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In oral evidence to the pay review body last week, the Royal College of Midwives claimed that staffing levels had 'not changed significantly' over the past 12 months. In a bid to tackle the recruitment and retention problem, the RCM wants to see a significant uplift to pay scales for 2002, consolidation of the discretionary points scheme and substantial increases to on-call allowances. RCM general secretary Dame Karlene Davis said: 'We call upon the pay review body to listen to the government and midwives and take on board the measures needed to provide a level of service that is a credit to the health service.'