15 - 20 (d) 20 - 25 (e) 25 + (f)

How many of the midwives in your caseload have received a supervisory review in the last year 16 10% 2 1% 40 25%

100% (a) 75 - 99% (b) 50 - 74 % (c) Less than 50 % (d)

101 64%

If you were unable to meet any of them, what was the reason ? Please indicate from the following answers. 42 21% 48 24% 9 4% 39 19% 14 7% 51 25%

Your own Long Term Sickness or Absence (a) Supervisee Long-term Sickness or Absence (b) Midwife did not confirm (c) Offered appointment postponed or cancelled by the Supervisee (d) Offered appointment postponed or cancelled by your due to other work pressures (e) Maternity Leave (f)

Good (G) Fair (F) Poor (P)

49 31% 7 4%

Venue

103 65%

How Satisfied Were You With………

39 25%

Privacy

5 3%

39 25% Timing

115 72%

120 75% Good (G) Fair (F) Poor (P) Content Confidentiality

1 1% 21 13% 24 15% 137 86% 135 85%

Good (G) Fair (F) Poor (P) Good (G) Fair (F) Poor (P) Good (G) Fair (F) Poor (P)

How often (on average) would you say that midwives approach you for advice or support ? 3 2% 21 13% 76 48%

Once a week (a) Once a month (b) Only at the supervisory review (c) Not at all (d) Other

59 37%

How are midwives provided with 24 hour access to a supervisor of midwives ?

Tick all that apply. 41% 11% 23% 36% 57% 24%

24 hour on call via switchboard (a) Via Labour Ward Rota (b) Your own SOM personal mobile (c) Email (d) All of these (e) Other

Please could you list the things that you discussed with you supervisees at their supervisory review 62% 99% 84% 18% 100% 74% 59% 99%

ITP & PREP Guidance (a) Professional Development and gaining competencies (b) Lack of confidence in practice (c) Extended sphere of pracatice (d) Record Keeping and Audit of Records (e) Attitude, Bullying and Professional Behaviour (f) Debrief and support following an untoward investigation (g) Other

25 16% How have you audited the record keeping of your supervisees during the last year ? 8 5% 8 5% 1 1% 12 7% 105 66%

One to one basis (a) Self Review (b) Peer Review (c) Group Review (e) Not audited (d) Other

How do you ensure appropriate feedback and action following auditing records 4,40% 27,67% 17,61% 38,99% 49,69%

I note in the paper supervisory record (a) I note on the LSA Database and print amd print off for the midwife (b) I make a further appointment to follow up at the end of the review (c) I don't follow up (d) Other

To whom do you go to for advice and support in relation to your supervisory function ? Tick all that apply 15,72% 21,38% 5,66% 38,99% 2,52% 83,65% 93,08%

Head of Midwifery (a) RCM (b) Supervisor Colleague (c) LSA Midwifery Officer (d) NMC (e) NMC Resource Pack (f) Other

Are you confident in the support from the LSA

3 2% 156 98%

Yes (Y) No (N)

How do you contact the LSAMO. Tick as many as apply. 130 31% 149 35% 146 34%

Phone (a) Email (b) LSA Office Administrator (c) I find it difficult to contact the LSAMO (d) Other

For what reasons do you contact the LSA office ?

Tick all that apply. 59,12% 62,26% 2,52% 88,05% 81,13% 22,64%

Booking study events (a) POSOM programme (b) Supervisory Investigations (c) PREP Guidance (d) One to one discussions with LSAMO (e) General advice (f) Other

12,58%

80 35%

How do you as a Supervisor of Midwives have the opportunity to contribute to the development /review of guidelines for practice ?

7 3% 1 1% 12 5% 114 50% 13 6%

I have already been part of a guidelines group as a SOM (a) I would like to participatre in a future guideline group as a SOM (b) Guidelines should be discussed at the SOM meetings (c) I have never commented on guidance (d) Not interested (e)

In relation to the wider role of supervision of midwives, please indicate in which activities you have been involved in your Trust ? Please tick all that apply

33% 58% 20% 6% 66% 79% 51% Contributing to Trust policies (b) Planning schemes to empower midwives (c) Enabling midwives to prepare for new roles (d) Providing expert advise to outside agencies (e) Acting as a catalyst for change (f) Advising on commissioning maternity services (a) Other

Do you feel confident in investigating poor practice 11 7%

Yes (Y) No (N)

148 93%

Have you attended an Investigation Workshop provided by the LSA ?

19 12% Yes (Y) No (N) 140 88%

Do you receive enough help and advice from the LSA during supervisory investigations? 4 2% 17 11% 138 87%

Yes (a) No (b) I have not undertaken a supervisory investigation (c)

Undertaking an investigation

6 4% 56 35% 97 61% Please Rate Your Confidence in the Following: Conflict Handling 94 59%

Preparing a supervisory investigation report

14 9% 51 32% Very confident (V.) Fairly confident (F.) Not confident (N.) Very confident (V.) Fairly confident (F.) Not confident (N.) 17 11% 47 29% 95 60% Very confident (V.) Fairly confident (F.) Not confident (N.) 61 38%

Supporting a midwife through an investigation

5 3% 93 59% Very confident (V.) Fairly confident (F.) Not confident (N.) Planning and evaluating a supervised practice programme 43 27% 24 15% 92 58% Very confident (V.) Fairly confident (F.) Not confident (N.)

80 50% Have you facilitated a reflective activity for midwives during the last year ? 79 50%

Yes (Y) No (N)

Is there anything within your Trust which inhibits you or your team in undertaking your role as Supervisor of Midwives ?

Please tick all that apply 25% 15% 7% 26% 4% 50% 51%

Little notice for SOM Meetings (a) Lack of protected time (b) Unit is too busy (c) SOM team is disorganised (d) No access to a private room (e) No access to a computer (f) Don't know how to use the LSA Database (g) Other

What is your substantive role ? 19 12% 10 6% 10 6% 1 1% 7 4% 34 21% 28 18% 50 32%

No answer Midwife (a) Midwifery Manager (b) Midwife Team Leader (B7) (c) Specialist or Consultant Midwife (d) Head of Midwifery (e) Midwife Teacher (f) Self Employed or Independant Midwife (g) Other

26 16% How long have you been a Supervisor of Midwives 14 9% 3 2% 1 1% 61 38%

0 - 5 Years (a) 5 - 10 Years (b) 10 - 15 Years (c) 15 - 20 Years (d) 20 - 25 Years (e) 30 + Years (f)

54 34%

How do you work in partnership with women ?

Yes (Yes) No (No) With a individual and her family

9 6% 150 94%

With representative groups

60 38% 99 62%

Yes (Yes) No (No) Other

60 38%

Yes (Yes) No (No)

99 62%

64% Have you in the last year provided support to women/midwives were there has been difficulty in achieving care choices ? 11% 40% 66% 62%

Women wanting to change their named midwife (a) Women wanting to make a complaint (b) Women wanting to birth at home against guidance (c) Women wanting a debrief following a birth event (d) Other

Do you feel confident in challenging poor attitude 27 17%

Yes (Y) No (N)

132 83%

Are you confident in supporting midwives requiring: Supervised Practice 17 11% 142 89% Yes (Yes) No (No) Developmental Supported Practice

9 6%

Yes (Yes) No (No)

150 94%

Are you confident in supporting midwives to support women who want home births against advice ? 18 11%

Yes (Y) No (N)

141 89%