This report examines the evidence for medical care being delivered by fully trained doctors who have either a Certificate of Completion of Training (CCT) or Certificate of Eligibility for Specialist Registration (CESR) and are thus eligible to be on the GMC Specialist Register. i.e. consultant-delivered care.
Maternity Matters: Choice, access and continuity of care in a safe service outlines a national framework for local improvements to choice, access and continuity of care in maternity services. It highlights how commissioners, providers and maternity professionals will be able to use the health reform agenda to shape provision to meet the needs of women and their families. A self-assessment tool for commissioners to identify the needs of their population accompanies the document.
Department of Health/Partnerships for Children, Families and Maternity, April 2007
The combined force of the National Health Service (NHS) reforms and workforce and financial pressures, against a backdrop of rising demand, increasing complexity and changes in demographics, means that the delivery of women’s health care in the current configuration cannot be sustained. At present, the service tends to fire-fight as a reactive response to disease rather than be proactive in preventing ill health. Now we have the chance to reconfigure services using every opportunity to improve health gain in light of the unsustainable nature of the current arrangements.
Royal College of Obstetricians and Gynaecologists, July 2011
Childbirth is a major life event for women and their families. The few women who become critically ill during this time should receive the same standard of care for both their pregnancy related and critical care needs, delivered by professionals with the same level of competences irrespective of whether these are provided in a maternity or general critical care setting.
The Maternal Critical Care Working Group, July 2011
Excellent maternity care must be comprehensive and flexible to respond to the clinical and social needs of women and their families. For the majority of women, pregnancy and childbirth is a totally normal and uncomplicated experience but the service must be able to respond appropriately to those who may require highly specialised care for existing medical problems, social circumstances and any complications that may develop.
Royal College of Obstetricians and Gynaecologists, June 2008
The first annual State of Maternity Services report. The aim of this report is to provide an overview of the demands being placed on NHS maternity services across the UK and the resources available to deliver that care.
This report acknowledges: the central role of midwives as autonomous practitioners of normal labour and birth, together with their role as partners with obstetricians, anaesthetists and paediatricians, in the care of women with complex and complicated labours; the importance of team working, as well the respective roles of midwives, obstetricians, anaesthetists, paediatricians, support staff and managers, as part of the local maternity care team; and, the increased involvement of consultant obstetricians on the labour ward in the care of women with complex or complicated pregnancies and in the supervision and education of medical staff.
Royal College of Obstetricians and Gynaecologists, October 2007