BCCNM in March 2025 surveyed midwives regarding several proposed changes:
- Rescinding the Midwifery Scope and Model of Practice and Philosophy of Care, and
- Updates to the Indications for Discussion, Consultation and Transfer of Care standard.
A total of 98 midwives participated, an 18% response rate.
These proposed changes are part of BCCNM’s preparation ahead of the Health Professions and Occupations Act taking effect.
Scope, model & philosophy
BCCNM is proposing rescinding both the Midwifery Scope and Model of Practice and Philosophy of Care, as the requirements are addressed in other standards (e.g. Standards of Practice, Policy on Informed Choice).
What we heard
- Mixed responses on proposed changes: About 39% of respondents agreed with BCCNM’s approach to rescind these documents, and another 38% felt it somewhat made sense.
- Support for modernization: Many midwives expressed support for the proposed changes, emphasizing the need for modernization and simplification of existing documents. Comments reflected a desire for standards that establish scope and support diversified models of midwifery care.
- Potential implications: We heard concerns that rescinding these standards could impact some unique elements of midwifery such as informed choice and continuity of care.
Indications for Discussion, Consultation and Transfer of Care
BCCNM is proposing aligning the Indications for Discussion, Consultation, and Transfer of Care standard with nurse practitioners' Consultation and Referral standards.
What we heard
- General agreement on the need for updates to this standard that include a more principle-based approach and support for alignment with the NP standards for consulting and referral.
- Desire for clarity and guidance: Many midwives expressed a desire for clear guidance to effectively navigate the proposed changes, with some voicing concerns regarding impact of a less prescriptive approach.
- Concerns about potential risks: Some midwives worry that removing specific conditions requiring consultation or referral may lead to challenges in consultations with physicians, emphasizing the importance of having clear boundaries regarding when to consult or refer.
Next steps
We thank all midwives who took the time to share their thoughts and feedback. We will continue engaging with midwives and collaborating with system partners to ensure the proposed changes include guidance for midwives that will protect the public.
In particular, our Standards and Guidance team appreciates the insights about what types of learning resources will be helpful moving forward. This information is crucial in helping us tailor our resources to better guide midwives’ professional growth and practice.
The team is planning additional resources beginning in the fall, which will be gradually rolled out throughout the year. We will keep you updated as this work progresses.
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