00:00:00.000 --> 00:00:02.750 Brione, Rebecca OK, so I can see the transcription is started. 00:00:03.640 --> 00:00:09.790 Brione, Rebecca And the recording has started. OK, brilliant. Thank you. OK, So what 00:00:09.890 --> 00:00:10.400 Brione, Rebecca I'm. 00:00:11.330 --> 00:00:19.620 Brione, Rebecca Oh yes, and Fiona was going to sort of sit in the background, but not sort of listening or not not join in. So it's just gonna be a conversation between the two of us. 00:00:20.370 --> 00:00:49.300 Brione, Rebecca And So what I'm going to do in a second is just ask sort of a couple of sort of an introductory question to get the discussion going and then I'm going to ask some questions about policy proposals around mandatory alcohol screening as part of routine antenatal care, the transfer of alcohol information from maternity records to Children's Health records, the potential impacts that those measures could have on relationships between midwives and patients and the potential impact they may have on the professional identity of midwives. 00:00:50.620 --> 00:00:59.210 Brione, Rebecca And I sort of have an idea of how long we might spend on each question, but it really depends on what you want to say and and how the discussion goes. So we can be sort of really flexible about that. 00:01:00.480 --> 00:01:15.610 Brione, Rebecca So if you're alright to start, I wondered if to start with you might be able to tell me just a bit about your your sort of current role and your current practice in relation to sort of alcohol and and alcohol in antenatal care. 00:01:19.670 --> 00:01:24.190 Participant 6 (Guest) First of all, May I say did that you're really doing a very nice project. 00:01:26.080 --> 00:01:26.510 Brione, Rebecca Thank you. 00:01:27.150 --> 00:01:27.570 Participant 6 (Guest) Yes. 00:01:29.030 --> 00:01:34.920 Participant 6 (Guest) It's still close with me, that indeed there's a lot of policy framework that can be done. 00:01:36.600 --> 00:01:37.850 Participant 6 (Guest) But it's necessary. 00:01:40.830 --> 00:01:48.060 Participant 6 (Guest) However, my soul, the reality, supersedes policy expectations. 00:01:49.430 --> 00:01:57.110 Participant 6 (Guest) And in my role, as a senior midwife, I've been blessed with the duty to bar. 00:01:58.610 --> 00:02:01.540 Participant 6 (Guest) The bar often say that midwives. 00:02:03.420 --> 00:02:05.780 Participant 6 (Guest) They are the gate keepers of life itself. 00:02:06.590 --> 00:02:07.760 Participant 6 (Guest) Being that 00:02:08.680 --> 00:02:14.450 Participant 6 (Guest) It's hard not to see why midwife is a pivotal 00:02:15.310 --> 00:02:26.060 Participant 6 (Guest) person in the in in the hospital sector because you have to take care of a vulnerable mother. You have to take care of. 00:02:26.820 --> 00:02:28.570 Participant 6 (Guest) Vulnerable baby as well. 00:02:31.170 --> 00:02:34.180 Participant 6 (Guest) And the gist of it all is that. 00:02:35.340 --> 00:02:42.430 Participant 6 (Guest) Well, this is a lot of good considerations that go into it skills, the training. 00:02:43.870 --> 00:02:50.350 Participant 6 (Guest) Uh. In order to deliver and be responsible for the pregnancy labor. 00:02:51.650 --> 00:03:03.630 Participant 6 (Guest) Before and after birth, it's not easy, and so what my role differently is about all about that kind of environment or angina. 00:03:04.750 --> 00:03:05.460 Participant 6 (Guest) Yeah. 00:03:06.680 --> 00:03:13.500 Participant 6 (Guest) Whereby, uhm, it's quite difficult to really, you know, uh, especially. 00:03:14.240 --> 00:03:20.290 Participant 6 (Guest) Uh, when we live in times, where we should exercise superior caution. 00:03:21.480 --> 00:03:23.620 Participant 6 (Guest) Uh, but well. 00:03:24.640 --> 00:03:31.650 Participant 6 (Guest) Allow me to comment on the focus of this research about antenatal alcohol screening. 00:03:32.680 --> 00:03:33.340 Participant 6 (Guest) Uh. 00:03:34.360 --> 00:03:38.250 Participant 6 (Guest) It's a discussion that you know. 00:03:39.650 --> 00:03:46.030 Participant 6 (Guest) Surrounds human rights. Surrounds the rights of the of the baby. It surrounds. 00:03:48.900 --> 00:03:59.890 Participant 6 (Guest) Public policy. It surrounds, you know, the intrusion of the state in terms of public and health welfare. 00:04:01.270 --> 00:04:03.420 Participant 6 (Guest) And you know. 00:04:04.930 --> 00:04:16.430 Participant 6 (Guest) Alcohol itself, is not a good thing when it comes to consumption of it, but it's a good thing when it comes to the the, the, the industrial value of it. 00:04:17.210 --> 00:04:28.240 Participant 6 (Guest) Uh, and the fact that it brings a lot of taxes and all that. Yeah. The fact that the UK is one of the biggest consumers of beer, what have you well speaks to the economic. 00:04:28.900 --> 00:04:34.100 Participant 6 (Guest) Uh. Tentacles of alcohol? Yeah, but it should not be lost. 00:04:35.090 --> 00:04:42.250 Participant 6 (Guest) on all of us that the the extent at which alcohol has been abused. 00:04:43.390 --> 00:04:46.000 Participant 6 (Guest) Has impacted generations and generations. 00:04:47.130 --> 00:04:48.080 Participant 6 (Guest) And therefore. 00:04:48.370 --> 00:04:49.060 Participant 6 (Guest) Uh. 00:04:51.620 --> 00:04:55.240 Participant 6 (Guest) The most important time I always tell my patients is. 00:04:56.120 --> 00:05:09.250 Participant 6 (Guest) The most important thing that you can do for your baby is to abstain. What other? Uphold the consumption of alcohol during pregnancy and immediately after pregnancy as well. 00:05:10.080 --> 00:05:16.310 Participant 6 (Guest) Uh, because it does well to alchol itself has its own. 00:05:18.110 --> 00:05:23.260 Participant 6 (Guest) Negative impacts on immunity and. 00:05:24.440 --> 00:05:36.900 Participant 6 (Guest) And there has been extensive research as well as the impact it has on genetic change. And research is a good point, but well, what matters is it. 00:05:38.090 --> 00:05:46.380 Participant 6 (Guest) For people, especially in my line of sector, it's it's how we make a patient to really appreciate the. 00:05:48.140 --> 00:05:49.170 Participant 6 (Guest) The. 00:05:50.170 --> 00:05:54.940 Participant 6 (Guest) The care, the forbearance that we advised him against. 