Quality statement 2: Services – continuity of care

Quality statement

Pregnant women are cared for by a named midwife throughout their pregnancy.

Quality measure

Structure

a) Evidence of local arrangements and audit to ensure that pregnant women are cared for by a named midwife throughout their pregnancy.

b) Evidence of local arrangements to ensure that systems are in place to coordinate a pregnant woman's care should her named midwife not be available.

Date source: a) and b) Local data collection.

Process

The proportion of pregnant women with a named midwife.

Numerator – the number of women in the denominator with a named midwife.

Denominator – the number of pregnant women accessing antenatal care.

Data source: Local data collection.

Outcome

Pregnant women's satisfaction with the continuity of their antenatal care.

Data source: Local data collection. The Care Quality Commission Maternity Services Survey 2010 asks the question 'If you saw a midwife for your antenatal check-ups, did you see the same one every time?' Possible responses are: yes, every time; yes, most of the time; or no.

What the quality statement means for each audience

Service providers ensure that systems are in place to enable pregnant women to be cared for by a named midwife throughout their pregnancy.

Healthcare professionals follow local systems and guidance to provide continuity of care to pregnant women through the provision of a named midwife.

Commissioners ensure they commission services that enable pregnant women to be cared for by a named midwife throughout their pregnancy.

Pregnant women are cared for a by a named midwife throughout their pregnancy.

Source guidance

Definitions

A named midwife is a named registered midwife who is responsible for providing all or most of a woman's antenatal and postnatal care and coordinating care should they not be available (definition adapted from 'Maternity matters: choice, access and continuity of care in a safe service').