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The Professional Midwifery Advocate in non-NHS organisations

02 October 2020
Volume 28 · Issue 10
 The Professional Midwifery Advocate is a new role designed to support midwives and improve the quality of care that women receive
The Professional Midwifery Advocate is a new role designed to support midwives and improve the quality of care that women receive


A professional midwifery advocate supports midwives, allowing for clinical supervision, education and development. The impact of this role in non-NHS organisations has not been well-researched

The Professional Midwifery Advocate (PMA) role has been designed to deploy the Advocating for Education and Quality Improvement (A-EQUIP) model, which was formulated in 2016/17 (NHS England, 2017). Since 1902, statutory supervision of midwives has been an integral element of midwifery regulation. A change to midwifery legislation in April 2017 resulted in statutory supervision of midwives being removed. However, it was recognised that several non-regulatory elements of statutory supervision were highly valued by midwives and women, and so UK-wide task groups were established to develop a new model (Department of Health and Social Care, 2016).

The A-EQUIP model consists of four separate functions (NHS England, 2017):

The PMA is a new and fundamental leadership and advocacy role designed to deploy the A-EQUIP model. The role supports midwives through a continuous improvement process that aims to build personal and professional resilience, enhance quality of care and support preparedness for professional revalidation.

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