STATEMENT FROM THE TRUST - 2nd JULY, 2021
RE - Update on ICU estates work and the return of Intrapartum care at Macclesfield Hospital
Estates work to significantly upgrade the Intensive Care Unit at Macclesfield Hospital is on track to be completed by the 8th November following a short unavoidable delay due to knock-on effects of the pandemic on the construction industry.
Regrettably, this delay impacts on the return of intrapartum care to Macclesfield Hospital, given the interdependency of the ICU and the emergency theatre required for maternity services.
It is now our ambition to return full intrapartum services during December 2021, which will allow sufficient lead time to return our staff and infrastructure back on site.
Trust CEO John Wilbraham said, “We acknowledge that expectant mothers hoping to give birth at Macclesfield Hospital during this period will be affected and we apologise.
“Local access to antenatal and postnatal care will continue and women will continue to have the choice of giving birth at home or at Leighton hospital, Stepping Hill hospital or Wythenshawe hospital.
“We will be contacting all women who were due to give birth at Macclesfield to discuss their birth plans with immediate effect.
“I would like to thank and acknowledge the hard work of all our staff who have been and continue to be affected by these changes.”
The position was discussed at the Public Trust Board meeting on 1st July, the papers can be accessed here
Our philosophy of care demonstrates a mother, partner and baby-centered maternity service, which is designed to meet individual needs and wishes throughout pregnancy, childbirth and the early days of parenthood.
Our maternity service believes in the importance of promoting normality in pregnancy, labour, and the postnatal period. The service will strive to maximise continuity of care and carer, one-to-one midwifery care throughout labour, and the promotion of breastfeeding.
The team approach to midwifery care offers the opportunity to book directly with the team that is linked to your local children's centre and to continue with that team throughout your pregnancy journey.
The benefits of the service mean you become more familiar with the midwives and they provide continuous support for women and their families either via telephone or face to face contact.
Welcome to CATCH
CATCH is a website and app which provides you with information regarding your pregnancy and child’s health - from preconception through to your child going to school age 5.
CATCH provides local NHS-approved information with your best interests at heart.
Click here to visit the CATCH website or download the app for free through your App Store or Play Store.
Maternity Service Update
7th June 2021
Estates work has now commenced on site at Macclesfield Hospital to significantly upgrade the current ICU unit which has been temporarily relocated to STU for the duration of the work.
The trust has been working towards a completion date of the end of September 2021, however despite all efforts, the global pandemic has had a significant knock on effect on the production and sourcing of raw building materials for our contractors which has resulted in an unforeseen delay.
The trust is working closely with the contractor and its suppliers to minimise this delay.
Trust CEO John Wilbraham said, “We recognise that the delay will have an impact on staff in ICU, STU and maternity and apologise to all those affected by this news. Further communications will be shared directly with these teams via senior managers.
“We also acknowledge that expectant mothers hoping to give birth at Macclesfield Hospital during this time will be unable to do so. Local access to antenatal and postnatal care will continue and women will continue to have the choice of giving birth at Leighton hospital, Stepping Hill hospital or Wythenshawe hospital. Our home birth service is not affected and is also a birth choice for all women of East Cheshire.
“I would like to thank and acknowledge the hard work of all our staff who have been, and continue to be affected by these changes.”
Maternity Service Update
5th February 2021
Following yesterday’s public trust board meeting, we would like to share that despite the ongoing Covid-19 pandemic, the Board has reaffirmed its commitment to reinstate full maternity and neonatal services at Macclesfield Hospital in September 2021.
As many of you will be aware, we were required to temporarily suspend births at Macclesfield Hospital last March due to Covid-19 pressures. One of the main challenges we faced was limitations within our intensive care unit, which almost overnight, had to be divided into two separate areas in order for us to care for Covid-19 positive patients and Covid-19 negative patients. These added pressures meant we were unable to also operate and staff an emergency maternity theatre.
In addition, the number of Covid-19 positive patients admitted into our hospital beds has required additional capacity to be provided.
