classic33
Leg End Member
Mother Shipton was never a witch!Delivers babies and reads tea leaves? Ah, a wisewoman AKA a witch.
Mother Shipton was never a witch!Delivers babies and reads tea leaves? Ah, a wisewoman AKA a witch.
You may be right about the backstory, but the latest episode where the midwives are told that "Your level of cover is insufficient" and from the same body "we can't advise you on what a sufficient level of cover looks like" - granted that whenever I hear "we can't advise you" I have a sneaking suspicion that FCA rules are in some way involved, but even so I can't help feeling that this is not really a terribly constructive stance.Please don't swallow the guff being put about by independent midwives. The insurance issues have been rumbling on for years...
Cool story bro........This issue has been rumbling on for years - I can remember discussing it 15 plus years ago and the requirement only came in 2 1/2 years ago (July 2014). It's an NMC rather than a FCA issue.
The fundamental issue is that many independent midwives cannot get indemnity cover at a level that is sufficient to meet the level of awards being made for birth issues, given how devastating they can be or which cover the subsequent `NHS costs. Midwives working for the NHS are covered by the Clinical Negligence Scheme for Trusts and those working for NHS-commissioned care (e.g. The One to One Midwife programme) have employer provided cover as part of the contract with the NHS.
As with other clinicians, such as doctors and nurses, midwives should have indemnity insurance to cover private practice (which is what independent midwifery is) but some of them don't always have an adequate level of cover. The reason for this is because the risks are very high (just look at what obstetricians and paediatricians have to pay as premiums) and the potential awards are enormous - insurers don't want the risk.
There is evidence, although I have to admit that I don't have it hand, that the claims/complications rates are higher for independent midwives than those in the NHS and that's often because of the way they work.
The NHS also spends large amounts of money, often hundreds of thousands of pounds, picking up the pieces when things go wrong. It usually can't recover those costs, whereas it could from other clinicians in private practice.
I have nothing against independent midwifery - but mothers to be should have the reassurance that if something does go wrong the person they have entrusted their care to has sufficient indemnity to cover the often huge costs for lifetime care.
Delivers babies and reads tea leaves? Ah, a wisewoman AKA a witch.