Dear Rosie
can you please give the adress for the IMA website??
Thank you
Denise Hynd
"Let us support one another, not just in philosophy but in action, for the
sake of freedom for all women to choose exactly how and by whom, if by
anyone, our bodies will be handled."
- Linda Hes
----- Original Message -----
From: "Automatic digest processor" <[log in to unmask]>
To: "Recipients of CASELOADMIDWIFERY digests"
<[log in to unmask]>
Sent: Saturday, February 05, 2005 8:07 AM
Subject: CASELOADMIDWIFERY Digest - 3 Feb 2005 to 4 Feb 2005 (#2005-8)
> There are 6 messages totalling 1573 lines in this issue.
>
> Topics of the day:
>
> 1. caseload midwifery (6)
>
> ----------------------------------------------------------------------
>
> Date: Fri, 4 Feb 2005 08:25:08 -0000
> From: Rosie Kacary <[log in to unmask]>
> Subject: Re: caseload midwifery
>
> This is a multi-part message in MIME format.
>
> ------=_NextPart_000_0006_01C50A93.099EF5D0
> Content-Type: text/plain;
> charset="US-ASCII"
> Content-Transfer-Encoding: 7bit
>
> Actually I do hold a couple of contracts locally as do my colleagues, so I
> can transfer in and stay with women when necessary. Obviously the answer
> is
> for hospitals to provide this for all women so I don't have to hand over
> to
> NHS midwives. I don't want to, they don't want to and the woman certainly
> doesn't want to !!! As far as risk status goes, you couldn't be more
> wrong.
> I don't think I ever get to look after anyone who would be low risk under
> local guidelines. It would be lovely to have retained my pension and
> other
> benefits, I have an unemployed husband and 3 children to support - (IM's
> don't all live in mansions either) however, on balance I refused to
> perpetuate a system which abuses women and very often I think that's
> exactly
> what it does. My pension wasn't worth that. I wrote about my
> frustrations
> in May 2003 in The Practising Midwife. Have you seen it? Jan 2005
> carries
> another article about how much better I am. But you're absolutely right -
> there is room for both which is why your initial comment about not needing
> to pursue an independent model in the UK got my gander up! It's intended
> to
> work alongside the current provision not to replace it. But perhaps if I'd
> had a dynamic consultant midwife to work for, I'd have stayed? It seems
> pretty tragic to me that the most passionate, dedicated and committed
> midwives seem very often to be the ones who leave the system. Sadly, it
> would take a heck of a big carrot to entice me back now, along with, I
> suspect the other 8,000-10,000 midwives not currently practising at all.
> How is The Whittington tackling its recruitment and retention crisis?
>
> Rosie
>
>
>
> _____
>
> From: Caseload midwifery [mailto:[log in to unmask]] On
> Behalf
> Of Maggie Thomson
> Sent: 03 February 2005 15:43
> To: [log in to unmask]
> Subject: Re: caseload midwifery
>
>
>
> Dear Rosie
>
> Thank you for your comments and I am very aware of the IMA proposals.
> Having
> worked in NZ for many years there are few who would believe in women's
> choice more than I and I have worked in the NHS for many years as well. It
> is a personal philosophy, like yours. I am sure you provide the women in
> your caseload with excellent care but if for any reason women do have any
> complications their care has to be transferred into the NHS. Rightly or
> wrongly they then have to be cared for by an NHS midwife. Equally as the
> women you look after must by definition be 'low risk' although I know that
> many of your colleagues look after women who are breech or have had
> previous
> CS. I wouldn't want to get into the debate as to whether or not these
> women
> should birth at home or not. I only make the point that women who choose
> ore
> are advised to birth in hospital, ie are 'high risk' (I hate these terms)
> should be entitled to good continuity of carer as well.
>
> I would never be so bold as to suggest that IM are out to get rich quick.
> I
> am only to aware of the work one has to do to earn those pounds! I am also
> very sorry to here that you felt the NHS has let you down as well as
> women.
> However many midwives do not have the choice of going independent.
> Insurance, annual leave, sick pay and pensions are all things that
> midwives
> cite as being prohibitive. What I hope to achieve by staying in the system
> is improving the lives of both midwives and women (not incompatible). I am
> very lucky to be a consultant midwife and have the opportunity to
> influence
> changes like those described. I am sure there will always be room for
> both.
>
> Maggie
>
>>>> [log in to unmask] 02/03 3:21 pm >>>
>
> Hi Maggie,
>
> But what's wrong with providing an independent model alongside the
> existing
> model as proposed by the IMA? That way all women do have an equal choice,
> and more choices than are currently available. It also gives midwives
> different ways of working and extra choices. I'm sure you're familiar with
> the model, but if not, take a look on the IMA website, and I hope you'll
> be
> attending the caseloading conference on April 19th?
>
> You may be interested to hear that my caseload as an IM includes travelers
> and women living in caravans in fields. In fact, so far, I think I've
> only
> had one woman who could be described as wealthy, and I certainly didn't
> leave the NHS because I viewed independent work as a get rich quick
> scheme!
> Women tend to seek out independent care because the NHS has failed them -
> as
> it did me as an employee.
>
> Rosie (IM)
>
>
>
> _____
>
> From: Caseload midwifery [mailto:[log in to unmask]] On
> Behalf
> Of Maggie Thomson
> Sent: 02 February 2005 18:38
> To: [log in to unmask]
> Subject: Re: caseload midwifery
>
>
>
> Dear All
>
> My name is Maggie Thomson and I am the consultant midwife at the
> Whittington
> Hospital in London UK. I have over the last three years set up two
> caseload
> practices in the NHS and through thick and thin have managed to sustain
> them. it is difficult in the NHS because many midwives fear the on call
> commitments. However I think that the teams are role modelling such good
> practice and job satisfaction that others are becoming interested.
> Caseload
> is my passion after working as an independent midwife in NZ for many
> years.
> it has so much to offer professionally for midwives and of course women
> and
> their families. I do not believe that we need to pursue the independent
> route in the UK. of course women and midwives should have choice but all
> women should have equal choice including and particularly the most
> disadvantaged and not just those that can pay. Our service has been
> exceptionally successful in engaging women who traditionally can not or
> will
> not access services. The midwives have been creative and committed and
> still
> have a life. It can work.
