13/04/2026
Some women are happy with NHS care but others want more, read on to find the main differences in NHS and care by an IM.
NHS midwifery care is delivered within the national health system, with services accessed through an NHS maternity unit or community clinic. You usually receive antenatal, intrapartum, and postnatal care as part of standard pathways funded by the NHS, with care organized around local teams or named midwives. The emphasis is on coordinated care across hospital, birth centre, and community settings, guided by national guidelines and protocols, and transfers between settings are a common part of the system. Continuity of care is often pursued through a named midwife or small team, but caseloads and local arrangements can vary, influencing how consistently you see the same midwife.
Independent midwife care, on the other hand, is provided outside the NHS by self-employed midwives or small practices. Clients pay for services directly or through private arrangements, and care is frequently more individually tailored. The model tends to offer one-to-one continuity with the same midwife or a small team, I work alone but have a 2nd midwife at the birth. I do have a team to call on though if any concerns. There is greater freedom to plan around your preferences, including birthplace and timing. Home visits and home birth are common, and on-call availability is a core feature. While independent midwives still operate within professional safety standards and can transfer care to NHS facilities if needed, the approach is typically more personalised and autonomous.
In terms of birthplace options, NHS care can involve hospital, birth centre, or community settings depending on local services and risk assessments, whereas independent midwifery often centers on home birth or a venue of your choosing, with hospital transfer planned if required. Risk management is fully discussed but the onus is on education and informed consent.
NHS pathways routinely integrate obstetric support and hospital care, while independent midwives usually establish upfront transfer plans to the NHS but I would always be there as your advocate.
Comment DISCOVERY to get more info.