Case Loading Community Midwifery led service

The provision of a Midwifery-led Maternity service which uses a case loading model will offer choice to patients as well as ensuring that the following aspects of the NHS Mandate are upheld: • Helping people to live longer • Providing safe care • Making sure people experience better care Specific requirements of the NHS Mandate for maternity services include: • Ensuring every woman has a named midwife who will make sure she has personalised, one to one care throughout pregnancy, childbirth and during the postnatal period, including additional support for those who have a maternal health concern. • Reducing the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support. Key health outcomes expected from this service: The provision of a community based case loading midwifery service model to contribute to the following outcomes: • Improved maternal physical and mental health o Improved nutritional status o Reduced smoking o Reduced substance misuse o Improved psychological wellbeing • Improved pregnancy outcomes o Low rates of surgical delivery o Low rates of postnatal maternal morbidity and mortality o Lower rates of perinatal mortality and morbidity o Fewer Low Birth Weight infants • High rates of breastfeeding initiation and duration o Initiation rates at least the England average( 73.9%ChiMat 2012) o 6-8 week rates at least the England average • Care provided close to patients home and in a high quality child and family friendly environment; o High rates of homebirth appropriately reflecting individual choice o Antenatal and postnatal care provided at a place of choice e.g. Children’s Centres and at home o Hospital based deliveries in the highest quality environment • Development of a highly skilled workforce o Staff who are compliant with NICE guidance o Staff with high levels of technical competence and skills o Staff with excellent relational skills