1. Principles of clinical governance / Jo Wilson -- 2. Clinical risk modification: a collaborative approach to midwifery care / Jo Wilson -- 3. The midwife and the legal environment / Andrew Symon -- 4. Intra- and inter-professional behaviour and communication / Monica Thompson -- 5. The roles of the midwifery manager and supervisor of midwives / Sue Stewart -- 6. Consent issues during pregnancy and childbirth / Liz Rodgers -- 7. Genetic counselling: legal and ethical dilemmas / Jean McHale -- 8. The tools of risk management and their application to midwifery practice / Josie Williams -- 9. The consumer view / Mary Nolan -- 10. The victims of midwifery accidents / Liz Thomas and Georgina Tansley -- 11. The way forward: clinical competence, co-operation and communication / Andrew Symon and Jo Wilson