About us

The aims of Herefordshire and Worcestershire Local Maternity and Neonatal System are to introduce:

  • A single way in for all maternity referrals – making sure you have access to the right care from day one, through your dedicated midwife;
  • Dedicated community hubs – bringing midwifery and specialist care to convenient locations;
  • A host of additional services, including online antenatal courses and much more…

Everything we are doing is all about you, so we want to hear how we can personalise your experience by offering you more choice, while continuing to provide self-care.

You can read our LMNS Plan here.

Maternity and Neonatal Insight - latest infographic

Feb 2021 LMNS infographic

Meet the Team

Dr Louise Bramble

LMNS Board Chair

Dr Louise Bramble is a GP Partner at Chaddesley Corbett Surgery in Kidderminster, and the Clinical Lead for NHS Herefordshire and Worcestershire Clinical Commissioning Group (CCG). Previously, she was the Interim Chair of NHS Wyre Forest CCG before it merged with the other three CCGs in Herefordshire and Worcestershire on 1 April 2020.


Having undertaken her GP training in Worcestershire, Louise also lives in Worcestersire with her husband Dr Neill Bramble and their two young children.

LMNS Chair Louise Bramble

Fay Baillie

LMNS Programme Lead

Fay has led the implementation of the Local Maternity and Neonatal System since its inception in March 2017.

Fay has worked in the NHS for 43 years working mainly in Acute teaching hospitals leading women and children’s services. Latterly Fay has held Board positions as Director of Nursing and Midwifery in an Acute Hospital , Primary Care Trust and NHS England local and area teams. As the  West Midlands Darzi lead for maternity services, Fay led major reconfiguration and transformational service changes.

Cathy Garlick

Operations Director

Cathy’s professional background is in nursing and midwifery. She spent many years as a community midwife before moving to leadership roles within women and children’s services both in the West Midlands and London. Her passion is high quality maternity and newborn care for families that are delivered by staff with the skills and knowledge they need. Cathy has worked with the LMNS since its beginnings and believes it will drive improvements in care for mothers, babies and families.

She lives in Worcestershire, where she is currently renovating an old house and enjoys spending time with her grandchildren.

Juliana Mihejeva

Audit Lead

Before joining the LMNS as Audit Lead in October 2019, Juliana worked in the Finance Department at Worcestershire Acute Hospitals NHS Trust.  


Juliana enjoys analysing data against standards in order to demonstrate compliance across the LMNS. She feels privileged to be able to present the findings from her work and make recommendations in order to drive forward positive change in the services provided to women, their babies and families across Herefordshire and Worcestershire.

Juliana Milheva

Barbra McLeod

Governance Lead

Barbra’s professional background is as a registered nurse and she has over 35 years’ experience in the NHS. Barbra commenced her first role in clinical governance in 2000, gaining experience in audit, patient engagement and incident management. Following this she undertook a Master’s Degree in Healthcare Risk Management at Loughborough University.

Barbra joined the LMNS in June 2020; her most recent roles include Quality Governance Manager within Women & Children’s Services and managing a patient safety team, both within acute trust settings. Barbra is eager to drive improvements within maternity and neonatal services for families across the two counties.

Our Partners

Herefordshire and Worcestershire Sustainability and Transformation Partnership

Herefordshire and Worcestershire Local Maternity System forms part of the local Herefordshire and Worcestershire Sustainability and Transformation Partnership (STP).

The STP is a long-term plan to address some of the local health and care issues we have, to improve health for people across the area, and to ensure we can to provide safe and sustainable care into the future.

This means putting prevention and self-care at the heart of what we do, strengthening and sustaining our GP services, developing our ‘out of hospital’ offer, providing safe and sustainable specialist services such as cancer and maternity, and ensuring that people can access the right urgent and emergency care services, without delays when needed. We also need to have the right systems and workforce to enable the changes we will need to make. For further information on the STP visit www.hacw.nhs.uk/yourconversation/


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