Our proposal

We've listened to mums, families, our staff, our partners in the community and those with an interest in our services to understand how people want to be cared for and supported before, during and after having a baby.

We've used their feedback to help us develop a proposal for how we can provide maternity services across our area in the future, so that more women have more choice, we make the best use of our resources and we have the right staff in the right place at the right time to provide the kind of care women tell us they want.

There are six different elements, but together they form one proposal for change:

1
Continue to support births in two, rather than four of the Freestanding Midwifery Units
  • Chippenham and Frome will continue to support births (you will be able to give birth to your baby at these units).
  • Trowbridge and Paulton will no longer support births (you will not be able to give birth to your baby at these units).
  • Antenatal and post-natal clinics will continue to be provided in all four units - Chippenham, Frome, Paulton and Trowbridge and in all other community locations e.g. GP practices.
What will this do?
2
Create an Alongside Midwifery Unit at the Royal United Hospital
What will this do?
3
Create an Alongside Midwifery Unit at Salisbury District Hospital
What will this do?
4
Enhance current provision of antenatal and post-natal care
What will this do?
5
Improve and better promote the home birth service
What will this do?
6
Replace nine community post-natal beds (five in Paulton Freestanding Midwifery Unit and four in Chippenham Freestanding Midwifery Unit) with support closer to, or in, women's homes
Women with a medical need will still be able to access post-natal beds at Salisbury District Hospital, Royal United Hospital, and Great Western Hospital.
What will this do?

Only by changing the way we support births in the Freestanding Midwifery Units can we unlock valuable resources, which we can then use differently as outlined in the overall proposal for change.


Our commitment

Despite the financial pressures facing the NHS locally and nationally, we are not proposing to reduce how much we spend on maternity services, nor are we proposing to reduce the amount of staff we have or close any buildings as a result of this proposal.