• An understanding of the total midwifery time required to care for women based on a minimum standard of providing one-to-one midwifery care throughout established labour
• A classification for intrapartum care which uses clinical indicators to assess the level of need of both mother and baby
• Collecting real time data on the length of time a woman required care during labour and delivery and an addition of extra midwife time for those with a high level of need/ intervention or emergency.

Birthrate Plus has also been implemented in non NHS services in the Channel Islands and in Southern Ireland, and more recently in Australia.