Evidence map›Paper›PMID 41857726›Full record

ArticleBMC pregnancy and childbirth2026

Improving maternity and neonatal care in England: protocol for a formative evaluation of the implementation of the core competency framework to enhance multi-professional practice.

R Whybrow, G Robert, J Dagustun, S Ahuja, H Brown, S Bassett, M Parr, T Adeyinka, S Glenday, S Cross and 2 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

R WhybrowFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London z, London, UK. Rebecca.whybrow@kcl.ac.uk.
G RobertFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London z, London, UK.
J DagustunFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London z, London, UK.
S AhujaFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London z, London, UK.
H BrownUniversity Hospitals Sussex NHS Foundation Trust, Worthing, UK.
S BassettFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London z, London, UK.
M ParrManchester University NHS Foundation Trust, Manchester, UK.
T AdeyinkaSouth London and Maudsley NHS Trust, London, UK.
S GlendayFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London z, London, UK.
S CrossInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
E SharmaFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London z, London, UK.
G ZoccatelliFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London z, London, UK.

Funding

National Institute for Health Research (NIHR), Health and Social Care Delivery Research, Reproductive Health and Childbirth NIHR159486
6 · The paper itself

Abstract

backgroundConcern exists about the variation in maternity services across England, highlighted by various high-profile investigations into care failures. In response, NHS England developed the Core Competency Framework (CCF) to standardise training and reduce unwarranted discrepancies in maternity and neonatal care. The current version of the framework (CCFv2) outlines minimum training requirements, targets key areas of harm, and supports multi-professional education while allowing local adaptation. This study aims to explore and enhance the rollout and impact of the CCFv2 and to strengthen its implementation and impact across England.

methodsWe will conduct a mixed-methods formative evaluation across four work packages. WP1: a national survey of maternity units to assess adoption and variation in CCFv2 implementation. WP2: ethnographic research in seven purposively selected maternity units to explore variations in local implementation. WP3: retrospective analysis of routinely collected outcome data from these sites to assess effects on practice and patient safety. WP4: Joint Interpretive Forums with stakeholders at each study site and nationally to support shared understanding and inform the development of an implementation toolkit for CCFv3. DISCUSSION: This study will generate practical insights into how the CCF is embedded across diverse settings. Through a collaborative, multi-disciplinary design - including input from service users, NHS staff, and academics - it will identify enablers and barriers to implementation and inform future improvements. Findings will guide the development of CCFv3 and support national efforts to improve care quality and reduce variation, particularly for vulnerable populations.

Indexed as

Clinical CompetenceMaternal Health ServicesQuality ImprovementEnglandFemaleHumansInfant, NewbornPregnancyRetrospective StudiesState MedicineEthnographyFormative evaluationImplementationMaternity careMulti-disciplinary trainingNeonatal careTrainingVulnerable populations.

Identifiers

PMID41857726
PMCPMC13123183

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.