{"id":1476,"date":"2023-06-02T13:54:29","date_gmt":"2023-06-02T12:54:29","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/reval\/?page_id=1476"},"modified":"2025-11-18T16:22:56","modified_gmt":"2025-11-18T16:22:56","slug":"emcoc","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/reval\/current-evaluations\/emcoc\/","title":{"rendered":"EMCoC"},"content":{"rendered":"

[et_pb_section fb_built=”1″ fullwidth=”on” admin_label=”section” _builder_version=”3.0.47″ global_module=”322″][et_pb_fullwidth_menu menu_id=”7″ submenu_direction=”downwards” fullwidth_menu=”off” module_class=”main-navigation” _builder_version=”3.0.106″ background_layout=”dark”][\/et_pb_fullwidth_menu][\/et_pb_section][et_pb_section fb_built=”1″ module_class=”header-image-section” _builder_version=”3.0.74″ custom_padding=”0px||0px|” custom_css_main_element=”padding-top:0px” transparent_background=”off”][et_pb_row custom_padding=”||0px|” custom_margin=”||0px|” parallax_method_1=”off” module_class=”header-image” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”off”][et_pb_image src=”https:\/\/sites.manchester.ac.uk\/reval\/wp-content\/uploads\/sites\/430\/2023\/06\/medical-icons-pregnancy.jpg” show_bottom_space=”off” _builder_version=”3.17.6″ border_color_all=”#ffffff” custom_margin=”0px|||” animation_direction=”left” use_border_color=”off”][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.0.74″ custom_padding=”||0px|” transparent_background=”off”][et_pb_row custom_padding=”||0px|” custom_margin=”||0px|” parallax_method_1=”off” module_class=”breadcrumbs-row” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”off”][et_pb_text admin_label=”Breadcrumbs (do not remove)” module_class=”breadcrumbs” _builder_version=”3.0.87″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” module_alignment=”left” custom_css_main_element=”border-bottom: 1px solid #ececed;” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

\nREVAL<\/a><\/span><\/span>
\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ use_custom_gutter=”on” gutter_width=”2″ specialty=”on” parallax_method_1=”off” parallax_method_2=”off” _builder_version=”3.0.74″ transparent_background=”off”][et_pb_column type=”1_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”off” parallax=”off” parallax_method=”off”][et_pb_sidebar area=”et_pb_widget_area_1″ show_border=”off” admin_label=”Left Nav Sidebar” module_id=”left-nav-menu” _builder_version=”3.0.74″ remove_border=”on”][\/et_pb_sidebar][\/et_pb_column][et_pb_column type=”2_3″ specialty_columns=”2″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”off” parallax=”off” parallax_method=”off”][et_pb_row_inner admin_label=”Row” _builder_version=”3.0.47″][et_pb_column_inner type=”4_4″ saved_specialty_column_type=”2_3″ _builder_version=”3.0.47″ parallax__hover=”off” parallax_method__hover=”on” parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Text: EMCoC” _builder_version=”3.17.6″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” module_alignment=”left” use_border_color=”off”]<\/p>\n

Evaluation of the enhanced midwifery continuity of carer model (EMCoC)<\/h1>\n

Please see the link to the full Evaluation of enhanced midwifery continuity of carer report here.<\/a><\/p>\n

An infographic of the findings can be found here<\/a>, and a summary of the findings here<\/a><\/p>\n

Background<\/h2>\n

Pregnancy and birth experiences for women from deprived socioeconomic backgrounds and minority ethnic groups are 50% more likely to result in poor outcomes, with five-fold difference in maternal mortality rates for women from Black ethnic backgrounds.<\/p>\n

Midwifery Continuity of Carer (MCoC) aims to provide personalised and safe care to women and their families via provision of the same midwife, supported by a small team of midwives, throughout pregnancy, birth and the post-partum period.<\/p>\n

The enhanced model of MCoC aims to provide extra support to women and their families in the most deprived areas of England, in order to reach the target of providing continuity of care for 75% of women from Black, Asian and minority ethnic and women from the most deprived groups by March 2024.<\/p>\n

What we are doing<\/h2>\n

Our aim is to undertake a rapid formative evaluation of enhanced MCoC implementation. We will generate rapid insights into the format of care delivery and the experiences of those delivering and receiving enhanced MCoC to assess its early impacts.<\/p>\n