In yesterday's meeting, it was announced that the Board has committed around £2m to upgrade our intensive care unit which will enable us to safely manage Covid-19 and non-Covid-19 patients in one location. The timescale for delivery of this scheme has been estimated at around six months and the success of this will be a key factor in the return of the maternity services later this year.
Until then, we will continue to offer local access to antenatal care and women of East Cheshire will continue to have the choice of giving birth at neighbouring hospitals Leighton, Stepping Hill and Wythenshawe. Our home birth service is also fully reinstated for those who would like to choose this option.
John Wilbraham, Trust Chief Executive said: “It has always been the Board’s intention to return maternity services as soon as we can safely do so, but none of us could have predicted the longevity of Covid-19 and the impact it has had on other services.
“We are taking every step possible to keep patients and staff safe whilst working to achieve the return of our full maternity service by September 2021.
“We would like to thank host partners for continuing to provide high-quality maternity services to the women of Cheshire East, where feedback from new mums giving birth continues to be positive. I would particularly wish to thank and acknowledge the hard work of our staff who are temporarily redeployed to other trusts.”
We appreciate that the further suspension will be disappointing for women who were hoping to give birth at Macclesfield in the next six months and we offer our apologies to those affected.
We will continue to work closely with our host partners to provide high-quality maternity services during the ongoing temporary suspension and our midwives will be contacting all women affected to discuss the best option for them. If you have any concerns or would like to speak to a midwife, please don’t hesitate to contact us on Ecnemail@example.com or 01625 661145
The full public board paper is available to view here and we will share any further developments in due course.
Maternity service changes at Macclesfield Hospital - March 2020
Please note that in order to meet pressures relating to Covid-19, births are being temporarily relocated from Macclesfield Hospital to neighbouring maternity units as a safety measure.
The measure is necessary because East Cheshire NHS Trust, which runs the hospital, has a small number of anaesthetists who would be unable to provide cover both for maternity-related procedures such as emergency caesarian sections and an expected rise in patients being treated for Covid-19.
Any women due to give birth at the hospital from Wednesday, March 25th 2020 onwards will instead deliver at one of our partner trusts close to their home.
Women should have been contacted by their midwife but if anyone has not or has any urgent queries or concerns, including relating to the onset of labour please contact one of the following:
- For Stepping Hill Hospital Labour Ward:0161 419 5551 / 3
- For Royal Stoke Hospital Labour Ward: 01782 672300
- For Leighton Hospital Labour Ward: 01270 612144 / 01270 273116
- For Wythenshawe Hospital Labour Ward: 0161 291 294
Read more - Pregnancy and Coronavirus
Are you pregnant and want to know what your options are for the Covid-19 vaccine?
The Royal College of Obstetricians & Gynaecologists and the Royal College of Midwives have published a new information sheet and decision aid here.
If you are pregnant and in a high-risk group, the Covid-19 national booking functionality will now enable you to book an appointment following a series of screening questions, even if you have not been called forward due to your age bracket.
Your midwife can advise you if you are unsure about assessing yourself. High-risk groups are classed as the following:
- Those with high-risk medical conditions who have a greater risk of severe illness from COVID-19
- Health or social care workers – who are at very high risk of catching COVID-19
- Individuals considered at high risk of COVID-19 because of health and personal factors that include age, ethnicity, BMI, and underlying health conditions (this includes pregnant women in priority group 6)
- Women diagnosed with gestational diabetes in pregnancy or pregnant women with a BMI of more than 40
- Individuals aged 45 or over
The following links provide further information related to Covid-19:
Through our commitment to individualised care, we will present the care options available to enable an informed choice. These options will reflect clinical and cost-effectiveness, public health initiatives, user evaluations, and user involvement within the Maternity Voices Committee.
Fundamental to our service is the flexible integrated teamwork of midwives, general practitioners, obstetricians, paediatricians and other individual services working in partnership with women and their families. Care planned will be recognised and respected by all staff.
