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This Working Party was a multidisciplinary group set up by the National Childbirth Trust (NCT) in 2000. It was also supported by the Royal College of Midwives (RCM) and the Royal College of Obstetricians and Gynaecologists (RCOG), amongst others. It acted as an independent multidisciplinary body that campaigned for improvements in maternity care. It was formed to raise awareness of the public health implications of the rising caesarean section rate; to highlight the health and social needs of women and their families; and to emphasise the contribution that women-centred maternity services might make to the promotion of public health. In 2001, the NCT, RCM and RCOG, commissioned by the Working Party, published a commissioning toolkit for Primary Care Trusts designed to help them to update themselves on current thinking in maternity care provision and to improve local maternity services. In 2006 a second edition of this report was produced.