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This midwife-led study investigated the inter-operator reliability of the assessment tool and midwives’ views regarding its use. It found the assessment tool decreased waiting times, was reliable across users, and perceived well by midwives. The study authors recommend the implementation of the assessment system as a way of improving and standardising the organisation of care. If successfully implemented, this will have the potential to reduce unwarranted variation in organising urgent midwifery care.