I do believe that GP's and Physios and any other healthcare provider who is salaried or contracted to a govt agency in one way or another has to work by practice guidelines, procedures, and protocols: I have seen them, the big folders with the paper in them. I would totally expect that midwives contractred or salaried to a govt agency would be in the same position. It isn't being told what to do or shouldn't be, it is simply everyone knowing what is expected of each other. Similarly, if GP's, Physios, OT's, Massage Therapists etc. are working in private practice then they would have their own guidelines etc., or is this not done in Australia?? It is my understanding that this is part of professional practice. I would expect that since NMAP is a new concept, in regions where it is adopted in a public health/hospital context then the guidelines etc. would need to be negotiated between the agency and the midwives and if as a midwife you can't accept them then you wouldn't sign on. I guess I just don't think the idea of contracted/salaried midwifery positions should be shelved because of assumptions that care will be too restrictive. I am probably missing something. regards.
marilyn ----- Original Message ----- From: "Sally Westbury" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Sunday, November 24, 2002 3:56 PM Subject: FW: [ozmidwifery] SalariedVersusContract > I agree that birthing choice must be a freely (in both senses of the > word) available for all women. > > GP's practice with a huge amount of autonomy. No-one dictates to them > how they run their practice but they can if they choose bulk bill and so > provide free service to their clients. > > GP's can use alternative therapies and bulk bill for it with their > provider number. > > Lets really fight for out autonomy as well as our work to be paid for > from the public purse. > > Let the guideline come from our professional bodies rather than the > health dept. > > This is also a battle about our status as a professional body. Do we > wish to remain as workers for the state or professionals able to > regulate themselves as do doctors, physiotherapists, speech therapists > etc etc. > > Lets stand up for ourselves as well as birthing women. > > Sally Westbury > > > > > > > -----Original Message----- > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED]] On Behalf Of Marilyn > Kleidon > Sent: Monday, 25 November 2002 2:13 PM > To: [EMAIL PROTECTED] > Subject: Re: [ozmidwifery] SalariedVersusContract > > I totally agree with what Pete has said probably because I too have a > strong > socialist heart. I do believe that different localities can sort out > with > the women and midwives in their particular area practice guidelines, > procedures, and protocols that are based on the midwifery model of care > that > all can live with. Surely each MIPP has their own set. I think since we > are > asking for government funding one way or another there has to be some > give > and take on these issues and as Pete said if we need to be employed by > Govt > to make NMAP happen then in effect we have increased choices for women. > At > least a lot of women. I really think if you expect to have no guidelines > or > too few then it just will not happen. > > marilyn > > ----- Original Message ----- > From: "Malavisi, Pete" <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Saturday, November 23, 2002 10:26 PM > Subject: RE: [ozmidwifery] SalariedVersusContract > > > > I am basically a socialist at heart, so I see Govt employed public > system > my > > future, even with all the controls over the years I have managed to > have > > many excellent birthing experiences with women and their families, > > inevitably it has meant jumping through some hoops at times but I have > > accepted that as part of the deal, I still believe that PI should be > > available to those who wish to practice privately as well but see that > as > > another issue. If we can be employed by Govt to make NMAP happen then > in > > effect we have increased choices for women, the politics and control > will > > continue whatever system is chosen. hope this makes sense, feel like > I'm > > rambling a bit, yours in midwifery pete malavisi > > > > -----Original Message----- > > From: Denise Hynd [mailto:[EMAIL PROTECTED]] > > Sent: Saturday, 23 November 2002 10:30 > > To: [EMAIL PROTECTED] > > Subject: Re: [ozmidwifery] SalariedVersusContract > > > > > > Dear Pete, > > That is the rub > > With out PI it is precarious being in private practice with out > government > > support/employment!! > > So the question of how this is done is important to all midwives and > > consumers. > > > > Because he who pays the piper calls the tune particularly if it is a > salary > > situation. > > What tune will be played when the piper is the health depts well they > > already have a host of protocols and a host of workers who adhere to > them > so > > why should salaried community midwives be any different. > > > > Then all women in NSW or which ever state whop rupture their membranes > come > > in get A/bs and IOL after x hours!!! > > ----- Original Message ----- > > From: Malavisi, Pete <[EMAIL PROTECTED]> > > To: <[EMAIL PROTECTED]> > > Sent: Sunday, November 24, 2002 1:15 PM > > Subject: RE: [ozmidwifery] SalariedVersusContract > > > > > > > I'm not too fussed whether it is salaried or contract but believe > the > > > service has to provided by the government and those who want to work > > > privately can continue to do so. I personally don't like dealing > with > the > > > money side of things though obviously need an income. yours in > midwifery > > > pete malavisi > > > > > > -- > > > -- > > > This mailing list is sponsored by ACE Graphics. > > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > -- > > This mailing list is sponsored by ACE Graphics. > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > -- > > This mailing list is sponsored by ACE Graphics. > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
