As midwives, we’re trained to weigh risks every day. It’s part of the job. Yet, when it comes to stepping away from the NHS and transitioning into independent midwifery, fear and uncertainty often take over.

Stories of financial struggles, isolation, and unreliable insurance can keep you tethered to a system that may no longer serve you.

But what if those fears aren’t the whole truth?

Many of the concerns holding midwives back from independent practice are rooted in myths, that deserve to be challenged.

Let’s explore the most common misconceptions about independent midwifery and reveal why exploring this path could be the most important decision you’ll make in your career

Myth 1: “I Won’t Make Enough Money as an Independent Midwife”

The Truth: Independent midwifery offers financial freedom you might never achieve within the NHS.

One of the biggest misconceptions about independent practice is that it’s financially precarious. On the contrary, many independent midwives earn more from one client than they would in a month of NHS shifts. This isn’t about luck, it’s about recognising the value of the personalised, compassionate care you provide and charging appropriately for it.

Clients are willing to invest in care that prioritises their individual needs, which is where independent midwifery thrives.

 By offering bespoke care packages, you have the freedom to design services that suit your clients and your lifestyle. It’s not about working harder; it’s about working smarter.

Take the time to set competitive fees that reflect your expertise and consider diversifying your services. Antenatal classes, birth debriefs, or even complementary therapies can create additional income streams. With a solid financial plan, independent practice isn’t just sustainable, it’s liberating.

Myth 2: “It’s Too Hard to Find Clients”

The Truth: Families are actively searching for the kind of care only you can provide.

It’s natural to worry about where your clients will come from, especially when you’re stepping out of a familiar system like the NHS. But here’s the reality: an increasing number of families are desperate for personalised, holistic care. The demand is there, you just need to let them know you exist.

Building a client base starts with visibility. This doesn’t mean you need to be a marketing guru, but a professional website and active social media presence can make a world of difference. Share your story, your values, and the unique way you approach care, and the right people will find you.

Referrals are also powerful. Satisfied clients often become your most enthusiastic advocates, spreading the word about their experience. Don’t underestimate the impact of a personal connection, it can be more effective than any ad campaign.

Myth 3: “I’ll Lose My Clinical Skills and Relevance”

The Truth: Independent practice sharpens your skills and allows you to practice in line with your values.

Leaving the NHS doesn’t mean leaving clinical practice behind. In fact, working independently gives you the time and space to focus on what brought you to midwifery in the first place: supporting women through one of the most profound experiences of their lives.

Independent midwifery fosters really deep relationships with clients, spending more time with each client and tailoring care to their individual needs. You’ll continue to refine your skills, stay updated on the latest guidelines, and collaborate with NHS teams when necessary, ensuring your clinical expertise remains sharp and relevant.

But it’s more than just maintaining skills, it’s about reclaiming your purpose. You’ll have the freedom to provide care that feels authentic and aligned with your values, rather than being constrained by the pressures of a strained system.

Myth 4: “I Don’t Have the Business Knowledge to Succeed”

The Truth: You don’t need to be a business expert; you just need the right tools and guidance.

For many midwives, the thought of running a business feels overwhelming. But let me reassure you: you don’t need an MBA to build a thriving independent practice. What you need is a clear roadmap, the willingness to learn, and a bit of support along the way.
Start small. Taking on a manageable caseload as you find your footing can make the transition feel less daunting. Invest in resources that simplify the business side, like ready-made templates for contracts and bookkeeping systems. And remember, there are programs—like my Independent Midwife Success Accelerator that are designed to guide you step-by-step, ensuring you feel confident every step of the way.

Myth 5: “I’ll Feel Isolated Without the NHS Team”

The Truth: Independent midwives are part of a vibrant, supportive community.

One of the most common fears about leaving the NHS is the idea of losing that sense of camaraderie with your colleagues. But stepping into independent practice doesn’t mean going it alone.

There’s a thriving network of independent midwives, doulas, and birth professionals who share your passion for woman-centred care. Joining professional groups and online communities can connect you with like-minded individuals who are eager to share advice, collaborate, and celebrate your successes.
And let’s not forget your clients. The deep, meaningful relationships you build with the families you support often replace the need for traditional team dynamics. You’re not just their midwife, you’re their trusted partner during one of the most important journeys of their lives.

Myth 6: “It’s Too Risky to Leave the NHS Pension”

The Truth: Financial freedom gives you more control over your future.

The NHS pension is often held up as the ultimate safety net, but the truth is, your existing contributions are secure, and independent midwifery opens the door to even greater financial security.
As an independent midwife, you can set up a private pension plan that aligns with your financial goals. With higher earning potential and the ability to diversify your savings, you’ll have the flexibility to build a retirement plan that suits you.
Remember, the true risk lies in staying in a system that drains your energy and limits your potential. Independent practice offers the opportunity to design a career that supports both your present and your future

Myth 7: “It’s Safer to Stay Where I Am”

The Truth: Staying in an unhealthy system is the riskiest choice of all.

Burnout, moral injury, and a lack of autonomy are the realities for so many NHS midwives. The emotional toll of working in an unsustainable system isn’t just a career issue — it’s a health issue.

Independent midwifery is about reclaiming your well-being. It’s about creating boundaries, rediscovering your passion for the work, and designing a career that allows you to thrive,not just survive. You’ll have the freedom to spend quality time with your family, prioritize self-care, and focus on the kind of care that brings you joy.

Final Thoughts

Transitioning to independent midwifery isn’t without its challenges, but the rewards far outweigh the fears. Financial freedom, work-life balance, and the opportunity to practice in line with your values are all within reach.

If you’re ready to explore whether independent midwifery is right for you, take the Midwife Reality Check Quiz today. It’s time to stop letting fear hold you back and start building the career – and life – you deserve.

Your dream career is closer than you think.

Book a Discovery call with Linda if you are interested in becoming or developing as an Independent Midwife.