----- Original Message ----- From: "Automatic digest processor" <[EMAIL PROTECTED]>
To: "Recipients of CASELOADMIDWIFERY digests" <[EMAIL PROTECTED]>
Sent: Tuesday, April 05, 2005 7:08 AM
Subject: CASELOADMIDWIFERY Digest - 3 Apr 2005 to 4 Apr 2005 (#2005-16)
There are 9 messages totalling 1688 lines in this issue.
Topics of the day:
1. student caseloading (5) 2. caseload midwifery in Ontario (3) 3. Lecturer in Midwifery and Women's Health-
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Date: Mon, 4 Apr 2005 10:16:28 +0100 From: Stella Rawnson <[EMAIL PROTECTED]> Subject: student caseloading
My name is Stella Rawnson and I am a midwife teacher based atBournemouth University.
As you may be aware, following an initial caseloading pilot scheme, which developed out of the work of two, enthusiastic and forward thinking student midwives, Bournemouth University conducted a small scale evaluation of the experiences of students and women as well as those midwives who provided the support in clinical practice. This work was carried out by Tricia Anderson and the scheme was very positively evaluated.=20 This work has attracted widespread interest and several other HEI midwifery departments have visited us to explore our experience and provision of student caseloading. A number of public presentation have also been given by Professor Paul Lewis, Tricia Anderson and myself, which has helped to raise the profile of what we consider to be an innovative approach to learning. The web page of the six point midwifery plan cites this as an example of 'good practice'.
As a result of this work, we have incorporated student midwife caseloading as a core component for all our students within the pre-registration midwifery curriculum at Bournemouth University. We are now in the process of formally evaluating this initiative with the aim of developing it further and we will be publishing our results.
I would therefore be very interested in hearing from anyone who has experienced caseloading as a student or who works in an institution where caseloading forms part of the curriculum so that this may also contribute to our knowledge and insights into such practice. =20 Stella Stella Rawnson
Midwife TeacherTel: 01202 504244
Email: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
Hi StellaDate: Mon, 4 Apr 2005 18:20:47 +0100 From: Christine McCourt <[EMAIL PROTECTED]> Subject: Re: student caseloading
We introduced this at TVU a couple of years ago. We haven't yet
evaluated it formally, but the feelings of students and academic staff so far seem very positive.
Chris McCourt
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Date: Mon, 4 Apr 2005 18:33:03 +0100 From: Jane sandall <[EMAIL PROTECTED]> Subject: Re: student caseloading
Hi Stella
We have also had student caseloading at Kings College and just reviewing how
it is going. Have you published your evaluation?
Jane Sandall
Dr Jane Sandall
Professor of Midwifery and Women's Health
Women & Family Health Research Group,
Health and Social Care Research Division
King's College, Waterloo Bridge Wing,
150 Stamford Street,
London, SE1 9NH
Tel: 020 7848 3605
Fax: 020 7848 3764
e-mail:[EMAIL PROTECTED]
http://www.kcl.ac.uk/nursing/research/women.html
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Date: Mon, 4 Apr 2005 14:58:14 -0400 From: Vicki Van Wagner <[EMAIL PROTECTED]> Subject: Re: student caseloading
In ONtario Canada, all midwifery students follow a caseload for either a term, or for two or three consecutive terms (senior year). I have passed your request for student experience on to our programme's student list serve.
Vicki Van Wagner, RM, PhD(c) [EMAIL PROTECTED] Associate Professor Ryerson University Midwifery Education Programme ------------------------------
Date: Mon, 4 Apr 2005 15:39:59 -0400 From: Vicki Van Wagner <[EMAIL PROTECTED]> Subject: caseload midwifery in Ontario
Chris - what you have reported below is very relevant to/confirms the
experience of and the evaluation results of the Ontario government's review
of our midwifery system (not published but I will try to get you an official
source). As many of you may know the Ontario system (and midwifery in most
of Canada) is currently organized and funded based on "caseload practice".
Midwives are currently paid "full time" compensation for providing care to a
caseload of 40 births as primary midwife and 40 births as second midwife
(some of which are not actually attended if there is a transfer of care) as
we have a system where normally there are two midwives from the group
practice at each birth. Midwives can choose to provide care to a part-time
caseload if they wish.
We are also given an "overhead" fee per course of care to run our practices -ie to rent a clinic, hire support staff, buy supplies and equipment etc.
All of this is currently under renegotiation so more specific details re compensation levels etc may change soon.
Vicki Van Wagner, RM, PhD(c) [EMAIL PROTECTED] Associate Professor Ryerson University Midwifery Education Programme
----- Original Message ----- From: "Christine McCourt" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Friday, April 01, 2005 1:18 PM Subject: Re: Beg, borrow and steal
Hi Folks
We have a general evaluation of caseload midwifery report which includes economic analysis, and also a specific economic report - both from our eval of the implementation of caseload midwifery at QCCH in London. Both can be posted to anyone who wants them. if interested please contact [EMAIL PROTECTED]
A later report (2001) evaluating the service several years down the line, including economic evaluation, can be downloaded from our website but it is just being re-jigged so I will post the web address when the new site is live, next week.
The important message from these studies (admittedly in one context) is that caseload midwifery is not necessarily more expensive than conventional care. This may seem counter-intuitive because people perceive it as a more personal service, a bit of a luxury perhaps, but there are inbuilt 'inefficiencies' in conventional hospital services. For example, having women spend less time in hospital overall, or less time with medics, can free up resources for midwifery input and community-based services. If interventions are reduced, this may also save resources, which are needed for one-to-one support in labour or similar. whether such potential savings can be realised in practice may depend on the local service configuration, cultural issues, ability to tap into ongoing changes etc. It may require a lot of collaboration, leadership and imagination, to facilitate the change.