Through robust management and leadership the service will continue to offer quality care for women, partners and their families choosing our maternity service.
In order for you to make decisions about your choices during your pregnancy, we will provide you with all the latest information to help support and inform your decisions. The information provided should include the benefits and risks, and whether there are reasonable alternative options. The information may be in leaflet form or direct you to a recommended website or link. Your choices can be discussed at any time during your pregnancy with either your midwife or obstetrician.
The maternity safety information for BAME women is now available from NHS England.
This aims to support women from Black, Asian, and Minority Ethnic backgrounds using Maternity services. This information builds on existing COVID-19 specific messages highlighting the need for extra vigilance of complications while pregnant.
Available in 11 languages. Scan the QR code on the image below or click here.
Please help us to evaluate and improve the care we give by completing this short evaluation form. We welcome any feedback in relation to the quality of our maternity services and would really like to hear any comments, compliments or complaints you may have. You can complete this form anonymously, or add your name and address at the end of the questionnaire if you require feedback.
Thank you in advance for your help.
East Cheshire NHS Trust Maternity services offer the following:
- Antenatal care
- Early Pregnancy Assessment Unit
- Macclesfield Birth Centre
- Postnatal care
- Midwifery Teams
- Neonatal care
- Professional Midwifery Advocate
- Maternity Voices Partnership
- Private Midwifery Care
- Moreton: Readsmoor Medical Group Practice, Lawton House Surgery and Meadowside Medical Centre.
- Tatton: Manchester Road Medical Centre, Annandale Medical Centre, Toft Road Surgery and Holmes Chapel Health Centre.
- Lyme: The Schoolhouse Surgery Disley, Bollington Medical Centre, Priorslegh Medical Centre, Mcilvride Medical Centre
- Quarry Bank: Wilmslow Health Centre and Kenmore Medical Centre, George Street Surgery, Handforth Health Centre, Alderley Edge Chelford Surgery.
- Brocklehurst: Park Green Surgery, High Street Surgery.
- Gawsworth: South Park Surgery and Park Lane House.
- Henbury: Cumberland House and Broken Cross Surgery.
The antenatal clinic at Macclesfield District General Hospital is a purpose-built clinic with a pleasant reception area and a spacious waiting room which also provides a separate children’s play area. We have four consulting rooms and the consultant clinics are held on Monday, Tuesday, Wednesday and Thursday. The antenatal clinic has a team of dedicated staff consisting of experienced midwives and maternity care assistants, supported by the reception and clerical staff. Contact the Antenatal clinic team on 01625 661160.
Antenatal Day Unit
Situated within the antenatal clinic is the Antenatal Day Unit, which has been developed for women who require extra care and support during their pregnancy. The wellbeing of both mothers and babies can be closely monitored on an outpatient basis with as little disruption as possible to family life.
Easily accessible, it provides a relaxed, friendly and welcoming environment offering an excellent level of continuity of care. Women are able to discuss their plan of care and have all their questions and concerns answered whilst receiving attention from a dedicated team of experienced midwives.
Click here to view physio exercises and advice for pregnancy, labour and beyond
The antenatal clinic has two dedicated ultrasound scan rooms where your routine antenatal ultrasound scans will be performed. Routinely two ultrasound scan examinations will be offered in your pregnancy at around 11 – 13 weeks (dating scan) and 20 weeks (detailed anomaly scan). If you require a photograph of your baby then there will be a small charge. You will also be given a specially designed mount for you to keep your scan photograph safely.
Click here or scan the QR code below to access newborn screening information
Types of Antenatal Care
Most pregnant women are fit and healthy and can receive all of their care from the midwifery teams. Your midwife will discuss your care with you at the beginning of your pregnancy and an ongoing risk assessment will help identify any changes from the normal that may require additional appointments or referral to the consultant team.
Midwifery Group Practice
Antenatal care is undertaken by a small team of midwives working in the community and hospital. Your care maybe in either your GP’s surgery or in one of the children’s centres in your area, therefore offering you a choice of venue.
