The SIMCA Study Protocol: Factors influencing the implementation of the Midwifery Continuity of Carer (MCoC) model of care in NHS maternity care in England: A mixed methods cross case analysis involving clinicians, women and policy makers [version 1; peer review: 2 approved, 1 approved with reservations]
Background During pregnancy, labour and early motherhood, most women in the UK receive care from different midwives. NHS policy change in England sought to introduce a model of care whereby each woman is cared for by the same midwife throughout antenatal, intrapartum and postnatal periods, supported...
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2025-01-01
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| Online Access: | https://openresearch.nihr.ac.uk/articles/5-4/v1 |
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| author | Heather Strange Aimee Middlemiss Lena Choudary-Salter Kate Davies Tina Prendeville Susan Barry Rebecca Milton Julia Sanders Aled Jones Sara Kenyon Susan Channon |
| author_facet | Heather Strange Aimee Middlemiss Lena Choudary-Salter Kate Davies Tina Prendeville Susan Barry Rebecca Milton Julia Sanders Aled Jones Sara Kenyon Susan Channon |
| author_sort | Heather Strange |
| collection | DOAJ |
| description | Background During pregnancy, labour and early motherhood, most women in the UK receive care from different midwives. NHS policy change in England sought to introduce a model of care whereby each woman is cared for by the same midwife throughout antenatal, intrapartum and postnatal periods, supported by a small team of midwives to cover off-duty periods. This model is called the Midwifery Continuity of Carer (MCoC). This study proposes to evaluate the implementation and delivery of MCoC across England, aiming to better understand the factors that result in different rates of progress with MCoC implementation. Aim To identify the local, regional and national factors which contribute to variable progress with implementation of MCoC in the NHS in England? Methods A sequential mixed-methods study, informed by implementation science frameworks will be delivered over three work packages. Following a literature review of the challenges and successes of previous attempts to implement MCoC (work package 1), six case studies in NHS Trusts will be undertaken to better understand different rates of progress with MCoC implementation and people's experiences of MCoC implementation through: interview and questionnaire (maternity services staff); interviews (service-users); observation of relevant implementation meetings and organisational documentation collection (work package 2). Interviews will be undertaken with national and regional stakeholders relevant to MCoC implementation (work package 2). Data analysis will be conducted both inductively and deductively, informed by implementation science constructs (work package 3). Dissemination Study findings will be disseminated through peer-reviewed journals, conferences and events. Results will be of interest to the public, clinical and policy stakeholders in the UK and will be disseminated accordingly. |
| format | Article |
| id | doaj-art-7f95235aee2444d3a32fd3f359c9dc70 |
| institution | OA Journals |
| issn | 2633-4402 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | NIHR Open Research |
| spelling | doaj-art-7f95235aee2444d3a32fd3f359c9dc702025-08-20T01:57:52ZengF1000 Research LtdNIHR Open Research2633-44022025-01-01510.3310/nihropenres.13745.114929The SIMCA Study Protocol: Factors influencing the implementation of the Midwifery Continuity of Carer (MCoC) model of care in NHS maternity care in England: A mixed methods cross case analysis involving clinicians, women and policy makers [version 1; peer review: 2 approved, 1 approved with reservations]Heather Strange0Aimee Middlemiss1Lena Choudary-Salter2Kate Davies3Tina Prendeville4Susan Barry5Rebecca Milton6https://orcid.org/0000-0001-5985-3866Julia Sanders7Aled Jones8https://orcid.org/0000-0002-2921-8236Sara Kenyon9Susan Channon10Cardiff University Centre for Trials Research, Cardiff, Wales, UKUniversity of Plymouth School of Nursing and Midwifery, Plymouth, England, UKThe Mosaic Community Trust, London, UKTommy's Baby Charity, London, UKImperial College London Women's Health Research, London, UKImperial College Healthcare NHS Trust Division of Women's Children's and Clinical Support, London, England, UKCardiff University Centre for Trials Research, Cardiff, Wales, UKCardiff University School of Healthcare Sciences, Cardiff, Wales, UKUniversity of Plymouth School of Nursing and Midwifery, Plymouth, England, UKSchool of Health Sciences, University of Birmingham, Birmingham, England, UKCardiff University Centre for Trials