In a message dated 11/07/01 3:55:00 PM AUS Eastern Standard Time, 
[EMAIL PROTECTED] writes:

<< Dear Tina, thanks for the info, I will pass it on to Sandra Kanck.  
 FIRSTLY...
 Can I ask what other avenues have been looked at re insurance for midwives??
 Have there been efforts to arrange professional insurance throught the
 College of Midwives?  
 
 Cathi Tucker-Lee
 Personal Assistant to 
 Hon Sandra Kanck MLC
 Australian Democrats
 Parliament House Adelaide 5000
 82379278 telephone
 84104171 facsimile
 [EMAIL PROTECTED]
 
  >>

Hello Cathi

thank you for your speedy relpy. Please find below communication from the 
Executive Officer of the ACMI Alana Street Re: Professional Indemnity 
Insurance for midwives and from Jan Robinson, Midwife in Private Practice and 
National Coordinator of the Australian Society of Independent Midwives 
(ASIM), further to this issue. My understanding is that so far all attempts 
to secure PI insurance for Australian midwives have failed.

Yours in birth,
Tina Pettigrew
Birthworks
Independent CBE and aspiring B.Mid Midwife.
Convenor, Aust B. Mid Student Collective.

" As we trust the flowers to open to new life
               - So we can trust birth"
Harriette Hartigan.
------------------------------------------------------------------- 

Subj:    INSURANCE FOR MIDWIVES
Date:   9/07/01 10:40:09 AM AUS Eastern Standard Time
From:   [EMAIL PROTECTED] (Australian College of Midwives Incorporated)
Sender: [EMAIL PROTECTED]
To: [EMAIL PROTECTED] (ozmidwifery)

Hello Midwives, I know you are all very concerned about the insurance matter. 
 The College is taking action to provide members with an option.  We have 
been endeavouring to seek alternative insurance through our legal people, who 
have been searching the country.  It is not a simple task.  We will notifiy 
members as soon as information is available.  Should be tomorrow.
We too, are seriously concerned about this urgent matter.

Alana Street, RM FACM,
 Executive Officer,
Australian College of Midwives Incorporated,
1st. Floor, 3 Bowen Crescent,
Melbourne, 3000.
Tel:  03 98045071 or 1300 360480
Fax:  03 98 661370
Email: [EMAIL PROTECTED]
 
Subj:    PI Solution?
Date:   11/07/01 7:25:26 AM AUS Eastern Standard Time
From:   [EMAIL PROTECTED] (Jan Robinson)
Sender: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
CC: [EMAIL PROTECTED]

Dear list

Behind the current midwife insurance crisis is Guild's withdrawal 
from the malpractice arena. All Australian insurance brokers and 
underwriting companies have reassessed their business ventures since 
the HIH collapse and the reality is that there are not enough insured 
midwives for any of them to make a profit.

Insurance companies will not consider insuring midwives unless there 
are significant numbers. All Australian companies approached by ASIM 
on behalf of it's members stated that before any malpractice deal can 
be firmed up they must be guaranteed numbers from the College (total 
College membership approx 3000) for there to be any chance of making 
the cost of PI premiums realistic.
Currently there are only two interested insurers; MCA (looking to 
find underwriters in the USA) and JUA (looking for backing in the 
UK). Both have stated the situation looks bleak, and they will only 
attract underwriters if the College numbers are included. This means 
the College will need to make PI insurance a necessary part of it's 
membership fees so that all Australian midwives will share costs and 
reduce PI premiums.

NUMBERS OF IPMs CURRENTLY INSURED
A recent ASIM survey of their members revealed about half of the 
membership was insured with Guild; two of it's members have been 
without insurance since their policy expired and the rest will 
gradually become uninsured as their policies expire.
A small proportion of ASIM midwives are insured with ANF Victoria and 
so far they are unaffected.
There were five members who carried no professional insurance whatsoever.

WHAT HAPPENS WHEN INSURANCE RUNS OUT?
For those midwives no longer insured, there are two alternatives;
*  cease their private clinical practise ...
    not in their clients interest at all, but this act may goad 
clients into complaining to the College, the
    media, their state health departments, their local state and 
federal member, or all of these.
*  continue to practise without PI insurance ...
    this will negate College accreditation as well as 
visiting/admitting rights to accrediting hospitals [for those very few 
midwives who have visiting access]
    and therefore reduce women's choice of birth venues to homebirth only.
It could be argued that midwives are less likely to be sued if 
uninsured. If going down this pathway midwives must inform their 
clients that they are uninsured and make sure they always make 
written birth plans that list all the possibilities related to every 
aspect of their proposed care plan. It is also prudent for the 
midwife to have all their assets in trust.
If an IPM always practises a reasonable midwife would do in any 
situation then they are unlikely to be a victim of a malpractice 
suit, however, the person who ultimately suffers under such 
circumstances is the woman who has a damaged baby and little hope of 
any financial assistance for the rest of her baby's life.

Jan Robinson                        Phone/fax: 011+ 61+ 
2+ 9546 4350
  Independent Midwife Practitioner              e-mail: 
<[EMAIL PROTECTED]>
  8 Robin Crescent                      www: 
midwiferyeducation.com.au
  South Hurstville  NSW  2221               National Coordinator, ASIM
________________________________________________________________

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