. Evaluation of the Implementation of the Saving Babies’ Lives Care Bundle in early adopter NHS Trusts in England.
This report presents the findings from the Saving Babies Lives Project Impact and Results Evaluation (SPiRE) conducted by the Tommy's Stillbirth Research Centre at the University of Manchester commissioned by NHS England in May 2016. The report describes the results of a comprehensive evaluation involving nineteen NHS trusts in England that have been implementing the Saving Babies' Lives Care Bundle (SBLCB) since April 2015, which aims to reduce the incidence of stillbirth by implementing best practice in four aspects of maternity care. This report describes the degree of implementation, the clinical and service outcomes and the economic impact(s) following a maximum two year implementation period in these early adopter Trusts and crucially, whether implementation of the SBLCB translates into fewer stillbirths. ... Stillbirth rates, clinical and service outcomes, element outcomes, estimated costs relating to SBLCB implementation and local guideline appraisal are reported. Information about the impact of implementation of the SBLCB on staff and services is described. participating trusts were assigned a letter for anonymization in the analysis. ... During the time period analysed in the early adopter Trusts there was a statistically significant reduction in stillbirth of 20%; this reduction was also seen in term stillbirths. Due to variations in the timing and level of implementation of the various elements of the SBLCB this reduction cannot be unambiguously related to its implementation. However, it is highly plausible that the SBLCB contributed to the fall in stillbirths.
Sherwood Forest Hospitals NHS Foundation Trust