Can you change the midwife service you are using?
For my first pregnancy I started with the local service (although hospital for this service was 1hr drive away). Really useless, by 34 weeks I'd had two in-person midwife appointments, one booking appointment on the phone, all with different midwives. It took nearly 6 weeks to receive the iron prescription I needed. When I was bleeding it took over a week for a midwife to reply (was just given a mobile number to contact, no one picked up, had to leave a message).
So at 34 weeks I changed to a different service - 25 min drive for midwife appointments, but the birthing hospital was only 45 min away. I couldn't believe how different the service was. So easy to contact, such good communication, always saw the same midwife. Was seen on the day when I had a small problem.
For the second pregnancy I've gone straight there.
The only downside, is that I'm out of their home-visit area, so after baby's born, either we need to travel for the post-natal appointments, or return to our local service. In practice, last time, they somehow managed to visit anyway (and the first few were just done while we had to stay in hospital).