LSA Function

The LSA role is defined within the Midwives Rules and Standards (NMC2004) produced by the NMC (Nursing and Midwifery Council). The main function of the role is the protection of the public and that of ensuring statutory supervision occurs within the East Midlands Strategic Health Authority’s (SHA) geographical area. This includes all midwives irrespective of their employer.

Articles 42 & 43 of the Nursing and Midwifery Order 2001 describe the Council rules in respect to the regulation of Midwifery, describing the role of Supervision and the LSA Midwifery Officer (LSAMO). Shifting the balance of power (April 2001) designated the Strategic Health Authorities as the local bodies responsible for the LSA function.

The SHA has the statutory responsibility for the LSA function. The LSA is responsible for ensuring that supervision of midwives is exercised to a satisfactory standard within its area. This includes all midwives practicing within its geographical boundaries irrespective of employer.

4.1 These responsibilities include:

• Providing a framework of support for supervision and midwifery practice.

• Receiving and Processing Annual Notification of Intention to Practice for each practicing midwife.

• Ensuring midwives meet the statutory requirements for practice.

• Ensuring that there is access to initial and continuing education and training for Supervisors of Midwives.

• Investigating allegations of misconduct.

• Determination of and where necessary appropriate suspension of a midwife from practice in accordance   with the NMC rules and Standards.

• Selection and De-selection of Supervisors.

These responsibilities are further clarified within the NMC Midwives Rules and Standards (2004).

4.2 In addition the role also works closely with Clinical Governance by the:

• Development of evidence-based guidelines to set standards of care

• Monitoring the above standards   

• Reducing variations in care

• Reducing inappropriate care

• Improving quality across the spectrum of health care