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Hi Kathy This is the report which i referred to in a previous message to the list TVU= Thames Valley University. We did a large study of the implementation of caseload midwifery and a 4 year follow up study. Both reports are available on our website www.health.tvu.ac.uk/mid best wishes Chris -----Original Message----- From: Caseload midwifery on behalf of Kathy Carter-Lee Sent: Sun 15-Oct-06 12:00 PM To: [log in to unmask] Cc: Subject: TVU? Question for Pauline Cons MW Dear Pauline Can you please tell me where this report is available? I am sorry I do not live in UK and do not know what "TVU" is. Thanks Kathy Carter-Lee MW Advisor > 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 >> >>_________________________________________________________________ >>Be the first to hear what's new at MSN - sign up to our free > newsletters! >>http://www.msn.co.uk/newsletters >