Local Supervising Authority England National Taskforce
The development of a future model of midwifery supervision in the UK was required following the publication of ‘Midwifery supervision and regulation recommendations for change’ (PHSO 2013) and ‘Midwifery regulation in the United Kingdom’ (The King’s Fund 2015).
The two key principles identified in the reports were accepted by the Nursing and Midwifery Council (NMC) and agreed by the Secretary of State. These were:
- Midwifery supervision and regulation should be separated
- The NMC should be in direct control of regulatory activity
To implement these principles, the NMC requires legislative change. It is estimated that the new law will be enacted via a Section 60 order by spring 2017. Until this time, statutory supervision of midwives must continue and responsibility for this sits with NHS England as the Local Supervising Authority (LSA) for England.
A cross-organisational, multi-stakeholder taskforce was established to oversee the development of a new model and framework of midwifery supervision for England in preparation for when the recommended legislative changes to remove the regulatory aspect are enacted.
The taskforce objectives were to:
- Develop a new model of supervision and support system readiness to implement the new model of supervision in England
- Oversee implementation on behalf of the Chief Nursing Officer (CNO) for England
- Work in partnership with the other three nations to ensure synergy where possible for midwives working across the UK.
- The terms of reference for the England supervision taskforce provides further information about the aims and objectives of the group.
Local Supervising Authority Midwifery Officers (LSAMOs) are integral to the development process.
The Supervision Taskforce Workstreams
To develop a robust model of supervision the Taskforce must consider a number of aspects, which were led by seven workstreams:
An education workstream was established to identify the education required to prepare practitioners to deploy the new model and framework of midwifery supervision. This group was also responsible for the design and development of the future training programme once the new model had been developed.
This workstream aimed to:
- Outline and develop the education preparation programme required to support midwives to deploy the new model of supervision ;
The models workstream was established to develop the new model, incorporating the outputs of the education and user’s workstreams to ensure any new model was robust, affordable and sustainable.
This workstream aimed to:
- Develop a model of clinical supervision to be implemented for clinical and non- clinical midwives Develop principles that underpin the model;
This work stream was established to:
- Develop the commissioning specification for the new model and ensure that NHS Standard contract appropriately reflects the new model and the associated implementation guidance.
This work stream was concerned with managing the HR process for staff affected by the dissolution of the LSA and the development of a senior midwifery leadership structure across England.
This workstream was concerned with developing the operational guidance for the new model of supervision and all other support tools that will assist with implementation.
The proposed new model was tested in shadow-form from autumn 2016 until March 2017, in a small number of pilot sites. It was be fully evaluated prior to its proposed launch in spring 2017. View further details on the pilots.