GPs and One to One Midwives
Who are One to One Midwives?
One to One Midwives are an NHS accredited midwifery service providing case loading midwifery in the community. One to One provides a woman with the same midwife throughout pregnancy who will provide all the antenatal, birth (Homebirth) and postnatal midwifery services. One to One is insured by the NHS Litigation Authority who insures NHS hospitals and has also been fully assessed and assured by the NHS Care Quality Commission
(CQC). The service was founded by a midwife and manages ‘all risk’ women in partnership with health and social care.
One to One midwives have safely looked after over 5000 women across the North of England over the last 4 years. The service aims not to replace the local NHS hospital midwifery service but compliment local provision by offering an alternative model of care that may meet some women’s needs better.
How can a GP refer to One to One or find out further information
GPs can refer by completing a GP referral form. This form can be obtained from,
What do One to One Midwives offer?
One to One are not the same as traditional NHS midwifery services. One to One provides an enhanced community based case loading midwifery service with a clear focus on normality of pregnancy through a continuity of care model. This focus has already proved very successful to over 5000 women and the One to One service has the best normality outcomes in the UK. Examples of these outcomes include,
This enhanced service from One to One is provided at national maternity pbr Tarff so costs no more than hospital maternity services. Also One to One midwives do not take on paying women. One to One believes this model of care should be made available free to all women. It is the organisation vision for One to One to support such a model being available to all women everywhere.
How does the One to One service work?
The model of care is a purely woman focused model of care. Unlike traditional NHS midwifery where the woman has to fit in around the service, One to One deliver a service that is tailored to the woman herself. The model works as follows,
Our local midwives care for women in a community setting, including the woman’s home across 7 days. Our services include community scan clinics, screening tests, bloods, parent education classes, hypnobirthing and obstetric input should the need arise.
With One to One women are not required to decide on place of birth until late on in the pregnancy if they wish. Women can choose any local hospital to birth, they can birth at home or can birth in a community-based midwifery led birthing unit if available. One to One is also looking to establish community-birthing centers in all the areas they cover.
In relation to safety and quality, One to One midwives have localised pathways and policies assured by CCGs, CQC, and the Local Supervisory Authority of Midwives. These pathways and process link in with the women’s local hospital of choice, community services, safeguarding services, mental health services and social care.
How do One to One link in and communicate with local services?
One to One after referral will make contact with the women and commence care. Early on the One to One midwife will inform the women’s GP and local hospital if it has been identified as the place of the birth.
Women who are high risk will be given a joint care-plan that will have input as required from the GP, the women, the One to One midwife, the local obstetrician and local specialist e.g. endocrinologist for diabetes. The midwife who will accompany the women to all her hospital visits to ensure the agreed plan is followed will manage the care. Information, results etc. will be shared with all those involved.
For women with social issues then the One to One midwife will link in with local safeguarding, social care, health visiting, public health and any other bodies that require input. As the level of care from the One to One midwife is high then the women is able to have regular input and therefore regular assessments of need.
Communication between the One to One midwives, the women and other health and social care bodies is the absolute key for the care being provided.
How does One to One differ from traditional NHS Midwifery services?
The table below clearly demonstrates the difference between the One to One model and the typical NHS provision.
As a GP do you want your local women to benefit from the best outcomes in the UK?
As a GP should you be speaking to your CCG and asking how can this service be properly commissioned in your area?
Further information can be found by contacting:
John Ferguson – Commercial Director
E-mail - firstname.lastname@example.org
General enquires can be made through the website and by telephone.
Telephone: 0330 330 9121