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Kingston Hospital maternity unit "understaffed" claim midwifes


Kingston Hospital bosses have moved to reassure expectant mothers, after an anonymous letter from midwives raised serious concerns about overstretched maternity staff struggling against understaffing.

In a letter sent to the Surrey Comet, the nurses described "conveyor belt" conditions on the wards, and said some women were forced to wait two days for a labour bed while others went into labour in the antenatal ward.

Kingston Hospital categorically denied claims patient safety was at risk and said its 27 midwifery vacancies were being covered by temporary staff.

The hospital was forced to radically change the way it ran its maternity unit in 1999, when an inquiry into the death of a baby girl identified understaffing as a key issue.

The letter from midwives said: "Whilst some will see this letter as scaremongering, I think it is important these circumstances are made public with a view to obtaining change and assistance.

"We cannot continue working in these conditions indefinitely.

"The hospital has a duty to provide a safe environment for women and to protect the welfare of staff.

"This is not the case at present."

They said numerous complaints about the "shocking" staffing levels have had no effect and some shifts now had as few as three midwives.

It was also claimed midwives were being gagged from telling mothers the truth about bed shortages, instead promoting the virtues of going home as soon as two hours after birth to free up space.

As a result, re-admission rates have increased, they said.

The hospital said it was best practise to send straightforward births home two to six hours after delivery and that re-admission rates were stable at about 5.6 per cent.

The nurses, who signed themselves "concerned midwives of Kingston NHS Trust", said they could not give their names because it would lead to disciplinary action against them.

Carl Chow, consultant obstetrician at the hospital, personally reassured expectant mothers in an open letter published on its website yesterday, which said: "The unit is very popular, which does mean that at certain times it is very busy.

"However, this does not mean that women and babies are put at risk."

He said the hospital was currently recruiting an extra 30 midwives and 40 maternity assistants to increase the number to 190, and plans to increase the hours of a consultant obstetrician on the labour ward from 60 to 96 hours a week.

The hospital is making the changes as part of a Government-led scheme Maternity Matters, to get more midwives out into the community at health centres and GP surgeries.

Kingston and Surbiton MP Edward Davey said: "When my wife and I were in Kingston Hospital maternity unit for over a week in November 2007 we saw a group of dedicated, hard-working staff.

"There's no doubt they were rushed off their feet and I subsequently raised staffing with then chief executive Carole Heatly.

"My understanding was that staff levels have improved since that time and the hospital has plans to further improve them."

Prospective Conservative parliamentary candidate Helen Whately wrote to hospital management after waiting two or three days for a labour bed in August last year, because the hospital was too full.

She said: "From my personal experience it comes as no surprise because I got the impression they were incredibly stretched and the midwives were having to rush between women."

What do you think about the maternity ward? Leave a comment below, email dlindsell@london.newsquest.co.uk or call 0208 330 9547

• Click here to read the letter and the hospital's response

• Click here to read the open letter to local women



Your Say YourComet

zoemunson, London says...
6:26pm Fri 26 Jun 09

As a senior midwife currently working at Kingston Maternity I feel deeply upset that a colleague has acted in such an unprofessional manner. She is not writing the views of many midwives at Kingston.

Our Maternity Unit is one of the friendliest and supportive units in London that I have worked in. We give excellent care to women and their families daily and get many thanks and voices of gratitude. We are not “ struggling” nor are we failing to meet women’s needs.

It is no hidden fact that we are nationally short of midwives but our managers have worked hard to develop a business plan to enable us to employ more midwives. The current staffing level does not warrant the unit un-safe by any means and the realistic fact is that these figures will not change overnight.

I am proud of our maternity unit and what we are trying to achieve. We work as a great team, have great professional relationships with each other, and professionally I wouldn’t want to work anywhere else.

Lastly I truly hope that any mothers wanting to deliver at Kingston will not be scared by this letter. You will get the care you deserve and hope you will listen to the many mothers in our community who have been delighted with the care they have received at our unit. As a maternity unit we have a fantastic reputation; and one we will uphold.


the maze, surbiton says...
12:40pm Sat 27 Jun 09

Regarding the issue of Kingston maternity unit being understaffed I can confirm that if this is true then nothing has changed since I had my first child 20 years ago. I was admitted the night before and began to experience pains from about 9am. The pains got worse and as the ante-natal ward gradually emptied there was just me, my husband and a cleaner. No-one had checked on me since 9am and I was coping with the pain. By about 2pm the pain was unbearable and my husband went to get help. Within about half an hour of entering the delivery ward my husband realised there were problems when they swithced the monitors off and called in extra midwives and doctors. My son was born not moving, not crying and was totally blue (almost purple)- thankfully bcause the midwife realisd there was a problem in advance the help was there that he needed and my child was revived and for that I am extremely grateful. What could have been a tragic ending wasn't the midwives fault - it's the fault of the accountants/managers who don't realise the effect their choices have. To them the staff and patients are merely numbers on a spreadsheet - they need to join the real world and see what impact their decisions have! And that includes the politicians! I will not hear a bad word against the medical staff at Kingston Hospital who have saved both of my children's lives - my second child almost died at 5 weeks old! We must ensure that they are not made the scapegoats when things go wrong and they must know they are appreciated.
So for anyone who is waiting to have a baby don't panic as the staff will do everything they possibly can to help despite the managers.

Comments are closed on this article.

Ribbon cutting: The opening of the midwifery unit back in 2006 The opening of the midwifery unit back in 2006

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