Memorandum submitted by Hammersmith Hospitals
NHS Trust (CP 39)
Queen Charlotte's and Chelsea Hospital is part
of Hammersmith Hospitals NHS Trust. Queen Charlotte's has been
in existence since 1739, making it the oldest maternity hospital
in the country. Over time the hospital has moved several times,
most recently from Goldhawk Road to the Hammersmith Hospital site.
It now occupies a purpose-built hospital which is only five years
old, which is one of the most modern in the UK and specially designed
to provide the best possible accommodation for mothers and babies.
In addition, it has a Birthing Centre run exclusively by midwives,
where women with uncomplicated pregnancies can choose to give
It is one of the UK's leading maternity hospitals
providing a full range of services for pregnant women and new
born babies. It is a tertiary centre of excellence for high risk
pregnancies and births. It has a pioneering midwifery unit and
a full complement of staffthere are no vacancies. In partnership
with Imperial College it is also one of the UK's leading research
centres into conception, pregnancy, birth and neonatology. The
Maternity and gynaecology outpatient
Early pregnancy assessment unit.
Large labour ward with individual
birth rooms and operating theatres.
44 antenatal/postnatal beds.
Eight private patient beds.
33 inpatient gynaecological
beds, including day care area.
Paediatric ambulatory care unit.
The Jentle Midwifery scheme was established
in 2004 at Queen Charlotte's and Chelsea Hospital to provide an
additional service to women who request one-to-one midwife support,
from the same named midwife throughout their pregnancy.
The hospital already provides a free one-to-one
midwifery service for mothers where there is a clinical necessitysuch
as difficult social-economic circumstances or those for whom there
is an expectation of a difficult birth. The Jentle Scheme is unlike
a typical private system; the scheme directly enhances what the
NHS at Queen Charlotte's offersa highly professional and
Expectant mothers participating in the scheme
receive exactly the same medical interventions as other NHS mothers,
including scans and other tests. The main difference that the
scheme offers mothers-to-be is one-to-one care from a dedicated
midwife, available 24 hours per day, throughout the pregnancy.
There is also more flexibility over where and when ante-natal
support can be offered.
Mothers not on the scheme have access to the
same advice, scans, ante-natal information, birthing experience,
equipment, specialist back-up as mothers who have paid for the
scheme, except that it is not with the same midwife guaranteed
at all times.
The scheme costs £4,000 and has generated
over £160,000 of income which is reinvested in the trust's
NHS maternity services. 74 women have so far participated in the
scheme and 51 babies have been delivered. The scheme is covered
by the Clinical Negligence Scheme for Trusts for which the Trust
has level 2.
Hammersmith Hospitals NHS Trust