Friday, December 18, 2009

Collaboration- what does this entail?

There is a lot of discussion in Parliament about Midwives the role of the midwife, the role of the obstetrician.... and that word Collaboration. As we know obstetricians would like collaboration to mean they have the last say..... however we all now that this is not the true meaning of the word....
Senator Siewert- discussed issues surrounding consensus.....

Senator SIEWERT— One of the things I clearly know is that, if there is a power imbalance, consensus tends not to work, because at the end of the day the people holding the power can say, ‘I don’t care what you think; we’re the ones that sign on the dotted line at the end of this process.’ That seems to me to be one of the keys here. You can say that the medical practitioners will collaborate and want a consensus approach, but at the end of the day it is the medical profession and obstetricians who will be responsible for signing off on collaborative care arrangements under the current process, and that is what people are concerned about. It seems to me that it is clear that there is a power imbalance when you are happy with this amendment but patients, midwives and nurse practitioners are not happy with it. So that says to me that fundamentally there is an issue here.

Dr Pesce—All right. We have lots of very happy patients that do not seem to be unhappy with the power balance.........."

Senator SIEWERT—We have 2,000 emails from people saying that they do not like the current amendment.

Read more click the link: Community Affairs Legislation S12666.pdf

Also thanks Carolyn Hastie for inventing the wheel... take a look at her blog Thinkbirth:exploring birth, midwifery and related topics for further information:

Reference: Health Legislation Amendment (Midwives and Nurse Practitioners) Bill
2009; Midwife Professional Indemnity (Commonwealth Contribution) Scheme Bill
2009; Midwife Professional Indemnity (Run-off Cover Support Payment) Bill 2009
This is an uncorrected proof of evidence taken before the committee.
It is made available under the condition that it is recognised
as such.

Cheers Pauline

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