Thinking Differently Together - First 1,000 Days Of Life

to try to pick up a prescription. The hospital said they had sent the information, the GP accepted they had the information, but the pharmacy said they didn’t. This sort of experience causes unnecessary stress; you have no one to talk to about the pressure you feel, wanting to take the medication you need but not being able to get it, as English is not your first language. A lack of awareness of culture and traditions can have a significant effect on care. For example, in England people have three meals, breakfast, lunch and dinner, whereas in Poland people have breakfast, dinner and a light supper, which means that if you are reliant on insulin your treatment needs to be very different. In terms of translation, Language Line is available to talk to the professional, but before you can access the doctor you need to speak to the receptionist. Language Line is not available to you at that point so you need to explain in English to them what has happened and why you need help. If you can’t explain the problem in enough detail for the receptionist to understand they will just refer you to 111, but you cannot communicate with them either. Some people assume migrants don’t want to learn English. I heard a consultant say to a pregnant lady that it was time she learned English, I was able to reply on her behalf that she is learning but needs more time. The solutions to these issues are not quick or easy. It is important to take the time to build trust and stronger relationships between health services and communities. We need to give women opportunities to understand how the partnerships within health services work, where clashes and gaps can occur and why things can go wrong. We should also stay open minded, and the best way to help build trust is for women to be able to share positive experiences with their communities. Taking a whole family approach – the benefits of Family Integrated Care Julia explained that in 2019 the report of the national Neonatal Critical Care Review identified a number of aspects of neonatal care which needed improvement, including the family experience. The review recommended employment of care co-ordinators to implement Family Integrated Care (FiCare). Tools included within the Bliss Baby Charter Accreditation and the Baby Friendly Initiative neonatal standards help us to achieve FiCare. The FiCare model comprises four foundation pillars: • Staff education and support • Parent education • The neonatal intensive care environment • Psychological wellbeing. In neonatal units babies are separated from their parents, which can have physical, psychological and emotional health impacts on both parents and baby. In FiCare parents are true partners in their baby’s care in the neonatal intensive care unit. This means parents participating directly in caregiving, and creates a collaborative relationship between parents and staff that helps to promote parent-infant interactions and sharing of information. Parents are involved in all possible aspects of care, including feeding, nappy changing, bathing, providing oral medication, tracking weight and progress. It also involves participating in decision-making and taking part in medical rounds, which increases their involvement in their baby’s care and helps to build relationships with the medical team. Parents have support and education in the care of their baby to allow them to grow into the role of care providers for their infants. Julia Cooper, Care Coordinator Team, East of England Neonatal Operational Delivery Network Thinking Differently Together | 18

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