Skip to main navigationSkip to main content
The University of Southampton

NPMS6018 Case-loading and Autonomous Midwifery practice

Module Overview

This module comprises 50% theory and 50% clinical practice. Theoretical component The theoretical component will include a week of learning activities associated with decision-making followed by interactive sessions that build into transition to becoming a practising midwife. You will be offered a 1-1 record-keeping audit by a Professional Midwifery Advocate to integrate you into the support process received as a qualified midwife. Practice component: You will be required to complete five caseload experiences throughout the third year. This will be organised and conducted within your agreed placement Maternity service provider. This will be introduced mid second year to allow time for planning and risk assessing. There is a risk assessment caseload document that needs completing per caseload. Each caseload will require a user feedback evaluation. This will be something that you will incorporate within a written reflection and add to your portfolio of evidence that will support future first post interviews.

Aims and Objectives

Module Aims

The aim of the module is to consolidate and enhance the knowledge and skills required for contemporary midwifery practice.

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Critically and systematically evaluate the role and importance of contemporaneous records in the provision of high quality maternity care across contexts, disciplines and settings
  • Give an evidence based justification for modifications /innovation in the provision of the effectiveness of programmes of care taking into consideration when modifications are requirement due to changes in clinical scenarios.
  • Critically analyse midwifery legislation in relation to individual practices and interprofessional working
  • Critically appraise the diagnostic and decision making skills required for the delivery of optimal care
  • Critically appraise the value of the client’s voice within maternity services taking into consideration the complexity of acknowledging the wide spectrum clients
  • Critical analyse your own professional activity, the role of the midwife, other professionals and support workers in the provision of high quality midwifery care.


Decision making theories Risk assessment and management Clinical audit – including CQC and NHSLA Regulatory requirements Transition Planning care in partnership including capacity Patient voice Working in partnership Development of the role of autonomous practitioner Enhancing the decision making and risk assessment skills required for autonomous contemporary practice Fitness to practice and professional self-regulation Duty of care The role of Supervision in Midwifery Accountability Understanding self Continuing Professional Development (CPD) - Statutory requirements. Reflective practice relevant to CPD Risk management and human error Case load experience in practice Suturing practical skill

Special Features

A caseload experience of a minimum of five women is expected as a course requirement. For each caseload experience, you will be required to collect a patient voice feedback sheet, which will be used within an in-depth reflection of each caseload experience. This module therefore links with the practice experience modules 5 and 6 for caseload exposure. You will be required to attend a record-keeping audit with a supervisor of midwives as a course requirement. The purpose of undertaking this audit is to identify key personal learning objectives to enhance care/documentation practice and to begin to engage in a statutory supervisory framework. You will be expected to engage in clinical audit, to consider how practice is monitored, evaluated and enhanced at a service and individual level.

Learning and Teaching

Teaching and learning methods

Lectures Group work Case-load practice Self directed study Audit

Placement Hours93.75
Guided independent study1
Wider reading or practice16
Completion of assessment task36.75
Work based learning2
Preparation for scheduled sessions10
Total study time187.5

Resources & Reading list

Jacob, S and Lavender, T (2008). An essential guide for student midwives: Preparing for professional practice. 

Raynor, M., Marshall, J. Sullivan, A. (2005). Decision-Making in Midwifery Practice. 

Midwifery 2020 – Delivering Expectations.

Case loading document for individual risk assessment paperwork for lone working. 

Kahneman, D (2011). Thinking fast and slow. 

Thompson, C and Dowding, D (2009). Essential decision making and clinical judgement for nurses. 

Standing, M. Clinical judgement and decision-making in nursing and interprofessional healthcare. 

Tingle, J and Bark, P (2011). Patient safety, Law policy and Practice. 

Access to the local maternity services for theoretical and skills rehearsal. 

Access to a supervisor of midwives for 1-1 record keeping audit. 



Critical Reflection


MethodPercentage contribution
Critical Reflection 20%
Essay  (2500 words) 80%

Repeat Information

Repeat type: Internal & External


Costs associated with this module

Students are responsible for meeting the cost of essential textbooks, and of producing such essays, assignments, laboratory reports and dissertations as are required to fulfil the academic requirements for each programme of study.

In addition to this, students registered for this module typically also have to pay for:

Books and Stationery equipment

All texts key are available within the library or can be purchased online or within the bookshop located on campus. For the current costs you are requested to check on line. If purchased this will be at your own cost.

Please also ensure you read the section on additional costs in the University’s Fees, Charges and Expenses Regulations in the University Calendar available at

Share this module Share this on Facebook Share this on Twitter Share this on Weibo

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.