|Title:||Access for Eligible Midwives into Public Maternity Units|
|Document ID:||Operational Directive OD 0570/14|
|Date of issue:||Thursday, 30 October 2014|
|File number(s):||F-AA 24065|
|Description:||WA Health has agreed to implement a process to facilitate access for eligible midwives into public maternity units in accordance with Element 1.2.1 of the National Maternity Services Plan, which was endorsed by Australian Health Ministers in 2011.|
|Framework:||Clinical Governance, Safety and Quality Policy Framework|
|Period of effect:||from 31 October 2014 to 1 December 2018|
|Review date:||1 August 2018|
|Authorised by:||Professor Bryant Stokes, A/Director General, Department of Health WA, 20-Oct-2014|
|Print version:||View print version|
Access for Eligible Midwives into Public Maternity Units
WA Health aims to develop, deliver and provide maternal and newborn services that are safe, integrated, effective, and responsive to the individual needs of women and their babies.
The goal of the Improving Maternity Services: Working together across Western Australia, A Policy Framework is to improve care provision of pregnancy, in childbirth, and early parenthood. The policy promotes models of care across the continuum of care from home birth to tertiary hospital based consultant led care with a focus on the highest standards of quality and safety to meet the individual circumstances and clinical needs of the woman and the baby.
The National Maternity Services Plan endorsed by Australian Health Ministers in November 2010 has a number of recommendations that promote continuity of midwifery care and access of midwives providing these models into hospitals and health services.
Element 1.2.2 of the National Maternity Services Plan recommends: - Jurisdictions develop consistent approaches to the provision of clinical privileges within public maternity services, to enable admitting and practice rights for eligible midwives and medical practitioners.
Notation as an eligible midwife applies to a class of registered midwives and not to all registered midwives. These midwives may be either Privately Practising Midwives (PPM) or midwives working in non-government organisations (i.e. Aboriginal Medical Services). Western Australia currently has number of eligible midwives. Having notation as an eligible midwife on the register of midwives indicates that the midwife is qualified to provide the associated services and order diagnostic investigations appropriate to the eligible midwife’s scope of practice. An eligible midwife may also prescribe scheduled medicines in accordance with relevant state or territory legislation once an endorsement for scheduled medicines under Section 94 of the Health Practitioner Regulation National Law Act 2009 has been attained.
The Statewide Access for Eligible Midwives Agreement has been in place since December 2013. Health services have indicated some difficulty in implementing the Agreement because of confusion around the Delegated Authority. Health Services are advised that the Delegated authority for WA Country Health Service is the Executive Director; the Delegated Authority for North Metropolitan and South Metropolitan Health Services is the Director General for Health.
All health service providers with maternity services will:
The Statewide Access Agreement for Eligible Midwives is to be used in conjunction with the Statewide Credentialing and Defining Scope of Clinical Practice Policy for Health Professionals (Nurse Practitioners and Eligible Midwives) 2013.
FOR FURTHER INFORMATION CONTACT
Principal Midwifery Advisor
Professor Bryant Stokes
This circular last updated: Thursday, 30 October 2014 at 10:01am