1. Community Midwifery – post registration education workshop Community Midwifery – post registration education workshop Dorothy Patterson Midwifery Lecturer (Education) School of Nursing and Midwifery

2. Change is positive “ Change is the law of life and those who look only to the past or present are certain to miss the future." John F. Kennedy Chinese symbol for change is a combination of 2 characters: one for chaos, second for opportunity.

3. Workshop Outline Aim – To gather information from participants on their learning needs working in community and their views on the possible content of a community midwifery module. Provide a background to making the case for change in service What is currently available in QUB post-registration prospectus What is further needed to meet learning needs

4. Maintaining Knowledge and skills NMC Code: Standards of conduct, performance and ethics for nurses and midwives (NMC,2008) states “Keep your skills and knowledge up to date” “You must have the knowledge and skills for safe and effective practice “ “You must take part in appropriate learning and practice activities that maintain and develop your competence and performance.” “

5. Continuing professional development (CPD) Continuing professional development (CPD) opportunities, which are academically robust and professionally relevant, should be available to all midwives based on local need. “ Midwifery 2020, ( DH, 2010 p.37)

6. Policy background to change - Midwives should have a visible place in a community setting where women can choose to access them as the first point of contact. Midwives are the lead professional for women with no complications, and the coordinator of care for all women. Women should have access to effective, locally accessible antenatal care. Maternity care should be women centred. Access to effective, locally accessible antenatal care. Integrated working between professionals

7. Key messages from policy documents impacting on care in the community Midwives should have a visible place in a community setting where women can choose to access them as the first point of contact. Midwives are the lead professional for women with no complications, and the coordinator of care for all women. Models of maternity care should be women centred, promoting normality and continuity of care and reducing unnecessary interventions

8. Continued Women should have access to effective, locally accessible antenatal care Services will regard home as the hub Integrated working between professionals to plan and deliver care Hospital care provided but discharging women into the care of local services

9. Example of Modules available in QUB Continuing Professional and Academic Development 2013 - 2014 Antenatal and neonatal screening Balancing choices and risks Breast feeding management and promotion Challenge of change Childbirth and normality Childbearing and loss Clinical risk management Challenges across the childbirth trajectory Family planning and reproductive sexual health Health promotion in clinical practice Independent study module Midwifery Examination of the new born Perspectives of family- centred HSC Practice development Ultrasound scanning

10. Group work 1.Discuss what your educational needs are in order to facilitate the current changes being made in service delivery of maternity care. 2.Discuss what can be facilitated from existing QUB post registration prospectus. 3.Discuss what can be facilitated from existing in service training 4.Discuss what new initiatives you would like to see developed to meet your learning needs. 5.Would this include a community module ? If so provide some suggestions as to its content 6.Is additional clinical experience required? 7.What are the challenges ?

11. References Department of Health (2010) Midwifery 2020 Delivery Expectations. London: HMSO. https://www.gov.uk/government/publications/midwifery-2020-delivering-expectations DHSSPS (2011) Transforming Your Care: A review of Health and Social Care in Northern Ireland. Belfast: HMSO. http://www.dhsspsni.gov.uk/transforming-your-care-review-of-hsc-ni-final-report.pdf A Maternity Strategy for Northern Ireland 2012-2018 http://www.dhsspsni.gov.uk/maternity-strategy.htm Nursing and Midwifery Council (2008) Standards of conduct, performance and ethics for nurses and midwives. London:NMC. http://www.nmc-uk.org/Nurses-and-midwives/Standards-and-guidance1/The-code/The-code-in-full/ QUB School of Nursing and Midwifery (2013) Continuing Professional Development Prospectus. http://www.qub.ac.uk/schools/SchoolofNursingandMidwifery/StudyattheSchool/OurCourses/ContinuingProfessi onalDevelopment/