>
> Maggie
>
>
>
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> style=3D'margin-left:3.0pt;margin-top:3.0pt;
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>
> <div class=3DSection1>
>
> <p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
> style=3D'font-size:
> 10.0pt;font-family:Arial;color:navy'>Actually I do hold a couple of =
> contracts
> locally as do my colleagues, so I can transfer in and stay with women =
> when
> necessary. Obviously the answer is for hospitals to provide this =
> for all
> women so I don’t have to hand over to NHS midwives. I =
> don’t
> want to, they don’t want to and the woman certainly doesn’t =
> want to
> !!! As far as risk status goes, you couldn’t be more =
> wrong. I
> don’t think I ever get to look after anyone who would be low risk =
> under
> local guidelines. It would be lovely to have retained my pension =
> and
> other benefits, I have an unemployed husband and 3 children to support =
> – (IM’s
> don’t all live in mansions either) however, on balance I refused =
> to
> perpetuate a system which abuses women and very often I think =
> that’s
> exactly what it does. My pension wasn’t worth that. I =
> wrote
> about my frustrations in May 2003 in The Practising Midwife. Have =
> you
> seen it? Jan 2005 carries another article about how much better I =
> am.
> But you’re absolutely right – there is room for both which =
> is why
> your initial comment about not needing to pursue an independent model in =
> the <st1:country-region
> w:st=3D"on"><st1:place w:st=3D"on">UK</st1:place></st1:country-region> =
> got my
> gander up! It’s intended to work alongside the current =
> provision
> not to replace it. But perhaps if I’d had a dynamic consultant =
> midwife to
> work for, I’d have stayed? It seems pretty tragic to me that =
> the
> most passionate, dedicated and committed midwives seem very often to be =
> the
> ones who leave the system. Sadly, it would take a heck of a big =
> carrot to
> entice me back now, along with, I suspect the other 8,000-10,000 =
> midwives not
> currently practising at all. How is The Whittington tackling its
> recruitment and retention crisis?<o:p></o:p></span></font></p>
>
> <p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
> style=3D'font-size:
> 10.0pt;font-family:Arial;color:navy'>Rosie <o:p></o:p></span></font></p>
>
> <p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
> style=3D'font-size:
> 10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
>
> <div>
>
> <div class=3DMsoNormal align=3Dcenter =
> style=3D'margin:0cm;margin-bottom:.0001pt;
> text-align:center'><font size=3D3 face=3D"Times New Roman"><span =
> style=3D'font-size:
> 12.0pt'>
>
> <hr size=3D2 width=3D"100%" align=3Dcenter tabindex=3D-1>
>
> </span></font></div>
>
> <p class=3DMsoNormal style=3D'margin:0cm;margin-bottom:.0001pt'><b><font =
> size=3D2
> face=3DTahoma><span =
> style=3D'font-size:10.0pt;font-family:Tahoma;font-weight:bold'>From:</spa=
> n></font></b><font
> size=3D2 face=3DTahoma><span =
> style=3D'font-size:10.0pt;font-family:Tahoma'> <st1:PersonName
> w:st=3D"on">Caseload midwifery</st1:PersonName>
> [mailto:[log in to unmask]] <b><span =
> style=3D'font-weight:bold'>On
> Behalf Of </span></b>Maggie Thomson<br>
> <b><span style=3D'font-weight:bold'>Sent:</span></b> 03 February 2005 =
> 15:43<br>
> <b><span style=3D'font-weight:bold'>To:</span></b> =
> [log in to unmask]<br>
> <b><span style=3D'font-weight:bold'>Subject:</span></b> Re: caseload =
> midwifery</span></font><o:p></o:p></p>
>
> </div>
>
> <p class=3DMsoNormal><font size=3D3 face=3D"Times New Roman"><span =
> style=3D'font-size:
> 12.0pt'><o:p> </o:p></span></font></p>
>
> <div>
>
> <p class=3DMsoNormal style=3D'margin:0cm;margin-bottom:.0001pt'><font =
> size=3D2
> face=3DTahoma><span style=3D'font-size:10.0pt;font-family:Tahoma'>Dear =
> Rosie<o:p></o:p></span></font></p>
>
> </div>
>
> <div>
>
> <p class=3DMsoNormal style=3D'margin:0cm;margin-bottom:.0001pt'><font =
> size=3D2
> face=3DTahoma><span style=3D'font-size:10.0pt;font-family:Tahoma'>Thank =
> you for
> your comments and I am very aware of the IMA proposals. Having worked in =
> NZ for
> many years there are few who would believe in women's choice more =
> than I
> and I have worked in the NHS for many years as well. It is a personal
> philosophy, like yours. I am sure you provide the women in your caseload =
> with
> excellent care but if for any reason women do have any =
> complications their
> care has to be transferred into the NHS. Rightly or wrongly they then =
> have to
> be cared for by an NHS midwife. Equally as the women you look after must =
> by
> definition be 'low risk' although I know that many of your colleagues =
> look
> after women who are breech or have had previous CS. I wouldn't want to =
> get into
> the debate as to whether or not these women should birth at home or not. =
> I only
> make the point that women who choose ore are advised to birth in =
> hospital, ie
> are 'high risk' (I hate these terms) should be entitled to good =
> continuity of
> carer as well.<o:p></o:p></span></font></p>
>
> </div>
>
> <div>
>
> <p class=3DMsoNormal style=3D'margin:0cm;margin-bottom:.0001pt'><font =
> size=3D2
> face=3DTahoma><span style=3D'font-size:10.0pt;font-family:Tahoma'>I =
> would never be
> so bold as to suggest that IM are out to get rich quick. I am only to =
> aware of
> the work one has to do to earn those pounds! I am also very sorry to =
> here that
> you felt the NHS has let you down as well as women. However many =
> midwives do
> not have the choice of going independent. Insurance, annual leave, sick =
> pay and
> pensions are all things that midwives cite as being prohibitive. What I =
> hope to
> achieve by staying in the system is improving the lives of both midwives =
> and
> women (not incompatible). I am very lucky to be a consultant midwife and =
> have
> the opportunity to influence changes like those described. I am sure =
> there will
> always be room for both.<o:p></o:p></span></font></p>
>
> </div>
>
> <div>
>
> <p class=3DMsoNormal style=3D'margin:0cm;margin-bottom:.0001pt'><font =
> size=3D2
> face=3DTahoma><span =
> style=3D'font-size:10.0pt;font-family:Tahoma'>Maggie<br>
> <br>
> >>> [log in to unmask] 02/03 3:21 pm =
> >>><o:p></o:p></span></font></p>
>
> </div>
>
> <div>
>
> <p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
> style=3D'font-size:
> 10.0pt;font-family:Arial;color:navy'>Hi =
> Maggie,<o:p></o:p></span></font></p>
>
> <p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
> style=3D'font-size:
> 10.0pt;font-family:Arial;color:navy'>But what’s wrong with =
> providing an
> independent model alongside the existing model as proposed by the =
> IMA?
