Produce nationally agreed care pathways for midwife managed care for the pregnancy year | Convene multidisciplinary group to progress; produce schedule for content of midwife managed antenatal and postnatal care; template for timing, content and provider of final examination; normal birth pathway including protocols for fetal and maternal monitoring, assessment of progress, mobility, nutrition and birth environment | 1st draft June 2008 Launch by Dec 08 | NHSQIS | Delay in 1st draft consultation - due end July/August; work on 6 week postnatal exam still to commence | Amber | Work ongoing, due to complete Dec 08 |
Implement midwife as first point of contact on confirmation of pregnancy and to undertake initial risk assessment and onward referral | Nationally engage RCGP Board implementation groups to progress locally | December 2009 | AH NHS Boards | RCGP engaged via steering group; GPs attended NES events Locally leads engaging with GP subcommittees and other stakeholders | Green | |
Implement midwife as named caseload holder for healthy women antenatal, intrapartum, postnatal | Implement lead professional for women based on ongoing risk assessment Board implementation groups to progress locally | December 2008 | NHS Boards AH | Local work ongoing to implement and address administrative issues, such as records coding for ISD returns Further guidance required around midwife as caseload holder/lead professional; guidance for dissemination to Board leads August 2008 | Green | |