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2 results

  • CHAPTER 15 - Place of birth

  • Edited by Tahir Mahmood, Philip Owen, Sabaratnam Arulkumaran, Charnjit Dhillon
  • Book:
    Models of Care in Maternity Services
    Published online:
    05 July 2014
    Print publication:
    01 November 2010, pp 140-149

  • Summary

    Providers of maternity care have a responsibility to assist the woman and her partner in making an informed choice of place of birth. The options include the home, a midwifery-led maternity unit or a consultant-led hospital delivery suite. With the acknowledgement that healthy mothers have healthy babies that grow into healthy adults, maternity services were included in the National Service Framework (NSF) for Children, Young People and Maternity. Policy considerations regarding place of birth must look beyond studies of perinatal mortality; issues such as selection of women, staffing and cost are also important. Unless future evidence dictates otherwise, home birth is an option that should be open to appropriately selected women who are at low risk of obstetric complications and at low risk of being transferred to hospital having laboured at home.

  • Partnerships, performance and primary care: developing integrated services for older people in England

  • CAROLINE GLENDINNING, ANNA COLEMAN, KIRSTEIN RUMMERY
  • Journal:
    Ageing & Society / Volume 22 / Issue 2 / March 2002
    Published online by Cambridge University Press:
    26 July 2002, pp. 185-208
    Print publication:
    March 2002

  • The development of health services in England is currently shaped by three key factors: the active involvement of front-line health professionals (particularly family doctors – general practitioners) in decisions about resource allocation and service development priorities; the promotion of ‘partnerships’ between health and other organisations in order to deliver ‘joined-up’ services; and the close performance management of organisations and professionals to ensure that they meet externally prescribed objectives and targets. This paper considers the implications and impact of these factors on the development of services for older people. It discusses whether, under these circumstances, health service developments are likely to address some of the most pressing needs of older people.