'Midwives cannot act as gatekeepers to NHS maternity services’ says RCM on Maternity Action report'

on 05 September 2019 Caring For You campaign RCOG - Royal College of Obstetricians and Gynaecologists NHS Staff

Today (Monday September 9th) Maternity Action has published the findings of new research undertaken by the charity that has examined the impact that the NHS charging policy was is having on midwives.

The research, the first of its kind to investigate the impact of NHS charging policy on midwives, found that midwives were concerned that the policy of charging for NHS care was undermining trust and creating a climate of fear amongst vulnerable pregnant women.

The report also highlights concerns previously voiced by the Royal College of Midwives that some women were seeking maternity care late in their pregnancy, missing important tests and treatments, or avoiding antenatal care altogether for fear of charges and Home Office sanctions.

Women who are chargeable for their maternity care include destitute women in the asylum system, and women who have escaped sexual exploitation and domestic abuse. Charges for standard maternity care start at £7,000.

Charging for NHS care became a legal requirement in 2015 and upfront charging came into force in 2017.

Commenting on the report, Gill Walton Chief Executive and General Secretary of the Royal College of Midwives (RCM) said; “The RCM is committed to supporting our members to deliver safe high quality care and cost recovery is a barrier to this. We believe that maternity care should be exempt from NHS charging altogether to protect and promote maternal and new-born health.

“This is why the RCM is calling for the charging regime to be suspended until the government can prove this policy is not doing any harm and jeopardising our shared ambition to make England the safest place in the world to have a baby.

“Women affected by these charges are some of the most vulnerable people in our society. Research has shown us that charging for maternity care reduces the likelihood of vulnerable migrant women receiving care. These women are at greater risk of poor maternal health outcomes, including maternal deaths, and premature birth.

“Midwives should not act as gatekeepers to the maternity services. They owe a duty of care to all pregnant women who seek care from them and they should provide care to all pregnant women irrespective of ability to pay.

“The recommendations from this report, if implemented, will absolutely improve the situation for vulnerable migrant women and the midwives who care for them, and begin to right the wrongs of Cost Recovery. The RCM hopes that NHS Trusts, commissioners and most of all, the Government, listen to the voices of midwives in this report and do the right thing.”


The Royal College of Midwives is introducing a motion to suspend maternity care charging at the TUC Congress in Brighton on Monday September 9th. https://www.rcm.org.uk/media-releases/2019/september/better-pregnancy-mental-health-carea-stopping-nhs-migrant-charging-and-concerns-over-no-deal-brexit-in-rcm-motions-to-tuc-congress/



Notes to editors

A full copy of the research will be available to read here: https://maternityaction.org.uk/what-we-do/our-research/


• Charging for NHS care became a legal requirement in 2015 and upfront charging came into force in

• Maternity Action’s previous research highlights the impact of NHS charging on vulnerable migrant women.


• ‘RCM calls for transparency on NHS migrant charging decision’


• The RCM signed a joint letter to the Secretary of State in March 2019 complaining about the lack of transparency on NHS charging and this can be read here: https://www.parliament.uk/business/committees/committees-a-z/commons-select/health-and-social-care-committee/news/nhs-overseas-visitor-charging-17-19/


To contact the RCM’s Media Relations team call 020 7312 3456 or email [email protected]



About the Royal College of Midwives

The RCM is the only trade union and professional association dedicated to serving midwifery and the whole midwifery team. We provide workplace advice and support, professional and clinical guidance and information, and learning opportunities with our broad range of events, conferences and online resources. For more information visit the RCM website at www.rcm.org.uk.