> That way all women do have an equal choice, and more choices than are =
> currently
> available. It also gives midwives different ways of working and =
> extra
> choices. I’m sure you’re familiar with the model, but if =
> not, take
> a look on the IMA website, and I hope you’ll be attending the =
> caseloading
> conference on April 19<sup>th</sup>?<o:p></o:p></span></font></p>
>
> <p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
> style=3D'font-size:
> 10.0pt;font-family:Arial;color:navy'>You may be interested to hear that =
> my
> caseload as an IM includes travelers and women living in caravans =
> in
> fields. In fact, so far, I think I’ve only had one woman who =
> could
> be described as wealthy, and I certainly didn’t leave the NHS =
> because I
> viewed independent work as a get rich quick scheme! Women tend to =
> seek
> out independent care because the NHS has failed them – as it did =
> me as an
> employee. <o:p></o:p></span></font></p>
>
> <p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
> style=3D'font-size:
> 10.0pt;font-family:Arial;color:navy'>Rosie =
> (IM)<o:p></o:p></span></font></p>
>
> <p class=3DMsoNormal><font size=3D2 color=3Dnavy face=3DArial><span =
> style=3D'font-size:
> 10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
>
> <div>
>
> <div class=3DMsoNormal align=3Dcenter =
> style=3D'margin:0cm;margin-bottom:.0001pt;
> text-align:center'><font size=3D3 color=3Dblack face=3D"Times New =
> Roman"><span
> style=3D'font-size:12.0pt;color:black'>
>
> <hr size=3D2 width=3D"100%" align=3Dcenter tabIndex=3D-1>
>
> </span></font></div>
>
> <p class=3DMsoNormal style=3D'margin:0cm;margin-bottom:.0001pt'><b><font =
> size=3D2
> color=3Dblack face=3DTahoma><span =
> style=3D'font-size:10.0pt;font-family:Tahoma;
> color:black;font-weight:bold'>From:</span></font></b><font size=3D2 =
> color=3Dblack
> face=3DTahoma><span =
> style=3D'font-size:10.0pt;font-family:Tahoma;color:black'> =
> <st1:PersonName
> w:st=3D"on">Caseload midwifery</st1:PersonName>
> [mailto:[log in to unmask]] <b><span =
> style=3D'font-weight:bold'>On
> Behalf Of </span></b>Maggie Thomson<br>
> <b><span style=3D'font-weight:bold'>Sent:</span></b> 02 February 2005 =
> 18:38<br>
> <b><span style=3D'font-weight:bold'>To:</span></b>
> [log in to unmask]<br>
> <b><span style=3D'font-weight:bold'>Subject:</span></b> Re: caseload =
> midwifery</span></font><font
> color=3Dblack><span style=3D'color:black'><o:p></o:p></span></font></p>
>
> </div>
>
> <p class=3DMsoNormal><font size=3D3 color=3Dblack face=3D"Times New =
> Roman"><span
> style=3D'font-size:12.0pt;color:black'><o:p> </o:p></span></font></p=
>>
>
> <div>
>
> <p class=3DMsoNormal style=3D'margin:0cm;margin-bottom:.0001pt'><font =
> size=3D2
> color=3Dblack face=3DTahoma><span =
> style=3D'font-size:10.0pt;font-family:Tahoma;
> color:black'>Dear All<o:p></o:p></span></font></p>
>
> </div>
>
> <div>
>
> <p class=3DMsoNormal style=3D'margin:0cm;margin-bottom:.0001pt'><font =
> size=3D2
> color=3Dblack face=3DTahoma><span =
> style=3D'font-size:10.0pt;font-family:Tahoma;
> color:black'>My name is Maggie Thomson and I am the consultant midwife =
> at the <st1:PlaceName
> w:st=3D"on">Whittington</st1:PlaceName> <st1:PlaceType =
> w:st=3D"on">Hospital</st1:PlaceType>
> in <st1:City w:st=3D"on">London</st1:City> <st1:place =
> w:st=3D"on"><st1:country-region
> w:st=3D"on">UK</st1:country-region></st1:place>. I have over the last =
> three
> years set up two caseload practices in the NHS and through thick and =
> thin have
> managed to sustain them. it is difficult in the NHS because many =
> midwives fear
> the on call commitments. However I think that the teams are role =
> modelling such
> good practice and job satisfaction that others are becoming interested.
> Caseload is my passion after working as an independent midwife in NZ for =
> many
> years. it has so much to offer professionally for midwives and of course =
> women
> and their families. I do not believe that we need to pursue the =
> independent
> route in the <st1:place w:st=3D"on"><st1:country-region =
> w:st=3D"on">UK</st1:country-region></st1:place>.
> of course women and midwives should have choice but all women should =
> have equal
> choice including and particularly the most disadvantaged and not just =
> those
> that can pay. Our service has been exceptionally successful in engaging =
> women
> who traditionally can not or will not access services. The midwives have =
> been
> creative and committed and still have a life. It can =
> work.<o:p></o:p></span></font></p>
>
> </div>
>
> <div>
>
> <p class=3DMsoNormal =
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> 12.0pt;margin-left:0cm'><font size=3D3 color=3Dblack face=3D"Times New =
> Roman"><span
> style=3D'font-size:12.0pt;color:black'>Maggie<br>
> <br>
> <o:p></o:p></span></font></p>
>
> </div>
>
> </div>
>
> <p style=3D'margin:0cm;margin-bottom:.0001pt'><b><font size=3D1 =
> face=3DArial><span
> style=3D'font-size:8.0pt;font-family:Arial;font-weight:bold'>Want FREE =
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> Service 0800
> 093 90 30 (Islington) or 0800 085 6258 (Enfield & Haringey) or visit =
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> </span></font><font
> size=3D2 face=3DTahoma><span =
> style=3D'font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></=
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> style=3D'font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></=
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> ------=_NextPart_000_0006_01C50A93.099EF5D0--
>
> ------------------------------
>
> Date: Fri, 4 Feb 2005 06:14:10 EST
> From: Cheryl Cooper <[log in to unmask]>
> Subject: Re: caseload midwifery
>
> -------------------------------1107515650
> Content-Type: text/plain; charset="UTF-8"
> Content-Transfer-Encoding: quoted-printable
> Content-Language: en
>
> =20
> In a message dated 04/02/2005 08:26:09 GMT Standard Time, =20
> [log in to unmask] writes:
>
> however, on balance I refused to perpetuate a system which abuses women
> and=
> =20
> very often I think that=E2=80=99s exactly what it does.
