LSA Audit 2012/13
Which Trust of Organisation do you Represent
50
45
40
35
30
30
25
17
25
20
18
15
10
5
12
17
16
7
11
5
20
13
9
8
17
8
20
18
20
11
8
11
0
Completed Surveys
Total No of SOMs
9
10
13
9
14
7
6
6
How many midwives do you currently supervise ?
15
10%
4
2%
10
6%
64
41%
64
41%
0 - 5 (a)
5 - 10 (b)
10 - 15 (c)
15 - 20 (d)
20 - 25 (e)
25 + (f)
How many of the midwives in your caseload have
received a supervisory review in the last year
2
1%
16
10%
40
25%
100% (a)
75 - 99% (b)
50 - 74 % (c)
101
64%
Less than 50 % (d)
If you were unable to meet any of them, what was the reason ? Please
indicate from the following answers.
48
24%
9
4%
39
19%
Your own Long Term Sickness or
Absence (a)
14
7%
42
21%
Supervisee Long-term Sickness or
Absence (b)
Midwife did not confirm (c)
51
25%
Offered appointment postponed or
cancelled by the Supervisee (d)
Offered appointment postponed or
cancelled by your due to other work
pressures (e)
Maternity Leave (f)
How Satisfied Were You With………
Venue
Privacy
Good (G)
5
3%
7
4%
Fair (F)
Poor (P)
39
25%
49
31%
115
72%
103
65%
Timing
Good (G)
Fair (F)
Poor (P)
39
25%
Good (G)
120
75%
Fair (F)
Poor (P)
Content
Confidentiality
1
1%
24
15%
21
13%
137
86%
135
85%
Good (G)
Fair (F)
Poor (P)
Good (G)
Fair (F)
Poor (P)
How often (on average) would you say that
midwives approach you for advice or support ?
21
13%
3
2%
76
48%
Once a week (a)
Once a month (b)
Only at the supervisory review (c)
Not at all (d)
Other
59
37%
How are midwives provided with 24 hour access to a supervisor of
midwives ?
Tick all that apply.
23%
11%
57%
24 hour on call via switchboard (a)
Via Labour Ward Rota (b)
41%
Your own SOM personal mobile (c)
24%
36%
Email (d)
All of these (e)
Other
Please could you list the things that you discussed with
you supervisees at their supervisory review
ITP & PREP Guidance (a)
84%
18%
100%
Professional Development and gaining
competencies (b)
Lack of confidence in practice (c)
62%
99%
Extended sphere of pracatice (d)
Record Keeping and Audit of Records (e)
99%
74%
59%
Attitude, Bullying and Professional
Behaviour (f)
Debrief and support following an untoward
investigation (g)
Other
How have you audited the record keeping of your
supervisees during the last year ?
8
5%
8
5%
1
1%
12
7%
25
16%
One to one basis (a)
Self Review (b)
105
66%
Peer Review (c)
Group Review (e)
Not audited (d)
Other
How do you ensure appropriate feedback and action
following auditing records
4.40%
17.61%
49.69%
27.67%
I note in the paper supervisory record
(a)
I note on the LSA Database and print
amd print off for the midwife (b)
I make a further appointment to follow
up at the end of the review (c)
I don't follow up (d)
38.99%
Other
To whom do you go to for advice and support in relation to
your supervisory function ?
Tick all that apply
5.66%
21.38%
15.72%
38.99%
2.52%
Head of Midwifery (a)
RCM (b)
Supervisor Colleague (c)
83.65%
93.08%
LSA Midwifery Officer (d)
NMC (e)
NMC Resource Pack (f)
Other
Are you confident in the support from the LSA
3
2%
Yes (Y)
No (N)
156
98%
How do you contact the LSAMO. Tick as many as apply.
130
31%
146
34%
Phone (a)
Email (b)
LSA Office Administrator (c)
149
35%
I find it difficult to contact the LSAMO
(d)
Other
For what reasons do you contact the LSA office ?
Tick all that apply.
2.52%
62.26%
81.13%
Booking study events (a)
POSOM programme (b)
22.64%
59.12%
Supervisory Investigations (c)
PREP Guidance (d)
One to one discussions with LSAMO (e)
88.05%
12.58%
General advice (f)
Other
How do you as a Supervisor of Midwives have the opportunity to
contribute to the development /review of guidelines for practice ?
