How to Set Up and Deliver Nurse‑Led Early Pregnancy & Recurrent Miscarriage Services

Using Clinical Guidelines to Strengthen Care Pathways

Practical advice on establishing a miscarriage service, including reviewing guidelines, understanding local challenges, learning from established services, and sharing best practice to support service development.

Co Developing SOPs with Clinical Leaders

Key requirements for delivering a nurse-led recurrent miscarriage service, including consultant support, multidisciplinary training, specialist expertise, and skills in ultrasound and early pregnancy care.

Building Clear Treatment and Investigation Pathways

An overview of recurrent miscarriage clinic appointments, covering history taking, investigations, continuity of care, and the development of personalised management plans.

Maintaining Consistency Throughout the Patient Journey

Management of subsequent pregnancies following recurrent miscarriage, focusing on specialist access, continuity of care, personalised plans, monitoring, and ongoing support.

Using Evidence to Develop Clinical Protocols

The role of evidence-based care, emerging research, patient education tools, and clear clinical protocols in supporting consistent service delivery.

Building Feedback Loops That Drive Improvement

How patient feedback can inform service development, alongside considerations around clinic location, access to care, and service integration.

Sharing Wins to Inspire Team and Service Growth

Reflections on the impact of recurrent miscarriage services and the importance of compassionate, patient-centred support throughout the pregnancy journey.

Why Nurse Led Services Work: The Evidence

An exploration of nurse-led early pregnancy services, including evidence relating to patient experience, service delivery, and implementation considerations.

Creating a Clinic Environment That Works

Key considerations when designing an early pregnancy service, including care pathways, multidisciplinary support, and creating an appropriate clinical environment.

Building an Effective Multidisciplinary Workforce

Workforce planning considerations, including training, supervision, prescribing models, multidisciplinary working, and staff retention.

Improving Service Accessibility

Practical considerations for ultrasound services within early pregnancy units, including training requirements, patient experience, and multidisciplinary collaboration.

Applying Evidence Based Care in the Clinic

The value of local protocols based on national guidance in supporting consistent care and effective clinical decision-making.

Creating an Effective Triage Process

An overview of triage protocols, including telephone assessment, risk stratification, and gestation-specific care pathways.

Designing Clear and Practical Clinical Pathways

How structured pathways support clinical decision-making, patient information provision, follow-up planning, and implementation of national guidance.

How Service Changes Affect the Broader System

The importance of collaboration with multidisciplinary teams through shared protocols, communication, and coordinated patient care.

Supporting the Wellbeing of Your Team

Key considerations for staff wellbeing, education, leadership, career development, and workforce sustainability.

Driving Continuous Improvement in Your Service

The role of audit, research, outcomes review, and data collection in driving ongoing service improvement.

Supporting Patients with a History of Loss

Considerations for supporting women with previous pregnancy loss, including investigations, reassurance scanning, mental health assessment, and integrated care.

How do you manage patient expectations?

Discussion of patient expectations, nurse-led care, and the importance of providing appropriate support and access to specialist expertise.

How can we improve stakeholder buy in?

Strategies for securing stakeholder support through audit, patient feedback, service evaluation, and multidisciplinary engagement.

How many people do you see?

Practical considerations around clinic capacity, appointment scheduling, follow-up care, and flexible service delivery.

What support can you offer partners?

Approaches to supporting partners and families through involvement in care, communication, and access to appropriate resources.

What band are your specialist nurses?

Discussion of specialist nurse workforce models, role development, and considerations for delivering effective miscarriage care services.