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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.