References

Baird B, Murray R, Seale B, Foot C, Perry C. Midwifery regulation in the United Kingdom.London: The King's Fund;

A new start: Consultation on changes to the way CQC regulates, inspects and monitors care.Newcastle upon Tyne: CQC; 2013

Proposals for changing the system of midwifery supervision in the UK.London: Department of Health; 2016

Francis R. Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry.London: The Stationery Office; 2013

Gillman L. Reframing midwifery supervision: a discussion paper.London: RCM; 2015

Hunter B, Warren L. Investigating resilience in midwifery.Cardiff: Cardiff University; 2013

Kirkup B. The Report of the Morecambe Bay Investigation.London: The Stationery Office; 2015

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

Leading Change Adding Value; a framework for nursing, midwifery and care staff.London: NHS England; 2016

A-EQUIP: a model of clinical midwifery supervision.London: NHS England; 2017

Standards for pre-registration midwifery education.London: NMC; 2009

Nursing and Midwifery Council. Revalidation. 2018. http://revalidation.nmc.org.uk/ (accessed 16 April 2018)

Midwifery supervision and regulation: recommendations.London: The Stationery Office; 2013

Pettit A, Stephen R. Supporting health visitors and fostering resilience literature review.London: Institute of Health Visiting; 2015

Power A. Midwifery in the 21st century: are students prepared for the challenge?. British Journal of Midwifery. 2016; 24:(1)66-8 https://doi.org/https://doi.org/10.12968/bjom.2016.24.1.66

Proctor B. Supervision: a co-operative exercise in accountability. In: Marken M, Payne M (eds). Leicester: National Youth Bureau, Council for Education and Training in Youth and Community Work; 1986

State of Maternity Services Report 2016.London: RCM; 2016

Restorative supervision for student midwives: The professional midwifery advocate in the classroom

02 May 2018
4 min read
Volume 26 · Issue 5

Abstract

Women and their families are entitled to high quality, safe and effective maternity care, yet reports have identified failings in areas of care such as risk assessment and care planning. As a result, there have been fundamental changes in the way midwives are regulated in the UK. With these changes came the development of a new model for midwifery clinical supervision, aligned to the aims of the Department of Health and Social Care and NHS England to provide a high quality service, delivered by resilient, highly valued, well-supported midwives. This article will consider the role of a Professional Midwifery Advocate in a university setting to explore how the early introduction of the role and implementation of group-based restorative supervision may positively impact on student midwives' training, reduce attrition rates, encourage the development of resilience and foster an ethos of peer support.

The function of Local Supervising Author ities (LSAs) and statutory supervision of midwives have now been removed as a result of the findings of the Parliamentary and Health Service Ombudsman (2013), the Francis (2013) and Kirkup (2015) reports and the subsequent King's Fund Review (Baird et al, 2015), which recommended the separation of midwifery supervision and regulation, since the peer investigation model was considered potentially biased and this tier of investigatory process was not present in other health professions. The Nursing and Midwifery Council (NMC) now have direct control of all regulatory activity and a new employer-led model of clinical supervision has been introduced.

The new non-regulatory model of midwifery supervision, A-EQUIP (Advocating and Educating for QUality ImProvement) aims to support staff and improve the quality of maternity care, in a way that is nationally consistent, strategic and integrated at local level (Gillman, 2015). It has four distinct roles: education and development; personal action for quality improvement; restorative clinical supervision (a support network to enhance staff health and wellbeing); and normative function (focusing on evaluating the standards of quality control in practice) (Department of Health and Social Care, 2016; National Maternity Review, 2016; NHS England, 2016). The concept of clinical supervision is still highly regarded:

Register now to continue reading

Thank you for visiting British Journal of Midwifery and reading some of our peer-reviewed resources for midwives. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • New content and clinical newsletter updates each month