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Antenatal Shared Care

Antenatal Shared Care and COVID -19 

RANZCOG has released the following information that is updated frequently for ANSC and COVID-19.

Visit our Coronavirus webpage for more information and resources on COVID-19.

Antenatal Shared Care

Antenatal shared care (shared care) is joint care of a pregnant woman by her GP and the hospital antenatal clinic. Antenatal shared care creates the opportunity to practice collaborative obstetric care by combining the varied skills of each profession. It aims to provide a community-based holistic model of care for women.

All women attending Nepean Hospital and Blue Mountains Hospital for the management of their pregnancy and delivery have the option of having their antenatal care provided collaboratively by a recognised GP and the hospital-based services.

This is dependent upon:

  • their wishes,
  • agreement by their GP,
  • agreement by the hospital after assessment of risk factors.

Objectives of the Shared Care Program

The program aims to:

  • provide pregnant women with flexibility, choice and continuity of care.
  • provide GPs with evidence-based, best practice clinical guidelines for antenatal care.
  • provide clear referral pathways and shared care protocols for accredited GPs and hospitals in the Nepean-Blue Mountains area.
  • provide clear clinical pathways when low risk pregnancies deviate from normal.
  • enhance the skills of GPs caring for women during pregnancy.
  • promote communication between GPs and the participating hospitals.
  • reduce demands on hospital outpatient services.
  • cater for the preferences and needs of women from culturally and diverse backgrounds.

About the program guidelines

The program guidelines set out the clinical and administrative protocols for the Nepean-Blue Mountains Antenatal Shared Care program.  They were developed by the Nepean-Blue Mountains Medicare Local, in collaboration with GP advisors and the Women and Children’s Health Outpatients Department at Nepean Hospital. 

About the Clinical Protocol

The Antenatal Shared Care Clinical Protocol is a one-page document that sets out the schedule of visits, investigations, tests and patient education points for shared antenatal care.

The Protocol provides recommendations on baseline clinical care for all pregnant women. It does not, however, offer information on the additional care that high-risk pregnancies require. 

In general, antenatal care practitioners are expected to follow this protocol.  Nevertheless, with respect to the individual pregnant woman, each practitioner – GP and midwife – has ultimate discretion in determining care in collaboration with the woman, e.g. in the need for extra visits, counselling or special tests.

Registering to Provide Antenatal Shared Care

GPs wishing to participate in the ANSC Program need to be registered with NBMPHN as a Registered Provider.  To gain and maintain Registered Provider status GPs must:

  • Submit the following documentation:
  1. Completed GP ANSC Registration Form (pdf, 277kb).
  2. Evidence of current Medical Registration.
  3. Evidence of current Professional Indemnity Insurance.

GPs can register their interest in the program by either:

All program forms, guides and protocols can be found at the top right hand side of this webpage.

Ongoing Educational Requirements

In order to maintain recognition as an ANSC Provider, there is an ongoing CPD requirement for each RACGP triennium. For each triennium, participating GPs will be required to attend at least three (or achieve 12 Category 2 points) Antenatal/Postnatal specific Continuing Professional Development events with attendance at a clinical activity being strongly recommended.

NBMPHN will offer at least one activity each year.  GPs may choose to attend external activities, in which case they are required to submit their certificate of attendance to NBMPHN. Educational opportunities are also available online.

MBS Items for Antenatal Shared Care

These item numbers now have Telehlealth available until 30 September 2020. 

Who can I speak to for more information?

For more information please contact Lauren Crisell on 4708 8100.

Stethoscope held on mother's belly