Ipswich Hospital NHS Trust Progress to BFI Tania Browes Midwifery Manager, Community Services Ipswich Hospital First Steps to Baby Friendly Initiative • Breastfeeding Guideline re written to comply with BFI standards and made it a Policy. • 4 staff sent on Train the Trainer course to deliver 2 day course. • Maternal Antenatal & Postnatal documentation updated to evidence required information giving. • Guidelines for reluctant feeders / hypoglycaemia updated. Rewritten for stage 1 assessment • Progress driven by PCT CQUIN to achieve stage 1 BFI • PCT BF co-ordinator worked alongside staff & NBFG. Progress to date • Midwifery & Neonatal Staff training began October 2011 Prioritised the Postnatal ward staff & community midwifery support workers. • Work on policies & mechanisms to achieve BF standards Stage one award achieved in February 2013. • Some staff were reluctant at first but enthusiasm grew and practices such as skin to skin and hand expression becoming common place. New Initiatives • Feeding Cue Posters designed, visual aid for parents and prompt for staff • Parents Guide to the Policy displayed in all areas • Give it a Go social marketing materials in use. • Pumps updated to support mums who need to express • BFN local peer helpers recruited to visit the wards daily to give information and support to mums. Current Work • Since July, Breastfeeding Co-ordinator employed to work along side staff & progress towards stage 2 by 2015. • We continue to train staff . Paediatric and Obstetric staff induction sessions from August 2013. • Audit of staff knowledge following training showed we are meeting all BFI standards. Also highlighted areas where more work is required. Very encouraging so far. Challenges ahead • Complete staff training • Amend policies to better reflect BFI practice ( stage 1 recommendation ) • Continue audit of effectiveness of training & care given to women, plan work to bridge any gaps. • Record keeping of care given especially antenatal information giving. • Keeping Going.