A-EQUIP midwifery supervision model

With more than ten months of engagement with over 2,400 people across the healthcare system including 1,400 survey responses, 280 comments on the replacement model, contributions from over 400 delegates at the 2016 RCM conference the A-EQUIP model was tested and contributions from over 800 delegates at various conferences, we would like to introduce A-EQUIP.

A-EQUIP is an acronym for advocating for education and quality improvement. The A-EQUIP model is made up of four distinct functions: normative, restorative, personal action for quality improvement and education and development.

Over the past five months, pilot sites across England have been testing the model and providing invaluable feedback on what works well and what could be improved. We have worked closely with our pilot sites and their feedback has been built into the final model.

The model supports a continuous improvement process that builds personal and professional resilience, enhances quality of care and supports preparedness for appraisal and professional revalidation. The ultimate aim of using the A-EQUIP model is that through staff empowerment and development, action to improve quality of care becomes an intrinsic part of everyone’s job, every day in all parts of the system.

With the help of midwives, the Local Supervising Authority national taskforce and the projects Editorial Board, ‘A-EQUIP Operational Guidancehas been developed.

The guidance is in four parts:

  • Part one describes the impact of the legislative change on midwifery regulation and the changes to midwifery supervision
  • Part two describes the A-EQUIP model and its benefit to midwives and users of maternity services
  • Part three has a clinical focus. Case studies show how the model can be deployed to support staff working in clinical and non-clinical roles and the benefits of the model to the multidisciplinary team
  • Part four provides guidance for:
    • Midwives and providers of maternity services and describes key actions for maternity providers
    • CCGs
    • HEIs

During March 2017 we held a week of action to raise awareness of the model. A number of blogs were published which include a number of different perspectives from organisations and individuals involved in the development of A-EQUIP.

With the support of our A-EQUIP pilot sites, a video has also been developed to provide an overview of how the A-EQUIP model works in practice and the benefits to midwives, mothers, babies and families. The video was produced with grateful thanks to Airedale NHS Foundation Trust, Calderdale and Huddersfield NHS Foundation Trust, Whittington Health and Barking, Havering and Redbridge University Hospitals NHS Trust.

Supplementary Documentation