>
>
> If I had a choice I would be independent for this very reason - I think
> man=
> y=20
> midwives would and I think Rosie you were very brave to leave the NHS when
> =20
> presumably a reliable monthly pay is also important (I don't think I'd
> make=20
> ends meet up here - not many women asking for this). I have difficulties
> =20
> weighing up my personal ethics and the fact that we as a family rely on my
> p=
> ay, =20
> because I believe that we in the NHS do more harm than good for the sake
> of=20=
> the =20
> organisation. So then it comes to down to changing the system, going =20
> independent or working at Tescos (which I often consider, not because I
> disl=
> ike =20
> midwifery but because I dislike the politics within which I'm bound to
> work=
> )
> I wrote ages ago that I wanted to pursue caseloading in my area (Scotland)
> =20
> because I believe it is the only ethical way I can remain in the NHS. But
> =20
> change is slow, now I at least have it on the agenda and it's going out
> for=20=
> =20
> discussion with other midwives (I imagine though that on-call will put
> most=20=
> folks=20
> off and we will need 6-8 interested/committed mws to try it). I have =20
> mentioned to the powers that be that you said you would come and talk to
> us=20=
> Maggie,=20
> but we have to have some others interested first (I don't hold out much
> hop=
> e=20
> for it going ahead to be honest - a lot of low morale and apathy)=20
> Just thought I'd contribute to this thread as this list has been a bit
> quie=
> t
> Cheryl
>
> -------------------------------1107515650
> Content-Type: text/html; charset="UTF-8"
> Content-Transfer-Encoding: quoted-printable
> Content-Language: en
>
> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
> <HTML><HEAD>
> <META http-equiv=3DContent-Type content=3D"text/html; charset=3DUTF-8">
> <META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR></HEAD>
> <BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000;
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> id=3Drol=
> e_document=20
> face=3DArial color=3D#000000 size=3D2>
> <DIV>
> <DIV>In a message dated 04/02/2005 08:26:09 GMT Standard Time,=20
> [log in to unmask] writes:</DIV>
> <BLOCKQUOTE=20
> style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: blue 2px
> solid"><=
> FONT=20
> style=3D"BACKGROUND-COLOR: transparent" face=3DArial color=3D#000080
> size=
> =3D2>however,=20
> on balance I refused to perpetuate a system which abuses women and very
> of=
> ten=20
> I think that=E2=80=99s exactly what it does.</FONT></BLOCKQUOTE></DIV>
> <DIV></DIV>
> <DIV>If I had a choice I would be independent for this very reason - I
> think=
> =20
> many midwives would and I think Rosie you were very brave to leave the NHS
> w=
> hen=20
> presumably a reliable monthly pay is also important (I don't think I'd
> make=20=
> ends=20
> meet up here - not many women asking for this). I have
> difficulties=20
> weighing up my personal ethics and the fact that we as a family rely on my
> p=
> ay,=20
> because I believe that we in the NHS do more harm than good for the sake
> of=20=
> the=20
> organisation. So then it comes to down to changing the system,
> going=20
> independent or working at Tescos (which I often consider, not because I
> disl=
> ike=20
> midwifery but because I dislike the politics within which I'm bound to=20
> work)</DIV>
> <DIV>I wrote ages ago that I wanted to pursue caseloading in my area
> (Scotla=
> nd)=20
> because I believe it is the only ethical way I can remain in the
> NHS. =20=
> But=20
> change is slow, now I at least have it on the agenda and it's going out
> for=20
> discussion with other midwives (I imagine though that on-call will put
> most=20
> folks off and we will need 6-8 interested/committed mws to try it).
> I=20=
> have=20
> mentioned to the powers that be that you said you would come and talk to
> us=20
> Maggie, but we have to have some others interested first (I don't hold out
> m=
> uch=20
> hope for it going ahead to be honest - a lot of low morale and=20
> apathy) </DIV>
> <DIV>Just thought I'd contribute to this thread as this list has been a
> bit=20
> quiet</DIV>
> <DIV>Cheryl</DIV></FONT></BODY></HTML>
>
> -------------------------------1107515650--
>
> ------------------------------
>
> Date: Fri, 4 Feb 2005 11:40:37 -0000
> From: Christine McCourt <[log in to unmask]>
> Subject: Re: caseload midwifery
>
> Cheryl
>
> where in Scotland are you based? (sorry can't remember from before)
>
> -----Original Message-----
> From: Caseload midwifery on behalf of Cheryl Cooper
> Sent: Fri 2/4/2005 11:14 AM
> To: [log in to unmask]
> Cc:=09
> Subject: Re: caseload midwifery
>
> =20
> In a message dated 04/02/2005 08:26:09 GMT Standard Time, =20
> [log in to unmask] writes:
>
> however, on balance I refused to perpetuate a system which abuses women
> and=20
> very often I think that=92s exactly what it does.
>
>
> If I had a choice I would be independent for this very reason - I think
> many=20
> midwives would and I think Rosie you were very brave to leave the NHS
> when =20
> presumably a reliable monthly pay is also important (I don't think I'd
> make=20
> ends meet up here - not many women asking for this). I have
> difficulties =20
> weighing up my personal ethics and the fact that we as a family rely on
> my pay, =20
> because I believe that we in the NHS do more harm than good for the sake
> of the =20
> organisation. So then it comes to down to changing the system, going =20
> independent or working at Tescos (which I often consider, not because I
> dislike =20
> midwifery but because I dislike the politics within which I'm bound to
> work)
> I wrote ages ago that I wanted to pursue caseloading in my area
> (Scotland) =20
> because I believe it is the only ethical way I can remain in the NHS.
> But =20
> change is slow, now I at least have it on the agenda and it's going out
> for =20
> discussion with other midwives (I imagine though that on-call will put
> most folks=20
> off and we will need 6-8 interested/committed mws to try it). I have =20
> mentioned to the powers that be that you said you would come and talk to
> us Maggie,=20
> but we have to have some others interested first (I don't hold out much
> hope=20
> for it going ahead to be honest - a lot of low morale and apathy)=20
> Just thought I'd contribute to this thread as this list has been a bit
> quiet
> Cheryl
>
> ------------------------------
>
> Date: Fri, 4 Feb 2005 07:08:46 EST
> From: Cheryl Cooper <[log in to unmask]>
> Subject: Re: caseload midwifery
>
> -------------------------------1107518926
> Content-Type: text/plain; charset="US-ASCII"
> Content-Transfer-Encoding: 7bit
>
>
> In a message dated 04/02/2005 11:40:57 GMT Standard Time,
> [log in to unmask] writes:
>
> where in Scotland are you based? (sorry can't remember from before)
>
>
>
> I work in Dundee, live in Montrose (but long to be south of the border,
> applying for all these great-sounding caseloading jobs that keep
> appearing in the
> journals)
> ;-)
> Cheryl
>
> -------------------------------1107518926
> Content-Type: text/html; charset="US-ASCII"
> Content-Transfer-Encoding: quoted-printable
>
> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
> <HTML><HEAD>
> <META http-equiv=3DContent-Type content=3D"text/html; charset=3DUS-ASCII">
> <META content=3D"MSHTML 6.00.2800.1458" name=3DGENERATOR></HEAD>
> <BODY id=3Drole_body style=3D"FONT-SIZE: 10pt; COLOR: #000000;
> FONT-FAMILY:=20=
> Arial"=20
> bottomMargin=3D7 leftMargin=3D7 topMargin=3D7 rightMargin=3D7><FONT
> id=3Drol=
> e_document=20
> face=3DArial color=3D#000000 size=3D2>
> <DIV>
> <DIV>In a message dated 04/02/2005 11:40:57 GMT Standard Time,=20
> [log in to unmask] writes:</DIV>
> <BLOCKQUOTE=20
> style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: blue 2px
> solid"><=
> FONT=20
> style=3D"BACKGROUND-COLOR: transparent" face=3DArial color=3D#000000
> size=
> =3D2>where in=20
> Scotland are you based? (sorry can't remember from=20
> before)<BR></FONT></BLOCKQUOTE></DIV>
> <DIV></DIV>
> <DIV>I work in Dundee, live in Montrose (but long to be south of
> t=
> he=20
> border, applying for all these great-sounding caseloading jobs that
> keep=20
> appearing in the journals)</DIV>
> <DIV>;-)</DIV>
> <DIV>Cheryl</DIV></FONT></BODY></HTML>
>
> -------------------------------1107518926--
>
> ------------------------------
>
> Date: Fri, 4 Feb 2005 14:12:14 +0000
> From: Maggie Thomson <[log in to unmask]>
> Subject: Re: caseload midwifery
>
> --=__Part052649AE.0__=
> Content-Type: text/plain; charset=ISO-8859-1
> Content-Transfer-Encoding: quoted-printable
>
> It is always good to have different views on the world and many of your =
> comments we would have to agree to disagree. Our recruitment and retention
> =
> is as in many London NHS hospitals and ongoing challenge. We look to offer
> =
> midwives a range of working options that meet their needs with small =
> children etc. I wish you all the best luck in your practice.