Consultant-Led Hospital-Based Care
It may be advisable, due to your medical history or problems that arise during pregnancy for your antenatal care to be provided at the hospital.
Antenatal care that is shared between your midwife and consultant obstetrician.
In addition to the routine obstetrics/ midwife clinics we currently run the following specialist clinics:
- Vaginal Birth after Caesarean Section (VBAC) - this is run by midwives to support women in their decision making following a previous caesarean section.
- Birth Choices Clinic - this is run by midwives to support women in their decision making if they have any concerns regarding labour and delivery. Women are supported in their birth planning when care maybe outside the normal guidelines.
- Fit for Birth clinic - this is run by midwives for women who have been identified as having additional risks due to an increased BMI. It is aimed to provide advice and support on healthy eating, exercise and support throughout pregnancy.
Care for women who live outside of East Cheshire
We accept referrals from women who live outside the Eastern Cheshire area and choose to have their babies at Macclesfield District General Hospital. We provide dedicated antenatal clinic appointments.
If you would like to discuss having your baby at Macclesfield General District Hospital then please do not hesitate to contact us on 01625 661163 (Monday to Friday between 9.00am and 2.30pm).
Each consultant and midwife has a weekly clinic with an appointment system in operation. We would appreciate it if you could attend the clinic at the arranged time. If for some reason you are unable to attend, please telephone the clinic on 01625 661160 to rearrange your appointment.
Please bring with you your handheld notes and a specimen of urine, in a clean container with your name clearly marked on it. If you are arriving by car please allow plenty of time to park.
Smoking in pregnancy has been linked to:
- Poor health for the mother
- Poor health for the baby
- Slow growth
- Premature birth
- Low birth weight
- Cot death
- Breathing problems and wheezing in the first six months of life
If you or a family member smokes and you are pregnant or have just had your baby, you can make a difference to the health of your child. Smoking is harmful throughout pregnancy, but, as soon as you give up, you and your baby benefit immediately. We can help you and your family if you wish to stop smoking. Speak to your midwife, health visitors or GP and ask to be referred.
NHS pregnancy smoking helpline – 0800 169 0169
Alternatively call Catriona Holden, Kickstart Smoking in Pregnancy Specialist Practitioner on 07976 984411 or Freephone 0800 085 8818 or email firstname.lastname@example.org
For most women, a straightforward normal vaginal delivery is reasonable and achievable. For some women with complications that put them into a high-risk category, they may need certain interventions. For more information please speak to your midwife on 01625 661145
Resources to support Personalised Care
A short animation explaining what personalised care means for women is available here: https://www.youtube.com/watch?v=jlbJyMIqitA
Assisted vaginal delivery https://www.rcog.org.uk/en/patients/patient-leaflets/assisted-vaginal-birth-ventouse-or-forceps/
Choosing a caesarean section https://www.rcog.org.uk/en/patients/patient-leaflets/choosing-to-have-a-caesarean-section/
Elective/Emergency caesarean section https://www.nhs.uk/conditions/caesarean-section
My birth choices after caesarean section https://www.rcog.org.uk/en/patients/patient-leaflets/birth-after-previous-caesarean/
Giving birth is generally very safe for both you and your baby, wherever you choose to have your baby. Your midwife can discuss your options to give birth at home, in a Midwifery led unit or in an Obstetric led unit.
Midwife-led unit or birth centres are more 'home like' and relaxing, they can be in or next to the hospital. Here at Macclesfield, our midwifery-led rooms are within the main Maternity unit.
Obstetric led unit or the labour wards have more facilities for high-risk pregnancies. These tend to be the main ward in each hospital. Here at Macclesfield, our labour wards are in the main hospital situated next to the midwifery-led rooms in the Maternity unit.
Greater Manchester and Eastern Cheshire Local Maternity System
There are lots of things to consider when getting ready for the birth of your baby. The best environment for you to have your baby will feel safe, comfortable & relaxed. The LMS My Birth My Choice website provides one place to access information about the choices available. https://www.mybirthmychoice.co.uk/
Choosing a private midwife is a way you can take more control of your pregnancy journey. Our private midwifery service is an enhanced NHS pathway that allows you to build a close relationship with a dedicated midwife.
