In Part 1 I identified the PCT’s role in affecting how midwifery care is provided in the community and then, in Part 2, I talked about how I believe that user and pressure groups, focusing their lobbying on the birth, has adversely influenced funding for other areas of maternity care.
Managers, and other higher grades. They are not dissimilar to metal coathangers really, turn your back on them for a while and they have replicated themselves, Southampton have managed a 85% increase in their numbers in 4 years. Maternity services are not about to be out-shone by the other departments where the number of managers has risen 3 times as fast as the number of nurses.
Locally, 10 years ago we had 2 separate maternity units, each unit had 3 managers, including their Head of Midwifery, I’m quoting here from personal experience, but I doubt that my experience is different from many others. Anyway, within 5 years 1 Head of Midwifery had gone, this happened when the 2 separate units came under the umbrella of 1 Trust, but 2 more manager posts and 1 consultant midwife post had been created, so minus 1 but plus 3. When the 2 maternity units later amalgamated into 1 building it was imagined that a manager may lose their job but that didn’t happen, blink twice and there are 11. They don’t all have the title ‘manager’, there are ‘specialist’; ‘consultant’; ‘modern matron’ and ‘head of’ but, basically, they are all managers, I’m not including 9 ‘team leaders’ here as they are a sort of hybrid who manage but are predominately clinically based, unlike the afore mentioned menagerie. So, in summation, over a 5 year period 6 managers have become 11 whilst the number of midwives have increased by 6 therefore 1 more midwife has been employed on the coal face compared to managers. Managers are Band 8, clinical midwives Band 5 and 6. A look at current pay scales shows the difference in wages, bottom Band 5 = £21,000 pa, the same for Band 8 = £38,000 pa, that’s nearly a two for one situation, or scrub the Band 8 and that’s a saving of £38,000 + employers NI and pension contributions, that must take it well over £40,000, nearly what they are saving in mileage costs and stopping weekend/bank holiday working by ALL community midwives.
There, no consultation required. No cutting of domiciliary visits. Just get rid of ONE manager.