00:05:55.700 --> 00:06:03.970 Participant 6 (Guest) Uh, because, well, people will always disobey things when they don't feel like they are part of the the reasoning in it. 00:06:05.310 --> 00:06:15.190 Participant 6 (Guest) And well, I also wouldn't really buy into something if I don't feel indeed that IÕve understood quite clearly my duty and my obligations. 00:06:16.100 --> 00:06:22.830 Participant 6 (Guest) And there's not another way to be then, that the to establish trust and and be able to deliver. 00:06:24.500 --> 00:06:25.840 Participant 6 (Guest) Good advice. 00:06:26.650 --> 00:06:33.150 Participant 6 (Guest) So to mothers and expectant mothers are because it's it's it's a great duty. 00:06:34.290 --> 00:06:34.790 Participant 6 (Guest) Yeah. 00:06:35.990 --> 00:06:50.650 Brione, Rebecca No. Thank you. That's really helpful. So if I if I was, if I was a pregnant woman and coming to a to a booking appointment with you, what sort of what sort of questions might you ask me in your sort of current practice? 00:06:55.070 --> 00:06:55.460 Participant 6 (Guest) Well. 00:06:57.070 --> 00:06:57.670 Participant 6 (Guest) Uh. 00:06:58.350 --> 00:06:59.180 Participant 6 (Guest) It depends. 00:07:02.050 --> 00:07:06.080 Participant 6 (Guest) There is no straight forward way we because you have. 00:07:07.170 --> 00:07:10.340 Participant 6 (Guest) Divergent in terms of the nature of people. 00:07:11.360 --> 00:07:14.000 Participant 6 (Guest) You have divergences with age. 00:07:15.300 --> 00:07:17.280 Participant 6 (Guest) You have divergences. 00:07:18.630 --> 00:07:19.120 Participant 6 (Guest) With. 00:07:19.900 --> 00:07:25.850 Participant 6 (Guest) the abilities and patience diverge with regards to 00:07:25.930 --> 00:07:27.930 Participant 6 (Guest) Uh, culture 00:07:28.750 --> 00:07:29.660 Participant 6 (Guest) and 00:07:30.910 --> 00:07:36.360 Participant 6 (Guest) economic status, so there's too much, but it depends. 00:07:37.420 --> 00:07:42.710 Participant 6 (Guest) Uh, but one thing I like for sure about my job is to tell. 00:07:44.340 --> 00:07:47.870 Participant 6 (Guest) Most of the initial interviews. 00:07:49.640 --> 00:07:53.110 Participant 6 (Guest) I don't. I don't by the patients themselves whereby. 00:07:54.550 --> 00:08:04.740 Participant 6 (Guest) They have expectations indeed. Uh. And and because it has come to my attention that. 00:08:05.430 --> 00:08:11.720 Participant 6 (Guest) Uh mothers in England, share in the greatest enthusiasm of raising children. 00:08:13.070 --> 00:08:14.970 Participant 6 (Guest) And it's really. 00:08:15.870 --> 00:08:34.660 Participant 6 (Guest) Yeah, gives them a footing. It's they want to be part of the health engagement. And so it doesn't take long before you establish a quick rapport and start asking questions. But one of the most important questions that I ask is. 00:08:35.960 --> 00:08:36.410 Participant 6 (Guest) Well. 00:08:36.990 --> 00:08:37.660 Participant 6 (Guest) Umm. 00:08:39.760 --> 00:08:58.090 Participant 6 (Guest) Is it that you do really want to have this baby and that you really want to raise a kid with healthy? Is it really something that you have planned or is it something that just happened? Because that question alone opens up a pathway of so many things in terms of? 00:08:58.700 --> 00:09:13.490 Participant 6 (Guest) Yeah, mental, psychological and even physical preparation. So if someone tells me some mistake, different questions. If someone tells me that they have been planning and planning and planning, then it definitely means that. 00:09:13.570 --> 00:09:25.900 Participant 6 (Guest) Yeah, they know. They, they, they, they pretty much know about so many things and so it changes the dynamic but for the patients who who who is kind of. 00:09:26.170 --> 00:09:26.830 Participant 6 (Guest) You. 00:09:28.610 --> 00:09:43.890 Participant 6 (Guest) Uh, new to this, has not premeditated the pregnancy. Then you you go to the depths of, you know, trying to bring them to speed. But for the patients who is expectant psychologically. 00:09:46.360 --> 00:09:50.950 Participant 6 (Guest) It's just trying to fast track the initial conversation. 00:09:51.890 --> 00:09:58.220 Participant 6 (Guest) Yeah. And try to at least make sure that they need to count these. 00:09:59.570 --> 00:10:01.480 Participant 6 (Guest) ah well. Ah well. All of these. Yeah. 00:10:04.170 --> 00:10:15.340 Brione, Rebecca OK. Thank you. That's really, really helpful. So can I ask you what you think about the idea of mandatory alcohol screening it at every antenatal contact? So at every appointment? 00:10:21.940 --> 00:10:22.690 Participant 6 (Guest) Yeah. 00:10:25.680 --> 00:10:32.560 Participant 6 (Guest) You will forgive me because I I I was really hungry. I've been taking the bite of something right here. 00:10:31.220 --> 00:10:32.370 Brione, Rebecca That's OK, don't worry. 00:10:34.520 --> 00:10:35.000 Participant 6 (Guest) Now. 00:10:37.340 --> 00:10:39.390 Participant 6 (Guest) It is on good authority that. 00:10:40.730 --> 00:10:46.260 Participant 6 (Guest) The proposals have been shared left, right and centre. 00:10:49.110 --> 00:10:53.880 Participant 6 (Guest) By various stakeholders that there should be mandatory. 00:10:55.100 --> 00:10:57.930 Participant 6 (Guest) And that's alcohol screening. 00:10:59.370 --> 00:11:01.110 Participant 6 (Guest) Yeah. For me, yes. 00:11:01.390 --> 00:11:02.080 Participant 6 (Guest) Uh. 00:11:02.230 --> 00:11:02.630 Participant 6 (Guest) Probably. 00:11:04.450 --> 00:11:06.770 Participant 6 (Guest) It goes without saying that. 00:11:07.950 --> 00:11:08.760 Participant 6 (Guest) According to. 00:11:09.750 --> 00:11:17.040 Participant 6 (Guest) The economic view is worth it, according to the sociological view. 00:11:18.020 --> 00:11:23.600 Participant 6 (Guest) It's still worth it, but when we get political is when we might draw the line. 00:11:25.080 --> 00:11:29.080 Participant 6 (Guest) And sadly, the UK is very political. 