Dear Bronni
It's great to hear of your meeting in Healesville.
I'll have a go at answering your questions.  Although I am a member of the 
Board (I think I'm the only one on this list), I am also finding the whole 
PI insurance issue very difficult.
The Victorian Nurses Act 1993 has recently been amended, and the amendments 
have come into effect 1 Nov.
The new section 5 (3) (d) states:
[The Board] "may require the applicant [for registration] to provide 
evidence that the applicant is or will be covered by professional indemnity 
insurance that meets the minimum terms and conditions set out in guidelines 
of the Board."

Does this mean the Board can deregister someone (ie an independent midwife) 
who is not insured?  It probably does.  I have been assured that it's a 
DISCRETIONARY power - but even that doesn't make me feel very comfortable. 
 It will probably begin to take effect as people apply for endorsement as 
Nurse Practitioners, if they want to work outside the hospital system.    
(for those in other places, the NP endorsement will enable a person to have 
extended practices  - prescribe, order tests, refer to specialists.)

I believe we need to get insurance.  ACMI members would have received a 
discussion paper and ballot to return, so that we can choose option 1 or 
option 2.  I and other independent midwives look forward to resolution of 
that issue, as it's the only insurance on offer at the moment.  I hope 
AHMAC (health ministers advisory c'tee) under whatever new government gets 
up on Saturday will set up a system of no-fault insurance similar to what's 
done in NZ.  I see no future with spiralling costs for insurance.

Doctors who belong to the Medical Defence Association of Victoria (an 
insurer) have already been told:
"Warning to members in obstetric shared care.
Members should be aware of the recent decision of Guild Insurance to 
withdraw the provision of indemnity to midwives.  This may spell the end to 
midwife-supervised home deliveries as a choice for the community."
The statement goes on to warn members against working with uninsured 
midwives! (Medical Defence Update newsletter, Winter 2001)

Consumers and midwives need to consider what this means, and keep on 
working together to resolve the PI crisis.
Joy Johnston
-----Original Message-----
From:   Steve & Bronni McGrath [SMTP:[EMAIL PROTECTED]]
Sent:   Thursday, November 08, 2001 2:03 PM
To:     list
Subject:        Nurses Board of Vic

 << File: ATT00006.htm >> i spoke recently at a community forum in 
Healesviile where local hopefuls for the up coming election had been 
invited to hear what we really think about some gritty issues ( minus the 
Liberal candidate who was unable to attend or send someone in her place ). 
 As a result Jim Romagnesi ( Greens ) forwarded me their recent press 
release on backing for midwives which included this paragraph:

> The Greens Victoria have thrown their weight behind the states midwives
> following the ongoing crisis with professional indemnity insurance and 
the
> recent announcement from the Nurses Board of Victoria that they will have
> discretionary legislative powers from November to deregister any nurse or
> midwife who practices without adequate professional indemnity insurance.

could some kind person please inform me as to what this actually means and 
is this just recent and how come as a registered nurse i have not been 
informed by the NBV?  i'm feeling a little scared but i sense that this may 
be sensationalism of legal wording ( i hope)

thanks to you all
Bronni McGrath
Mum, Midwife and Supporter

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