Evaluation of the Maternity Transformation Early Adopter Programme

Client: NHS England

SQW is currently undertaking an independent evaluation of the MTP Early Adopter programme. In 2015, the NHS Five Year Forward View made the case for new models of care in the delivery of maternity services, and in February 2016, the National Maternity Review Better Births was published, setting out a compelling view of what maternity services should look like in the future. The vision is clear: maternity services should work together across organisational boundaries - in larger, place-based systems -to provide a service that is kind, professional and safe, offering women informed choice and a better experience by personalising their care.

Seven 'Early Adopter' Local Maternity Systems (LMS) have been chosen to turn this vision into reality: Birmingham and Solihull; Cheshire and Merseyside; Dorset; North Central London; North West London; Somerset; and Surrey Heartlands. Each LMS comprises a number of providers and Clinical Commissioning Groups that are coterminous with the footprint of Sustainability Transformation Partnerships.

The Early Adopter programme will conclude at the end of December 2018. Until then, NHS England are supporting the Early Adopters to develop and pilot innovative models and solutions that transform local maternity services, with learning being shared throughout. SQW was commissioned to undertake an independent evaluation to understand the impact of these new initiatives, so that recommendations can be made to support the national roll-out of Better Births at scale and at pace.

The evaluation will run until March 2019, and will explore the processes and activities being implemented in each Early Adopter. The evaluation will explore the clinical, experiential, service delivery and financial implications of the new models, relating the findings back to the existing evidence base. SQW will be generating site and context-specific findings alongside programme level learning. The evaluation will culminate in a final report and presentation of the findings, helping communicate the recommendations nationally and support the wider transformation of maternity services.