Birthrate Plus ® endorsed by NICE

Birthrate Plus® is endorsed by NICE and covers the Workforce Planning methodology and the Intrapartum Acuity System.

This is the culmination of many years of work with our colleagues in the NHS and beyond. Its driving purpose has been to provide midwives and managers with a framework for assessing the needs of clients, ensuring proper standards of care and acceptable working conditions for midwives in hospital and community.

Thanks to all who have shared with us in these endeavours and encouraged us to keep going.

Jean A Ball, Marie Washbrook

The details are below

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E0002 – Birthrate Plus® Workforce Planning Methodology and Birthrate Plus® Intrapartum Acuity Tool

This safe staffing toolkit supports a majority of the components in the NICE guideline on safe midwifery staffing for maternity settings necessary for the determination of maternity staffing requirements for establishment setting. The toolkit supports:

  • Factors needed in setting maternity staff establishments with the exception of bed utilisation and patient turnover. The standard output unit is whole time equivalent (WTE).  Any conversion to maternity care hours needs to be formulated outside of the resource.
  • “Real-time” assessments of maternity staff levels during the intrapartum phase of care in relation to patient needs.
  • Monitoring and evaluation of long term maternity staffing establishment.

The resource encourages the use of professional judgement in the final determination of maternity safe staffing levels in line with the guideline.


National Institute for Health and Care Excellence

June 2016