Lmc Access Agreement
LDCs offer women in birthing centres a general access agreement. Copies of this access agreement can be seen in the press release in Section 88 below. Birth facilities provide women born in institutions with a certain level of service and support to the CSA. These expectations are set out in the maternity facility specifications. LMCs can access all the additional services they need for their customers. Additional services are usually offered as a single episode of care, z.B. distribution of pliers or postnatal advice. Responsibility for the care of the woman may be transferred from one physician to another during the time of care, but the CML`s responsibility for the coordination of care is not passed on. Expectant mothers who wish to give birth in the birthing centre will have to opt for a Lead Maternity Carer (LMC) midwife who has signed an access agreement for the use of the facility and supports the centre`s vision and values.
In early 2018, press reports began reporting a “midwifery crisis” in New Zealand on issues of pay and conditions and a lack of community midwives in different parts of the country.  The New Zealand College of Midwives issued a statement entitled “Midwife in Crisis,” in which it called on the government to address a growing crisis among midwifery staff.  According to the statement, three years earlier, the college initiated legal proceedings against the government regarding midwifery compensation, resulting in a conciliation agreement between the college and the Ministry of Health, which developed a new funding model for local midwives.  The increase was calculated on the basis of a number of factors, including the increase in the ICC and DHB collective agreements, which means that the average annual increases in municipal midwives over the past ten years now correspond to the average increases for DHB midwives. LMC midwives work “with midwifery partners (usually in small group practices) and alongside midwives who work in maternity wards.  In other words, CML midwives are generally independent (i.e. community-based) and are not hospitalized. Regional Health Boards (DHBs) also employ midwives (“nuclear midwives”) to “provide 24-hour coverage in a delivery facility” or to ensure continuity of care.  Autonomous LMCs access DHB maternity facilities as part of the federal agreement on access to maternity facilities.  LmC is the Access to Maternity Facilities Agreement, a contract that defines the obligations of maternity caregivers who have access to DHB`s maternity services when placing women in hospitals for work and birth services.