Their aims are to make your pregnancy experience comfortable, reassuring, and individualised to you and your family, no matter what circumstance you may have. Your midwife will work closely with consultants and other health professionals if and when required, attending appointments with you for extra support and a multi-disciplinary approach to your care.
Your appointments can be taken at home, work, or anywhere you feel calm and unhurried. We thrive on providing you with family-centered care, involving partners and siblings, offering appointments outside of the Monday- Friday 9-5 work pattern. Appointments are typically around an hour-long, giving you plenty of time to discuss any concerns or questions you may have.
You will also be provided with your midwife’s personal contact details so that advice and reassurance are readily available.
Our packages and prices can be found in our brochure found at the top of this page, from individualised appointments to full antenatal and postnatal packages.
We also offer hypnobirthing classes but due to COVID-19 following social distancing and limiting traffic into the hospital, this has been suspended.
Contact us for more information 01625 663696 or email us at email@example.com
Meet Private Midwife, Katie Gardiner
My name is Katie Gardiner, and I manage the private, enhanced NHS midwifery team, unique to Macclesfield Hospital. I am an experienced dual-trained midwife and nurse who has worked within the NHS for many years. I live locally to Macclesfield Hospital and have three children of my own, who have all been delivered and cared for by the fabulous staff at Macclesfield Maternity Unit.
Providing excellent one-to-one, women and family centred midwifery care with the opportunity to build a relationship with my families is my absolute passion. Private midwifery allows me to do just that without the time constraints sometimes faced in busy clinics.
At Macclesfield Maternity Unit we pride ourselves on providing the best care for you and your family. If you would like a more personalised approach, involving customised care to your individual needs at a time that suits you and your home life, then Private Midwifery Care is for you.
This enhanced NHS service allows you to receive one-to-one midwifery care, provided by myself. Our team will support you through your pregnancy journey, right up until 6 weeks after your baby’s arrival. Appointments can take place when and where you choose, lasting approximately 1 hour, giving you plenty of time to discuss your needs, involve family members, and individualise your care pathway.
Both the Maternity Unit and I are passionate about promoting a healthy pregnancy, a positive birth experience, and a confident start to parenthood.
Our packages range from one-off top-up appointments to total antenatal and postnatal care from 6 weeks of pregnancy up to 6 weeks after birth.
We look forward to meeting and supporting you and your families through your exciting journey.
Deluxe Antenatal Package - £1450
This deluxe package includes approximately 10 antenatal appointments with myself, arranged at your convenience to assess you and your baby’s health and wellbeing. Your first appointment is to share information, discuss and plan your pregnancy journey by discussing the options you have. Alongside these appointments, we advise you have a dating scan and combined screening blood tests which are taken between 9 and 13+6 weeks with an anomaly scan at around 18-20 weeks.
Deluxe Postnatal Package - £550
This package is devised for after you have had your baby and starts the day after you leave hospital or if you have had a homebirth the day after your birth. The package consists of 5 visits lasting about an hour long. They can be taken at your convenience, providing you and your partner with support and guidance through the early days, assist with breastfeeding, if required, and carry out health assessments of you and your baby. If after 5 visits you require extra support, additional appointments can be arranged.
The midwives facilitate a Home Birth Support Group providing support and information for women considering a home birth. Couples who have had a homebirth are invited to the group to share their birth experience.
If you are interested in sharing your homebirth story either at the group or through the website please contact the Midwifery Team on 01625 661145 or 01625 661151.
The group practice midwife may also be able to loan a waterbirth pool for homebirth to further enhance a woman’s choice for coping in labour.
Confidentiality affects everyone: East Cheshire NHS Trust collects, stores and uses large amounts of personal data every day, such as medical records, personal records and computerised information. This data is used by many people in the course of their work.
For further information read our Privacy Notice