Lucy Spain

Lecturer in Biomedical Science. Research: #activeageing, bone & muscle, medical engineering. *Fell runner*, *Adventure racer* Opinions are my own.

[Lucy Spain @DrLSpain]

15mins later, Hospital 2 HCP 3) so we're discharging you, but if anything changes, don't hesitate to call us back & come in again, you did the right thing coming to your nearest hospital and it's no problem to arrange follow on care at hospital 1....
Spot the odd one out.....

[Lucy Spain @DrLSpain]

Some wonderful care in the last 24hrs, but what does disjointed communication and teamwork/ the roll the dice on the advice you get look like in a hospital? 1/

[Lucy Spain @DrLSpain]

And your readings now (after medication) have been fine? There's no real reason for you to be here unless it is higher. And it is better to go to the hospital triage where the rest of your care is, far better for follow on care...4/

[Lucy Spain @DrLSpain]

Hospital 2 HCP 2) what were the measurements they recommended you to come here for? Oh we normally don't worry until it's much higher! (Funny that, in 2020 you definitely did and your colleagues think it warrants attention)? 3/

[Lucy Spain @DrLSpain]

Hospital 2 HCP 1) whilst it isn't too severe yet, it definitely isn't ok without treatment, we'd like to keep you in for 24hrs of monitoring to make sure we titrate the medication correctly. 2/

[Lucy Spain @DrLSpain]

Hospital 1 traige) based on that picture, go to your nearest triage, we will pick things up from there. 1/

[Lucy Spain @DrLSpain]

@DrSdeG @medicalmodelbri @catherineroyuk @DadOfAubrey @babylossmummy @BabyDeathsUK @Laurenncaul @babylifeline We had care where dysfunctional team work due to historic midwives v doctors argument meant my daughter (& I) were not escalated appropriately. We are extremely lucky to both be here.
Since I have seen amazing doctor/midwife dynamics elsewhere & this needs capturing nationally.

[Lucy Spain @DrLSpain]

@babylossmummy @DadOfAubrey @lexiebarrx Oh and 4yrs later a coroner's report states recommendations were not met at the time (or subsequently). So the system clearly missing something.

[Lucy Spain @DrLSpain]

@babylossmummy @DadOfAubrey @lexiebarrx I attended 1 MNVP meeting, it focused on reassurance that CQC inadequate rating, wasn't 'another Kirkup'. We had just heard same failings occurred in our care 5yrs post Kirkup(when no risk of litigation). I could not contribute to that meeting...

[Lucy Spain @DrLSpain]

@KenZeroHarm @BirthTrauma @NHSGIRFT @HysteroscopyA @clarky_on My post was related to the recommendation for improved maternity care outcome data with that report, as that is what the BTA were suggesting....sorry for any confusion, I've pasted the exact line above

[Lucy Spain @DrLSpain]

@KenZeroHarm @BirthTrauma @NHSGIRFT @HysteroscopyA @clarky_on @valhumphreys51 Or my post

[Lucy Spain @DrLSpain]

@KenZeroHarm @BirthTrauma @NHSGIRFT @HysteroscopyA @clarky_on @valhumphreys51 Perhaps better data related to women's health and medical care would allow for better recommendations all round?

[Lucy Spain @DrLSpain]

@KenZeroHarm @BirthTrauma @NHSGIRFT @HysteroscopyA @clarky_on @valhumphreys51 To be clear 'GIRFT recommends improving the recording of data about key aspects of maternity
care, including outcome data around spontaneous birth, caesarean section and assisted birth.'

[Lucy Spain @DrLSpain]

@LittlePersonDoc @FeedingAlliance @catherineroyuk My second was a planned section with indication for one and it was night and day in experience! But from the above I have exactly the same perspective on anyone's ability to 'control' a spontaneous labour outcome....

[Lucy Spain @DrLSpain]

@LittlePersonDoc @FeedingAlliance @catherineroyuk I would argue section most likely to result in the straight forward part currently 😆 but that is not what was intended in that advice

[Lucy Spain @DrLSpain]

@LittlePersonDoc @FeedingAlliance @catherineroyuk This was the advice to ground me back in reality of it not being for me...2 previous section, first doubly life saving, additional abdominal surgery & current picture supporting another section. Shall I go back in time & do something to maximise my chances of 'normal' birth?

[Lucy Spain @DrLSpain]

@KenZeroHarm @BirthTrauma @NHSGIRFT My expertise in maternity is personal/terrifying, I cited the report above to demonstrate that what the BTA suggest aligns with other thinking known in the area for years and nothing more

[Lucy Spain @DrLSpain]

@KenZeroHarm @BirthTrauma @NHSGIRFT In professional life I have seen GIRFT contributing to patient benefit/safety. But that is from the perspective of seeing the consequences of the alternatives and not in maternity.