Implementing and adopting change: a maternity lens

Описание: On 25 June 2025 we were joined by speakers from Birmingham Women’s Hospital and the University of Birmingham, who shared their story of adoption, scale and spread. Together, they co-developed a system to ensure triage by clinical need resulting in safer better care for women and birthing people and their babies.

Nina Johns and Sara Kenyon shared how they rolled out the Birmingham Symptom Specific Obstetric Triage System (BSOTS). They cover how BSOTS was designed and the theory that supports it, and how it was implemented, scaled and adopted.

They also shared the factors that supported its widespread adoption including leadership, staffing, space and changing practice. This has led to BSOTS recommendation by the Royal College of Obstetrics and Gynaecology and the Care Quality Commission (CQC).

More about Sara:
Professor Sara Kenyon MBE is a Professor of Evidence Based Maternity Care at the University of Birmingham and a midwife by background. She leads the maternity theme of the NIHR Applied Research Collaboration (ARC) West Midlands. She has co-developed, with Dr Nina Johns, the maternity triage system called BSOTS, which is increasingly being implemented in UK maternity units. She is Chief Investigator for the iHOLDS trial. She is a member of ​‘MBRRACE-UK’ and Perinatal Mortality Review Tool and a co-applicant on a number of NIHR funded studies. She is a Fellow of the RCM and a Fellow of the RCOG and an NIHR Senior Investigator.

More about Nina:
Nina is a Consultant Obstetrician and Clinical Director for Obstetrics at The Royal Wolverhampton NHS Trust. She has extensive clinical experience and has led maternity services locally and regionally. She delivers care to women with complex pregnancies, focusing on high-risk obstetrics, maternal medicine, and diabetes. Nina is involved in research and innovation, leading quality improvement initiatives. She has been on the NHSE National Maternity and Neonatal Stakeholder Council since January 2024 and contributed to national programmes like the RCOG/THIS Institute ABC Programme. Her work led to the development of the Birmingham Symptom Specific Obstetric Triage System (BSOTS), a nationally recognized system that has won several awards. As Clinical Director, she oversees perinatal services, fosters a positive workplace culture, and trains medical students and postgraduates.