References

Association for Improvements in the Maternity Services. Justice for Midwife Becky Reed. Witch Hunt of one of the UK's most respected Midwives. 2014. https://www.aims.org.uk/Campaigns/BeckyReed.htm (accessed 9 January 2018)

Council funding freeze ‘means cuts to many essential services’. 2017. http://bit.ly/2ENUDgm (accessed 10 January 2018)

One Midwife for every 100 trained. 2017. https://www.rcm.org.uk/news-views-and-analysis/views/one-more-midwife-for-every-100-trained (accessed 10 January 2017)

NHS hospitals ordered to cancel all routine operations in January as flu spike and bed shortages lead to A and E crises. 2018. http://www.telegraph.co.uk/news/2018/01/02/nhs-hospitals-ordered-cancel-routine-operations-january/ (accessed 9 January 2018)

Better Births: Improving Outcomes of Maternity Services in England.London: NHS England; 2016

Implementing Better Births: Continuity of Carer.London: NHS England; 2017

Nursing and Midwifery Council. Indemnity provision for IMUK midwives is ‘inappropriate’, says NMC. 2017. http://bit.ly/2FH4PZj (accessed 9 January 2018)

Royal College of Midwives. New NMC report shows the need for more midwives says RCM. 2017. https://www.rcm.org.uk/news-views-and-analysis/news/%E2%80%98new-nmc-report-shows-the-need-for-more-midwives-says-rcm%E2%80%99 (accessed 10 January 2018)

96% drop in EU nurses registering to work in Britain since Brexit vote. 2017. https://www.theguardian.com/society/2017/jun/12/96-drop-in-eu-nurses-registering-to-work-in-britain-since-brexit-vote (accessed 10 January 2018)

The contribution of continuity to high quality maternity care. 2014. https://www.rcm.org.uk/sites/default/files/Continuity%20of%20Care%20A5%20Web.pdf

Tracy S, Welsh A, Hall B Caseload Midwifery compared to standard or private obstetric care for first time mothers in a public teaching hospital in Australia: a cross sectional study of cost and birth outcomes. BMC Pregnancy and Childbirth. 2014; 14 https://doi.org/https://doi.org/10.1186/1471-2393-14-46

Continuity of carer

02 February 2018
2 min read
Volume 26 · Issue 2

Abstract

The idea behind continuity of carer may be simple but, as Claire Axcell writes, evidence shows the effect that it can have on the NHS and on women and their families

Over the Christmas period, standards for continuity of carer in maternity services were published by NHS England (2017), against a backdrop of reports of A&Es in crisis and routine operations being cancelled as the NHS struggled to cope (Donelly, 2018).

For women, continuity of carer is the gold standard in midwifery care, and evidence (Sandall, 2014) shows the effect of such a simple act on a women who experiences this as her maternity pathway. The outcomes of a woman having midwifery care as part of a caseload are manifold: women have a higher chance of having a vaginal delivery, less chance of preterm birth, shorter labours and higher rates of satisfaction with their birth experience (Sandall, 2014). We only have to see the outrage over the decisions by the Nursing and Midwifery Council (NMC) (2017) regarding independent midwives' insurance and the work of the Albany Midwifery Practice, to see the kind of passion and outcomes that caseloading can bring (Association for Improvements in the Maternity Services, 2014). Better Births (National Maternity Review, 2016) recommends that every woman has an individualised care plan, with her at the centre of it.

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