Hundreds of thousands of newly pregnant women across England can now self-refer online for their first midwife appointment, thanks to a new NHS England service designed to improve access to early pregnancy care.
By completing a simple form on NHS.uk, expectant mums can now bypass the need to see a GP and refer themselves directly to their chosen NHS trust. This new digital tool aims to ensure women receive personalised, timely care from the very start of their pregnancy.
First midwife appointments are crucial for arranging early antenatal screening, identifying high-risk pregnancies, and offering reassurance and support to women during the early stages of pregnancy. However, recent NHS data shows that in 2023/24, only 62% of first maternity appointments occurred within the first 10 weeks of pregnancy.
The new online referral system is already making an impact. Since its phased rollout began in March, nearly 60,000 women have used the tool, with over 84,000 people accessing the portal for information and support. More than three-quarters of NHS trusts in England are now connected to the service.
The NHS’s Chief Midwife is urging newly pregnant women to refer themselves as early as possible to ensure the safest and most supportive care for their baby. The earlier care begins, the sooner women can access vital services and develop a personalised care plan with their midwife.
Chief Midwife Kate Brintworth said:
“It’s so important that newly pregnant women get the support they need as soon as possible, so this new tool makes it easier than ever to book that all-important first maternity care appointment.
“Making this process simpler at the touch of a button is a vital step in empowering women to take control of their pregnancy journey right from the very start and improving access to timely, personalised care."

The service is also expected to ease pressure on GPs, potentially saving up to 180,000 calls and 30,000 appointments annually. While most women do not need to see a GP to begin maternity care, those with existing health conditions are still encouraged to consult their doctor.
This initiative supports the NHS’s wider commitment to modernising maternity care, improving patient access, and ensuring every woman receives the care she needs, when she needs it.
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