At the beginning of November Marie Sapateh, one of the senior midwives from Lumley Government Hosptial, came to visit us for a few days. Karen Cauvin very kindly let Marie stay in her Bed and Breakfast in Stratford upon Avon. Marie came to work at the Alexandra Hospital for two shifts on delivery suite and was also able to spend a day in the community with Kathy Humpherson. On Marie’s second shift on delivery suite she was able to witness the delivery of a lady she had visited in the community with Kathy the day before. This was a great example of the continuity of care that we offer here in the U.K. There are no community midwives in Sierra Leone. All our colleagues made Marie feel very welcome and as we showed her around delivery suite she was very bemused by the concept of water births, especially as they currently have no running water at Lumley Hospital. One of our doctors didn’t hesitate to show her how it was done! Marie was only here for a very short time but I know that she will take so much back to Lumley with her to tell all our colleagues there how differently things are done here and hopefully inspire them to make some changes that will improve their working lives and the care that can be offerd to the women of Freetown.