North West London

Who we are

The North West London Local Maternity System is a collaboration of maternity service providers and stakeholders, commissioners, voluntary organisations and service users (women and their families).

Our vision statement

Our vision is to lead the way in providing first class, safe maternity care that offers choice, individualised continuity and that has the family at the heart of everything we do.
We will do this by working in partnership to provide outstanding maternity services that are evidenced based and in line with the recommendations of the national maternity review ‘Better Births’. 

Working as a collaborative Local Maternity System, we will build trust and breakdown boundaries across our area. By doing this we aim to improve the clinical outcomes and care experience for women and families using our services.  

See the map of our catchment area here:

 

Community antenatal and postnatal services 

Each hospital offers antenatal and postnatal care for women both in and out of their designated ‘catchment area’. Women can either self-refer, or seek referral via their GP. 
You can find out more, and self-refer to your chosen maternity unit here:

Women who live out of area will often be seen at their chosen hospital in the antenatal clinic, whereas women living in the surrounding area are normally seen in community hubs and children’s centres for their antenatal care. Specialist services are provided mainly in the hospitals, however some perinatal mental health services are offered in the community.

Postnatal care is provided to women in the catchment area at their home and in community hubs and children’s centres. Some postnatal services will be provided in the hospitals. Women who live outside of the catchment area will be seen by their local community midwifery services.

For more information about postnatal care in North West London, visit here

North West London is in the process of developing a sector wide App for women and their families, which will fully launch in Summer 2018, this App will provide information on each of our hospitals and a wide variety of useful information on-the-go. Links can be found here:


What to consider?
Many women opt to book for care with their nearest maternity unit and there are some benefits to making this choice:

  • You are more likely to receive care from a small team of midwives, in a location close to home
  • You are more likely to get to know one midwife, and her team which can improve your maternity experience
  • You will have less distance to travel when you are in labour.
  • If you would like to have a homebirth this must be booked through your local maternity unit, this may not be your nearest unit. Find out here.
  • Care at home after your baby is born is always provided by your local Midwife team (this is likely to be a team that you have already met).


Other considerations when making your choice:

  • Facilities available

  • Public transport and ease of parking

  • Ease of travel to and from your place of work

  • Recommendations from your friends, family and others

  • Where you have had a previous baby.

Labour and birth services

Each hospital provides a combination of services, supporting birth in all settings. Each hospital has an obstetric labour ward, an alongside midwifery led birth centre and the provision of homebirth services. All units have birthing pools and some units offer complimentary therapies. 

Specialist services in our area

St Mary’s Hospital, Paddington: Local Neonatal Unit, FGM clinic, smoking cessation service, private patient care, perinatal mental health service, specialist diabetic service, high risk antenatal services, Consultant midwife birth choices clinic, tongue-tie service, socially complex caseload team and homebirth service.

Queen Charlotte’s and Chelsea Hospital, White City: Neonatal Intensive Care Unit, FGM clinic, private patient care, smoking cessation service, perinatal mental health service, fetal medicine unit, maternal medicine unit, tongue-tie service, high risk antenatal service, Consultant midwife birth choices clinic, specialist diabetic service, socially complex caseload team and homebirth service.

Chelsea and Westminster Hospital, Chelsea: Neonatal Intensive Care Unit, specialist diabetic service, complimentary therapies clinic, smoking cessation service, private patient care, fetal medicine unit, maternal medicine unit perinatal mental health service, high risk antenatal service, Consultant midwife birth choices clinic, homebirth service, aromatherapy and doula services in labour.

West Middlesex Hospital, Isleworth: Local Neonatal Unit, maternal medicine service, specialist diabetic service, smoking cessation service, complimentary therapies clinic, perinatal mental health service, Consultant midwife birth choices clinic, tongue-tie service, high risk antenatal service, perineal clinic, homebirth service and aromatherapy in labour.

Northwick Park Hospital, Harrow: Local Neonatal Unit, maternal medicine service, fetal medicine service, specialist diabetic service, smoking cessation service, perinatal mental health service, Consultant midwife birth choices clinic, high risk antenatal service and homebirth service.

Hillingdon Hospital, Hillingdon: Local Neonatal Unit, maternal medicine service, fetal medicine service, specialist diabetic service, smoking cessation service, perinatal mental health service, Consultant midwife birth choices clinic, complex social team, high risk antenatal service and homebirth service. 

Breastfeeding support

Each hospital has its own specialised infant feeding team, offering antenatal classes, inpatient support following birth and postnatal support at home and in our local children’s centres. There are tongue-tie reversal services at two of our hospitals.

Mental health support

Every London borough has an IAPT service which offers free, confidential talking therapy for people who have symptoms of anxiety or depression. Click here for more information.

Perinatal mental health services are offered across the catchment area, and consist of a team of specialist mental health nurses and psychiatrists who work in collaboration with the maternity services to care for women with complex mental health needs.

Continuity of carer

North West London is an ‘Early Adopter’ site. This means that we have been awarded funding by NHS England to fast track improvements to the services we provide to women and their families. 

One of our focuses is meeting the national recommendation of a named midwife for every woman. We are testing new ways of working by which a named midwife (as part of a small team) can provide care to specific groups of women from the beginning of pregnancy, during birth and right through until they are discharged from maternity care.

We are also taking steps to improve continuity of carer in the antenatal and postnatal periods for all women in the area, reducing the number of different professionals seen, whilst ensuring care is of the highest quality.

We are implementing and evaluating this work throughout 2018 and beyond, as part of our five-year Sustainability and Transformation Plan (STP) which is committed to improving women’s health and experience of care in North West London.

Personalised care and choice

Women who book for their maternity care in North West London receive a personalised antenatal care plan; with their individual needs at the core of its structure. Across North West London, we are also rolling out a personalised postnatal care plan – allowing women ownership and access to all of the information they need to prepare for parenthood. We are developing new ways to support women in making the best possible choices for themselves and their families.

Consistency of information

We are working hard with our multi-disciplinary team of experts and with women using our services to ensure all of the information we give is consistent, safe, up-to-date and easy to access.

Better postnatal care

We have a dedicated team of midwives and doctors from across the sector who are pushing forward new and exciting changes to postnatal care. 

Do you want to get involved? 

Each hospital has a Maternity Voices Partnership group; a team of women and their families, commissioners, providers, doctors and midwives who work together to ensure women’s voices are heard and at the heart of improving services.

How to provide feedback

Visit us at healthier NW London: https://www.healthiernorthwestlondon.nhs.uk/

Women and their families are encouraged to provide feedback via our engagement website; and this information is fed back directly to our hospitals to ensure continued improvement of services; https://maternitynwlondon.commonplace.is/

North West London has a local maternity system board which meets once a month to work together in driving maternity improvements across the sector. 

Each Trust has its own PALS (Patient Advice and Liaison Service) – and this service can help you if you want to make a comment or complaint. They can also connect women and their families with the appropriate services to answer their concerns and questions.