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Our Work

Locally led transformation of Maternity Services

Better Births highlighted key priorities to drive improvement and ensure women and babies receive excellent care wherever they live:

The vision is underpinned by seven themes, which form the basis for the recommendations set out in the report:

  1. Personalised care, centred on the woman, her baby and her family, based around their needs and their decisions, where they have genuine choice, informed by unbiased information.
  2. Continuity of carer, to ensure safe care based on a relationship of mutual trust and respect in line with the woman’s decisions.
  3. Safer care, with professionals working together across boundaries to ensure rapid referral, and access to the right care in the right place; leadership for a safety culture within and across organisations; and investigation, honesty and learning when things go wrong.
  4. Better postnatal and perinatal mental health care, to address the historic under-funding and provision in these two vital areas, which can have a significant impact on the life chances and well-being of the woman, baby and family.
  5. Multi-professional working, breaking down barriers between midwives, obstetricians and other professionals to deliver safe and personalised care for women and their babies.
  6. Working across boundaries to provide and commission maternity services to support personalisation, safety and choice, with access to specialist care where needed.
  7. A payment system that fairly and adequately compensates providers for delivering high quality care to all women efficiently, while supporting commissioners to commission for personalisation, safety and choice.

This vision can only be delivered through transformation that is locally led, with support at national and regional levels.

Local Maternity System Transformation Plans

Local Maternity Systems provide the leadership and action to promote high quality, safe and personalised care, improving outcomes and experience for women and their families.

Each Local Maternity System produce an annual plan to ensure this service transformation happens at a local level. The plans are developed to address the recommendations outlined within Better Births and the NHS Long Term Plan clinical priorities for maternal health and describe how the LMS will support the provider trusts across the region to transform local maternity services to meet the needs of the local community.

These plans have been co-produced in partnership with stakeholders including service user voices within our Maternity Engagement Group who represent the views of local Maternity Voices Partnerships.

These are our objectives and key deliverables, and if you would like further information please contact us 


  • Ensure most women (>51%) will receive continuity of carer during pregnancy, birth and postnatally by March 2021
  • Ensure all pregnant women have a personalised care and support plan by March 2021
  • Ensure all maternity providers are on track to become UNICEF Baby Friendly Initiative accredited by March 2024
  • Work with the Neonatal Operational Delivery Network (ODN) to implement the recommendations of the Neonatal Critical Review by 2024
  • 50% reduction in stillbirth, neonatal death, maternal death and brain injury by 2025

For more information on the National Maternity Transformation Programme please visit


Core Requirements

Establish shared clinical governance, guidelines and pathways across organisational boundaries

Use data, insight and routine engagement with system providers to identify clinical quality issues, escalate as appropriate and ensure an effective response

Ensure that there is a mechanism for providers to investigate and learn from incidents and share this learning through the LMS and with others

Review outcomes data on a regular basis to identify and implement opportunities for improvement, particularly in relation to unwarranted variation and to address health inequalities

Promote continuous quality improvement across the LMS, including through supporting provider participation in the Maternity and Neonatal Safety Improvement