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Access to Higher Education

Access to Midwifery Course (Access to HE Diploma)

An Access to Midwifery course (Access to Higher Education Diploma) is a Level 3 qualification for adults without A-levels who want to study midwifery at university. It takes around one year of online study and is accepted by UK universities as an alternative to A-levels for midwifery degree entry.

Your pathway to a midwifery degree and a career supporting women and families through one of life’s most profound experiences. Study 100% online at your own pace — no exams, flexible start dates, dedicated tutor support.

12 monthsDuration
100% OnlineStudy Method
144 UCAS ptsPoints Available
FlexibleStart Date

Is This Course Right For You?

This course is for you if...

  • You want to progress to a midwifery degree at university
  • You left school without traditional qualifications
  • You’re aged 19 or over and ready to commit to study
  • You need flexible, self-paced online learning
  • You’re passionate about maternal and newborn healthcare
  • You want to study around work and family commitments

Your career after this course

  • Apply to midwifery degree programmes at UK universities
  • Earn up to 144 UCAS points for university entry
  • Pursue a career as a Registered Midwife (NHS Band 5+)
  • Specialise in antenatal, intrapartum, or community midwifery
  • Progress to Senior or Consultant Midwife roles
  • Access NHS student bursaries and funding for your degree

About This Course

The Access to Midwifery course (formally the Access to Higher Education Diploma in Midwifery) is a nationally recognised Level 3 qualification, awarded by Skills & Education Group Access and regulated by the Quality Assurance Agency (QAA). It is the standard access to higher education midwifery pathway for adult learners who want to enter midwifery degree study without traditional A-level qualifications.

The diploma covers the three core disciplines that underpin midwifery practice: Human Biology (anatomy, physiology, reproduction and the body systems relevant to pregnancy and birth), Psychology (maternal mental health, health behaviour, and the psychology of childbirth), and Midwifery and Health Studies (ethics in practice, health promotion, and professional values). All 16 units are mapped directly to university midwifery degree entry requirements.

This is an access to midwifery course online with no fixed class times. You study at your own pace, submitting written assignments through our learning platform whenever you’re ready. A dedicated personal tutor provides detailed written feedback on every piece of work and guides you from enrolment through to completion.

Assessment is 100% coursework-based — no examinations. Your final grade profile (Pass, Merit, or Distinction across all units) determines the UCAS points you earn, and our team will help you build a university application around the grade profile required by your target institutions. Once you qualify, see our NHS roles and salaries guide for how midwife pay, banding and progression work in 2026/27.

If you are weighing up related healthcare pathways, see our Access to HE Nursing course or Access to HE Radiography course, or compare every diploma on the Access to HE faculty hub.

This Access to Higher Education Diploma is one of more than 20 Access pathways we offer. For the full picture, including how Access to HE compares with A-levels and which universities accept it, read our complete guide to Access to HE Diplomas. You may also be interested in the Access to HE Diploma (Nursing) or the Access to HE Diploma (Paramedic Science). Not sure which pathway fits your degree? Start with what is Access to HE.

Planning your route into midwifery? Read our complete guide on midwifery careers guide for entry requirements, training pathways and salaries across the UK.

What You'll Study

All 16 units are drawn from the Skills & Education Group-approved Midwifery specification and mapped to the subject areas that university midwifery departments expect applicants to have studied.

16 units totalNo examsPortfolio assessed
01Essay Writing
3 credits

Build the essay-writing skills expected at university level by learning to plan, structure and argue with clarity and coherence. You develop an understanding of academic conventions – from thesis construction and paragraph organisation to referencing and tone – establishing the writing foundations you carry into every graded unit that follows.

02Reading and Comprehension of Texts
3 credits

Develop the disciplined reading habits that academic study demands. You explore active reading strategies, practise extracting meaning from complex texts, and build the critical comprehension skills needed to engage confidently with medical and social science literature throughout your Access to HE programme.

03Arithmetic Skills for Health Studies
3 credits

Establish the numerical confidence that underpins safe practice in midwifery and related health professions. You revisit core arithmetic operations and develop the calculation skills required for drug dosage, fluid balance and clinical measurement, providing an essential foundation for the science units ahead.

04The Role of the Health or Social Care Professional
3 credits

Examine the professional landscape within which midwives and other healthcare practitioners work. You explore the regulatory standards, accountability frameworks and multidisciplinary relationships that define contemporary health and social care roles, and consider how values of compassion, dignity and respect translate into everyday professional practice.

05Anatomy and Physiology
3 credits

Develop a working knowledge of the human body's major systems and how they interact to maintain health. You explore organ structure, physiological function and the mechanisms of homeostasis, building the biological literacy that underpins every clinical topic in this programme.