> Maggie
>
>>>> [log in to unmask] 02/04 8:25 am >>>
>
> Actually I do hold a couple of contracts locally as do my colleagues, so I
> =
> can transfer in and stay with women when necessary. Obviously the answer
> =
> is for hospitals to provide this for all women so I don't have to hand =
> over to NHS midwives. I don't want to, they don't want to and the woman =
> certainly doesn't want to !!! As far as risk status goes, you couldn't be
> =
> more wrong. I don't think I ever get to look after anyone who would be =
> low risk under local guidelines. It would be lovely to have retained my =
> pension and other benefits, I have an unemployed husband and 3 children to
> =
> support * (IM's don't all live in mansions either) however, on balance I =
> refused to perpetuate a system which abuses women and very often I think =
> that's exactly what it does. My pension wasn't worth that. I wrote about
> =
> my frustrations in May 2003 in The Practising Midwife. Have you seen it?
> =
> Jan 2005 carries another article about how much better I am. But you're =
> absolutely right * there is room for both which is why your initial =
> comment about not needing to pursue an independent model in the UK got my
> =
> gander up! It's intended to work alongside the current provision not to =
> replace it. But perhaps if I'd had a dynamic consultant midwife to work =
> for, I'd have stayed? It seems pretty tragic to me that the most =
> passionate, dedicated and committed midwives seem very often to be the =
> ones who leave the system. Sadly, it would take a heck of a big carrot to
> =
> entice me back now, along with, I suspect the other 8,000-10,000 midwives
> =
> not currently practising at all. How is The Whittington tackling its =
> recruitment and retention crisis?Rosie =20
> From: Caseload midwifery [mailto:[log in to unmask]] On =
> Behalf Of Maggie Thomson
> Sent: 03 February 2005 15:43
> To: [log in to unmask]
> Subject: Re: caseload midwifery
> Dear Rosie
> Thank you for your comments and I am very aware of the IMA proposals. =
> Having worked in NZ for many years there are few who would believe in =
> women's choice more than I and I have worked in the NHS for many years as
> =
> well. It is a personal philosophy, like yours. I am sure you provide the =
> women in your caseload with excellent care but if for any reason women do
> =
> have any complications their care has to be transferred into the NHS. =
> Rightly or wrongly they then have to be cared for by an NHS midwife. =
> Equally as the women you look after must by definition be 'low risk' =
> although I know that many of your colleagues look after women who are =
> breech or have had previous CS. I wouldn't want to get into the debate as
> =
> to whether or not these women should birth at home or not. I only make the
> =
> point that women who choose ore are advised to birth in hospital, ie are =
> 'high risk' (I hate these terms) should be entitled to good continuity of
> =
> carer as well.
> I would never be so bold as to suggest that IM are out to get rich quick.
> =
> I am only to aware of the work one has to do to earn those pounds! I am =
> also very sorry to here that you felt the NHS has let you down as well as
> =
> women. However many midwives do not have the choice of going independent.
> =
> Insurance, annual leave, sick pay and pensions are all things that =
> midwives cite as being prohibitive. What I hope to achieve by staying in =
> the system is improving the lives of both midwives and women (not =
> incompatible). I am very lucky to be a consultant midwife and have the =
> opportunity to influence changes like those described. I am sure there =
> will always be room for both.
> Maggie
>
>>>> [log in to unmask] 02/03 3:21 pm >>>
> Hi Maggie,But what's wrong with providing an independent model alongside =
> the existing model as proposed by the IMA? That way all women do have an
> =
> equal choice, and more choices than are currently available. It also =
> gives midwives different ways of working and extra choices. I'm sure =
> you're familiar with the model, but if not, take a look on the IMA =
> website, and I hope you'll be attending the caseloading conference on =
> April 19th?You may be interested to hear that my caseload as an IM =
> includes travelers and women living in caravans in fields. In fact, so =
> far, I think I've only had one woman who could be described as wealthy, =
> and I certainly didn't leave the NHS because I viewed independent work as
> =
> a get rich quick scheme! Women tend to seek out independent care because
> =
> the NHS has failed them * as it did me as an employee. Rosie (IM)=20
> From: Caseload midwifery [mailto:[log in to unmask]] On =
> Behalf Of Maggie Thomson
> Sent: 02 February 2005 18:38
> To: [log in to unmask]
> Subject: Re: caseload midwifery
> Dear All
> My name is Maggie Thomson and I am the consultant midwife at the
> Whittingto=
> n Hospital in London UK. I have over the last three years set up two =
> caseload practices in the NHS and through thick and thin have managed to =
> sustain them. it is difficult in the NHS because many midwives fear the on
> =
> call commitments. However I think that the teams are role modelling such =
> good practice and job satisfaction that others are becoming interested. =
> Caseload is my passion after working as an independent midwife in NZ for =
> many years. it has so much to offer professionally for midwives and of =
> course women and their families. I do not believe that we need to pursue =
> the independent route in the UK. of course women and midwives should have
> =
> choice but all women should have equal choice including and particularly =
> the most disadvantaged and not just those that can pay. Our service has =
> been exceptionally successful in engaging women who traditionally can not
> =
> or will not access services. The midwives have been creative and committed
> =
> and still have a life. It can work.
