Hi Jane
I'd be interested in attending also.
Jo
________________________________
From: Caseload midwifery on behalf of Forrester, Mandy
Sent: Thu 14/04/2005 12:26
To: [log in to unmask]
Subject: Re: caseload midwifery in Ontario
Dear Jane,
I am a community manager working in Hampshire. I will be in Brisbane and would like to meet to discuss midwifery led care.
Kind regards,
Mandy Forrester
-----Original Message-----
From: Caseload midwifery [SMTP:[log in to unmask]] On Behalf Of Jane sandall
Sent: 05 April 2005 07:15
To: [log in to unmask]
Subject: Re: caseload midwifery in Ontario
Dear colleagues
We at King's College are at the beginning of an exciting project where we
have the opportunity to develop 3 commnity based caseloading group practices
within the NHS at Guys and St Thomas's hospital in London. The project
involves a clinical project co-ordinator who will lead the implementation
and support staff developmentand a feasibility evaluation looking at the
possibility of conducting an RCT once the practices are up and running. We
are developing toolkits both for implementation and managing a caseload and
for the evaluation of a complex intervention. The project is led by Lesley
Page and myself and we are drawing on our previous experience of work in
this area. Some of these include the following publications which may be
useful to other people.
I am involved in a Cochrane review of midwifery led care versus other models
of care but this work only includes trials and I am now in the process of
reviewing the literature in this area looking at sustainability for the
midwife, oeganisation and ddeelivery of care and effectiveness. I would
welcome people to post publications to the list both on the implementation
and evaluation.
I wonder how many people are going to Brisbane and whether it would be
helpful to arrange a meeting for those of us working in this area?
bw
Jane Sandall
Dr Jane Sandall
Professor of Midwifery and Women's Health
Women & Family Health Research Group,
Health and Social Care Research Division
King's College, Waterloo Bridge Wing,
150 Stamford Street,
London, SE1 9NH
Tel: 020 7848 3605
Fax: 020 7848 3764
e-mail:[log in to unmask]
http://www.kcl.ac.uk/nursing/research/women.html
Publications
Sandall,J. (2004) Questions and answers, caseload midwifery, National
Childbirth Trust Research Digest.
Humphrey,C. Ehrich,K. Kelly,B. Sandall,J. Redfern,S. Morgan,M. Guest,D.
(2003) Human Resources Policies and Continuity of Care, Journal of Health
Organization and Management, Vol 17,2:102-121.
Sandall,J. Bourgeault,I. W.Meijer. BA. Schuecking, (2001) Deciding who
cares: winners and losers in the late twentieth century, pp 117-138, (Eds)
Raymond DeVries, Cecilia Benoit, Edwin van Teijlingen, Sirpa Wrede, Birth by
Design: Pregnancy, maternity care and midwifery in North America and Europe,
Routledge.
Sandall,J. (1998) Occupational burnout in midwives: new ways of working and
the relationship between organisational factors and psychological health and
wellbeing, Risk, Decision & Policy, 3, 3:213-232
Sandall,J. (1997) Midwive's burnout and continuity of care, British Journal
of Midwifery, 5, 2:106-111.
Sandall,J. (1996) Continuity of midwifery care in Britain: A new
professional project, Gender, Work and Organisation, 3, 4:215-226.
Sandall,J. (1995) Choice, Continuity and Control: Changing Midwifery,
towards a sociological perspective, Midwifery, 11:201-209.
Sandall J. (1997) Planning an evaluation: bibliographic, financial and human
resources, pp125-141, in (Eds) R.Campbell, J.Garcia, The organisation of
maternity care: a guide to evaluation, Hochland and Hochland, Cheshire.
Garcia,J. Campbell,R. Sandall,J. Stevens,T. (1997) Assessing the impact on
caregivers of changes in care, pp65-78, in (Eds) R.Campbell, J.Garcia, The
organisation of maternity care: A guide to evaluation, Hochland and
Hochland, Cheshire.
Sandall,J. (1999) Team midwifery and burnout in midwives in the UK:
practical lessons from a national study, Original article, MIDIRS Midwifery
Digest, 9, 2:147-151.
Sandall,J. (1998) The 'double shift' - motherhood and midwifery, Editorial,
British Journal of Midwifery, 6, 1:4-6.
Sandall,J. (1997) Changing Childbirth: the impact of midwifery work on
midwives' lives, MIDIRS Midwifery Digest,7, 2:283-285.
Sandall,J. (1997) Time to abandon team midwifery? Using evidence to organise
maternity care, MIDIRS Midwifery Digest,7, 2:285-286.
Sandall,J. (1996) Moving towards caseload practice: what evidence do we
have? Editorial, British Journal of Midwifery, 4,12:620-621.
Sandall,J. (1995) Editorial, Burnout and midwifery: an occupational hazard?
British Journal of Midwifery, 3, 5:246-248.
Sandall,J. Davies,J. Warwick,C. (2001) Evaluation of the Albany Midwifery
Practice Final Report,
Nightingale School of Nursing and Midwifery, King's College, London.