00:11:31.060 --> 00:11:35.870 Participant 6 (Guest) And things spin because of political leanings. 00:11:36.560 --> 00:11:39.070 Participant 6 (Guest) Conservatism and. 00:11:40.310 --> 00:11:49.310 Participant 6 (Guest) Uh. Liberalism, Visa vee, Right wing, left wing, you know all the leanings, but. 00:11:50.290 --> 00:11:58.680 Participant 6 (Guest) The reason why I'm highlighting the political part is because they ultimately other ones that tend to push things. 00:11:59.660 --> 00:12:04.150 Participant 6 (Guest) Yeah. Yeah. So it's not to say that. 00:12:05.440 --> 00:12:13.340 Participant 6 (Guest) The uh, the women constituency or the motherhood constituency of voters who disapprove such a policy. 00:12:14.300 --> 00:12:20.050 Participant 6 (Guest) But because it's beneficial indeed, but the nation is healthy. 00:12:21.030 --> 00:12:25.460 Participant 6 (Guest) Uh, the the people that didn't need uh, you know? 00:12:27.790 --> 00:12:53.860 Participant 6 (Guest) That the country takes care of its next generation because what a child who is born with conditions does for the country is, as they become a burden to the tax payers. So technically, economically speaking, yes. How else speaking. Yes, sometimes you have patients that have not willing to take it because of, you know. 00:12:54.640 --> 00:12:59.050 Participant 6 (Guest) Uh, guilt and you know, guilt, you know. 00:12:59.130 --> 00:13:01.240 Participant 6 (Guest) No, but it goes. 00:13:02.300 --> 00:13:07.530 Participant 6 (Guest) It's just obvious indeed that they have indulged in the habit or two. 00:13:08.620 --> 00:13:10.330 Participant 6 (Guest) Umm but. 00:13:11.410 --> 00:13:20.280 Participant 6 (Guest) They it puts one in a very hard task because then you have to be able to just read from other signs. 00:13:21.320 --> 00:13:21.920 Participant 6 (Guest) And. 00:13:23.360 --> 00:13:24.350 Participant 6 (Guest) To be hard to. 00:13:24.680 --> 00:13:27.550 Participant 6 (Guest) And to impute certainly. 00:13:28.650 --> 00:13:29.750 Participant 6 (Guest) Data because. 00:13:30.990 --> 00:13:37.090 Participant 6 (Guest) This could only be proven with with things to do with antenatal alcohol screening. 00:13:38.690 --> 00:13:44.150 Participant 6 (Guest) Uh, I was sharing with a colleague just quite recently that. 00:13:46.140 --> 00:13:47.190 Participant 6 (Guest) In any way. 00:13:48.230 --> 00:13:50.340 Participant 6 (Guest) Women should be encouraged. 00:13:52.560 --> 00:13:59.950 Participant 6 (Guest) and sufficient campaign should also be if we're thinking policy, then some funds should be allocated for. 00:14:00.550 --> 00:14:06.160 Participant 6 (Guest) Uh. Kind of civic education of of, of of young girls and. 00:14:07.180 --> 00:14:14.220 Participant 6 (Guest) Into reproductive health and also to to parents as well, who might be able to advise you know. 00:14:14.920 --> 00:14:23.850 Participant 6 (Guest) Uh, because I feel like the financial allocation to the contingent of reproductive health. 00:14:25.630 --> 00:14:26.920 Participant 6 (Guest) Is not in any way. 00:14:27.960 --> 00:14:28.550 Participant 6 (Guest) Uh. 00:14:29.710 --> 00:14:30.150 Participant 6 (Guest) Uh. 00:14:32.530 --> 00:14:40.840 Participant 6 (Guest) Is not well compensated when you when you see the, doesn't measure up well when you compare to the objective. 00:14:41.610 --> 00:14:42.310 Participant 6 (Guest) purpose 00:14:44.380 --> 00:14:46.760 Participant 6 (Guest) And depth of that, that that sex, here. 00:14:47.590 --> 00:14:51.360 Participant 6 (Guest) Yeah. So talking policy, a lot of policy should be done indeed. 00:14:53.000 --> 00:14:56.240 Brione, Rebecca No. Thank you. I think sorry. I didn't mean to talk over you. 00:14:53.360 --> 00:14:53.960 Participant 6 (Guest) Yeah. 00:14:58.070 --> 00:15:02.200 Participant 6 (Guest) Yeah, yeah, yeah. I think I don't know what happens to your question. 00:15:02.870 --> 00:15:32.270 Brione, Rebecca So I think I think you you partly have, but I think I'd like to ask like a little bit more because I think you've made a lot of really interesting points about the sort of the policy framework and the political context. But I think one of the things we're really keen to understand in this project specifically is the sort of the impacts, the pros and cons for midwives in their professional role of sort of being the one to being the one who would. 00:15:32.460 --> 00:15:47.210 Brione, Rebecca Be carrying out any screening and being being involved in if, if if that policy was in place, being being the sort of people who are having to do a lot of the stuff in it. So in terms of sort of. 00:15:48.320 --> 00:15:57.170 Brione, Rebecca What you were saying about how you how are these sorts of things would feed into your practice? Like are there particular points 00:15:57.480 --> 00:16:14.310 Brione, Rebecca And during the antenatal sort of care journey or the pregnancy journey, where you'd feel more or less comfortable with, with asking, asking about alcohol intake, or do you think you'd actually be quite comfortable asking about it at every appointment? 00:16:18.320 --> 00:16:20.210 Participant 6 (Guest) What happens is that a patient. 00:16:21.430 --> 00:16:24.560 Participant 6 (Guest) Uh would answer that question. 00:16:26.150 --> 00:16:31.940 Participant 6 (Guest) In one of the interviews and issues to do with the alcohol and bad habits. 00:16:32.860 --> 00:16:38.650 Participant 6 (Guest) Uh, is it very hard questions because some people might think that you're judging them. 00:16:40.210 --> 00:16:40.670 Participant 6 (Guest) And. 00:16:40.750 --> 00:16:41.320 Participant 6 (Guest) The. 00:16:43.110 --> 00:16:52.540 Participant 6 (Guest) Especially when people know that they live in an area of democracy and enjoyment of personal liberty. 