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Saving lives, supporting families

The Process

A mutually agreeable date is set for Tamba audit team to visit the unit. All ethical protocols are sent and agreed by the unit and Tamba prior to the Tamba Audit Team attending the unit.


An audit is carried out on a sample of multiple birth mothers case notes against the 8 statements under NICE Quality Standard 46 and the information inputted into the the Tamba Multiple Birth Audit Tool. This tool was developed by the Tamba project team during year 1 of the project with support from NICE.



As well as the data from patient notes, interviews are held with the consultants, midwifes and sonography staff that look after multiple pregnancies. We gather information on what the numbers of neonatal admissions, deaths, still births and emergency C-sections were for the 12 month period before the audit.  We also want to hear from the women who are being cared for by participating units. Patient satisfaction questionnaires are sent out by participating units to ensure that the multiple birth families views are included in the project. These are sent to a random sample of women whose pregnancy was cared for by this unit in the 6 months prior to the audit taking place.

Action plan

After the audit has been completed and all the information reviewed we produce an action plan which highlights the key areas for improvement. Areas for improvement are identified as green – no action required, amber action required and red urgent action required. The action plan is then sent to the maternity unit and a conference call is held with all key staff to review the plan and agree dates where we will review progress.

Support Package

The unit has access to a support package from Tamba. This includes access to free online training found in the Health Professionals Area of the Tamba website.  This will help the midwives, sonographers and doctors to improve their knowledge and understanding of key topics from the latest research. The online seminars are pre-recorded and delivered by well-known experts.

The units also have the support of one of Tamba’s multiple birth midwifery consultants, and access advice and support from other units of similar size that have  been shown to follow closely the NICE Guideline 129 in their practice. One of these units is Leeds NHS Trust. The model of care at Leeds is innovative with specialist midwives seeing mothers both during their antenatal care and also postnatally in the community setting.

In total they have the following available to them:

  • Access to a range of Tamba booklets, leaflets, factsheets, webinars and courses

  • Access to a free extensive specialist health care professional CPD resource

  • Access to specialist consultant midwives for remote support over 12 months

  • Access to free multidisciplinary study day

  • Peer support learning and networking opportunities

  • Best practice tools e.g. Multiple Care pathway proforma

  • Signposting to innovative multiple specific resources such as multiple growth charts and awareness of leading research in the field



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