Hi Marlene

We did some detailed analysis within our evaluation of one-to-one
(caseload) midwifery which suggested that if you need to target at some
women, this should be for women who are socially disadvantaged or have
more problems with access to care.

We also found that midwives who have chosen to work in this way find it
very rewarding.

Our economic study suggested it is not necessarily more expensive, as is
often assumed, although of course costs will always be influenced by the
organisational context

Best wishes

Chris




-----Original Message-----
From: Caseload midwifery [mailto:[log in to unmask]] On
Behalf Of Marlene Gryesten / Aalborg Sygehus
Sent: 19 April 2006 23:08
To: [log in to unmask]
Subject: SV: Information on Caseloading midwives


This is very interesting to me.
Here in Denmark we started two years ago with the first socially funded
caseload practise catering to all women within one district, as a
project trying to define wether this could work when we focusssed on the
midwifes workenvironment, and resolts are now comming inn, . Women are
happy, and we are happy and full filled and still sane and lit! Now the
question is , 
To wich women should this kind of practice be offered ???
Since not all midwifes will work like this and this does cost a bit bit
more, as we only birth with sixty each a year !!! To whom migth this be
offered and why ?????? Marlene Gryesten Danish district Midwife since
march 2004!

-----Oprindelig meddelelse-----
Fra: Caseload midwifery [mailto:[log in to unmask]] På
vegne af Anne Lainchbury
Sendt: 19. april 2006 01:27
Til: [log in to unmask]
Emne: Re: Information on Caseloading midwives


Dear Jill
Have you done any evaluation on your caseload practice yet? I am
interested in setting up a practice with a very similar caseload  to
yours. Most caseload practices in Australia are still focused on mainly
low risk women. I would be very interested in hearing about your
experiences or anyone else who is working with women who are not
primarily low risk. Thanks Anne


Anne Lainchbury
Clinical Midwifery Consultant
Royal Hospital for Women
South Eastern Sydney Area Health Service

9382 6496  or
9382 6111   pager no 42510

-----Original Message-----
From: Caseload midwifery [mailto:[log in to unmask]] On
Behalf Of Jill Cooper
Sent: Wednesday, 19 April 2006 5:16 AM
To: [log in to unmask]
Subject: Re: Information on Caseloading midwives

Hi Sarah, we have been caseloading in Blackburn since March 2003. We set
up partially through Sure Start (2 of our midwives are funded by them,
the other 4 by the NHS Trust). This was a new SS initiative which has
been funded by PCT, so we went at it from that angle--improving health
and reaching SS targets. However, now things are changing and we are
getting more women referred to us who have particular need from caseload
care who are outside our area (I think every woman should have it, but
that's another battle!!). As SS funding finishes, we think we will be
primarily caring for more needy women--for example, those with mental
health problems, previous traumatic labour/birth, social problems, women
who continually fail to keep appointments at GP (usually because they
have other small children and find getting out difficult).

I'm sure you will have loads of other questions for everyone, so keep in
touch and let us know if you need more information,

Jill




SOUTH EASTERN SYDNEY AND ILLAWARRA AREA HEALTH SERVICE CONFIDENTIALITY
NOTICE

NB: *** Due to an organisational amalgamation, email addresses for
recipients in this organisation have changed. Please update your
contacts list with the details of the email addresses contained within.

This email, and the files transmitted with it, are confidential and
intended solely for the use of the individual or entity to whom they are
addressed. If you are not the intended recipient, you are not permitted
to distribute or use this email or any of its attachments in any way. We
also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses
were detected, South Eastern Sydney and Illawarra Area Health Service
accept no liability for any consequential damage resulting from email
containing any computer viruses.