Development and evaluation of a community based caseload midwifery programme in a disadvantaged area.
Investigators:
J.Sandall*, L. Page, S.F. Murray, C.Wolfe,
S.Bewley.
Project Funding: Guy’s & St Thomas’ Charity.
This project investigated the impact of a new community-based caseload midwifery programme implemented at Guy’s and St Thomas’ NHS Foundation Trust. Data was collected on process and outcomes for women and babies who were recipients of caseload midwifery compared to women receiving standard care; acceptability to staff, and impact on the organisation and multi-agency working.
Findings have informed Healthcare for London Framework for Action chaired by Lord Darzi and the Healthcare for London Clinical Expert Panel on maternity care and the UK government review of the future of Midwifery. Findings contributed to a submission by the House of Commons Health Committee on Inequalities in Health and were the subject of an invited presentation to a Cabinet Office Seminar on “Transforming the Social Relationships of Care: Developing Public Services that Empower Users, hosted by DFS/DH.
Publications
Sandall,J Page,L. Homer,C. (2008) Why continuity of care - what is the evidence? pp 25-46 in Eds, Caroline Homer, Pat Brodie and Nicky Leap, Midwifery Continuity of Care: A practical guide, Sydney, Elsevier.
Foureur,M. Sandall,J. (2008), Does midwifery continuity of care work? How to evaluate it, pp 165-180 in Eds, Caroline Homer, Pat Brodie and Nicky Leap, In Midwifery Continuity of Care: A practical guide, Sydney, Elsevier.
Finlay,S. Sandall,J. (2009 ) “Someone’s rooting for you”: Continuity and Advocacy in Bureaucratic Maternal Health Care Systems, Social Science and Medicine, 69, 8,1228-35.
Sheridan,M. Sandall,J. (2009) Measuring the best outcome for the least intervention: can the Optimality Index-US be applied in the United Kingdom? Midwifery, Dec 11. [Epub ahead of print].