November 10, 2002

Childbirth education in Norwich

This weekend I am presenting a Teaching Skills workshop in Norwich, in East Anglia. Again a very different group (I’ve done three of these workshops in three different places in the last week) with a variety of needs and interests. Lots of skill and experience levels and a very pleasant bunch of people.

Heard one astounding piece of news however - in the Government’s “Changing Childbirth” report, Norwich Hospital was named as a centre of excellence for its parent craft education department. They had a dedicated co-ordinator and a variety of programs that were singled out for praise. So, what did the hospital do after the report was released? Yes, they closed it completely!

This sounds like the “dumbing down” process in action again - to discourage people wanting better services, close those beacons that provide outstanding results so that everyone will stop demanding the same and the service can return to a level playing field of mediocrity. This is what happened to some of the midwifery team projects that were started as a result of the Changing Childbirth Report - they were funded for a brief period and just when they were getting up to full speed, producing enviable results and the women were learning how good they could be, they were closed down, often because of a “lack of funding” but in reality because there was not the political will to duplicate the services more broadly so that women could benefit.

There have to be consistent policies about the provision of maternity services across this country. The way things stand now, there is too much variation of services between the various Trusts and little consistency, which leaves women with either a lot of choice or little at all, depending on where they live. In this Norwich group there is a midwife who has a 20% home birth rate in her area and another who has a 10% rate. Both outstanding in comparison to the national rate of 4% but shouldn’t this be a possibility across the whole country, not just in some enlightened pockets?

Posted by andrea at November 10, 2002 06:09 PM

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