06The Reproductive System
3 credits

Investigate the structure and function of the male and female reproductive systems, with a focus on the physiological processes central to midwifery practice. You examine the menstrual cycle, fertilisation, implantation and the hormonal regulation of reproduction, providing essential grounding for the study of pregnancy and childbirth.

07Transport and Respiration
3 credits

Explore how the cardiovascular and respiratory systems work together to transport oxygen, remove carbon dioxide and sustain life. You examine cardiac function, blood composition, respiratory mechanics and gas exchange, gaining the physiological understanding critical for interpreting maternal and fetal wellbeing during pregnancy and labour.

08Cells
3 credits

Study the cell as the fundamental unit of life, examining its structure, function and the processes that regulate its activity. You explore cellular organisation, membrane transport and cell division, building the biological foundation needed to understand tissue function, development and disease throughout the programme.

09Disease and Immunity
3 credits

Investigate how the body defends itself against pathogens and what happens when those defences are compromised. You examine the innate and adaptive immune responses, explore the aetiology of key infectious diseases, and consider the implications for maternal and neonatal health in a midwifery context.

10Genes and Inheritance
3 credits

Explore the principles of genetics and heredity that underpin antenatal screening and genetic counselling in midwifery practice. You examine DNA structure, gene expression, patterns of inheritance and the chromosomal basis of conditions such as Down's syndrome, developing the genetic literacy expected at degree level.

11Health Psychology
3 credits

Apply psychological theory to health behaviour and the experience of illness, pregnancy and care. You examine models of health belief, stress and coping, the psychological dimensions of chronic and acute conditions, and the role of behaviour change frameworks in supporting patients and service users across health contexts.

12Early Socialisation and Attachment
3 credits

Examine how the bond between infant and caregiver shapes development across the lifespan. You explore Bowlby's attachment theory, the processes of early socialisation, and the implications of secure and insecure attachment for child wellbeing – knowledge that informs compassionate, family-centred midwifery and postnatal care.

13Communication Skills in a Professional Setting
3 credits

Develop the communication competencies that define safe, respectful practice across health and social care settings. You examine verbal and non-verbal communication, active listening, the management of difficult conversations, and the legal and ethical dimensions of confidentiality and record keeping in midwifery contexts.

14Health Promotion and Health Education
3 credits

Explore the principles and models that guide health promotion activity in contemporary NHS and community settings. You examine the distinction between health promotion and health education, evaluate behaviour change theories, and consider how midwives contribute to public health outcomes through antenatal education and evidence-based advice.

15Ethical Dilemmas in Midwifery Practice
3 credits

Investigate the ethical tensions that arise in midwifery and consider how practitioners navigate them within regulatory and legal frameworks. You explore principles of autonomy, beneficence, non-maleficence and justice, applying them to real-world scenarios such as informed consent, birth plans and end-of-life decisions for neonates.

16Extended Project
3 credits

Develop and demonstrate the independent research skills expected at university level through an extended investigation into a topic of your choice within midwifery or health studies. You design a research question, gather and critically evaluate evidence from a range of sources, and present a coherent, well-referenced piece of academic writing that brings together the skills developed across the programme.

What You'll Need

Open Entry — No Formal Qualifications Required

This course is designed for adult learners aged 19 and over. Formal academic qualifications are helpful but not always required — we assess each application individually.

  • Aged 19 or over at the time of enrolment
  • Basic written English skills (GCSE grade 3+ or Functional Skills Level 2 helpful)
  • Access to a computer or tablet and reliable internet
  • Motivation to study independently
  • Commitment of around 10–15 hours per week
  • Entry requirements vary by course — speak to our team for guidance

Not Sure If You Qualify?

Our enrolment advisers assess each application individually. We look at your life experience, motivation, and readiness to study — not just your qualifications.

Speak to our team — we're here to help you find the right course and funding option.

Call 01202 006 464

How You're Assessed

This course is 100% coursework-based. There are no exams. You demonstrate your learning through a portfolio of written assignments, case studies, and reflective pieces.

All assessment is portfolio and coursework based — no exams

Assignments are submitted online through the learning platform

Your personal tutor provides detailed written feedback within 5 working days

You can resubmit work if your first attempt doesn’t meet the required standard

Final grades are determined by your performance across all 16 units

Grades awarded: Pass, Merit, or Distinction — each corresponding to different UCAS point levels

Where This Course Can Take You

An Access to HE Diploma in Midwifery opens the door to a deeply rewarding healthcare career. Midwives are among the most trusted professionals in the NHS, and demand for qualified midwives continues to grow.

