"Albany Midwifery Practice
King?s College Hospital puts patient safety before all other considerations. For this reason we have terminated our contract with the Albany Midwives practice.
We have become concerned about the safety record of the practice in comparison with the Trust?s overall maternity safety record. Our records show that whilst Albany delivered babies for 4% of all King?s births, those births accounted for 42% of our full term babies born with Hypoxic Ischaemic Encephalopathy, a condition whereby brain damage may be caused by a lack of oxygen to the brain, at or around the time of delivery. The Trust formed the view based on this evidence that babies delivered by an Albany midwife were at higher risk of contracting serious Hypoxic Ischaemic Encephalopathy (HIE). Albany are responsible for some 200 births out of an annual total of around 5,700 babies born at King?s.
Because of our concerns, we also asked The Centre for Maternal and Child Enquiries (CMACE) to carry out an independent investigation. The review was not a statistical analysis - it set out to ascertain the underlying causes of the poor outcomes associated with the Albany practice.
Albany are working with us to ensure that women booked with them are being looked after. We also hope that individual Albany midwives will join the Trust as employees. The Trust runs nine other midwife-led community practices, who offer choice to the women of SE London. At 9%, King?s has one of the best records of home births in the county.
We have shared a copy of the CMACE report with the Albany practice. We have also briefed and sent a copy of the report to the Royal College of Midwives, The Nursing and Midwifery Council, Monitor, the Care Quality Commission and the Department of Health, as well as other local and national stakeholders."
That's 4% of all King?s births, accounted for 42% of full term babies with Hypoxic Ischaemic Encephalopathy.