00:16:53.600 --> 00:17:07.150 Participant 6 (Guest) Uh, it's sometimes it's hard for them to quantify the consistency at which they drink, but it's hard to find someone who says that, you know, I have been drinking this much. 00:17:09.910 --> 00:17:14.770 Participant 6 (Guest) If you ask someone really, and the most important question is really that. 00:17:17.030 --> 00:17:19.190 Participant 6 (Guest) You know? Uh. 00:17:20.030 --> 00:17:38.640 Participant 6 (Guest) What is the ideal? What is the? What is their perception of alcohol? Because that's that's that's the most important question I always ask. Well, have you, have you always been drinking and do you think you love your baby well that you will be able to at least you know quit for a while and? 00:17:38.720 --> 00:17:39.180 Participant 6 (Guest) Yeah. 00:17:40.590 --> 00:17:54.450 Participant 6 (Guest) I I prefer to be proactive, not to really be reactive. I prefer that when you indeed ask patients about the yeah, the, the, the screening of alcohol, etcetera. 00:17:55.590 --> 00:18:03.310 Participant 6 (Guest) Uh, it already destroys the incentive that they may do have of quitting for the. 00:18:04.680 --> 00:18:09.120 Participant 6 (Guest) period of the pregnancy so. 00:18:10.900 --> 00:18:22.850 Participant 6 (Guest) So I I find it in a way when I when I when I do very well can read the the patient has been indulging in in the proclivities of alcohol. 00:18:25.210 --> 00:18:32.440 Participant 6 (Guest) But I do is that they need try to contradistinct between the baby and a bowl of alcohol. 00:18:33.720 --> 00:18:43.470 Participant 6 (Guest) And what I do is indeed entirely the person, but they are they they they are cutting the most important person in their lives. 00:18:44.450 --> 00:18:49.380 Participant 6 (Guest) And that person that they uh labor to protect. 00:18:50.230 --> 00:18:53.910 Participant 6 (Guest) Will indeed be somebody really wonderful if. 00:18:55.460 --> 00:19:04.540 Participant 6 (Guest) They are able to to to feed them and and then I would ask them if if after giving birth they would like to feed. 00:19:05.270 --> 00:19:26.300 Participant 6 (Guest) The baby with some alcohol even just some few milliliters, and they always objects. No. No way, no how. Wouldn't do that. No one wants to give some alcohol to a 2 month old baby. Leat alone a ten year old boy. Yeah. So if if you're, if you're unwilling to. 00:19:28.700 --> 00:19:38.250 Participant 6 (Guest) share some alcohol with, some beer, some pint of beer with the 10 year old boy. Then why would you be willing indeed to indulge? 00:19:39.800 --> 00:19:41.240 Participant 6 (Guest) A fetus. 00:19:42.950 --> 00:19:50.520 Participant 6 (Guest) with the same because what do you take is what they take. So once I I I bring some analogies, some analogies. 00:19:51.400 --> 00:19:55.930 Participant 6 (Guest) It's it destroys the the kind of uh. 00:19:57.410 --> 00:19:58.600 Participant 6 (Guest) Should I see the? 00:20:00.060 --> 00:20:01.750 Participant 6 (Guest) I'm looking for the right word. 00:20:02.600 --> 00:20:06.990 Participant 6 (Guest) Uh, it's sort of changes. It creates a certain kind of. 00:20:09.930 --> 00:20:13.030 Participant 6 (Guest) ÔAh-haÕ moment. Ohh yes. And and that moment. 00:20:13.710 --> 00:20:23.000 Participant 6 (Guest) Yeah, it stuns them and every time I've I've found a patient who has accepted in their indulgences. 00:20:23.750 --> 00:20:27.000 Participant 6 (Guest) after sharing that I've really never. 00:20:28.710 --> 00:20:58.380 Participant 6 (Guest) Gone forward and and and and and and just ask them. It is the patient themselves who want to prove to you that indeed I want you to know that haven't been taking alcohol, that I'm taking this this screening just so you know that you know, ever since we spoke, I feel like you, you really told me the importance of everything but not really as a way of judging a patient. It doesn't work like that. Patients have a lot of their. 00:20:58.470 --> 00:21:07.250 Participant 6 (Guest) edgy. People are edgy with dignity and then and and dignity. And and the personal self and the ego and esteem. Tred very easy around those things. 00:21:09.090 --> 00:21:09.810 Participant 6 (Guest) Yeah. 00:21:09.990 --> 00:21:23.300 Brione, Rebecca Yeah. No, thank you. So can I just just to make sure I understand, do you do you tend to bring it up proactively, standardly or do you wait until until or unless they bring it up? 00:21:30.620 --> 00:21:32.270 Participant 6 (Guest) My my engagement. 00:21:32.350 --> 00:21:33.020 Participant 6 (Guest) Yeah. 00:21:34.850 --> 00:21:37.300 Participant 6 (Guest) I tend to go general. 00:21:41.510 --> 00:21:42.650 Participant 6 (Guest) On so many things. 00:21:43.500 --> 00:21:53.950 Participant 6 (Guest) At at once really generalize so many things you know and an avalanche of. At first I I bring an avalanche of so many issues. 00:21:55.080 --> 00:22:03.270 Participant 6 (Guest) Ohm well, observing the nature of reception of the person. Then later on well. 00:22:04.450 --> 00:22:09.590 Participant 6 (Guest) Uhm, later on I I narrowed down to you. 00:22:10.360 --> 00:22:10.870 Participant 6 (Guest) Uh. 00:22:11.940 --> 00:22:16.330 Participant 6 (Guest) Susceptibilities. So while I narrow down the susceptibilities. 00:22:17.200 --> 00:22:35.930 Participant 6 (Guest) Is when I I I I talk about the dangers. That is it could be maybe the next time we meet I talk about the dangers, the things, the doÕs, the very serious dos, and the very serious donÕts. And and one of the serious donÕt is alcohol. 00:22:37.250 --> 00:22:38.020 Participant 6 (Guest) The. 00:22:39.030 --> 00:23:00.490 Participant 6 (Guest) Always find myself, uh, quite smoothly, frankly speaking, because, well, a patient to always know whether you're really into them, whether you you, you've given them the, the whole, the attention that you should. And so by the time you, you, you, you begin telling them things that's may not lighten their hearts. 00:23:01.440 --> 00:23:04.110 Participant 6 (Guest) Uh, if you already established a rappot 00:23:05.690 --> 00:23:15.280 Participant 6 (Guest) Uh, it's inevitable that the patient would take what would have been edgy and would in fact. 00:23:16.030 --> 00:23:30.350 Participant 6 (Guest) Taking to all hazardly and so you the the circumstances that have been indeed creepy, then that would be the most positive circumstances because once you have established a patient, the rapport and the trust. 