Sarah
Do look at the study done at Hammersmith and Queen Charlottes (report
available from TVU) which found a caseload scheme to be cost neutral.
We have 2 gps of mws here at St Mary's working in partnerships and
providing continuity of carer to 36 women per yr each. We take women of
all risks as long as they live in one of 2 Sure Start areas. Our
outcomes are good (we won the APPG award for Promoting Normal Birth in
2005) and one of the gps has a home birth rate of 20%. We audit
regularly and our outcomes remain excellent in terms of normal birth,
breastfeeding, low CS rates, intact perinea.
Pauline
Consultant midwife
-----Original Message-----
From: Caseload midwifery [mailto:[log in to unmask]] On
Behalf Of Sarah Hunt
Sent: 13 October 2006 09:15
To: [log in to unmask]
Subject: Re: [MCVic] Caseload models
Dear Jean,
We would very much like to set up a Caseload scheme here in
Gloucestershire
but our managers and employers tell us that it is not cost effective as
our
hospital is already staffed and having your own midwife with you during
labour means your are potentially paying 2 midwives. How was your scheme
set
up and how have you overcome the 'costs' argument? I wonder whether
Northern
Ireland Maternity Service is in the same grip of financial cuts as we
are in
England?
Sarah Hunt, Community Midwife, Gloucestershire
>From: Jean Greer <[log in to unmask]>
>Reply-To: Caseload midwifery <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: [MCVic] Caseload models
>Date: Thu, 12 Oct 2006 22:12:27 +0100
>
>Hello Karen,
>I am one of a team of 6 caseload midwives working in the Royal/Jubilee
>Maternity Service, Belfast, N. Ireland. We all work full time and
each
>carry a personal caseload of 35 - 38 women per year. We work in pairs
>sharing the on-call with our work partner. The service is targeted at
>'low risk women' and is midwifery-led, but we continue to provide
midwufery
>care for the women on our caseloads who develop complications and whose
>care becomes consultant led. Antenatal and postnatal care can be
provided
>at home or in hospital. All babies are born in hospital. This service
has
>been up and running for 8 years now, and is very popular - with all
>midwives fully booked.
>Good luck with the research and ler us know if we can be of any
assistance.
>Jean Greer
>
>
>>From: Marlene Gryesten / Aalborg Sygehus <[log in to unmask]>
>>Reply-To: Caseload midwifery <[log in to unmask]>
>>To: [log in to unmask]
>>Subject: [MCVic] Caseload models
>>Date: Thu, 12 Oct 2006 07:35:55 +0200
>>
>>Hi Karen
>>On a note from Denmark.
>>Currently I am one of the two midwife team in a 120 cases caseload,
all
>>women living in the same district and doing birth at our local
university
>>hospital or at home. We have worked since june 1, 2004; We have made a
>>peticulous evaluation on all work time through two years as we started
>>this model as a work load project. Now in Denmark there is three other
>>teams working and on our National Midwifery Congress November 6, we
will
>>debate, amongst other stuff, wether Caseload midwifer needs to be
>>implemented as a part of the care offered from most midwiferycenters.
>>Ou first report was on client satisfaction, second on work
envirenmental,
>>and the final one soon to be published is including a focus interview
>>regarding some of the fun sideeffects! Like a rise in Homebirth, and
again
>>the final count up on oncall hours versus actual work hours - all in
>>danish!
>>The things we discuss in Denmark now is, first and foremost:
>>
>>- How it is possibel to work being on call 50% of your life, and still
>>function well! The evaluation of our workstudy shows, that the quality
of
>>work life will increase for certain midwifes as the above quality and
>>selfsatisfaction of the continuity of care is a strengthener in it
self,
>>and with a caseload of 120 women, our average oncall load is 3 and a
half
>>our per 24 hour oncall period.
>>-Since we know this model will never be a possibility for all pregnat
>>women, then how do we decide who should have the possibility /choice ?
>>
>>All for now, good luck
>>Marlene Gryesten
>>Aalborg-Denmark
>>
>>
>>________________________________
>>
>>
>>Hi Karen
>>Birralee Maternity Service at Box Hill hospital has a small caseload
>>group.
>>Maternity Coalition published an article about it Birth Matters Vol
10.1
>>March 06 'Know your midwife at Birralee' (authors Melody Bourne, Alice
>>Barden and Helen Gordon.) Nic Dutton is one of the midwives in KYM
there
>>and
>>could fill you in with more information.
>>My (very biased) observation:
>>Most of the hospital midwives I have spoken to about caseload seem to
>>think
>>it's a dirty word. Midwifery managers seem to like to stick to
rosters,
>>and
>>talk about their wonderful team models.
>>There is a UK email list Caseload midwifery
>>[log in to unmask]
>>It has been quiet lately, but would be a link with international work.
I
>>have put a cc to that list - I think I'm still on it.
>>You always come up with interesting big words. I learnt reciprocity
from
>>you, and now you'll have me talking about interdisciplinarity!
>>All the best
>>Joy Johnston
>>
>>-----Original Message-----
>>From: Karen Lane [mailto:[log in to unmask]]
>>Sent: Wednesday, 11 October 2006 1:23 PM
>>To: [log in to unmask]
>>Subject: [MCVic] Caseload models
>>
>>Hello out there,
>>
>>I was wondering if people could advise what hospitals are using
>>caseload models or preparing to install caseload?
>>
>>I want to construct a national research study of interdisciplinarity
>>in health care using caseload in maternity care as an case study.
>>
>>If you are aware of international cases, I would also be grateful for
>>that information.
>>
>>Many thanks,
>>
>>Karen Lane
>
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