Delivering continuity of midwifery care to Queensland women

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References Homer, C. Brodie, P. & Leap, N. (2008), Midwifery Continuity of Care. Sydney: Elsevier. Lester, A. (2009). The Argument for Caseload Midwifery. Midwifery Matters. Winter.(123), 3-6. McCourt, C. & Page, L. (1996). Report on the Evaluation of One-to-One Midwifery. London: The Hammersmith Hospitals NHS Trust. McCourt, C. & Stevens, T. (2009). Relationship and reciprocity in caseload midwifery. In B. Hunter & R. Deery (Eds.), Emotions in midwifery and reproduction (pp. 17-35). New York: Pelgrave Macmillan. Reed, B. & Walton, C. (2009). The Albany Midwifery Practice. In R. Davis-Floyd, L. Barclay & J. Tritten (Eds.), Birth models that work (pp. 141-158). London: University of California Press. Sandall, J. (1997). Midwives’ burnout and continuity of care. British Journal of Midwifery. 5(2), 106-111. Sandall, J., Davies, J. & Warwick, C. (2001). Evaluation of the Albany Midwifery Practice Final Report. Florence Nightingale School of Nursing & Midwifery at King’s College London. Todd, C. J., Farquhar, M. C. & Camilleri-Ferrante, C. (1998). Team midwifery: The views and job satisfaction of midwives. [doi: 10.1016/S0266-6138(98)90093-6]. Midwifery. 14(4), 214-224. Walker, S. B., Moore, H. D. & Eaton, A. (2004). North Queensland midwives’ experience with a team model of midwifery care. [doi: 10.1016/S1448-8272(04)80020-8]. Australian Midwifery. 17(1), 17-22. 82 Delivering continuity of midwifery care to Queensland women
Section 13 Eligible midwives Overview A range of Australia-wide reforms in 2010 are intended to improve women’s access to continuity of midwifery care in the private system: • A range of antenatal, intrapartum and postnatal MBS rebates has been enabled by the Commonwealth, for services of eligible midwives in private practice. • The ‘eligible midwife’ notation has been created by the NMBA, enabling access to Medicare provider numbers. • A range of medications are subject to PBS rebates when prescribed by eligible midwives. • An ‘endorsement for scheduled medicines’ has been created by the NMBA, allowing eligible midwives to prescribe. • Reforms of states’ and territories’ drugs and poisons legislation has occurred to legalise prescribing by endorsed midwives. • Commonwealth-subsidised professional indemnity insurance is available to eligible midwives. These reforms represent a major reform to Australian maternity services. However, implementation of this model has only recently commenced, significant gaps are yet to be addressed and it is unclear what models will result. All public maternity services can expect to be collaborating with eligible midwives over the next few years. Scope also exists for facilities to establish hybrid models in which antenatal and postnatal care is provided privately by eligible midwives and for some rural or remote facilities to access Medicare rebates for antenatal and postnatal care by eligible staff midwives under Section 19.2 (see below). Births of women receiving private care, including private births in the care of eligible midwives, are not included in Queensland Health’s continuity of carer targets. Eligible midwives Eligible midwives are enabled to provide MBS-rebatable services. Midwives do not have to be eligible to provide midwifery continuity of care. An eligible midwife has completed additional requirements, as legislated by the Commonwealth Government, to receive a notation on their registration stating they are an ‘eligible’ midwife. This notation enables the midwife to apply for a Medicare provider number. In brief, the eligible midwife has: • three years full-time experience • current competence across the full scope of midwifery practice • completed a professional review process endorsed by the NMBA • undertaken an additional 20 hours of CPD requirements annually • met requirements for completion of a prescribing course. More detail on eligible midwives is available in Appendix 13.01. The benefits of eligibility apply mostly to midwives in private practice. Private practice midwives in Queensland are supported by Midwives Australia www.midwivesaustralia.com.au Medicare provider Once a midwife has a notation as an eligible midwife they are able to apply for a Medicare provider number. This enables women receiving the eligible midwife’s services to access MBS rebates for antenatal care, birth care in hospital and postnatal care. A guide to implementation 83
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Nursing and Midwifery Office, Queen
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Nursing and Midwifery Office, Queen
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Section 9 Professional development
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4 Delivering continuity of midwifer
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5. Cultural change—building a sup
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Section 1 Why provide continuity of
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These reforms can be seen as part o
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The emotional and social benefits w
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Section 2 Midwifery continuity mode
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shifts, but also rotate across ante
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For well women, evidence supports t
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Gottvall, K., Waldenstrom, U., Ting
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• The project officer develops se
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- on-call arrangements - relief - (
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Section 4 Key elements to successfu
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Key issues for leaders in midwifery
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At the Gold Coast Hospital Birth Ce
Page 36 and 37: Goondiwindi A review of Goondiwindi
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Page 40 and 41: A mechanism to inform and engage th
Page 42 and 43: Section 6 Clinical governance Eleme
Page 44 and 45: Consumer participation and informed
Page 46 and 47: Clinical practice guidelines To ens
Page 48 and 49: Award levels for midwives Often mid
Page 50 and 51: Balance of service demand and resou
Page 52 and 53: Considerations when implementing ca
Page 54 and 55: Section 8 Industrial issues The ann
Page 56 and 57: Example: A new MGP model is impleme
Page 58 and 59: References Collins, C., Fereday, J.
Page 60 and 61: Each midwife working in Queensland
Page 62 and 63: Midwives working in continuity of c
Page 64 and 65: Skills for managers Managers suppor
Page 66 and 67: • Midwifery Practice Review (MPR)
Page 68 and 69: • Find a few sources of evidence
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Page 72 and 73: Measurement of continuity provided
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Page 78 and 79: Section 11 Collaborative maternity
Page 80 and 81: Example Mary presents to Miles Hosp
Page 82 and 83: Collaboration with GPs A range of m
Page 84 and 85: How to sustain your model The abili
Page 88 and 89: MBS rebates are available for a ran
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Page 94 and 95: Glossary This glossary includes all
Page 96 and 97: Team midwifery: A model of maternit
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Page 100 and 101: Queensland Health. (2008b). Queensl
Page 102 and 103: Acknowledgments Queensland Health w
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Delivering continuity of midwifery care to Queensland women

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