yeah, I was talking about CPMs. As buzzbuzz noted, there are CPMs who receive training via a home study course followed by an apprenticeship.
It just seems to me that if CPMs are going to fight for states to legitimize them, to be covered by insurance companies, etc, they shouldn't then turn around and say that they aren't responsible for any of their outcomes. If you want that role you should take responsibility for what goes with it.
This was a slightly different situation because it was a UK midwife, but she did evince that "I'm not responsible for the outcome" thing that seems to come up a lot. Perhaps I am a little off-topic but the thread seemed to me to be discussing homebirth midwifery and responsibility in general, not specifically in the UK. I'm in the US so that is what I am more aware of.