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CASELOADMIDWIFERY  October 2006

CASELOADMIDWIFERY October 2006

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Subject:

TVU? Question for Pauline Cons MW

From:

Kathy Carter-Lee <[log in to unmask]>

Reply-To:

Caseload midwifery <[log in to unmask]>

Date:

Sun, 15 Oct 2006 11:00:16 -0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (185 lines)

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
>

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