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Lead Diabetes Midwife Network

NHS Diabetes organised a multi-stakeholder Open Space event ‘Diabetes in Pregnancy’ in December 2008. Here it became apparent that many maternity services have introduced a role for lead midwife in diabetes (LMD) which has not been supported by overall planning and that midwives across the NHS were providing different levels of service and support to women with diabetes.

The Royal College of Midwives (RCM) have worked with NHS Diabetes to develop a standards document to provide advice and guidance to midwives, the maternity team and commissioners of service.


  1. Develop an agreed role specification for midwives whose role targets the care and support of women with diabetes in pregnancy
  2. Develop and agree standards and competency framework for the role of lead midwife in diabetes 


A multidisciplinary Expert Advisory Group was established which met twice face to face and had ongoing discussions via email and telephone.  The RCM undertook an extensive literature search and reviewed guidelines and policies which may impact or influence the care of women with diabetes.


The final document was launched at the RCM Annual Conference in November 2010.


The role should be viewed as a developmental process to enhance care for women with diabetes and their babies, as local needs dictate. Maternity services need to be proactive in addressing the needs of these women and if a midwife with more in-depth or critical knowledge in diabetes is required this role should be embedded into the service utilising the standards developed.