Moving towards consumer involvement in maternity services in the north‐east of Ireland

This article uses a case‐study approach to focus on developments in maternity services in the north‐east of Ireland where there is occurring a planned move towards active consumer involvement. In a country with a poor record of consumer involvement, this is a very welcome and innovative development. The Health Service in Ireland is in crisis, characterized by a very prolonged and difficult restructuring, extreme difficulties in recruiting and retraining staff, lack of resources, long waiting times in accident and emergency units with the media reporting daily counts of those left lying on trolleys for extended periods. The north‐east of the country has been affected by the closure of two maternity units in Monaghan and Dundalk. The region has been rocked in recent years by a major health scandal with a long‐serving obstetrician being struck off the medical register for carrying out an excessive number of caesarean hysterectomies. Out of this, there is emerging an innovative woman‐centred maternity service in the north‐east of the country. This article evaluates these developments with a particular focus on consumer involvement.