> Maggie
>
>
>
> Want FREE help and advice to quit smoking? Ring the Stop Smoking Service =
> 0800 093 90 30 (Islington) or 0800 085 6258 (Enfield & Haringey) or visit
> =
> the following websites for information and specialist support:
> www.quitsmok=
> ing.uk.com www.islingtonpct.nhs.uk/stopsmoking
> ****************************=
> ****************************************** This email and any files =
> transmitted with it are confidential and intended solely for the use of =
> the individual or entity to whom they are addressed. If you have received
> =
> this email in error please notify the system manager. This footnote also =
> confirms that this email message has been swept by MIMEsweeper for the =
> presence of computer viruses.
> *********************************************=
> *************************=20
>
>
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> <BODY lang=3DEN-US style=3D"MARGIN: 4px 4px 1px; FONT: 10pt Tahoma" =
> vLink=3Dblue link=3Dblue>
> <DIV>It is always good to have different views on the world and many of =
> your comments we would have to agree to disagree. Our recruitment and =
> retention is as in many London NHS hospitals and ongoing challenge. We =
> look to offer midwives a range of working options that meet their needs =
> with small children etc. I wish you all the best luck in your
> practice.</DI=
> V>
> <DIV>Maggie<BR><BR>>>> [log in to unmask] 02/04 8:25 am =
> >>><BR></DIV>
> <DIV style=3D"COLOR: #000000">
> <DIV class=3DSection1>
> <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN =
> style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Actually I do =
> hold a couple of contracts locally as do my colleagues, so I can transfer
> =
> in and stay with women when necessary. Obviously the answer is for =
> hospitals to provide this for all women so I don=92t have to hand over to
> =
> NHS midwives. I don=92t want to, they don=92t want to and the woman
> =
> certainly doesn=92t want to !!! As far as risk status goes, you =
> couldn=92t be more wrong. I don=92t think I ever get to look after =
> anyone who would be low risk under local guidelines. It would be =
> lovely to have retained my pension and other benefits, I have an
> unemployed=
> husband and 3 children to support =96 (IM=92s don=92t all live in =
> mansions either) however, on balance I refused to perpetuate a system =
> which abuses women and very often I think that=92s exactly what it does. =
> My pension wasn=92t worth that. I wrote about my frustrations
> =
> in May 2003 in The Practising Midwife. Have you seen it? Jan =
> 2005 carries another article about how much better I am. But =
> you=92re absolutely right =96 there is room for both which is why your =
> initial comment about not needing to pursue an independent model in the =
> <st1:country-region w:st=3D"on"><st1:place
> w:st=3D"on">UK</st1:place></st1:=
> country-region> got my gander up! It=92s intended to work alongside
> =
> the current provision not to replace it. But perhaps if I=92d had a =
> dynamic consultant midwife to work for, I=92d have stayed? It seems
> =
> pretty tragic to me that the most passionate, dedicated and committed =
> midwives seem very often to be the ones who leave the system. Sadly,
> =
> it would take a heck of a big carrot to entice me back now, along with, I
> =
> suspect the other 8,000-10,000 midwives not currently practising at =
> all. How is The Whittington tackling its recruitment and retention =
> crisis?<o:p></o:p></SPAN></FONT></P>
> <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN =
> style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Rosie
> <o:p></o:p=
>></SPAN></FONT></P>
> <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN =
> style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY:
> Arial"><o:p> </o:p=
>></SPAN></FONT></P>
> <DIV>
> <DIV class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center" =
> align=3Dcenter><FONT face=3D"Times New Roman" size=3D3><SPAN
> style=3D"FONT-=
> SIZE: 12pt">
> <HR tabIndex=3D-1 align=3Dcenter width=3D"100%" SIZE=3D2>
> </SPAN></FONT></DIV>
> <P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><B><FONT face=3DTahoma
> =
> size=3D2><SPAN style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: =
> Tahoma">From:</SPAN></FONT></B><FONT face=3DTahoma size=3D2><SPAN =
> style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma"> <st1:PersonName
> w:st=3D"on"=
>>Caseload midwifery</st1:PersonName>
>>[mailto:[log in to unmask]
> UK] <B><SPAN style=3D"FONT-WEIGHT: bold">On Behalf Of </SPAN></B>Maggie =
> Thomson<BR><B><SPAN style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 03 =
> February 2005 15:43<BR><B><SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>
> =
> [log in to unmask]<BR><B><SPAN style=3D"FONT-WEIGHT: =
> bold">Subject:</SPAN></B> Re: caseload
> midwifery</SPAN></FONT><o:p></o:p></=
> P></DIV>
> <P class=3DMsoNormal><FONT face=3D"Times New Roman" size=3D3><SPAN =
> style=3D"FONT-SIZE: 12pt"><o:p> </o:p></SPAN></FONT></P>
> <DIV>
> <P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3DTahoma =
> size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">Dear =
> Rosie<o:p></o:p></SPAN></FONT></P></DIV>
> <DIV>
> <P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3DTahoma =
> size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">Thank you =
> for your comments and I am very aware of the IMA proposals. Having worked
> =
> in NZ for many years there are few who would believe in women's =
> choice more than I and I have worked in the NHS for many years as well. It
> =
> is a personal philosophy, like yours. I am sure you provide the women in =
> your caseload with excellent care but if for any reason women do have
> =
> any complications their care has to be transferred into the NHS. Rightly =
> or wrongly they then have to be cared for by an NHS midwife. Equally as =
> the women you look after must by definition be 'low risk' although I know
> =
> that many of your colleagues look after women who are breech or have had =
> previous CS. I wouldn't want to get into the debate as to whether or not =
> these women should birth at home or not. I only make the point that women
> =
> who choose ore are advised to birth in hospital, ie are 'high risk' (I =
> hate these terms) should be entitled to good continuity of carer as =
> well.<o:p></o:p></SPAN></FONT></P></DIV>
> <DIV>
> <P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3DTahoma =
> size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma">I would =
> never be so bold as to suggest that IM are out to get rich quick. I am =
> only to aware of the work one has to do to earn those pounds! I am also =
> very sorry to here that you felt the NHS has let you down as well as =
> women. However many midwives do not have the choice of going independent.
