21st July 2018 ACM presentation to www.midwives.org.au

Agenda ACM Purpose Challenges Midwives interest Midwifery alignment Career Pathways Barriers Recommendations Questions

ACM Purpose Midwives Strong & Confident Woman Focused Respected Engaged Fulfilled Skilled Professional

Midwives question, critique and research best practice to improve maternal, fetal and newborn outcomes Midwives Strong & Confident Woman Focused Respected Engaged Fulfilled Skilled Professional Midwives focus on women's health and wellbeing and provide care in a variety of practice settings Midwives are recognised as the primary health professional for women during the perinatal period Midwives have access to models of care that encourage them to undertake further study and career development Midwives are passionate about their career and feel a sense of purpose and belonging in the health care sector and their community Midwives are competent qualified professionals with access to quality career development opportunities Midwives are able to work to the full scope of their practice including any specialisations

Challenges Career Choice Models of Care Workforce 35% 29% 18% 8% 3% RN Required 29% No Jobs for Midwives 18% Limited Positions Vacant 8% Training Access or Format 3% Not Supported by Manager Continuity of Care Midwifery Led Models Rural & Remote Retention Recruitment

University Qualifications Midwives Interest Models of Care University Qualifications Other Qualifications Continuity of Care Private Practice Rural & remote Maternal Child & Family Health Sexual Health Mental health - Perinatal Mental Health Neonatal nursing Diabetes Education Endorsement University Lecturer Lactation Consultant Ultrasound Vaccinations Policy or government Management Regulatory authority Research Health planning and design

University Qualifications Midwives 35% Maternal Child & Family health 24% Sexual Health 22% Perinatal Mental Health 14% Neonatal Nursing 12% Mental Health Credential 8% Diabetes Educator Other University Qualifications 48% Continuity of Care 25% University Lecturer 24% Endorsement

How Midwifery Aligns Midwifery Maternal Child & Family health Second most common clinical area of practice for midwives (AHWAC 2002) Extensive mapping of content in current Midwifery curriculum Sexual & Reproductive Health Increased focus on Midwives managing contraceptives Foundations covered in current Midwifery Curriculum Perinatal Mental Health Increased awareness of maternal mental health issues in perinatal period Solid foundations addressing maternal mental health as part of Midwifery curriculum Neonatal Nursing Extension of skills learnt in midwifery education Dedicated core subjects and content in current Midwifery curriculum Diabetes Educator Midwives work with women with GDM, Type 1 & 2 Foundations covered in current Midwifery curriculum Endorsement Dedicated Midwifery Specialisation Align with midwives philosophy of woman centred care; allowing midwives to work to the full scope of their practice; to specialise in skills that will enable them to provide end to end care to women in their communities University Lecturer Midwives teaching midwifery students

University Career Pathway Fulfil Pathway Requirements Complete University Degree Apply for Accreditation and/or Credentials Join Professional Body and/or Association Job Opportunities Available Position Description Employment in Model of Care

University Options & Barriers Maternal Child & Family Health 2 – NSW & VIC 9 – WA, SA, TAS, NT, QLD, VIC & ACN No No (MCaFHN) ACN short course Sexual Health 2 – VIC & NSW Non-committal (ASHHNA) 4 – Midwife access; 7 RN required Perinatal Mental Health 4 – SA, QLD, TAS & VIC No (ACMHN) 6 – HETI, ACMHN, CPP Neonatal Nursing 8 – SA, ACT, NSW, VIC, TAS, WA 2 – WA, QLD Yes (ACNN) 1 NT and various in-hospital courses Diabetes Educator 8 – NSW, VIC, SA, WA, QLD Yes (ADEA) 1 - VIC Midwife Access RN Required Credential FOCUS Maternal Child & Family Health Professional Body (Support) Other pathway to qualification

Maternal Child & Family Health Career Specific Training is required Midwifery skills and training are sufficient RN requirements is greatest barrier On the Job Training only required

Add Midwife to University Course Entry Requirements Recommendation Career Choices Changes to Position Descriptions Influence Professional Bodies (where required) Add Midwife to University Course Entry Requirements Models of Care

Questions Which courses apply to you? Can changes be made for the 2019 intake? Do you envisage any barriers? Who will implement the changes? What do you need from ACM to support this work?

What next… lets meet again in 6 months…