It is for primary care trusts (PCTs) in partnership with strategic health authorities and other local stakeholders to determine which models best suit the local needs of women and the midwifery work force. This process provides the means for addressing local needs within the health community including the provision of maternity services.
Ministers and officials have met with the Independent Midwives Association (IMA) over the past three years to discuss their proposal of a national health service community midwifery model. Following on from these discussions, the IMA has identified a group of midwives and PCTs who are willing to test the model and help to create an outline contract. That process is continuing.