1. May 2010

2. Background Policy Context UK Programme of Work

3. Timeline – 2 years 2010: Deliver the recommendations for future direction Resources Now: Consider what needs to be better? Priorities Themed Workstreams Midwifery 2020 Workstreams

4. Workstreams Core Role of the Midwife Workforce and Workload Education and Career Progression Quality Public Health

5. CHALLENGES FOR MIDWIFERY 2020 POLITICAL/LEGAL: What form will the NHS take in 2020? Raises the challenge of how the service will be funded and managed ECONOMIC/WORKFORCE: Midwifery – are there enough people coming through? Declining population and greater opportunities available for young people. Who will provide Midwifery care, who will the profession recruit? Strong sense that the workforce will still be mainly female in 2020 and mainly part-time SOCIAL: Loss of extended families and role models How will mothers and fathers learn to be parents? Who will provide this input? TECHNOLOGICAL: Reproductive technology – parents with conditions previously prohibitive now having children Increased medical needs of a cohort of others – some unknown risks in pregnancy/childbirth

6. Education and Career Progression Focus and scope of the work included : Current midwifery education provision, considering its fitness for purpose Existing and potential career structures, associated levels of practice and degrees of mobility and flexibility Future needs of newly qualified midwives including preceptorship arrangements Potential for midwives to contribute to the research base and deliver evidence based practice The image of Midwifery as a career choice

7. Measuring Quality Focus and scope of the work included: Existing metrics Clinical quality and outcome indicators Measuring womens experience Valuing midwifery care

8. Public Health Focus and scope of the work included: Inequalities Parenting education Early years work Multiagency working

9. Public Health Recognise the public health component of a midwifes role and record these skills and competencies in line with the Skills for Health Public Health Skills and Career Framework Prepare a pregnancy pathway to consider the public health message and impact on: pre conception, conception, pregnancy and birth Commission a literature review and logic model to consider the public health role of the midwife which would gather evidence to populate and support the work of the other two sub groups

10. Workforce and Workload Focus and scope of the work included: Demographics Education Commissioning Attrition Workforce Planning

11. Workforce and Workload The collation and analysis – with assistance by ISD Scotland – of births, workforce, student and attrition data from across all four countries to consider: Birth projections for 2020 Number of midwives currently registered and those practising Age and working pattern profile of workforce Number of students in training Attrition rates

12. Core Role of the Midwife Focus and scope of the work included: Core role of the midwife Models of care & Service Delivery Elements of skill mix Social Enterprise

13. Report Timeline March 2010Final Workstream Reports Submitted April 2010Editorial work begins May 2010Programme Report submitted to CNOs and UKPB June 2010UKPB meeting July 2010UK wide engagement events Sept 2010Conference & Launch of publication

14. www.midwiferywww.midwifery2020.org

15. Any Questions?