In these studies, we calculated that a caseload of 40 in an urban context should be manageable. this means births per year for a WTE - mws may pick up slightly more women given that some will have miscarriages or move away.
We also - from research on midwives' experiences, suggested that midwives' with personal/partnership caseloads should not be used as a back up cover for labour ward or similar, as the flexibility demanded of them to cover for births on the caseload means they must have the flexibility and autonomy to manage their work to ensure they take rest time and are not overloaded. although caseload midwives might be 'on-call' more frequently than with a team system, they should not be expected to be called out for much of that time. The inevitable occasional bad week should be balanced by the quiet ones
Chris
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Dear caseload list We (myself and a small group of colleagues) are shortly hoping tosuchwork on writing a proposal for a caseload midwifery practice, targeted towards the most disadvantaged women in our local area (Maidstone and Tunbridge Wells in Kent). There are a group of midwives committed togeta way of working, but no financial support available from our trust. Unfortunately we are not eligible for sure start funding. I hope tothefunding from the PCT and/or any other pots of cash anyone is aware of. I have read fairly widely, and we have done a workshop with the Albany midwifery practice in London. However, we are keen not to re-inventofwheel, so would be very grateful to hear from any of you who have been involved in setting up such a scheme. I would be interested in copiesany plans, proposals, etc - anything that would help us, and anygeneralaretips on what to do/not to do. Also, any literature which you would consider to be essential reading to get us started. Also, if thereother practices which are not too far away from us which would behelpfulto visit, we would love to hear from you. Many thanks Joy Kemp
Date: Mon, 4 Apr 2005 22:09:02 +0100 From: Jane sandall <[EMAIL PROTECTED]> Subject: Re: caseload midwifery in Ontario
Dear Vicki
Could you clarify whether midwives carrying a caseload look after women with
obstetric and medical complications and attend their births or whether they
look after women with no complications. When women transfer care in your
system, do midwives continue to provide midwifery care in association with
medical staff?
PS you can download the evaluation report of the Albany Practice in SE London from our web site here http://www.kcl.ac.uk/nmvc/research/project/moreinfo.php?id=4&the_group=1
bw
Dr Jane Sandall Professor of Midwifery and Women's Health Women & Family Health Research Health and Social Care Research Division King's College, Waterloo Bridge Wing, 150 Stamford Street, London, SE1 9NH Tel: 020 7848 3605 Fax: 020 7848 3764 e-mail:[EMAIL PROTECTED] http://www.kcl.ac.uk/nursing/research/women.html
An exciting opportunity has arisen for a lecturer to join the well = established and dynamic team of teachers and researchers in the = Midwifery and Women's Health Studies Section at King's College London. We are committed to influencing and enhancing the care of women = through practice-led education and research. We provide long and short = pre-registration Midwifery programmes as well as a wide range of = post-registration and post-graduate courses in both Midwifery and = Women's Health Care. We have recently experienced major growth in = research activity led by Professor Jane Sandall. For further information = about research activity visit = http://www.kcl.ac.uk/nursing/research/women.html =20 Details Applicants need to be experienced midwifery practitioners = (minimum 3 years) with an appropriate good first degree. A post-graduate = degree and a teaching qualification are desirable but not essential as = the Section is committed to professional development. The primary focus = of this post, in the first instance, will be the teaching of midwifery = practice and clinical skills to students on the pre-registration = programmes.=20 Salary Salary will be within the Lecturer A or B range from = =A325,966 - =A338,206 per annum (inclusive of =A32,323 per annum London = Allowance depending on qualifications and experience).=20 Post duration The appointment is on a permanent basis. =20 Contact For a job pack, please send a self addressed envelope to = the Personnel Department, Room 3/16, Waterloo Bridge Wing, = Franklin-Wilkins Building, King's College London, 150 Stamford Street, = London, SE1 9NH or email [EMAIL PROTECTED] Please quote = reference number A2/GNI/04/05. For further information or informal = discussion please contact Pauleene Hammett, Head of Midwifery and = Women's Health Studies Section on 0207 848 3600/3607 or e-mail = [EMAIL PROTECTED]
Job reference A2/GNI/04/05 Closing date 15/04/2005=20
Further details and application form: = http://www.kcl.ac.uk/depsta/pertra/vacancy/external/pers_detail.php?jobin= dex=3D3062=20
Dr Jane Sandall Professor of Midwifery and Women's Health Women & Family Health Research Group,=20 Health and Social Care Research Division King's College, Waterloo Bridge Wing,=20 150 Stamford Street, London, SE1 9NH Tel: 020 7848 3605 Fax: 020 7848 3764 e-mail:[EMAIL PROTECTED] http://www.kcl.ac.uk/nursing/research/women.html ------------------------------
Date: Mon, 4 Apr 2005 23:38:03 +0100 From: Elizabeth Andrew <[EMAIL PROTECTED]> Subject: Re: caseload midwifery in Ontario
Hi Jane,
I am an Australian midwife presently working in BC, Canada and as Vicki has
pointed out, carry a caseload of 40 births per annum as in Ontario. If a
medical/obstetric condition (such as cholestasis, pre-eclampsia etc) arises
we consult with, and transfer care to, an obstetrician but continue to
support the woman - seeing her in collaboration with the OB and most likely
delivering the baby (if a normal birth) but we are not the primary decision
maker for the antenatal care. We pick up primary care with the birth (if
uncomplicated and not too preterm) and postpartum. I hope this answers your
query. And yes, we are paid to stay in supportive care.
Thanks Elizabeth Andrew
End of CASELOADMIDWIFERY Digest - 3 Apr 2005 to 4 Apr 2005 (#2005-16)
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