> =
> Insurance, annual leave, sick pay and pensions are all things that =
> midwives cite as being prohibitive. What I hope to achieve by staying in =
> the system is improving the lives of both midwives and women (not =
> incompatible). I am very lucky to be a consultant midwife and have the =
> opportunity to influence changes like those described. I am sure there =
> will always be room for both.<o:p></o:p></SPAN></FONT></P></DIV>
> <DIV>
> <P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3DTahoma =
> size=3D2><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY:
> Tahoma">Maggie<BR><BR=
>>>>> [log in to unmask] 02/03 3:21 pm
>>>>><o:p></o:p=
>></SPAN></FONT></P></DIV>
> <DIV>
> <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN =
> style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Hi
> Maggie,<o:p><=
> /o:p></SPAN></FONT></P>
> <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN =
> style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">But what=92s =
> wrong with providing an independent model alongside the existing model as
> =
> proposed by the IMA? That way all women do have an equal choice, and
> =
> more choices than are currently available. It also gives midwives =
> different ways of working and extra choices. I=92m sure you=92re familiar
> =
> with the model, but if not, take a look on the IMA website, and I hope =
> you=92ll be attending the caseloading conference on April
> 19<SUP>th</SUP>?<=
> o:p></o:p></SPAN></FONT></P>
> <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN =
> style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">You may be =
> interested to hear that my caseload as an IM includes travelers and =
> women living in caravans in fields. In fact, so far, I think =
> I=92ve only had one woman who could be described as wealthy, and I =
> certainly didn=92t leave the NHS because I viewed independent work as a =
> get rich quick scheme! Women tend to seek out independent care =
> because the NHS has failed them =96 as it did me as an employee.
> <o:p></o:p=
>></SPAN></FONT></P>
> <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN =
> style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Rosie
> (IM)<o:p><=
> /o:p></SPAN></FONT></P>
> <P class=3DMsoNormal><FONT face=3DArial color=3Dnavy size=3D2><SPAN =
> style=3D"FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY:
> Arial"><o:p> </o:p=
>></SPAN></FONT></P>
> <DIV>
> <DIV class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center" =
> align=3Dcenter><FONT face=3D"Times New Roman" color=3Dblack size=3D3><SPAN
> =
> style=3D"FONT-SIZE: 12pt; COLOR: black">
> <HR tabIndex=3D-1 align=3Dcenter width=3D"100%" SIZE=3D2>
> </SPAN></FONT></DIV>
> <P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><B><FONT face=3DTahoma
> =
> color=3Dblack size=3D2><SPAN style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt;
> =
> COLOR: black; FONT-FAMILY: Tahoma">From:</SPAN></FONT></B><FONT
> face=3DTaho=
> ma color=3Dblack size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: black; =
> FONT-FAMILY: Tahoma"> <st1:PersonName w:st=3D"on">Caseload
> midwifery</st1:P=
> ersonName> [mailto:[log in to unmask]] <B><SPAN
> style=3D"FONT=
> -WEIGHT: bold">On Behalf Of </SPAN></B>Maggie Thomson<BR><B><SPAN =
> style=3D"FONT-WEIGHT: bold">Sent:</SPAN></B> 02 February 2005
> 18:38<BR><B><=
> SPAN style=3D"FONT-WEIGHT: bold">To:</SPAN></B>
> [log in to unmask]
> AC.UK<BR><B><SPAN style=3D"FONT-WEIGHT: bold">Subject:</SPAN></B> Re: =
> caseload midwifery</SPAN></FONT><FONT color=3Dblack><SPAN style=3D"COLOR:
> =
> black"><o:p></o:p></SPAN></FONT></P></DIV>
> <P class=3DMsoNormal><FONT face=3D"Times New Roman" color=3Dblack =
> size=3D3><SPAN style=3D"FONT-SIZE: 12pt; COLOR:
> black"><o:p> </o:p></S=
> PAN></FONT></P>
> <DIV>
> <P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3DTahoma =
> color=3Dblack size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: black; =
> FONT-FAMILY: Tahoma">Dear All<o:p></o:p></SPAN></FONT></P></DIV>
> <DIV>
> <P class=3DMsoNormal style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3DTahoma =
> color=3Dblack size=3D2><SPAN style=3D"FONT-SIZE: 10pt; COLOR: black; =
> FONT-FAMILY: Tahoma">My name is Maggie Thomson and I am the consultant =
> midwife at the <st1:PlaceName w:st=3D"on">Whittington</st1:PlaceName> =
> <st1:PlaceType w:st=3D"on">Hospital</st1:PlaceType> in <st1:City
> w:st=3D"on=
> ">London</st1:City> <st1:place w:st=3D"on"><st1:country-region
> w:st=3D"on">=
> UK</st1:country-region></st1:place>. I have over the last three years set
> =
> up two caseload practices in the NHS and through thick and thin have =
> managed to sustain them. it is difficult in the NHS because many midwives
> =
> fear the on call commitments. However I think that the teams are role =
> modelling such good practice and job satisfaction that others are becoming
> =
> interested. Caseload is my passion after working as an independent midwife
> =
> in NZ for many years. it has so much to offer professionally for midwives
> =
> and of course women and their families. I do not believe that we need to =
> pursue the independent route in the <st1:place
> w:st=3D"on"><st1:country-reg=
> ion w:st=3D"on">UK</st1:country-region></st1:place>. of course women and =
> midwives should have choice but all women should have equal choice =
> including and particularly the most disadvantaged and not just those that
> =
> can pay. Our service has been exceptionally successful in engaging women =
> who traditionally can not or will not access services. The midwives have =
> been creative and committed and still have a life. It can
> work.<o:p></o:p><=
> /SPAN></FONT></P></DIV>
> <DIV>
> <P class=3DMsoNormal style=3D"MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 0cm; =
> MARGIN-RIGHT: 0cm; mso-margin-top-alt: 0cm"><FONT face=3D"Times New Roman"
> =
> color=3Dblack size=3D3><SPAN style=3D"FONT-SIZE: 12pt; COLOR:
> black">Maggie=
> <BR><BR><o:p></o:p></SPAN></FONT></P></DIV></DIV>
> <P style=3D"MARGIN: 0cm 0cm 0pt"><B><FONT face=3DArial size=3D1><SPAN =
> style=3D"FONT-WEIGHT: bold; FONT-SIZE: 8pt; FONT-FAMILY: Arial">Want FREE
> =
> help and advice to quit smoking?</SPAN></FONT></B><FONT face=3DArial =
> size=3D1><SPAN style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Arial"> Ring the Stop
> =
> Smoking Service 0800 093 90 30 (Islington) or 0800 085 6258 (Enfield &
> =
> Haringey) or visit the following websites for information and specialist =
> support: </SPAN></FONT><FONT face=3DTahoma size=3D2><SPAN
> style=3D"FONT-SIZ=
> E: 10pt; FONT-FAMILY: Tahoma"><o:p></o:p></SPAN></FONT></P>
> <P style=3D"MARGIN: 0cm 0cm 0pt"><U><FONT face=3DArial size=3D1><SPAN =
> style=3D"FONT-SIZE: 8pt; FONT-FAMILY: Arial">www.quitsmoking.uk.com =
> </SPAN></FONT></U><FONT face=3DTahoma size=3D2><SPAN style=3D"FONT-SIZE: =
> 10pt; FONT-FAMILY: Tahoma"><o:p></o:p></SPAN></FONT></P>
> <P style=3D"MARGIN: 0cm 0cm 0pt"><U><FONT face=3DArial size=3D1><SPAN =
> style=3D"FONT-SIZE: 8pt; FONT-FAMILY:
> Arial">www.islingtonpct.nhs.uk/stopsm=
> oking</SPAN></FONT></U><FONT face=3DArial size=3D1><SPAN
> style=3D"FONT-SIZE=
> : 8pt; FONT-FAMILY: Arial"> </SPAN></FONT><FONT face=3DTahoma
> size=3D2><SPA=
> N style=3D"FONT-SIZE: 10pt; FONT-FAMILY:
> Tahoma"><o:p></o:p></SPAN></FONT><=
> /P>
> <P style=3D"MARGIN: 0cm 0cm 0pt"><FONT face=3DArial size=3D1><SPAN =
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>>
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>
> --=__Part052649AE.0__=--
>
> ------------------------------
>
> Date: Fri, 4 Feb 2005 14:33:51 +0000
> From: Maggie Thomson <[log in to unmask]>
> Subject: Re: caseload midwifery
>
> --=__Part71523DDF.0__=
> Content-Type: text/plain; charset="us-ascii"
> Content-Transfer-Encoding: 7bit
>
> Hi Cheryl
> Good to hear from you again. Change is always slow and often painful, I
> will be happy to help in any way I can. Keep trying.
