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One to One (North West) Ltd (One to One) has had to make the difficult decision to cease trading and place the company into administration effective from the 31st of July.
NHS Wirral Clinical Commissioning Group (CCG) and associate CCGs have commissioned One to One for the provision of a community based, case loading midwifery service in the Cheshire & Mersey region since 2010. Under the terms of this NHS contract, One to One has also provided an identical service for NHS North East Essex CCG. The contract was due to expire at the end of March 2020 and as such the commissioners have initiated a re-procurement process.
For many years, One to One has sought to influence the financial basis of how a community midwife led service, based on a continuity of carer model, can remain viable and sustainable within a challenging NHS landscape. Proposals were presented at a local and national level in an attempt to simplify how independent midwifery providers like One to One, NHS Trusts and CCGs that are required to work collaboratively across geographical boundaries, might be remunerated more efficiently and effectively. In the absence of any appetite to support these proposals, and recent confirmation that the proposed new contract will be procured without changes to this unsustainable financial structure, One to One had no further options available and as such has no choice but to recognise that the company was insolvent.
Service users already registered or ‘booked’ with One to One will be supported in the transfer of their care to an alternative NHS provider of their choice. The Cheshire & Merseyside CCGs have set up a Helpline for those women who require support during the transition period – the Helpline number is: 0151 604 7688/9
Service Users who require support in the North East Essex CCG area should contact the CCG.
It is regrettable that a service and model of care which provided such excellent clinical outcomes for women and their babies was not able to continue to do so. One to One is extremely proud of its midwives and their achievements over the last 9 years, in what has been a very challenging NHS environment. All our staff have contributed to the amazing care of over 17,000 families in this time and ultimately in the achievement of safer outcomes for women and their babies, including lower stillbirth rates and premature birth rates, but unfortunately this has not been enough to ensure the continuation of the service.