This might include recommendations for how the relevant midwife might improve their practice for example, through further training , or whether his or her fitness to practise should be called into question.
The Midwifery Officer must be notified when an investigation is being carried out and the Supervisor must notify the Midwifery Officer what action is required if any upon completion of their investigation and seek further advice. In fulfilling this role, Supervisors are independent of their employers. Instead, the decision will likely be taken by a clinical director, or be mandated by a policy or procedure which the specific organisation has in place, for example, to investigate all elective surgery deaths.
In response to the learning from events at Morecambe Bay and other failings of care, it revised its Midwives rules and standards in In particular, a new rule strengthened the requirements on the LSA for investigating, reporting and information sharing about adverse incidents and complaints.
The purpose of supervision of midwives is to protect women and babies by actively promoting a safe standard of midwifery practice. Midwifery supervision and regulation: recommendations for change. Statutory supervision For midwifery, supervision is a statutory responsibility which provides a mechanism for support and guidance to every midwife practising in the UK.
The LSA The functions of the LSA include: providing a framework of support for supervisory and midwifery practice; receiving intention to practise data for every midwife practising in that LSA; ensuring that each midwife meets the statutory requirements for practice; assessing initial and continuing education and training for Supervisors; leading the development of standards and audit of supervision; determining whether to suspend a midwife from practice; being available to women if they wish to discuss any aspect of their midwifery care that they do not feel has been addressed through other channels; and investigating cases of alleged misconduct or lack of competence.
Patterns of Care The changing patterns of maternity care over the twentieth century have provided another challenge for midwives. The increasingly technological approach to birth has largely followed the pattern of change in the U. It promoted midwives as the ideal supporter in cases of normal childbirth and identified the importance of women being able to have choice, continuity and control of their childbirth experience.
However, despite this report being an ideal tool for midwives to use in increasing their autonomy, there has been little significant progress in consistently adopting the principles of Changing Childbirth across Britain since that time, as Sandall highlighted in her research report for the Royal College of Midwives. Resourcing teams of midwives undertaking caseload practice in order to provide continuity of care may be seen as resource intensive by NHS maternity services, despite many projects having demonstrated positive outcomes for example Page et al , Benjamin et al Being able to deliver high quality, safe and compassionate care continues to be an NHS priority but the cost of socialised healthcare since the inception of the NHS escalates as technologies and treatments become increasingly expensive over time.
The introduction and acceptance of maternity support workers as an important part of the maternity services RCM has offered one solution in respect of resourcing demands and has increased the role of the midwife as one of overseer of care rather than delivering it directly throughout pregnancy, labour and the postnatal period. There is considerable evidence of the positive impact of midwifery care on outcomes for women having babies Cochrane Review, Sandall However the future of midwifery practice will need to continue to change as resources, expectations and opportunities do, as it has throughout history.
This article has been filed in the following categories. Click a category to see related articles or alternatively you can view all categories in the archive. If you enjoyed this article, then please share it to help raise awareness of the Memories of Nursing archive. Related Categories This article has been filed in the following categories. History of Midwifery View all Categories.
Share this article If you enjoyed this article, then please share it to help raise awareness of the Memories of Nursing archive. Facebook Twitter Email. Professor Lisa Bayliss-Pratt, Director of Nursing and Deputy Director of Education and Quality, Health Education England HEE talks about the on-going work to help raise awareness around the new employer-led model of midwifery clinical supervision that will replace the current statutory model, when it is enacted on the 31 March I know and understand the challenges we face across maternity services and I hope we can align our efforts to ensure that all midwives and the women who use our maternity services all benefit from this new model of clinical midwifery supervision.
It was built by midwives for midwives, all helping to realise the vision of Better Births by supporting and valuing the workforce, rather than impose additional challenges on maternity service providers.
All frontline midwives have a key in seizing the opportunity to enhance and bring the benefits into clinical practice as well as making best use of this new model. I recognise that for some it has been a tough and difficult process of public and professional scrutiny which highlighted system failures and lack of consistency in process, whilst other professionals felt this change was timely.
The new employer-led model of midwifery clinical supervision is termed A-EQUIP, an acronym for Advocating and Educating for Quality Improvement, which is a continuous improvement process. It has four inter-related functions such as staff development, action to improve quality and experiences of care designed to support midwives to deliver safe and effective practice by helping to build personal and professional resilience.
This e-learning resource will provide an introduction to the role of Professional Midwifery Advocate, focusing on the recognition and reflection of the difference between the professional midwifery advocate and statutory supervisor of midwives SoMs roles, in relation to contemporary midwifery practice. In advance of its launch why not bookmark a link to the e-Learning for Healthcare website. This resource will be for any working midwife, maternity providers, commissioners, higher education institutions and other healthcare professionals who wish to know more about A-EQUIP, the clinical supervision model and for all clinical and non-clinical midwives working in England.
The e-learning session provides the opportunity for you to explore the model from a conceptual and practical perspective; demonstrating how it can support you in practice.
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