Abstract
New models of maternity service provision are currently emerging across the NHS. One to One (North West) Limited was the first Any Qualified Provider (AQP) of midwifery care throughout the maternity continuum, with midwives providing community-based care for women across the risk spectrum. It was also the first non-NHS maternity organisation to gain independent insurance for intrapartum care. One to One commenced a 3-year contract with NHS Wirral in November 2011. This article discusses the care the organisation's midwives offer, and presents routinely collected clinical outcome data and women's testimonies from One to One's first full year of operation. Between 1 November 2011 and 31 October 2012, 711 women were booked, 414 of whom gave birth with One to One. The spontaneous vaginal birth rate was 76% for all births, while the home birth rate was 31%. The article highlights the successes, challenges and opportunities a reconfigured NHS offers for those receiving and providing midwifery care.
Published Version
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