Chapter Eleven discusses the influence of the National Health Service 1948 on maternity care and midwifery practice. The creation of local supervising authorities and the role of the supervisor of midwives, the NHS Amendment 1949, and the Working Party on Midwives are considered, as are the findings of the Rushcliffe Working Party 1949. Midwifery training programmes and the experiences of pupil midwives are described. Home births and district midwives in the City of Nottingham 1949-1972 are discussed, as is the Guillebaud Report 1955 and fundraising by midwives to rehouse the Royal College of Midwives. The role of the NHS domiciliary midwife, local supervising authorities and general practitioners, including the place of birth, are described. Short biographies of midwives, a discussion of place of birth and the shortage of midwives are among many issues which came to the fore during this period.