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Whereas
midwives have to provide a level of professionalism, always being responsible
for their own actions and for the actions of those working under their
supervision, such as HCA’s. Midwives have to maintain certain standards of
practice set out by the Nursing and Midwifery Council or risk losing their
license to practice.

Healthcare
assistants have a responsibility to act in a professional manner as they have a
direct influence on a patient’s wellbeing. No formal qualification is required
to become a HCA. HCA’s do not have to take on the kind of professional
responsibility that a midwife does, in the respect that a HCA’s conduct is
always the responsibility of someone else and the buck does not stop with them
when something goes wrong.

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Duties generally cover
observation of patients, clinical duties, personal care of patients, supplies
and communicating with patients and families. HCA’s always work under the
supervision of a higher authority such as nurses, midwives and doctors.

Healthcare assistants
primarily work in different areas of NHS hospitals and community settings,
alongside professional healthcare providers such as nurses, midwives, mental
health teams and G.P surgeries. HCA’s provide care for a variety of patients.

It’s a midwives responsibility
to work with other healthcare providers.

A midwife is there to
support families through events such as miscarriage, stillbirths and neonatal
abnormities just to mention a few. Midwives are responsible to provide care
plans for expectant mothers and provide education as in needed to new parents
or on subjects such as breastfeeding. 

Formal training is needed
to become a midwife, three years full time, upon completion of this they need
to register with the nursing and midwifery council and obtaining on going
further training.

 

The roles of a midwife
are to provide quality care to the expectant mother, before, during and after
birth, midwives provide care across a wide variety of places such as NHS
hospitals, birthing centres, private hospitals, clinics and in the patients
home.

Definition of a
midwife: A person, typically a woman, who is trained to assist women in
childbirth. https://en.oxforddictionaries.com/definition/midwife

Midwife Vs Healthcare
assistant 

Both
these organisations safeguard the public, by carrying out inspections and
publishing the findings and setting standards to which these providers need to endear
to, the public are then aware of the quality of care they expect to receive
from these care providers. The HFEA pride themselves in maintaining a high standard,
in relation to the clinics that do research into embryos to make sure that it
is carried out in such a way that it meets ethical standards

The CQC
aim is to make sure all care providers meet fundamental standards by inspecting
them regally and making them become part of a register, the inspection finding
is made public, the registration fees fund the CQC. The CQC has the power to
close an organisation down if they feel they are not meeting the necessary
standards.

The
Care Quality Commission (CQC) is an independent regulator for the UK, they
regulate and inspect all health and adult social care providers. As established
by the Health and Social care act 2008.

In 2008
the bill was changed due to the amount of new technology and changes in ethics
and societal attitudes. The HFEA also regulates research into human embryos.

The
bill was passed in 1990 and came into effect in 1991; it was the first
statutory body of its kind in the world. The bill gave the HFEA the ability to
regulate clinics, issuing licenses to practices, which they also had the power
to revoke if they found standards did not meet their expectations. The licenses
are issued for four years at a time and the HFEA carry out inspections on
clinics every two years to maintain a high standard of care and ethics for the
public, inspection reports are made public.

The
Human Fertilisation and Embryology Authority (HFEA) is a non-departmental
public body, which regulates and inspect all clinics, which provide IVF,
storage of eggs, embryos, sperm and artificial insemination across the UK.

 

Both of
these two key events took so long to come about due to ethics, religion and politics,
with the bill still not being passed in Northern Ireland.

These
two legislations gave women in the UK a better sense of worth and gave them the
confidence to fight back for equal rights, bringing about the feminist
movement.

The law
led to more freedom for women, which led to a lot of women gaining education
and making their way out into the workplace instead of staying home raising
families. More couples started co-habituating.

In 1967
the legalisation of abortions was pass and came into effect in the UK in 1968,
making it now legal to have an abortion up to 28 weeks’ gestation. In 1990 the
law was amended to 24weeks gestation unless the mother met extreme criteria,
this bill is misleading though, because fundamentally it is still classed as a
crime to get an abortion under the 1861, offences against the person act but a
pregnant women cannot be found guilty as long as she has two registered medical
practitioners to sign off on the abortion.

Before
1967 it was not uncommon for women to have unwanted pregnancies but it was
illegal for women to have abortions unless it was for extreme medical reasons.
So women were left to find their own ways of aborting unwanted pregnancies,
which involved visiting back street abortionists, using coat hangers themselves
or getting family and friends to do it, all of these often led to serious
infections and sometimes led to the death of the women.

This
brought about liberation for all women, finally having freedom and control over
their sexual habits.

It was
not until 1974 before Family Planning clinics where allowed to start
prescribing the drug.

Developed
in the 1950s the pill first became available in America, only being prescribed
for serve menstrual disorders and not for contraception. In 1961 the pill
became available in the UK on the NHS as a form of contraception, only
prescribed by a doctor, to older married women that already had children, until
1967 when it became available to all women in the UK.

Before
the contraceptive pill was developed, women mainly had to rely on men to
provide contraception. The different methods of contraception were very limited
and some highly unreliable, these included; condoms, cap, diaphragm, withdrawal
and the rhythm method. GPs were reluctant to advise or prescribe contraception
this was left to Family Planning Association clinics.

This
essay will analyse two key events in the roles in women’s health, two
organisations whose roles are to protect the public and compare two job titles that
have to consider professionalism.

Stacy
Pearce 20019545        

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