Dear Barb,

I agree with Lois, a great letter!
May I have your permission to print your message and letter in the next AIMS 
journal?

Love,
Toni

>From: "Lois Wattis" <[EMAIL PROTECTED]>
>To: "Vernon at Stringybark" <[EMAIL PROTECTED]>
>CC: <[EMAIL PROTECTED]>
>Subject: Re: National summit on PI
>Date: Thu, 10 Jan 2002 18:58:04 +0800
>
>Congratulations Barb on an excellent letter, accurately representing the
>situation regarding PI insurance for midwives.  Thank you for your ongoing
>support via Maternity Coalition.  Keep up the great work. Kind regards, 
>Lois
>Wattis RM (Home Birth Midwife, WA)
>
>----- Original Message -----
>From: "Vernon at Stringybark" <[EMAIL PROTECTED]>
>To: "ozmid" <[EMAIL PROTECTED]>
>Sent: Monday, January 07, 2002 7:34 PM
>Subject: National summit on PI
>
>
>Dear List,
>
>The new federal health minister announced just prior to Xmas that she would
>be holding a national summit on the PI crisis for medical specialists early
>in the new year.  It is imperative that midwives be considered in any
>discussion of subsidy/assistance whatever to obstetric specialists.
>
>I have sent the following letter on behalf of the Maternity Coalition to 
>the
>Minister.  It would be helpful for other organizations to send their own
>letters on this issue to as a matter of urgency.
>
>regards Barb.
>
>
>
>The Hon. Senator Kay Patterson
>Minister for Health & Ageing
>Parliament House
>CANBERRA  ACT  2600
>
>7 January 2002
>
>Dear Minister,
>
>Re National summit on professional indemnity insurance
>
>Congratulations on your appointment as the Minister for Health and Ageing.
>
>I am writing in response to your recent announcement of your intention to
>hold a national summit on the issue of professional indemnity insurance for
>health professionals.
>
>The Maternity Coalition is a national non-profit umbrella organization of
>groups and individuals committed to improving maternity care for women
>during pregnancy, birth and the postnatal period.   One of the key
>objectives of the Maternity Coalition is to work with governments and all
>relevant professionals to expand women�s access to a midwife-led model of
>care in which midwives, as autonomous professionals, provide primary care
>and support to women throughout pregnancy, birth and the newborn period.
>
>Midwife-led care has been recommended by the World Health Organization as
>the most cost effective and appropriate model of care for pregnant and
>birthing women.  Research evidence in both Australia and overseas
>demonstrates that midwife-led care, where a woman receives true continuity
>of care from a midwife, lessens the need for costly interventions and
>improves outcomes. Yet in Australia, fewer than 10% of women have access to
>one on one care from a known midwife.
>
>The crisis in professional indemnity insurance has affected midwives as 
>much
>as other health professionals offering maternity services.  A majority of
>Australia�s independent midwives are being forced to cease practice due to
>the lack of affordable PI insurance.
>
>This contraction in midwifery services is occurring at a time when there is
>a pressing need for major expansion in midwifery services.  Greater use of
>suitably qualified midwives to provide competitive best-practice care for
>healthy women would make a significant contribution to lessening the
>pressure on health budgets.  As the Rocking the Cradle report found,
>maternity occupies the largest number of hospital bed days each year, let
>alone the escalating costs of unwarranted obstetric interventions.
>
>The Maternity Coalition is particularly concerned about the recent NHMRC
>Report on Maternal Deaths in Australia which showed a 70% increase in
>preventable maternal deaths in 1994-96.  These deaths represent a dramatic
>reversal in the trend of declining mortality rates.  Increases over recent
>years in the rate of caesarean sections (now around 20% nationally) was
>mooted by the NHMRC report as a contributing factor.   Midwifery care of
>normal healthy women has been proven to result in fewer women needing
>caesarean sections.
>
>Midwives are experts in caring for women experiencing normal healthy
>pregnancies midwives threatens to further undermine their ability to 
>compete
>with
>specialists in the care of healthy women.  This lack of competition is not
>in the interests of consumers and nor is it in the interests of government
>health funding agencies.
>
>The Maternity Coalition strongly urges you to include access for midwives 
>to
>affordable Professional Indemnity insurance on the agenda for the national
>PI summit you have announced.  The AHMAC has acknowledged the importance of
>this issue when it referred the problem of PI insurance for midwives to the
>Medical Indemnity Working Group.  Any solution for addressing the
>professional indemnity crisis affecting obstetric specialists should be 
>also
>be applied to midwives, to ensure that national competition policy
>imperatives are honoured.
>
>Considering the urgency of this matter and the proposed timeframe for the
>summit we request a response from you prior to the summit.   We look 
>forward
>to hearing of your thinking on this matter.
>
>Yours sincerely,
>
>
>
>
>Dr Barbara Vernon
>President
>The Maternity Coalition
>
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