A midwifery team's journey implementing and sustaining continuity of care

Abstract

The continuity of carer model of care for midwifery is set to roll out exponentially. However, setting up and sustaining midwifery teams primed to deliver this model is a new process for many healthcare professionals. In this article, a case study is presented of a continuity of carer team set up in London to enhance the quality of midwifery care. Reflections on the associated challenges, learning, recommendations and sustainability are shared to assist others embarking on similar journeys. During its first 2 years, the team was able to achieve high levels of continuity and were able to consistently meet set targets. Quality improvement strategies were embedded throughout. Challenges, including data collection techniques and poor communication, were also explored. Improved communication, safe staffing levels, continuous evaluation, shared learning and co-creation will be essential in future quality improvement activities in this area.