Research, Cardiff, Wales, UKBackground During pregnancy, labour and early motherhood, most women in the UK receive care from different midwives. NHS policy change in England sought to introduce a model of care whereby each woman is cared for by the same midwife throughout antenatal, intrapartum and postnatal periods, supported by a small team of midwives to cover off-duty periods. This model is called the Midwifery Continuity of Carer (MCoC). This study proposes to evaluate the implementation and delivery of MCoC across England, aiming to better understand the factors that result in different rates of progress with MCoC implementation. Aim To identify the local, regional and national factors which contribute to variable progress with implementation of MCoC in the NHS in England? Methods A sequential mixed-methods study, informed by implementation science frameworks will be delivered over three work packages. Following a literature review of the challenges and successes of previous attempts to implement MCoC (work package 1), six case studies in NHS Trusts will be undertaken to better understand different rates of progress with MCoC implementation and people's experiences of MCoC implementation through: interview and questionnaire (maternity services staff); interviews (service-users); observation of relevant implementation meetings and organisational documentation collection (work package 2). Interviews will be undertaken with national and regional stakeholders relevant to MCoC implementation (work package 2). Data analysis will be conducted both inductively and deductively, informed by implementation science constructs (work package 3). Dissemination Study findings will be disseminated through peer-reviewed journals, conferences and events. Results will be of interest to the public, clinical and policy stakeholders in the UK and will be disseminated accordingly.https://openresearch.nihr.ac.uk/articles/5-4/v1Midwifery maternity continuity of carer MCoC continuity of care models service deliveryeng |
| spellingShingle | Heather Strange Aimee Middlemiss Lena Choudary-Salter Kate Davies Tina Prendeville Susan Barry Rebecca Milton Julia Sanders Aled Jones Sara Kenyon Susan Channon The SIMCA Study Protocol: Factors influencing the implementation of the Midwifery Continuity of Carer (MCoC) model of care in NHS maternity care in England: A mixed methods cross case analysis involving clinicians, women and policy makers [version 1; peer review: 2 approved, 1 approved with reservations] NIHR Open Research Midwifery maternity continuity of carer MCoC continuity of care models service delivery eng |
| title | The SIMCA Study Protocol: Factors influencing the implementation of the Midwifery Continuity of Carer (MCoC) model of care in NHS maternity care in England: A mixed methods cross case analysis involving clinicians, women and policy makers [version 1; peer review: 2 approved, 1 approved with reservations] |
| title_full | The SIMCA Study Protocol: Factors influencing the implementation of the Midwifery Continuity of Carer (MCoC) model of care in NHS maternity care in England: A mixed methods cross case analysis involving clinicians, women and policy makers [version 1; peer review: 2 approved, 1 approved with reservations] |
| title_fullStr | The SIMCA Study Protocol: Factors influencing the implementation of the Midwifery Continuity of Carer (MCoC) model of care in NHS maternity care in England: A mixed methods cross case analysis involving clinicians, women and policy makers [version 1; peer review: 2 approved, 1 approved with reservations] |
| title_full_unstemmed | The SIMCA Study Protocol: Factors influencing the implementation of the Midwifery Continuity of Carer (MCoC) model of care in NHS maternity care in England: A mixed methods cross case analysis involving clinicians, women and policy makers [version 1; peer review: 2 approved, 1 approved with reservations] |
| title_short | The SIMCA Study Protocol: Factors influencing the implementation of the Midwifery Continuity of Carer (MCoC) model of care in NHS maternity care in England: A mixed methods cross case analysis involving clinicians, women and policy makers [version 1; peer review: 2 approved, 1 approved with reservations] |
| title_sort | simca study protocol factors influencing the implementation of the midwifery continuity of carer mcoc model of care in nhs maternity care in england a mixed methods cross case analysis involving clinicians women and policy makers version 1 peer review 2 approved 1 approved with reservations |
| topic | Midwifery maternity continuity of carer MCoC continuity of care models service delivery eng |
| url | https://openresearch.nihr.ac.uk/articles/5-4/v1 |
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