Registered Midwife

£29,970 – £44,962typical salary range

Provide care to women and their families throughout pregnancy, labour, and the postnatal period in NHS hospitals and community settings. NHS Band 5–6.

Community Midwife

£37,338 – £44,962typical salary range

Deliver antenatal and postnatal care in the community, visiting women at home and running local clinics. NHS Band 6.

Senior Midwife / Midwifery Sister

£46,148 – £52,809typical salary range

Lead clinical teams on midwifery wards and delivery suites, mentoring junior staff and overseeing complex care pathways. NHS Band 7.

Specialist Midwife

£46,148 – £52,809typical salary range

Specialise in areas such as bereavement care, fetal medicine, or high-risk obstetrics, providing expert clinical input. NHS Band 7.

Consultant Midwife

£53,755 – £60,504typical salary range

Drive service development, lead research projects, and provide advanced clinical expertise across a maternity unit. NHS Band 8a.

Head of Midwifery

£62,215 – £72,293typical salary range

Lead an entire maternity service, responsible for clinical governance, staffing, and strategic service development. NHS Band 8b.

Ready to Unlock Your University Place?

Graduates of this course go on to universities across the UK, including Russell Group institutions. Enrol today and start your journey.

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All plans include the same full course content, dedicated tutor, and your awarding body certification.

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Pay in 12

£149.99

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£149.99 today + £149.99 × 11 = £1,799.88 total

Includes

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  • Then 11 monthly payments of £149.99
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  • Full access from day one, including all units, tutor support and assessments
  • Dedicated personal tutor and online learning platform
  • Awarding body certification on successful completion

Pay in 6

£354.00

per month × 6 months

£29.99 deposit + £354.00 × 5 = £1,799.99 total

Includes

  • Pay just £29.99 deposit to enrol
  • Spread the balance over 6 interest-free monthly payments
  • Full access from day one, including all units, tutor support and assessments
  • Dedicated personal tutor and online learning platform
  • Awarding body certification on successful completion
Best Value

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£1,799.99

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Total: £1,799.99

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  • Dedicated personal tutor and online learning platform
  • Awarding body certification on successful completion
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Frequently Asked Questions

An Access to Midwifery course is a Level 3 Access to Higher Education Diploma designed for adult learners (aged 19+) who want to progress to a midwifery degree at a UK university without holding A-levels. Awarded by Skills & Education Group Access and regulated by the QAA, it is recognised by universities across the UK as the standard mature student entry route. The course covers human biology, psychology, and midwifery and health studies over around 12 months of online, self-paced study, with no exams — you build a portfolio of assignments graded at Pass, Merit, or Distinction.

Yes — universities across the UK accept the Access to HE Diploma as the standard entry route for adult applicants to midwifery degree programmes. The qualification is regulated by the QAA and carries identical academic recognition whether studied online or in a classroom. Most midwifery programmes specify a grade profile of Distinctions and Merits rather than a simple UCAS points total, so check the specific conditions at your chosen institutions. Our enrolment advisers can help you identify universities whose entry requirements align with a realistic target grade profile before you begin.

Midwifery is a competitive degree and most universities specify a high grade profile — commonly around 30–45 Distinction credits alongside Merit grades in the remaining units. This translates to roughly 120–144 UCAS points. Some programmes also require GCSE Maths, English, and a science subject at grade 4/C or above, as well as evidence of relevant healthcare or care experience. We recommend contacting your target universities early in your studies to confirm their exact requirements so you can aim for the right grade profile from the start.

You need to be aged 19 or over, hold UK residency, and have GCSE Maths and English at grade 4/C or equivalent — Functional Skills Level 2 in each subject is also accepted. A science GCSE is helpful but not always required at the Access to HE stage (check your target university’s specific requirements). Relevant care or healthcare experience is strongly valued by midwifery admissions teams even if not formally required for the Access course itself. Every application is reviewed individually — our team can assess your suitability in a pre-enrolment conversation.

The typical completion time is 9–12 months, based on around 10–15 hours of study per week. Because the course is fully self-paced and online, you can complete in less time or spread study over up to 24 months to fit around work, childcare, or other commitments. There are no fixed start dates or term structures, so you can begin at any point in the year and progress through units whenever you’re ready. The self-paced format is one of the most popular features for learners balancing study with existing responsibilities.

No — the course is 100% portfolio and coursework assessed across all 16 units. You submit written assignments online at your own pace and receive detailed written feedback from your personal tutor. There are no timed examinations, no exam halls, and no end-of-year tests. Units are graded at Pass, Merit, or Distinction, and these grades directly determine your UCAS points total and your competitiveness for midwifery degree entry.

