Control (group 1, standard support) | Intervention (group 2, enhanced support) | |
PReCePT QI toolkit | Clinical guidance; preterm labour proforma template; staff training presentations; parent leaflet; posters for display on the unit to raise staff awareness; a QI learning log; project dashboard; pens, magnets, lanyards and other aide-mémoires to promote MgSO4 to unit staff (if purchased) | As per standard support group |
QI training | Regional-level QI training and guidance to adapt materials for local use, cascaded from AHSN | As per standard support group |
Regional support | Support from a regional level neonatal lead and AHSN lead | As per standard support group |
Local obstetrician champion | Local obstetrician identified by unit to guide and oversee local implementation | As per standard support group (named as joint PI, at discretion of local site) |
Funded time for local midwife champion | Funded time of up to 90 hours per unit (on average 2 hours/week) | As per standard support, plus funding for up to 90 extra hours backfill, on average over 12 months, to enable the midwife to embed the QI toolkit within their team |
Funded time for local neonatologist champion | None | Funded time for a local neonatologist Principal Investigator (PI), working on average 0.5 Programmed Activities (PA, 2 hours) per week over 12 months, to provide clinical leadership in local unit (fixed-term contract or secondment from an National Health Service organisation) 0.5 PA backfill may be split with obstetrician PI, at discretion of local site |
QI coaching | None | Structured coaching in local unit from an experienced QI coach. To include first visit where the QI coach will work with local unit to create a bespoke implementation plan; telephone coaching in liaison with the local champion(s), with occasional face-to-face visits as logistics permit; ongoing dedicated support to help embed the QI toolkit within local unit; final visit to support local unit to tie-up data collection and plan for ongoing sustainability |
Learning events | None | Funding for up to three members of staff from local unit to attend three learning events These bespoke learning events will be held every 2–3 months during the period of implementation and will bring together teams from other group 2 units to share their activity and learning on how they are implementing the PReCePT QI toolkit and working to address issues and challenges. |
Celebration event | None | Provision of an android tablet to be used by the local midwife champion to microcoach colleagues, plus a small fund for purchasing study collateral (pens, magnets, lanyards and aide-mémoires), if required |
Collateral funding | None | Funding for up to three members of staff from local unit to attend a celebration event which will bring together teams from all group 2 units to wrap up the study and to share experiences, learning and success |
AHSN, Academic Health Science Network; QI, quality improvement.