00:23:30.940 --> 00:23:33.590 Participant 6 (Guest) Uh, that's how people are doing. 00:23:36.090 --> 00:23:39.060 Brione, Rebecca Yeah. No, thank you. That makes that makes a lot of sense. 00:23:39.720 --> 00:23:44.300 Brione, Rebecca I'm I'd like to move on to ask you so. 00:23:45.640 --> 00:23:54.090 Brione, Rebecca What do you think about the idea of routinely transferring information about how much women are drinking onto the child's health records? 00:24:04.670 --> 00:24:05.480 Participant 6 (Guest) Indeed. 00:24:10.210 --> 00:24:10.950 Participant 6 (Guest) I think. 00:24:14.510 --> 00:24:15.480 Participant 6 (Guest) The the baby. 00:24:16.760 --> 00:24:17.710 Participant 6 (Guest) Should. 00:24:19.580 --> 00:24:21.370 Participant 6 (Guest) Should have distinctive. 00:24:22.450 --> 00:24:24.440 Participant 6 (Guest) Umm, health records. 00:24:25.360 --> 00:24:30.210 Participant 6 (Guest) But it is important that the same way you're going to have the. 00:24:33.830 --> 00:24:39.190 Participant 6 (Guest) Yeah, the, the, the genetic, the genetic data and the. 00:24:40.500 --> 00:24:43.410 Participant 6 (Guest) live data, what have you? 00:24:45.480 --> 00:24:47.910 Participant 6 (Guest) I think data on. 00:24:48.900 --> 00:24:49.610 Participant 6 (Guest) Alcohol. 00:24:51.370 --> 00:25:03.200 Participant 6 (Guest) Consumption should also be reflected, but as secondary data, not really as primary data, because the science around. 00:25:03.660 --> 00:25:04.740 Participant 6 (Guest) Uh. 00:25:05.420 --> 00:25:08.170 Participant 6 (Guest) The spectrums disorders in all those. 00:25:09.480 --> 00:25:14.310 Participant 6 (Guest) Is evolving and the conciseness of that as well. 00:25:17.310 --> 00:25:24.060 Participant 6 (Guest) In my view, the variables around the child's own health. 00:25:24.940 --> 00:25:30.470 Participant 6 (Guest) Has to do with the childÕs own, unique genetic code and then a little bit of the. 00:25:31.850 --> 00:25:35.230 Participant 6 (Guest) The, the alcohol involvement. 00:25:35.910 --> 00:25:42.960 Participant 6 (Guest) But it's not negligible, so which means I I consider it important secondary data. 00:25:44.710 --> 00:25:49.850 Brione, Rebecca And can I just ask what you mean by secondary data in terms of like how it should be 00:25:50.570 --> 00:25:55.120 Brione, Rebecca Recorded or where it should be recorded? I wasn't quite sure exactly what you meant by that. 00:25:56.980 --> 00:25:57.390 Participant 6 (Guest) Well. 00:25:57.530 --> 00:25:58.050 Participant 6 (Guest) Umm. 00:26:01.190 --> 00:26:02.260 Participant 6 (Guest) Secondary data. 00:26:03.460 --> 00:26:03.970 Participant 6 (Guest) Means. 00:26:08.800 --> 00:26:10.990 Participant 6 (Guest) Means much more like correlative data. 00:26:11.730 --> 00:26:16.570 Participant 6 (Guest) Well, it's primary data, but it's tier 2. Yeah, Tier 2. 00:26:17.160 --> 00:26:17.490 Brione, Rebecca OK. 00:26:17.320 --> 00:26:19.720 Participant 6 (Guest) They have the first tier then, of course. 00:26:20.890 --> 00:26:23.350 Participant 6 (Guest) It's a little bit over of an inferior tier, yeah. 00:26:25.030 --> 00:26:25.480 Participant 6 (Guest) Yeah. 00:26:26.340 --> 00:26:32.330 Brione, Rebecca And do you think it's something that should be recorded in there, in the child's red book, for example? 00:26:33.310 --> 00:26:34.400 Participant 6 (Guest) Yeah. Good idea. 00:26:36.950 --> 00:26:45.960 Brione, Rebecca Thank you. And do you think that if the data is being recorded, do you think it should be recorded on a mandatory basis or do you think it should be sort of voluntary 00:26:47.120 --> 00:26:48.760 Brione, Rebecca Depending depending on the woman. 00:26:49.520 --> 00:26:51.050 Brione, Rebecca The womanÕs sort of view on it? 00:26:52.360 --> 00:26:53.910 Participant 6 (Guest) You know speaking. 00:26:56.170 --> 00:27:00.720 Participant 6 (Guest) Speaking of of of of of Data. 00:27:02.820 --> 00:27:03.510 Participant 6 (Guest) UM. 00:27:04.700 --> 00:27:12.130 Participant 6 (Guest) Insofar as it will serve, it's in the best interest of the child to have every data thatÕs related to the child. 00:27:13.350 --> 00:27:19.530 Participant 6 (Guest) Aggregated in in the central place, it's in the best interest of the child, and if it's in the best interest of the child. 00:27:20.690 --> 00:27:27.280 Participant 6 (Guest) Is in the best interest of the health care system in the present, in the future. And so yeah, that explains it. 00:27:29.500 --> 00:27:35.820 Brione, Rebecca So am I correct in in in understanding that you think it should be mandatory? Please say if I'm wrong. 00:27:36.210 --> 00:27:38.090 Participant 6 (Guest) Yeah, yeah, yeah, indeed. You're right. 00:27:36.590 --> 00:27:37.360 Brione, Rebecca Yeah, yeah. 00:27:38.060 --> 00:27:41.640 Brione, Rebecca OK. OK. Thank you. That's very clear. That's really helpful. 00:27:42.360 --> 00:27:45.790 Brione, Rebecca And so you talked a little bit earlier about. 00:27:47.110 --> 00:27:53.440 Brione, Rebecca The sorts of, how you build a relationship with your patients and also how you have these conversations. 00:27:55.360 --> 00:28:18.450 Brione, Rebecca In in a way that sort of maintains a good relationship, and I just wondered if you could tell me a bit more about let's if we assume that there was a proposal that you needed to ask about alcohol intake at every appointment and that that information would be transferred into the child's health records, I'd like to hear your views about whether that those proposals coming in would 00:28:18.790 --> 00:28:22.380 Brione, Rebecca have any impact on the relationship with your patients? 00:28:26.450 --> 00:28:40.790 Participant 6 (Guest) There are so many mandatory things that we do that patients don't know, that it's mandatory. They think it's just normal procedure. But if there was a way that this kind of mandatory procedure. 00:28:42.710 --> 00:28:47.520 Participant 6 (Guest) It's done in a way that patients understand it as. 00:28:48.630 --> 00:28:49.700 Participant 6 (Guest) As part of. 00:28:50.390 --> 00:28:50.890 Participant 6 (Guest) Uh. 00:28:52.450 --> 00:28:53.150 Participant 6 (Guest) Essential. 