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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

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

Learning and Teaching

Teaching and learning methods

Lectures Group work Case-load practice Self directed study Audit

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

Resources & Reading list

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

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

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

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

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

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

Midwifery 2020 – Delivering Expectations.

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

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

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



Critical Reflection


MethodPercentage contribution
Critical Reflection  (1000 words) 20%
Essay  (2500 words) 80%


MethodPercentage contribution
Critical Reflection  (1000 words) 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

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