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The University of Southampton

NPMS6026 Case-loading and Autonomous Midwifery Practice

Module Overview

The theoretical component will include decision-making sessions followed by interactive sessions that build into transition to becoming a practising midwife. The role of the midwife as assessor will be explored to support you as a future supervisor of new learners in practice. You will be offered a 1:1 record-keeping audit by a professional midwifery advocate to integrate you into auditing your own clinical practises as a qualified midwife. You will be required to complete five caseload experiences. This will be organised and conducted within your agreed placement Maternity service provider. This will be introduced mid first 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
  • Critically 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 Care Quality Commission and National Health Service Litigation Authority. Regulatory requirements Transition to first post Planning care in partnership with women, including consideration of capacity Patient voice Working in partnership with other professionals/agencies 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 the Professional Midwifery Advocate (PMA) 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 The midwife as educator/assessor Programme threads are linked throughout and include: • Baby Friendly principles • Medicines management • Mental health and well-being • Values Based Journey

Learning and Teaching

Teaching and learning methods

Lectures Group work Case-load practice Self directed study Audit Value Based Enquiry Tutorials

Completion of assessment task36.75
Work based learning2
Wider reading or practice100.75
Preparation for scheduled sessions10
Total study time187.5

Resources & Reading list

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

Standing, M (editor) (2010). Clinical judgement and decision-making in nursing and interprofessional healthcare. 

Midwifery 2020 – Delivering Expectations.

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

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

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





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


MethodPercentage contribution
Critical essay  ( words) 80%
Critical Reflection  (1000 words) 20%

Repeat Information

Repeat type: Internal


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:

Anything else not covered elsewhere

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.

Equipment and Materials

You may like to bring food products for suturing skills workshop as guided by midwifery tutor.

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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