Roth,C. Sandall,J. (2000) Evaluation of team midwifery in Tower Hamlets,
Department of Midwifery, City University, London.
Sandall,J. (1998) Midwifery work, family life and well-being: a study of
occupational change, Unpublished Doctoral Thesis, Department of Sociology,
University of Surrey.
Page LA, Jones B, Cooke P, Harding M, Stevens T, and Wilkins R (1994)
One-to-One Midwifery Practice British Journal of Midwifery 2(9):444-447
Page LA (1995) One-to-One Midwifery Practice: A Vision Evaluated.
Professional Care of Mother and Child 5(6):146-147
McCourt C, Page LA, Hewison, J, Vail, A (1998) Evaluation of One-to-One
Midwifery: Women's Responses to Care. Birth 25(2):73-80
Page L, McCourt C, Beake S, Hewison J, Vail A (1999) Clinical interventions
and outcomes of One-to-One midwifery practice. Journal of Public Health
Medicine 21(3):243-248
Page LA, Beake S, Vail A, McCourt C, Hewison J (2001) Clinical Outcomes of
One-to-One Midwifery Practice. British Journal of Midwifery. 9(11),700-706
Page LA, (2003). One-to-One midwifery restoring the "with woman"
relationship in midwifery. Journal of Midwifery and Women's Health.48 (2).
Page L, McCourt C (1996) Report on the Evaluation of One-to-One Midwifery
Practice. The Centre for Midwifery Practice, Thames Valley University.
Beake S, McCourt C, PageL,(2001) Evaluation of One-to-One Midwifery. Second
Cohort Study. The Hammersmith Hospitals NHS Trust and Thames Valley
University.
Page L (1995) Putting Principles into Practice. In: Page L (ed) Effective
Group Practice in Midwifery: Working with Women 12-31. Blackwell Science,
Oxford.
Page L, Ball J, Garvey M, Jackson-Baker A, Flint C (1995) Who's Left Holding
the Baby? Meeting the challenge of the Winterton In: Page L (ed) Effective
Group Practice in Midwifery: Working with Women 59-75. Blackwell Science,
Oxford.
Page L, Bentley R, Jones B, Marlow D (1995) Transforming the Organization
In: Page L (ed) Effective Group Practice in Midwifery: Working with Women
77-94. Blackwell Science, Oxford.
Page L, Wilkins R (1995) Evaluating Innovations in the organization of
Midwifery Practice In: Page L (ed) Effective Group Practice in Midwifery:
Working with Women 174-188. Blackwell Science, Oxford.
Page LA, Cooke P, Percival P (1999) Providing One-to-One Practice and
enjoying it In: Page LA (ed) The New Midwifery: Science and Sensitivity in
Practice. Churchill Livingstone, Edinburgh
----- Original Message -----
From: "Johnston" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, April 05, 2005 2:44 AM
Subject: Re: caseload midwifery in Ontario
>I have found this discussion, and the one about student caseloads, very
> useful. Thankyou to everyone who is contributing. My involvement with
> caseload is in private practice - the only way I can achieve such a
> standard
> in Melbourne Australia, and if a woman wants me to be her primary carer we
> plan homebirth, with a hospital backup arrangement.
>
> I found good information also in the article in MIDIRS (March 05, page 27)
> by Annie Lester 'The argument for caseload midwifery' (reprinted: Lester
> A.
> Midwifery Matters, issue 103, Winter 2004 pp9-12).
>
> I wonder if anyone is presenting papers about caseload midwifery at the
> ICM
> Congress in Brisbane in July? http://www.midwives2005.com/index.shtml I
> looked at the program, and couldn't see at a glance anything obviously
> based
> on caseload or group practice.
>
> I think one-to-one is the 'gold standard' of midwifery practice, but
> really
> doubt that this belief is widely accepted in midwifery. I plan to attend
> the congress, and wave the flag for the Maternity Coalition (Australia's
> national maternity consumer advocacy organisation.)
>
> Joy Johnston
>
>
> -----Original Message-----
> From: Vicki Van Wagner [mailto:[log in to unmask]]
> Sent: Tuesday, 5 April 2005 5:40 AM
> To: [log in to unmask]
> Subject: caseload midwifery in Ontario
>
> Chris - what you have reported below is very relevant to/confirms the
> experience of and the evaluation results of the Ontario government's
> review
> of our midwifery system (not published but I will try to get you an
> official
> source). As many of you may know the Ontario system (and midwifery in most
> of Canada) is currently organized and funded based on "caseload practice".
>
> Midwives are currently paid "full time" compensation for providing care to
> a
> caseload of 40 births as primary midwife and 40 births as second midwife
> (some of which are not actually attended if there is a transfer of care)
> as
> we have a system where normally there are two midwives from the group
> practice at each birth. Midwives can choose to provide care to a part-time
> caseload if they wish.
>
> We are also given an "overhead" fee per course of care to run our
> practices -ie to rent a clinic, hire support staff, buy supplies and
> equipment etc.