00:28:54.590 --> 00:29:01.940 Participant 6 (Guest) Medical objects that have been inculcated and not really as a legal kind of thing, legal policy. 00:29:03.860 --> 00:29:06.210 Participant 6 (Guest) I don't see why patients won't decline. 00:29:08.860 --> 00:29:09.510 Participant 6 (Guest) Yeah. 00:29:10.450 --> 00:29:12.110 Brione, Rebecca Do you Umm? 00:29:13.170 --> 00:29:15.220 Brione, Rebecca Do you think that there would be? 00:29:17.220 --> 00:29:24.440 Brione, Rebecca Uh, so I guess if somebody did want to decline, do you think that that would have an impact on on your relationship with them? 00:29:29.590 --> 00:29:34.240 Participant 6 (Guest) Ideally, if a patient. 00:29:34.640 --> 00:29:35.480 Participant 6 (Guest) Uh. 00:29:36.990 --> 00:29:42.560 Participant 6 (Guest) Seems to be engaging in in, in, in alcohol proclivities. 00:29:44.560 --> 00:29:49.230 Participant 6 (Guest) What happens is that, uh, you, you tend to share more caution. 00:29:51.850 --> 00:30:01.820 Participant 6 (Guest) You you tend to be share more caution with the with the patient you tell to realize that such a person may have. 00:30:02.960 --> 00:30:07.870 Participant 6 (Guest) Stints of carelessness and recklessness, and therefore. 00:30:09.680 --> 00:30:21.010 Participant 6 (Guest) I almost spend each and every time, reminding the person of the basics. So I engaged in that repetitive exercise often and often and often. yeah. 00:30:23.360 --> 00:30:23.930 Brione, Rebecca OK. 00:30:23.360 --> 00:30:26.910 Participant 6 (Guest) As opposed to as opposed to a person, it will shows diffidence. 00:30:28.100 --> 00:30:34.670 Participant 6 (Guest) That's quite easy, and it gets to label whereby you can clearly. 00:30:35.560 --> 00:30:36.260 Participant 6 (Guest) Uh. 00:30:37.340 --> 00:30:39.670 Participant 6 (Guest) Give certain quote unquote. 00:30:41.550 --> 00:30:45.550 Participant 6 (Guest) Good prophecies about how things will go, yeah. 00:30:46.820 --> 00:30:58.030 Brione, Rebecca And do you so do you think that the proposals around having to ask at every appointment and and transferring that information, do you think that that would that would change how 00:30:58.940 --> 00:31:01.950 Brione, Rebecca Sort of the the sorts of relationships that you've just described? 00:31:04.010 --> 00:31:08.400 Participant 6 (Guest) Yes, indeed it might. It might change. It might change. 00:31:09.700 --> 00:31:16.430 Participant 6 (Guest) It could be positive, then negatively as well, because how proud, how proud would. 00:31:17.820 --> 00:31:18.710 Participant 6 (Guest) Would uh. 00:31:20.160 --> 00:31:25.390 Participant 6 (Guest) A pregnant mother be when they can clearly prove to the. 00:31:26.110 --> 00:31:27.320 Participant 6 (Guest) Uh. 00:31:29.310 --> 00:31:35.900 Participant 6 (Guest) That's the whole world when the data is there, that indeed they are clean in terms of alcohol intake. 00:31:37.200 --> 00:31:45.310 Participant 6 (Guest) How much proud that can that such a person be? You can imagine what that would mean. When you are the person sharing the resolve that. 00:31:46.170 --> 00:31:54.870 Participant 6 (Guest) Uh, you know it. It does a hell much more good in terms of boosting those relationships. 00:31:55.640 --> 00:31:59.130 Participant 6 (Guest) Yeah. And then also. 00:32:00.190 --> 00:32:14.400 Participant 6 (Guest) How much more can have indeed, a pregnant mother indulging in alcohol be when finally you have the results that you're able to treat them with the greatest dignity and love. 00:32:15.480 --> 00:32:32.290 Participant 6 (Guest) Despite you know that they are really tired out the data that says who they are and and but it's still overlook that. So in a way according to me there is an angle in which yeah it will improve relationships in an unexpected twist. 00:32:33.690 --> 00:32:34.660 Participant 6 (Guest) Sometimes since. 00:32:36.870 --> 00:32:47.120 Brione, Rebecca No. Thank you. That's that's really, really helpful. And and do you think that that's do you think that's the same if there was if the proposal was for? 00:32:47.490 --> 00:32:53.060 Brione, Rebecca Uh asking about alcohol and transferring the information, or just asking? Or do you think that? 00:32:53.900 --> 00:33:01.630 Brione, Rebecca Without transferring or do you think that both of those both of those proposals would have the same sorts of effects that you've just described? 00:33:03.790 --> 00:33:06.390 Participant 6 (Guest) Well, well, UM. 00:33:07.110 --> 00:33:09.000 Participant 6 (Guest) In so far as. 00:33:11.840 --> 00:33:18.330 Participant 6 (Guest) The the proposal on on, on testing and then proposing the data. 00:33:19.330 --> 00:33:19.800 Participant 6 (Guest) I mean. 00:33:20.540 --> 00:33:24.210 Participant 6 (Guest) They seem independent, seem independent on paper. 00:33:25.430 --> 00:33:26.520 Participant 6 (Guest) But practically. 00:33:27.700 --> 00:33:33.370 Participant 6 (Guest) They, they, they they are tied to the hip mean the they cannot be separated. 00:33:34.050 --> 00:33:40.480 Participant 6 (Guest) Because if you go in full swing on on on on the protection of of of, of, of the child. 00:33:41.300 --> 00:33:43.470 Participant 6 (Guest) If you're going full speed then. 00:33:46.070 --> 00:33:47.820 Participant 6 (Guest) There's no way that. 00:33:50.590 --> 00:33:53.960 Participant 6 (Guest) That you cannot make the consideration that. 00:33:54.120 --> 00:33:54.490 Participant 6 (Guest) Umm. 00:33:56.700 --> 00:34:10.870 Participant 6 (Guest) That alternately you will meet you to to, to help both ideas and to to to sit them out once, because if you engage on the 1st and later on try to bring the 2nd. 00:34:11.690 --> 00:34:18.040 Participant 6 (Guest) Uh, you will lose the trust of the the system in in in the contingent, the the. 00:34:19.400 --> 00:34:31.210 Participant 6 (Guest) The expectant contingent at indecisiveness and lack of straightforwardness of the system, so those are things that must be sold at the same time. 00:34:32.910 --> 00:34:37.150 Participant 6 (Guest) Just, uh, would you please allow me a minute to to take a call? Just a minute. 