1
7 1%
3%
12
5%
114
50%
80
35%
13
6%
I have already been part of a guidelines group as
a SOM (a)
I would like to participatre in a future guideline
group as a SOM (b)
Guidelines should be discussed at the SOM
meetings (c)
I have never commented on guidance (d)
Not interested (e)
In relation to the wider role of supervision of midwives, please
indicate in which activities you have been involved in your Trust ?
Please tick all that apply
20%
6%
Contributing to Trust policies (b)
79%
58%
Planning schemes to empower midwives (c)
Enabling midwives to prepare for new roles
(d)
33%
51%
Providing expert advise to outside agencies
(e)
Acting as a catalyst for change (f)
66%
Advising on commissioning maternity
services (a)
Other
Do you feel confident in investigating poor practice
11
7%
Yes (Y)
No (N)
148
93%
Have you attended an Investigation Workshop provided by
the LSA ?
19
12%
Yes (Y)
No (N)
140
88%
Do you receive enough help and advice from the LSA
during supervisory investigations?
4
2%
17
11%
Yes (a)
No (b)
138
87%
I have not undertaken a supervisory
investigation (c)
Please Rate Your Confidence in the Following:
Preparing a supervisory
investigation report
Undertaking an investigation
6
4%
14
9%
56
35%
97
61%
51
32%
Very confident (V.)
94
59%
Fairly confident (F.)
Not confident (N.)
Conflict Handling
Very confident (V.)
17
11%
Fairly confident (F.)
Not confident (N.)
47
29%
Very confident (V.)
95
60%
Supporting a midwife through an
investigation
5
3%
Fairly confident (F.)
Not confident (N.)
Planning and evaluating a supervised
practice programme
43
27%
61
38%
24
15%
Very confident (V.)
93
59%
Fairly confident (F.)
Fairly confident (F.)
Not confident (N.)
Very confident (V.)
92
58%
Not confident (N.)
Have you facilitated a reflective activity for midwives
during the last year ?
80
50%
79
50%
Yes (Y)
No (N)
Is there anything within your Trust which inhibits you or your team in
undertaking your role as Supervisor of Midwives ?
Please tick all that apply
26%
4%
51%
15%
Little notice for SOM Meetings (a)
Lack of protected time (b)
Unit is too busy (c)
25%
SOM team is disorganised (d)
No access to a private room (e)
No access to a computer (f)
7%
50%
Don't know how to use the LSA Database (g)
Other
What is your substantive role ?
1
1%
10
6%
10
6%
7
4%
50
32%
No answer
Midwife (a)
19
12%
Midwifery Manager (b)
Midwife Team Leader (B7) (c)
Specialist or Consultant Midwife (d)
Head of Midwifery (e)
34
21%
28
18%
Midwife Teacher (f)
Self Employed or Independant Midwife (g)
Other
How long have you been a Supervisor of Midwives
1
1%
14
9%
3
2%
61
38%
26
16%
0 - 5 Years (a)
5 - 10 Years (b)
10 - 15 Years (c)
15 - 20 Years (d)
20 - 25 Years (e)
54
34%
30 + Years (f)
How do you work in partnership with women ?
With a individual and her family
Yes (Yes)
9
6%
No (No)
With representative groups
150
94%
Yes (Yes)
60
38%
99
62%
Other
60
38%
99
62%
Yes (Yes)
No (No)
No (No)
Have you in the last year provided support to
women/midwives were there has been difficulty in achieving
care choices ?
11%
40%
64%
66%
62%
Women wanting to change their named midwife (a)
Women wanting to make a complaint (b)
Women wanting to birth at home against guidance
(c)
Women wanting a debrief following a birth event
(d)
Other
Do you feel confident in challenging poor attitude
27
17%
Yes (Y)
No (N)
132
83%
Are you confident in supporting midwives requiring:
Supervised Practice
17
11%
Yes (Yes)
142
89%
No (No)
Developmental Supported Practice
9
6%
Yes (Yes)
No (No)
150
94%
Are you confident in supporting midwives to support
women who want home births against advice ?
18
11%
Yes (Y)
No (N)
141
89%