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 | Consultation complete; final drafts anticipated Dec 08; launch by March 09 | Green | |
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 National work required to facilitate communication between professionals | December 2009 | AH NHS Boards AH | RCGP engaged via steering group; GPs attended regional events Work progressing locally with stakeholders Proposal in partnership with e-health team | 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 National work required to ensure provision of relevant information | December 2008 | NHS Boards AH | Local work progressing; slow in some Boards, recommend shifting timescale; obstetric opposition NHS Borders, should resolve locally Interim solution agreed (record on SWHMR, board data collection); proposal in partnership with e-health team for longterm solution | Amber | Shift timescale to July 09 |