00:34:37.180 --> 00:34:39.840 Brione, Rebecca Yeah, no, of course, no problem. Just let me know when you're ready. 00:40:01.350 --> 00:40:01.760 Participant 6 (Guest) Ah. 00:40:02.870 --> 00:40:03.860 Participant 6 (Guest) IÕm right there. 00:40:05.080 --> 00:40:07.280 Brione, Rebecca Hi, yes, I'm back. Are you? 00:40:06.650 --> 00:40:07.320 Participant 6 (Guest) This. 00:40:08.100 --> 00:40:08.820 Brione, Rebecca Are you OK? 00:40:08.190 --> 00:40:14.060 Participant 6 (Guest) So that, yeah, it's I had an emergency. Indeed, I needed to to to be to. 00:40:15.550 --> 00:40:19.050 Participant 6 (Guest) To be part of some discussion, but I have told them that. 00:40:19.130 --> 00:40:22.840 Participant 6 (Guest) Yeah, I will speak with them later on. 00:40:23.530 --> 00:40:29.100 Brione, Rebecca Are you sure? You sure? Well, I think we'll only be a few more minutes if if if you're certain that you're OK to carry on. 00:40:29.770 --> 00:40:30.230 Participant 6 (Guest) All right. 00:40:31.170 --> 00:40:35.500 Brione, Rebecca Alright, thank you. I really appreciate that. And yeah, not a problem at all. Life 00:40:36.160 --> 00:40:53.250 Brione, Rebecca Is complicated, isn't it? So we've been really, really helpful and very clear so far, which has been great. So so the last question that I just wanted to ask you, and I think you probably touched on it a bit with what you've said already, but I will ask it anyway. 00:40:53.750 --> 00:40:57.880 Brione, Rebecca And is is, whether carrying out mandatory screening. 00:40:57.960 --> 00:41:05.560 Brione, Rebecca And and with the transfer of information, whether that would change the way you view your professional identity and role. 00:41:09.720 --> 00:41:10.370 Participant 6 (Guest) Pardon? 00:41:11.230 --> 00:41:21.820 Brione, Rebecca And would carrying out the sort of proposals so screening and transfer of information change the way you view your sort of professional identity as a midwife and your role as a midwife? 00:41:25.420 --> 00:41:27.550 Participant 6 (Guest) I think that at some point. 00:41:30.840 --> 00:41:36.110 Participant 6 (Guest) Being a midwife is is is, is less about the. 00:41:37.910 --> 00:41:49.710 Participant 6 (Guest) The the medical practice, but more about the human practice. Knowing what's good. And it's not just about delivering babies, it's about. 00:41:51.200 --> 00:41:53.530 Participant 6 (Guest) Professionally, doing so and. 00:41:54.850 --> 00:41:57.520 Participant 6 (Guest) And in a way, that's that's indeed. 00:41:59.450 --> 00:42:06.060 Participant 6 (Guest) That gives the children a footing, best chance to to start life. 00:42:06.560 --> 00:42:07.070 Participant 6 (Guest) Uh. 00:42:08.490 --> 00:42:14.070 Participant 6 (Guest) With great health, great potential, and what better way? 00:42:14.910 --> 00:42:27.360 Participant 6 (Guest) To do that than to ensure that these policies are there to prevent alcohol abuse cost causing which causes normally causes disorders. 00:42:28.170 --> 00:42:29.080 Participant 6 (Guest) And also. 00:42:29.580 --> 00:42:30.310 Participant 6 (Guest) Umm. 00:42:31.570 --> 00:42:34.520 Participant 6 (Guest) In cases that such situations are there. 00:42:35.980 --> 00:42:39.020 Participant 6 (Guest) How much more effective would the 00:42:41.360 --> 00:42:51.130 Participant 6 (Guest) Protection of those children be with data about their mothers on board now, so it would mean that indeed. 00:42:51.970 --> 00:42:53.830 Participant 6 (Guest) We are birthing the generation. 00:42:54.850 --> 00:42:57.500 Participant 6 (Guest) That's clearly protected, that's. 00:42:59.100 --> 00:43:19.740 Participant 6 (Guest) There's been given a stage of that's been privileged indeed to to be well taken care of right from the start. It it's sort of like these things. They have a snowball effect in the in the whole medical system. And I think, yeah, if if, if, if it's going to take policy change to begin right. 00:43:21.160 --> 00:43:25.830 Participant 6 (Guest) In reproductive healthcare, I think it's going to move. 00:43:26.170 --> 00:43:32.040 Participant 6 (Guest) Uh, it's going to at least positively transform the other sectors as well. 00:43:33.530 --> 00:43:39.890 Brione, Rebecca Thank you. And do you think are there any sort of downsides you see in terms of how you see your professional role? 00:43:42.150 --> 00:43:47.360 Participant 6 (Guest) However, as a midwife you you're trying to be very optimistic about things. 00:43:50.280 --> 00:43:53.020 Participant 6 (Guest) I really am optimistic, even in the worst times. 00:43:54.220 --> 00:44:01.910 Participant 6 (Guest) But I I I, I I foresee just political challenge because this politicians are trained to be pessimistic and then and those are the people that are. 00:44:02.990 --> 00:44:03.820 Participant 6 (Guest) Uh. 00:44:04.820 --> 00:44:07.900 Participant 6 (Guest) greatest hazards of society because. 00:44:09.740 --> 00:44:12.950 Participant 6 (Guest) They need to sound controversial they need to sound. 00:44:14.980 --> 00:44:23.000 Participant 6 (Guest) Stringent in a way, they need to sound very protective of rights. Yeah, the downside is. 00:44:23.070 --> 00:44:23.350 Participant 6 (Guest) It's. 00:44:25.410 --> 00:44:32.290 Participant 6 (Guest) Political temperatures on intrusion and data issues more expect that, of course, yeah. 00:44:33.590 --> 00:44:44.330 Brione, Rebecca That that's that type of thing rather than sort of downsides on like how it affects your day to day work and your your day to day sort of professional identity. 00:44:44.870 --> 00:44:50.120 Participant 6 (Guest) Ohh I am prepared. I'm prepared to to walk with policies that will be there. 00:44:51.940 --> 00:45:05.000 Participant 6 (Guest) Because I'm right armed with the psychological devices of ensuing that I maintain and I fulfilled ohh my duties as a professional. 