We will conduct a multi-site, multiple methodologies study, conducting interviews with staff, stakeholders and service users who are delivering or in receipt of the enhanced MCoC model, across nine case study sites.<\/p>\n

Our research questions include:<\/p>\n

    \n
  1. What are enhanced MCoC service delivery models and how have these been developed in response to service model guidance and related policies, existing MCoC services, high-priority issues and specific local needs?<\/li>\n
  2. What are the barriers and facilitators to the implementation of enhanced MCoC models of care from a staff perspective and can fidelity to the model envisaged be maintained?<\/li>\n
  3. What are staff views on the acceptability of the enhanced elements of MCoC models and their experience of these, including how staff interface with other health and social care teams?<\/li>\n<\/ol>\n

    What evidence is there that delivery of enhanced MCoC is resulting in purposeful improvement to care delivery or leading to unintended consequences, including any early benefits or risk as judged by staff?<\/p>\n

    The protocol for this evaluation can be found here.<\/a><\/p>\n

    What we found<\/h2>\n
      \n
    1. Use of Funds<\/span><\/b>: Most teams used the funding to hire Maternity Support Workers, who supported with antenatal and post-natal appointments, mental health and wellbeing, and signposting families to non-NHS services such as baby basic charities and financial support.<\/span>\u00a0<\/span><\/li>\n
    2. Implementation Challenges<\/span><\/b>: Many teams were unable to start the service during the pilot period due to\u202fdelays in the Trusts receiving the funding, as well as ongoing staff shortages and difficulties in recruiting the support staff.<\/span>\u00a0<\/span><\/li>\n
    3. Staff and service user acceptability: <\/span><\/b>Midwives reported improved care quality and more time to support the women work due to the extra member of staff. Women using the service reported they appreciated the\u202fpersonalised approach and felt well-supported. The programme also effectively supported\u202fvulnerable groups\u202f(e.g. young parents, non-English speakers, those with mental health needs).<\/span>\u00a0<\/span><\/li>\n<\/ol>\n

      The pilot showed\u202fpositive outcomes, especially in care quality and support for disadvantaged women. However,\u202fissues with implementation limited its full potential. Further research is needed to evaluate\u202flong-term health impacts.<\/span>\u00a0<\/span><\/p>\n

      <\/span><\/p>\n

      [\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Connect Title” module_class=”footer-section” _builder_version=”3.0.90″ background_color=”#1d1d1d” custom_padding=”0px||0px|” global_module=”380″][et_pb_row parallax_method_1=”off” parallax_method_2=”off” parallax_method_3=”off” admin_label=”row” module_id=”footer-row” _builder_version=”3.0.89″ locked=”off”][et_pb_column type=”1_3″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”off”][et_pb_text admin_label=”Contact Us Title” _builder_version=”3.0.74″ text_text_color=”#ffffff” background_size=”initial” background_position=”top_left” background_repeat=”repeat” background_layout=”dark”]<\/p>\n

      Contact Us<\/h4>\n

      [\/et_pb_text][et_pb_text admin_label=”Contact Us” module_class=”contact-us” _builder_version=”3.0.87″ text_text_color=”#aaaaaa” background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

      +44 (0) 161 306 6000<\/p>\n

      [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”off”][et_pb_text _builder_version=”3.17.6″]<\/p>\n

      Your content goes here. Edit or remove this text inline or in the module Content settings. You can also style every aspect of this content in the module Design settings and even apply custom CSS to this text in the module Advanced settings.<\/p>\n

      [\/et_pb_text][et_pb_text admin_label=”Find Us Title” _builder_version=”3.0.74″ text_text_color=”#ffffff” background_size=”initial” background_position=”top_left” background_repeat=”repeat” background_layout=”dark”]<\/p>\n

      Connect With Us<\/h4>\n

      [\/et_pb_text][et_pb_code admin_label=”Social Media” _builder_version=”3.17.6″]<\/p>\n

      Find Us<\/h4>\n

      [\/et_pb_text][et_pb_text admin_label=”Address” module_id=”address” _builder_version=”3.0.87″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” background_layout=”dark” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

      The University of Manchester
      Oxford Rd
      Manchester
      M13 9PL
      UK<\/a><\/p>\n

      [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”off”][et_pb_text admin_label=”Connect Title” _builder_version=”3.0.74″ text_text_color=”#ffffff” background_size=”initial” background_position=”top_left” background_repeat=”repeat” background_layout=”dark”]<\/p>\n