>
> All of this is currently under renegotiation so more specific details re
> compensation levels etc may change soon.
>
> Vicki Van Wagner, RM, PhD(c)
> [log in to unmask]
> Associate Professor
> Ryerson University
> Midwifery Education Programme
>
> ----- Original Message -----
> From: "Christine McCourt" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Friday, April 01, 2005 1:18 PM
> Subject: Re: Beg, borrow and steal
>
>
> Hi Folks
>
> We have a general evaluation of caseload midwifery report which includes
> economic analysis, and also a specific economic report - both from our
> eval of the implementation of caseload midwifery at QCCH in London. Both
> can be posted to anyone who wants them. if interested please contact
> [log in to unmask]
>
> A later report (2001) evaluating the service several years down the
> line, including economic evaluation, can be downloaded from our website
> but it is just being re-jigged so I will post the web address when the
> new site is live, next week.
>
>
>
> The important message from these studies (admittedly in one context) is
> that caseload midwifery is not necessarily more expensive than
> conventional care. This may seem counter-intuitive because people
> perceive it as a more personal service, a bit of a luxury perhaps, but
> there are inbuilt 'inefficiencies' in conventional hospital services.
> For example, having women spend less time in hospital overall, or less
> time with medics, can free up resources for midwifery input and
> community-based services. If interventions are reduced, this may also
> save resources, which are needed for one-to-one support in labour or
> similar. whether such potential savings can be realised in practice may
> depend on the local service configuration, cultural issues, ability to
> tap into ongoing changes etc. It may require a lot of collaboration,
> leadership and imagination, to facilitate the change.
>
> In these studies, we calculated that a caseload of 40 in an urban
> context should be manageable. this means births per year for a WTE - mws
> may pick up slightly more women given that some will have miscarriages
> or move away.
>
> We also - from research on midwives' experiences, suggested that
> midwives' with personal/partnership caseloads should not be used as a
> back up cover for labour ward or similar, as the flexibility demanded of
> them to cover for births on the caseload means they must have the
> flexibility and autonomy to manage their work to ensure they take rest
> time and are not overloaded. although caseload midwives might be
> 'on-call' more frequently than with a team system, they should not be
> expected to be called out for much of that time. The inevitable
> occasional bad week should be balanced by the quiet ones
>
> Chris
>
>
>
>
> -----Original Message-----
> From: Caseload midwifery on behalf of Forrester, Mandy
> Sent: Fri 4/1/2005 3:12 PM
> To: [log in to unmask]
> Cc:
> Subject: Re: Beg, borrow and steal
> Hi Chris,
> Could you also send me the same?
>
> Thanks,
> Mandy
>
>> -----Original Message-----
>> From: Caseload midwifery [SMTP:[log in to unmask]] On
> Behalf
>> Of Christine McCourt
>> Sent: 17 December 2004 10:58
>> To: [log in to unmask]
>> Subject: Re: Beg, borrow and steal
>>
>> Joy
>>
>>
>>
>> If you contact me, I can let you have some info on economic issues
>>
>>
>>
>> [log in to unmask]
>>
>>
>>
>> Dr. Christine McCourt
>>
>> Reader in Maternity, Health and Social Sciences
>>
>> Faculty of Health and Human Sciences
>>
>> Thames Valley University
>>
>> 32 Uxbridge Road
>>
>> London W5 2BS
>>
>>
>>
>> Tel: (44) 208 280 5287
>>
>>
>>
>> -----Original Message-----
>> From: Caseload midwifery [mailto:[log in to unmask]] On
>> Behalf Of Joy Kemp
>> Sent: 14 November 2004 23:29
>> To: [log in to unmask]
>> Subject: Beg, borrow and steal
>>
>>
>>
>> Dear caseload list
>>
>>
>>
>> We (myself and a small group of colleagues) are shortly hoping to
> begin
>> work on writing a proposal for a caseload midwifery practice, targeted
>> towards the most disadvantaged women in our local area (Maidstone and
>> Tunbridge Wells in Kent). There are a group of midwives committed to
> such
>> a way of working, but no financial support available from our trust.
>> Unfortunately we are not eligible for sure start funding. I hope to
> get
>> funding from the PCT and/or any other pots of cash anyone is aware of.
>>
>>
>>
>> I have read fairly widely, and we have done a workshop with the Albany
>> midwifery practice in London. However, we are keen not to re-invent
> the
>> wheel, so would be very grateful to hear from any of you who have been
>> involved in setting up such a scheme. I would be interested in copies
> of
>> any plans, proposals, etc - anything that would help us, and any
> general
>> tips on what to do/not to do. Also, any literature which you would
>> consider to be essential reading to get us started. Also, if there
> are
>> other practices which are not too far away from us which would be
> helpful
>> to visit, we would love to hear from you.
>>
>>
>>
>> Many thanks
>>
>>
>>
>> Joy Kemp
>>
>
>
>
>
> --
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