Abstract

Step forward all those who want to read about the new government White Paper. Not many candidates perhaps, but his one really matters. The understanding and involvement of midwives in the coming changes is crucial. If we don't define the context of our work others will, leaving us to react belatedly and negatively. There is much that is very good in the White Paper. It has been welcomed as 'sensible' right across the board. Those aspects of NHS reform introduced by the previous government which are successful are being retained, but much is being scrapped. Although the changes in store are fundamental, the Paper does not mean a restructuring of the health service-evolution, not revolution, is the aim. The basic thrust of the Paper (which is relevant only to England; the other three countries have different strategies) is as follows: . National level . Health Authority level . Local level . Themes . What is not there . Midwives and the White Paper . Action stations