What is meant by personalised care? Can I have it for my pregnancy and birth in my area?

There have been numerous studies since the work undertaken by the Health Select Committee in 1992 on what women want in maternity services. The findings from these studies consistently demonstrate that women want continuity of care, choice and control in their maternity services. Government Policy has attempted for over 20 years to implement these findings and the NHS Mandate is the most recent attempt to ensure that women have access to this ‘individualised care’ approach. One model of care that has been shown to consistently achieve all of the above has been through the delivery of a ‘caseloading’ model of care. There are many versions of this and One to One provide a caseloading model based on the one named midwife providing continuity of carer throughout your pregnancy and postnatal care. This is where the named midwife is actually the midwife who will provide care and more importantly be responsible and take accountability for the care delivery of her caseload. One to One works to ensure that women will only see 1-2 midwives during her pregnancy and postnatal care and we aim to have that same midwife available for the birth if the woman chooses to birth at home.

Our current statistics demonstrate that we are achieving this 91% of the time for routine antenatal and postnatal care and 78% of the time for a homebirth. This means that women will see a known midwife for the vast majority of her care during her pregnancy and for her postnatal care and will very likely know the midwife who will be present at her birth.

This continuity promotes choice and control – women build a trusting relationship with their midwife whereby decision making is based on knowledge that is applicable to that woman’s individual circumstances and not on a ‘blanket’ policy that is designed for all women regardless of their circumstances.


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