March on the NMC: What Bornstroppy said

The NMC is not fit for purpose when it does not understand the profession it is regulating and does not work with the people it is supposed to be protecting.

This was the message Ruth gave at the demonstration outside the NMC headquarters on the 5th May 2017.  Led by Caroline Flint on International Day of the Midwife, mothers and midwves partners and children from all over the country came to protest at the actions and attitude of the NMC. A small delgation of mothers and midwves also met with NMC’s CEO, Jackie Smith and two members of her team.

It  was Ruth’s, first open air speech with a megaphone so here is what she would have said if she had not been up a ladder shouting over the traffic!

Her speech was captured on video here.

Our vision is for families in Britain to be happy, healthy, strong and stable.  We need a midwifery profession to be there to nurture, enable and empower mothers and their families to be just that.

In the words of Margaret Jowitt former editor of Midwifery Matters :

“Women need a strong midwifery profession with autonomous midwives backed up by a governance system NOT paid for, or supplied by, the Trust for which they work. Midwives keep birth safe. Midwives treat women as individuals. Midwives respect women’s right to choose.”

And so we want a regulator that understands this.  We want a regulator who nurtures, empowers and supports midwives so they can nurture, empower and support mothers.

Midwives keep birth safe and a midwifery regulator is there to keep midwives safe and midwives respected.

We therefore need a midwifery regulator that has an open and transparent culture, which is accountable both to the mothers and their families it serves and also the midwifery profession it regulates .  Do we have this? NO! Do we want it? YES!

We need a regulator that is supportive rather than punitive, a regulator that does not run on fear but on mutual professional respect, a regulator who midwives can ring up for advice and guidance without fear of retribution.   Do we have this? NO! Do we want it? YES!

We want a regulator that rather than increasing litigation by its activity reduces it!  And we don’t want a regulator who just bans attendance at the births of family and friends to try and get itself out of a tight spot. We want a regulator that acts reflectively and with sensitivity for best practice and compassion.  Do we have this? NO!  Do we want it? YES!

And we want a regulator that knows what a midwife is for goodness’ sake!  We want a regulator that knows the difference between employment and self employment in the profession! That understands and discourses with midwives from all branches of the profession – Do we have this ?NO!  Do we want it? YES!

I am a mother.  A mother of five children, and where I had good quality continuity of carer I remember the names of my midwives – they are etched on my heart.  Thank you Ann Devanney, Thank you Madge Boyle.  Thank you Michelle Irving.  Independent Midwife Michelle Irving was my midwife for Child number 5 because the NHS care I was being offered was no longer safe and my complaint had been ignored and refuted.  Independent Midwifery was a choice for safety and it cost 20% of our income and it took 2 years to pay it off – but we decided that a good, safe birth is priceless.

The NMC knows the cost of everything but the value of nothing. It speaks the language of legal regulation and public protection but does not speak to or listen to the mothers who know the real cost of their policies and the real value of a safe and compassionate midwife!

The NMC is not fit for purpose when it does not understand the profession it is regulating and does not work with the people it is supposed to be protecting.

NMC reform yourself, or we, the mothers and grandmothers of this nation, will TAKE YOU DOWN!

And we WILL take you down, Jackie Smith, if you do not start talking with us and listening to us. Julia Cumberlege talked to parents all over the country as part of her Maternity Review – the NMC should be doing this as part of their engagement and accountability programme.  It is courtesy to the public you say you protect.

So my call to you here today as mothers and midwives of this generation is to set about making the regulator we need and deserve for the benefit of the midwives and mothers to come.  It will take work and cunning and more work and political wheeling and dealing and a hell of a lot of campaigning but it can be done and we can do it.  That all mothers are supported through the maternal pathway is our vision, that the centre of our practice is nurture and good evidence is a value, but  OUR BIG HAIRY AUDACIOUS GOAL is to have a fit for purpose regulatory body for midwives.  And if you won’t do it, NMC, we shall do it ourselves.  Because we, the public, want to be protected and to be protected we need a strong, autonomous, respected midwifery profession.

Follow me – Bornstroppy – on my blog.  Join the #savethemidwife campaign on FB.  Write to your MP AGAIN!  And tell your family, friends and neighbours, your sisters, cousins, children, tell your colleagues at work, the people in the supermarket queue, the people you meet on the train tonight.  This is about our babies, our bodies, our births!  It is about our profession, our good practice, our future autonomy. We do not ask for it because it is a nice thing – we demand it because it is our human right to be respected and nurtured to birth safely how we choose.  And a strong respected well supported compassionate midwifery profession is required to deliver this.

#SavetheMidwife!

#NMCNotFitforPurpose!

Airedale NHS Trust – Leading the Way!

On almost the same day that Airedale NHS Trust, Yorkshire, announced that it is welcoming independent midwives onto their midwifery bank, a study into The Albany, one of the finest examples of midwifery caseloading in the UK, has yet again shown how the outcomes of caseloading and continuity are outstanding, for women, families, midwives and indeed the NHS. (Click for full Albany document)
Airedale NHS has joined a number of NHS Trusts who have recognised that independent midwives and NHS health professionals are a team who can work together to improve care for women, and to improve NHS services. They have welcomed independent midwives onto their bank contract system, ensuring that women who were left without their known and trusted midwife following the NMC’s decision can now obtain antenatal, labour and postnatal care from the midwife that they have chosen. This applies to existing and to new clients, and is not limited to the Airedale geographical area.
A Yorkshire independent midwife who is part of the new arrangement explained the workings of the IM’s holding bank contracts & what that means for them & the women.

 
‘Under these new arrangements we will use a bank contract from AGH [Airedale] when attending our clients in labour to ensure that we have indemnity insurance in place as required by the NMC for registration. This situation is fully discussed with our clients during the antenatal period. We use NICE as a starting point for our care discussion already and most guidance from AGH is the same. If there are any differences between NICE and AGH’s guidelines, we will discuss them. AGH understand that many women opting for IM care do so because they want care which is different to hospital/NICE guidelines, and they respect that. If women choose to have us care for them under AGH bank contract for birth (some may choose alternatives) we have to acknowledge their guidance, discuss this with the woman and document the choices then made. We will be being supported in this by Sarah at AGH who will complete the hospital ‘risk assessment’ process for us by offering women a phone or meeting consultation where their choices can be documented so correct procedures are being followed internally. Women remain completely able to make the choices they wish and we will support them fully in their decisions’.

 
In return, the local IMs will work with Airedale Trust on joint training projects, sharing knowledge and experience and improving the maternity care offered by all. The IMs will also act as back up to the Trust’s homebirth service, especially to support women with more complex needs for which specific IMs have extensive experience in the context of home birth.

NOT a solution to the IMUK/NMC Crisis
It is essential to understand that this does not resolve the fact that the NMC have refused to allow midwives using the IMUK’s indemnity solution, despite the NMC’s statement to IMUK that, “We (the NMC) are unable to advise you about the level of cover that you need. We consider that you are in the best position to determine, with your indemnity provider, what level of cover is appropriate for your practice”
While this offers independent midwives the ability to be able to work and support women and families, and while we are hugely grateful for the support and understanding of Airedale Trust, this is still not midwives being truly independent. The fight continues!
#savethemidwife
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