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Our District


Health to address the retention and success rates of Pasifika midwifery students.

Ongoing Support for New and Graduate Self-employed LMC Midwives to the Counties Area

The Midwifery Education and Development Service commenced in 2007 as a joint project with AUT. The service was set up to increase clinical placements, along with a satellite midwifery school based at Middlemore Hospital. The aim was to grow our local workforce. There were 14 midwifery students who lived in the Counties area within the three year midwifery programme in 2008 , and in 2014 there were 67 students. This includes 17 Maaori and 16 Pacifica students. The midwifery programme moved to AUT’s Manukau Campus last year which is in South Auckland.

Support has been provided for new self-employed LMC midwives to the area and comprises of an orientation which can include administration, referral processes, computer training, access to computer programmes offsite (with complimentary Virtual Private Network access) as well as meet and greet in clinical areas. A maternity information directory has been developed which is currently available on-line with a hard copy to be distributed to all access holders.

Self-employed LMC Midwifery Workforce Projected Needs A report was prepared to identify how many self-employed LMC midwives would be required if 75% of CM Health women are to be managed by self-employed LMC midwives; where they are needed and any other characteristics of the population or workforce that are relevant to workforce capacity (see Appendix 1). The aim for this information is to assist workforce planning including providing information of the areas of need to new self-employed LMC midwives in the area. The key finding was that Counties would need 25 more self-employed LMC midwives with an average caseload of 45 women and the greatest geographical areas of need are Manurewa, Mangere and Papakura.

A self -employed LMC midwife liaison role commenced two and a half years ago with the specific purpose of offering support to new self-employed LMC midwives in the area. This included collegial support as well orientating midwives to the local facilities and support networks. In addition the role facilitated General Practitioners (GPs) and self-employed LMC midwives to either co-locate or link together. CM Health is in the process of reviewing what new self-employed LMC midwives require. This has involved surveying previous new graduates for their suggestions and feedback and modifying the programme accordingly. Graduate Programme CM Health has provided and coordinated a graduate midwifery programme for over 10 years and is constantly reviewing and adapt-

10 Jackson C Antenatal care in Counties Manukau District Health Board; A focus on maternity Care. 2011

ing it to meet evolving needs. The programme is led by the midwife co-ordinator. This role specifically supports new graduate employed midwives, newly graduate self-employed LMCs and has evolved to also now include new to area self-employed LMC midwives. The trend over the past five years shows that approximately 50% of those who are employed in the graduate programme will, within their first five years, choose to move into self-employed LMC practice. The 2014 programme included 16 employed and seven self-employed LMC midwife graduates who will complete the programme in August 2015. The 2015 cohort includes 17 employed and seven self-employed LMC midwife graduates. There are a number of self-employed LMC groups which have recruited and supported graduate midwives into their midwifery practices. The graduate programme is a demonstration of CM Health’s commitment to growing our workforce.

Our Maternity Services Maternity care provision at a DHB level is shaped by the funding framework, the available workforce, and maternal choice.10 CM Health supports the national policy direction of women being cared for by a self-employed LMC midwife providing continuity of care/carer. A woman’s choice of maternity care provider is in turn influenced by her understanding of the

2014 2015 maternity quality and safety programme  

This Annual Report (2014-2015) covers the continued progress and initiatives undertaken over the last 12 months as part of the Maternity Qua...

2014 2015 maternity quality and safety programme  

This Annual Report (2014-2015) covers the continued progress and initiatives undertaken over the last 12 months as part of the Maternity Qua...