> Maggie
>
>>>> [log in to unmask] 02/04 11:14 am >>>
>
> In a message dated 04/02/2005 08:26:09 GMT Standard Time,
> [log in to unmask] writes:
> however, on balance I refused to perpetuate a system which abuses women
> and very often I think that's exactly what it does.
>
> If I had a choice I would be independent for this very reason - I think
> many midwives would and I think Rosie you were very brave to leave the
> NHS when presumably a reliable monthly pay is also important (I don't
> think I'd make ends meet up here - not many women asking for this). I
> have difficulties weighing up my personal ethics and the fact that we as
> a family rely on my pay, because I believe that we in the NHS do more
> harm than good for the sake of the organisation. So then it comes to
> down to changing the system, going independent or working at Tescos
> (which I often consider, not because I dislike midwifery but because I
> dislike the politics within which I'm bound to work)
> I wrote ages ago that I wanted to pursue caseloading in my area
> (Scotland) because I believe it is the only ethical way I can remain in
> the NHS. But change is slow, now I at least have it on the agenda and
> it's going out for discussion with other midwives (I imagine though that
> on-call will put most folks off and we will need 6-8
> interested/committed mws to try it). I have mentioned to the powers
> that be that you said you would come and talk to us Maggie, but we have
> to have some others interested first (I don't hold out much hope for it
> going ahead to be honest - a lot of low morale and apathy)
> Just thought I'd contribute to this thread as this list has been a bit
> quiet
> Cheryl
>
>
> Want FREE help and advice to quit smoking? Ring the Stop Smoking Service
> 0800 093 90 30 (Islington) or 0800 085 6258 (Enfield & Haringey) or visit
> the following websites for information and specialist support:
> www.quitsmoking.uk.com
> www.islingtonpct.nhs.uk/stopsmoking
>
> **********************************************************************
> This email and any files transmitted with it are confidential and
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>
> This footnote also confirms that this email message has been swept by
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> Content-Type: text/html; charset="iso-8859-1"
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> <META http-equiv=3DContent-Type content=3D"text/html;
> charset=3Diso-8859-1">
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> <DIV>Hi Cheryl</DIV>
> <DIV>Good to hear from you again. Change is always slow and often painful,
> =
> I will be happy to help in any way I can. Keep trying.</DIV>
> <DIV>Maggie<BR><BR>>>> [log in to unmask] 02/04 11:14 am
> >>=
> ;><BR></DIV>
> <DIV style=3D"COLOR: #000000"><FONT id=3Drole_document face=3DArial color=
> =3D#000000 size=3D2>
> <DIV>
> <DIV>In a message dated 04/02/2005 08:26:09 GMT Standard Time,
> rosie@KACARY=
> FAMILY.CO.UK writes:</DIV>
> <BLOCKQUOTE style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT:
> blue=
> 2px solid"><FONT style=3D"BACKGROUND-COLOR: transparent" face=3DArial
> colo=
> r=3D#000080 size=3D2>however, on balance I refused to perpetuate a system
> w=
> hich abuses women and very often I think that=92s exactly what it
> does.</FO=
> NT></BLOCKQUOTE></DIV>
> <DIV></DIV>
> <DIV>If I had a choice I would be independent for this very reason - I
> thin=
> k many midwives would and I think Rosie you were very brave to leave the
> NH=
> S when presumably a reliable monthly pay is also important (I don't think
> I=
> 'd make ends meet up here - not many women asking for this). I have
> d=
> ifficulties weighing up my personal ethics and the fact that we as a
> family=
> rely on my pay, because I believe that we in the NHS do more harm than
> goo=
> d for the sake of the organisation. So then it comes to down to
> chang=
> ing the system, going independent or working at Tescos (which I often
> consi=
> der, not because I dislike midwifery but because I dislike the politics
> wit=
> hin which I'm bound to work)</DIV>
> <DIV>I wrote ages ago that I wanted to pursue caseloading in my area
> (Scotl=
> and) because I believe it is the only ethical way I can remain in the
> NHS.&=
> nbsp; But change is slow, now I at least have it on the agenda and it's
> goi=
> ng out for discussion with other midwives (I imagine though that on-call
> wi=
> ll put most folks off and we will need 6-8 interested/committed mws to try
> =
> it). I have mentioned to the powers that be that you said you would
> c=
> ome and talk to us Maggie, but we have to have some others interested
> first=
> (I don't hold out much hope for it going ahead to be honest - a lot of
> low=
> morale and apathy) </DIV>
> <DIV>Just thought I'd contribute to this thread as this list has been a
> bit=
> quiet</DIV>
> <DIV>Cheryl</DIV></FONT></DIV>
> <P STYLE=3D"margin-top: 0pt;margin-bottom: 0pt;"><SPAN
> STYLE=3D"FONT-FAMILY=
> :'Arial';FONT-SIZE:8pt;"><B>Want FREE help and advice to quit smoking?</B>
> =
> </SPAN>
> <SPAN STYLE=3D"FONT-FAMILY:'Arial';FONT-SIZE:8pt;"> Ring the Stop Smoking
> S=
> ervice 0800 093 90 30 (Islington) or 0800 085 6258 (Enfield &
> Haringey)=
> or visit the following websites for information and specialist support:
> <=
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> --=__Part71523DDF.0__=--
>
> ------------------------------
>
> End of CASELOADMIDWIFERY Digest - 3 Feb 2005 to 4 Feb 2005 (#2005-8)
> ********************************************************************
|
