Expectant mothers to bypass GP and go straight to midwife

South Wales Guardian

3 days ago

Traditionally, mothers-to-be made an appointment with their family doctor to tell them the news before being booked in with their midwife.
And in recent years, online self-referral has been introduced by local health bodies.
But NHS leaders said that only half of expectant mothers were using these services directly, with many going 'unnecessarily' to their GP to access maternity care.
Women will now be able to refer themselves to local maternity services 'at the touch of a button' via nhs.uk, which will give them faster first appointments, NHS England said.
It is hoped that the move could free up tens of thousands of appointments for overstretched GPs.
Officials stressed that women can still see a GP if they would like to, adding that some with long-term health conditions will need to discuss changes to their care or treatment plans with a doctor.
Just found out you're pregnant? You can now refer yourself to maternity services – no need to see your GP first. It's quick, simple, and gets your care started early.
Start your pregnancy journey at UHS here: https://t.co/yQ10hqZj7G#MaternityServices #MaternityMatters pic.twitter.com/Dnly5QCNom
— University Hospital Southampton 💙 (@UHSFT) July 9, 2025
Health officials said that first midwife appointments are 'vital', but only 62% of these happened within the first 10 weeks of pregnancy in 2023/24.
There are around 600,000 babies born each year in England and Wales.
NHS England said that it is estimated that the new service could lead to 180,000 fewer calls to GPs and up to 30,000 fewer general practice appointments each year.
But around a quarter of local health bodies are yet to 'connect' to the national service, it added, with pregnant women in these areas able to self-refer via local trust sites.
In 2024, there were 594,677 live births in England and Wales, an increase of 3,605 (0.6%) compared with 2023 (591,072).
This is the first increase since 2021, although it is smaller than the 1.8% increase from 2020 to 2021
➡️ https://t.co/aJYZ1tsqIj pic.twitter.com/9bYZNzZprk
— Office for National Statistics (ONS) (@ONS) July 1, 2025
'It's so important that newly pregnant women get the support they need as soon as possible, so this new tool makes it easier than ever to book that all-important first maternity care appointment,' said Kate Brintworth, NHS chief midwife.
'Making this process simpler at the touch of a button is a vital step in empowering women to take control of their pregnancy journey right from the very start and improving access to timely, personalised care.'
Dr Claire Fuller, NHS England's national medical director, said: 'GPs are available for any pregnant women who have concerns about their pregnancy they need to discuss, or other health conditions that need monitoring, but in many cases, GP teams don't need to be the first point of contact when someone finds out they're pregnant.
'This quick and easy tool can help ease pressure on practice teams, who won't need to make the referral themselves, and by freeing up that time there will hopefully be a benefit for other patients who are looking to make an appointment with their GP.'
Health and Social Care Secretary Wes Streeting said: 'Early pregnancy should be about joy and excitement – not wrestling with NHS bureaucracy to book a midwife appointment.
'That's why we've overhauled the online referral system. No more endless phone calls or form-filling. Just a simple online service that lets you book those crucial first appointments with a few clicks.'
Abbie Aplin, director of maternity improvement and partnerships at the Royal College of Midwives, said: 'Giving women more control and more agency over their care during pregnancy, labour, birth and the postnatal period can only be a good thing.
'Midwives are best placed to support women to make informed choices about their care, so the earlier the better in terms of access.
'We do have to be mindful, though, of those who don't have easy access to smartphones and technology.
'We already see significant inequalities of outcome for women living with social deprivation so the NHS needs to ensure that those gaps aren't widened yet further.'
Professor Kamila Hawthorne, chairwoman of the Royal College of GPs, said: 'It's vital that women are able to access the most appropriate person-centred care from the earliest stages and throughout their pregnancy.
'In most cases this will be provided by midwife teams, so this initiative, as long as it is implemented correctly, makes sense.
'It's important that women in early pregnancy still know they can come to their GP directly with any concerns about their pregnancy or health – and for women with existing health conditions, we would advise that they remain in contact with their GP as their pregnancy progresses.
'Anyone that has any issues accessing online referrals can also still be referred to appropriate maternity care through their GP practice.'