00:45:07.620 --> 00:45:08.030 Participant 6 (Guest) Yeah. 00:45:07.680 --> 00:45:07.980 Brione, Rebecca And. 00:45:08.710 --> 00:45:28.630 Brione, Rebecca Thank you. That's really helpful. Can I just ask something that just sort of context about how you work at the moment? So you talked about sort of having the opportunity to build up a relationship. Do you often have a sort of a continuity relationship with with women in your care or do you tend to see people? 00:45:29.420 --> 00:45:32.140 Brione, Rebecca Sort of in a in a clinic setting where you. 00:45:33.250 --> 00:45:38.940 Brione, Rebecca Maybe you might not always have that opportunity to to sort of build up a relationship over time. 00:45:40.430 --> 00:45:43.460 Participant 6 (Guest) Uh, yeah, I I might say I uh. 00:45:40.700 --> 00:45:41.160 Brione, Rebecca Ohh. 00:45:44.580 --> 00:45:58.430 Participant 6 (Guest) Some parents I have been with them for years. For six years, seven years. But then there will always be new parents and there will always be new parents based on. 00:45:59.040 --> 00:45:59.870 Participant 6 (Guest) Uh. 00:46:01.180 --> 00:46:11.930 Participant 6 (Guest) Based on things to do with change of domicile when a person moves to a new area and then of course there is coming to age of a new young mother. 00:46:05.540 --> 00:46:05.850 Brione, Rebecca Umm. 00:46:12.840 --> 00:46:13.750 Participant 6 (Guest) And. 00:46:15.740 --> 00:46:27.450 Participant 6 (Guest) It's always kind of for me. It it I I find a lot of continuity but with the fact that people nowadays have restricted the. 00:46:27.530 --> 00:46:28.100 Participant 6 (Guest) The. 00:46:29.110 --> 00:46:41.420 Participant 6 (Guest) Uh, I'm more they make better that they make better decisions in terms of reproductive health means that they have less children and and so the times really that you engage even with the resident much more minimal minimally. 00:46:43.220 --> 00:46:44.830 Brione, Rebecca Thank you. Thank you. 00:46:45.140 --> 00:46:55.810 Brione, Rebecca And is there anything else that you would like to sort of say about this area before we sort of wrap up and sort of just cover the thank yous and things? 00:46:56.790 --> 00:47:03.380 Participant 6 (Guest) You know what I want you to wrap up badly, but I must say something about the project that you doing, but. 00:47:02.600 --> 00:47:03.360 Brione, Rebecca Yeah, please. 00:47:03.460 --> 00:47:11.890 Participant 6 (Guest) Yeah, it if if indeed it would do well as well if maybe you can collect the views of. 00:47:12.120 --> 00:47:14.140 Participant 6 (Guest) Uh young mothers. 00:47:15.210 --> 00:47:16.260 Participant 6 (Guest) And. 00:47:17.240 --> 00:47:18.810 Participant 6 (Guest) Expecting mothers as well. 00:47:20.080 --> 00:47:27.670 Participant 6 (Guest) And because, you know their input around issues of data is very important. 00:47:28.850 --> 00:47:33.600 Participant 6 (Guest) And that's it for me, but I know it definitely. Your able. 00:47:34.860 --> 00:47:39.430 Participant 6 (Guest) Platform would definitely venture in the direction as well. 00:47:40.810 --> 00:47:57.500 Brione, Rebecca Yeah. No, thank you. I mean, so, so we currently, you're right, we are currently we're focusing on on midwives views for for various reasons but yeah, no I agree. I agree that that's also that women's views and are also a really important part of the picture. 00:47:58.590 --> 00:47:59.200 Participant 6 (Guest) Yeah. 00:47:58.760 --> 00:48:00.260 Brione, Rebecca Well, sorry. 00:48:01.260 --> 00:48:04.550 Participant 6 (Guest) Yeah, yeah, yeah, I I see the sense in that as well. 00:48:05.970 --> 00:48:32.480 Brione, Rebecca Brilliant. Ohh well, thank you so much for your time today and for really helpful really great discussion. So just to reiterate what I said at the start, this is obviously been recorded and so Fiona will, once we've finished download the automatically generated transcript, she will correct it against the recording and remove any identifying information. I'm not sure if you've shared any actually, but if you. 00:48:32.560 --> 00:49:04.460 Brione, Rebecca We've just make sure there's nothing on there and only at that point will it be shared with me and with Rachel Arkell, the other member of the research team. If you want to see a copy of the corrected transcript, or indeed any of the sort of papers or briefing notes or anything that we produce as a result of the project, then if you can just email Fiona on the email address that was on the participant information sheet that you had and the email address that you've been using to talk to Fiona, we can make sure that you get sent to those. 00:49:04.830 --> 00:49:34.180 Brione, Rebecca And and I think as you know, as a token of our thanks for giving up your valuable time and sharing your views will be emailing you a £50 love to shop voucher which Fiona will send you but will be with you pretty pretty soon. I'm not gonna commit her to an exact time, but she's been sending them out very promptly, but any I've, no oneÕs had any problems with them. But if you do have any problems, let us know and. 00:49:35.240 --> 00:49:39.110 Brione, Rebecca Was there anything else you wanted to say before we before we finish? 00:49:39.920 --> 00:49:43.440 Participant 6 (Guest) Yeah, yeah. I look forward to that voucher. Yeah. 00:49:44.360 --> 00:50:00.790 Brione, Rebecca Good. Well, I hope that you enjoy spending it. It's always nice to get to be able to use research as it's always nice to be able to offer a thank you. And I've always, you know, I always like it when I'm on the receiving end of one myself. So you can enjoy it. 00:49:47.460 --> 00:49:49.350 Participant 6 (Guest) Yeah, yeah. 00:49:57.680 --> 00:49:58.760 Participant 6 (Guest) Yeah, yeah. 00:50:02.010 --> 00:50:12.640 Brione, Rebecca But yeah, thank you so much for your time and for a really good discussion and I hope you have a lovely evening and thank you again for like bearing with us while we found a time to talk, I'm so glad that we were able to. 00:50:13.300 --> 00:50:15.510 Participant 6 (Guest) It has been amazing. You do have a good winner. 00:50:15.980 --> 00:50:18.090 Brione, Rebecca Thank you very much indeed. Take care. 00:50:18.690 --> 00:50:19.370 Participant 6 (Guest) Bye. 00:50:19.510 --> 00:50:19.890 Brione, Rebecca Bye bye.