* 1. Please can you tell us where you live?

* 2. Please can you tell us your age?

* 3. Have you previously used maternity services in the NHS?

* 4. If yes, did you give birth in an obstetric unit (with doctors), a midwife-led unit or at home? (please select all that apply)

* 5. Are you familiar with the concept of a standalone midwife-led unit?

* 6. A standalone midwife-led unit is managed by midwives in a community setting. It offers care to women with an uncomplicated pregnancy who have a low risk of developing complications during childbirth. Midwives take sole responsibility for care and there are no doctors on site. All standalone midwife-led units are linked with a hospital so that if any problems do arise, women are transferred, usually by ambulance, to an obstetric unit in a nearby hospital to give birth supported by doctors.

In South West London and Surrey Downs, as part of a review of healthcare services, we are considering providing a standalone midwife-led unit. There has been no decision as to where this would be located but are interested to hear the views of local mums on the concept of such a unit.

Would you be interested in using a standalone midwifery unit for your maternity care and birth?

* 7. If this standalone midwife-led unit were to be located at one of the following hospital sites*, and if your midwife or doctor decided during your antenatal care that you were low-risk, how likely would you be to use it? (1 = not at all, 5 = very likely)

*St Georges is not included in this list as under all of the proposals being considered by BSBV, St Georges will continue to provide a full range of maternity services.

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St Helier

* 8. Do you have any additional comments on this subject that you would like us to consider?