Plus, if you do get a job at a unit with high ratios, it will be physical and mental hell some of the time. Clearly anyone looking at a 40 years shift work in a business is going to try relocate - so those trusts will struggle with retention. As does midwifery as a whole, or at least it used to.
Even neighbouring areas (like Mid Essex and South West Essex) seem to have huge differences - I'm guessing that may be where house prices kick in.
It's funny - many people from South West Essex opt to give birth in Mid Essex units as they are seen as being a bit posher, but SW Essex seems to have more MWs - perhaps because there is a wider range of house prices. Although I have heard rumours that poorer areas struggle to recruit the doctors because they don't want to live in cheaper areas. Swings and roundabouts.
Plus you could have two trusts on the same street but they operate as individual companies. They have the say in how and when they recruit. They may or may not have individual funding considerations. Of course their budget stems from the DofH, but individual trusts are exactly that. Individual.
Those trusts with high ratios may not be advertising for staff.
according to that where i had DS is 1 to 21 births, and where i had DD is 1 to 23 births (and i'm not in scotland btw). i wonder what population spread has a lot to do withit? both those areas ^^ are largely rural so more mws needed geographically with less women.
That number is an RCM statement and is no doubt based on the formula that were developed in the early 90's ( I think). I am not aware of any legal need to comply, but would be delighted to hear different.
A trust with very sound, evidenced and implemented guidelines may be able to operate safetly on less or more. Who knows how the complexities of risk assessment work.
My local hospital (which I'm always banging on about) is here - very poor staffing ratios. Last year they had far more maternal deaths than they should have done for the number of births, and staffing problems have been fingered as contributing to this in the report which is coming out about it. "if you do get a job at a unit with high ratios, it will be physical and mental hell some of the time" - I bet. Our local hospital is a hotbed of bullying too.