Hi Monica, There is an excellent guide to implementing various types of continuity care models of midwifery put out by the University of Technology in Sydney, authored by Caroline Homer,Pat Brodie and Nicky Leap, called Establishing models of continuity of midwifery care in Australia: A resource for midwives and managers. It is available for purchase for about $50. Worth every cent, as it looks at the practical aspects including funding and staffing etc, and gives a number of examples. Good luck! Nicole Carver.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of mh Sent: Wednesday, April 06, 2005 1:52 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] caseload Thanks everyone for the answers, The union hasn't been involved yet. The midwife who is doing the preliminary planning has worked in caseload models apparently but in the UK. I should think the principles would be the same though. I remember talking to a midwife from around Bristol some years ago who worked in a caseload model and her remuneration was about 30000 pounds, a dizzying amount when you took the exchange rate into account. Does the rate of 4 per month per midwife ring true? That makes only 40-44 women per year (allowing for reduced bookings for annual leave). We have 4300 women a year, say 60% (2500) were low risk (it's a referral hospital near the Children's hospital so lots of high risk from all over the state as well who would not be eligable I assume) that would mean about 20 teams of 3 or 30 teams of 2, 60 midwives anyhow. There's still need to be a reasonable core of midwives covering high risk and inpatients, surely? How does that work? Say one of your women comes into preterm labour? Sometimes they niggle in and out of birth suite for several weeks before the baby is born. How do you manage that? The planning so far hasn't addressed this kind of thing. Maybe because we see so much of this my perspective is skewed. Please don't flame me! We get an average of 20 prem labourers/ preterm ROM transferred to us every week and many booking in with us because of known fetal abnormalities needing early surgical intervention and 'poor obstetric history' (usually multiple mid trimester loss) so that's a big part of the background for us, as well as a large number of healthy, well, normal mothers and babies. I guess the awful ones stick in your mind because they are so, well, awful. Thanks for any input, Monica ----- Original Message ----- From: "Judy Chapman" <[EMAIL PROTECTED]> To: <ozmidwifery@acegraphics.com.au> Sent: Wednesday, April 06, 2005 1:04 PM Subject: Re: [ozmidwifery] caseload > Monica, > Congratulations on remaining a midwife. > I can't answer the caseload question but it sounds like the pay > is a rip off. When I was in the teams at Mackay we were all > level 2 clinical midwives for a start. Don't know what the > formula for the salary was but the shift work needs to be > recognised as well as the 24 hour call plus some for the > disruption of your home life. How has your union responded? > Cheers > Judy > > --- mh <[EMAIL PROTECTED]> wrote: >> Hi everyone, >> >> We are having huge renovations where I work, just as well, we >> might even get >> more than one shower for our ten birth rooms- >> but apart from that, the Powers that be are considering >> caseload midwifery >> in the future. This was very exciting until they spelt ouy >> what they have in >> mind. I thought I'd present it here and ask if this is how >> others manage it? >> >> The plan is for teams of two midwives, booking eight women per >> month between >> them. There are to be no designated days off except annual >> leave and the >> midwives are to be on call 24/7. You aren't at the hospital >> all the time of >> course, only to do antenatal appts either at hosp or in >> mother's home, to be >> called in for labours and manage post natal care. Time not on >> call would >> have to be negotiated with other teams, for special events. >> The pay is envisaged as being base rate + 25% paid as a >> salary. this would >> result in me [it's all about me ; ) ] losing about $5000 a >> year. >> >> Is this how other caseload models work? I'm very disappointed; >> much as I >> love midwifery, I have a (very busy and demanding) life >> outside work as >> well. I can't be on call my entire life. >> >> Hoping to hear other arrangements, >> >> Monica >> >> By the way, on a purely personal note, some months ago I >> ranted about a >> complaint which had then been investigated and exonerated >> three times and >> was up to the NSW Midwives board to investigate my fitness to >> continue >> practicing- I heard today, I'm OK!! Completely vindicated and >> acted within >> the practice of a reasonable midwife, making correct judgement >> calls etc- I >> can't say what a relief it is as the woman making the >> complaint has made no >> secret of her desire to have me charged with murder, struck >> off, etc- I >> really feared that even though I acted within the hospital >> policies and >> procedures etc I was in danger of losing everything, just so >> the HCCC and >> the Area Health Service could get her off their backs. >> Especially with the >> witch hunts that have been going on over cases in Camden and >> Cambelltown. >> I'm so happy! I can continue to be a midwife! >> Monica >> >> >> -- >> This mailing list is sponsored by ACE Graphics. >> Visit <http://www.acegraphics.com.au> to subscribe or >> unsubscribe. >> > > Find local movie times and trailers on Yahoo! Movies. > http://au.movies.yahoo.com > -- > 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.
