Tell Us About Your Needs

Fill out this form and we'll match you with qualified midwives in your area

Full Name *

Email Address *

Phone Number *

Expected Due Date

Address *

Postcode *

Type of Care Needed *

Special Requirements or Preferences

Preferred Contact Method

Email Phone

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Create an account to access your dashboard, track your request, and communicate with your midwife.

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Service User Consent Form

Contractor Midwife Sourcing & Data Sharing

Effective Date: July 2025

1 Purpose of This Consent

This form explains how MidwifePlus Ltd collects, uses, and shares your personal and health information to source and match you with a suitably qualified independent contractor midwife for in-home antenatal education and/or postnatal support.

By providing consent, you allow MidwifePlus to share relevant information with prospective midwives to enable safe, appropriate, and personalised care matching.

2 Nature of the Service

MidwifePlus operates a matchmaking and care-coordination platform.
Midwives providing services are independent contractors of MidwifePlus Ltd.
MidwifePlus does not provide medical diagnosis or treatment but facilitates access to regulated midwifery support.

3 Information That May Be Shared With Prospective Midwives

To assess suitability and availability, MidwifePlus may share limited, anonymised or semi-anonymised information with prospective midwives, including:

Medical and obstetric history (relevant to care provision)
Postnatal or antenatal needs and preferences
Personalised care request and proposed care plan
General location (e.g. postcode area only)
Household or safeguarding considerations relevant to safe care delivery
Cultural, language, or accessibility needs (where relevant)

Your identifying personal details will NOT be shared at this stage.

4 Information Shared Only After a Midwife Is Matched

Once you are successfully matched and a midwife accepts the assignment, the paired midwife only will be given access to your full personal details, including:

Full name

Telephone number

Home address

Visit schedule

This information is shared solely to enable safe in-home care delivery.

5 Lawful Basis for Processing

Your personal data is processed under the following lawful bases:

• Consent – UK GDPR Article 6(1)(a)
• Provision of health and care services – Article 9(2)(h) (special category data)
• Vital interests and safeguarding – where applicable

You may withdraw consent at any time, subject to safeguarding and continuity-of-care obligations.

6 Data Protection and Confidentiality

All data is stored securely in encrypted systems in accordance with the UK GDPR and Data Protection Act 2018.
Only authorised MidwifePlus personnel and relevant contractor midwives have access to your information.
Information is shared on a strict need-to-know basis.
Your data will never be sold or used for third-party marketing.

7 Your Rights

You have the right to:

Access your personal data

Request correction of inaccurate information

Withdraw consent

Request restriction of processing

Lodge a complaint with the Information Commissioner's Office (ICO)

8 Withdrawal of Consent

You may withdraw this consent at any time by contacting MidwifePlus. Please note:

Withdrawal may affect our ability to source or continue services
Existing bookings may need to be safely concluded or handed over
Certain information may still be retained where required by law or safeguarding duties

9 Declaration and Consent

I confirm that:

I have read and understood this consent form * I consent to MidwifePlus Ltd sharing my information as described above for the purpose of sourcing and coordinating in-home midwifery support * I understand that my personal contact details will only be shared with the midwife once a match is confirmed *

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Questions? Contact us at support@midwifeplus.com