You can earn up to 144 UCAS points — the equivalent of three A-levels at the highest grades. The exact total depends on your grades across the 16 units: a predominantly Pass profile earns approximately 96–120 points, a Merit profile earns around 120–132 points, and a Distinction profile earns up to 144 points. Most midwifery programmes require a strong grade profile rather than a simple points threshold, so the grade distribution across your units matters as much as the overall total. UCAS publishes the Access to HE tariff tables on its website.

The Access to HE Diploma can be paid in full upfront with a pay-in-full discount, or you can spread the cost interest-free with a flexible monthly payment plan. There is no Student Finance scheme for Access to HE through learndirect — you pay learndirect directly, with no credit checks. Once you progress to your full undergraduate degree at a UK university, you can apply for the standard Student Finance package (tuition fee loan and maintenance loan) in the normal way. Our enrolment advisers will walk you through the payment options and confirm the right plan for your circumstances.

The Midwifery pathway is built around three subject areas: Human Biology (covering anatomy and physiology, the reproductive system, transport and respiration, cells, immunity, and genetics — all essential for understanding pregnancy, birth, and neonatal care), Psychology (including health psychology, early socialisation and attachment, and maternal mental health), and Midwifery and Health Studies (covering professional communication, health promotion, ethical dilemmas in practice, and an extended research project). The combination is specifically chosen to match what midwifery degree programmes expect applicants to have covered.

Yes — the course is designed specifically for adult learners with existing commitments. There are no fixed lectures, no campus attendance, and no set submission deadlines tied to term dates. You access all materials and submit assignments through our online platform whenever it suits your schedule — evenings, early mornings, weekends, or during breaks at work. Many of our learners complete this programme while working full time in healthcare support roles. We recommend setting aside around 10–15 hours per week, though this is entirely flexible around your life.

The Access to HE Diploma is a Level 3 qualification specifically designed for adults aged 19 and over, whereas A-levels are typically studied by school leavers aged 16–18. Both earn UCAS points (up to 144 for the Access Diploma), and both are accepted by universities as valid entry qualifications. The Access Diploma has no examinations and is assessed entirely by coursework, which many adult learners find more compatible with their learning style and life circumstances. The QAA regulates all Access to HE qualifications nationally, ensuring they meet consistent academic standards — universities treat a strong Access Diploma result with the same seriousness as strong A-level grades.

Everything Else You Need to Know

Study Support & Platform

  • Dedicated personal tutor assigned from day one
  • Online learning platform accessible 24/7 on any device
  • Assignment feedback returned within 5 working days
  • Student support team available by phone, email, and live chat
  • Regular progress tracking and milestone check-ins
  • Peer community forum for connecting with fellow learners

Funding & Finance Guidance

  • Monthly payment plans from £99/mo — spread the cost over 24 months
  • Pay-in-full discount — save £400 with a single payment
  • monthly payment plan available — nothing to pay upfront
  • Loan written off if you complete a UK undergraduate degree
  • Employer sponsorship — we can provide documentation for employer-funded study
  • 14-day money-back guarantee on all enrolments

Accreditation & Recognition

  • Awarded by Skills & Education Group Access — a nationally recognised awarding body
  • Regulated by Ofqual and recognised by the QAA
  • Earns up to 144 UCAS points — equivalent to three A-Levels at top grades
  • Accepted by universities across the UK for midwifery degree entry
  • Compliant with QAA subject descriptor for Nursing and Health Professions
  • Certificate issued upon successful completion of all 16 units

Hear From Our Learners

I’d been a maternity support worker for four years and always dreamed of becoming a midwife, but going back to education felt impossible with two young children at home. Studying online meant I could work through units during nap times and evenings. I completed in just under 11 months and was accepted onto the midwifery degree at my local university with a strong Distinction profile.

Fiona B.

Access to HE (Midwifery)

I’d never studied biology beyond GCSE so I was genuinely worried about the Human Biology units. My tutor was absolutely brilliant — the feedback on every assignment helped me understand exactly where to improve. The reproductive system unit in particular gave me a solid grounding that I’m already drawing on in my first year of my BSc Midwifery.

Amira J.

Access to HE (Midwifery)

At 38 I thought my chance to pursue midwifery had passed. This course showed me it hadn’t. The flexibility was everything — I worked nights as a healthcare assistant and studied in the mornings. The ethical dilemmas unit was my favourite: it changed how I think about patient-centred care. I start my midwifery degree in September and I couldn’t be more ready.

Danielle R.

Access to HE (Midwifery)

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