I am a uk trained midwife now working as a midwife in Ontario. The process to work over here is time consuming and not family friendly. The word "midwife" is seen as some alien creature..who really doesnt know what she is doing. In England I was a senior sister (grade 7) and now I am on the bottom rung of the payscale...even though my knowledge and skills are so much better than some of the others who are near the top! As midwives we work 24/7 and I have just finished a 30 hour marathon session. You are self employed..but with none of the benefits...The NHS seems like a dream place to work looking back. If you are a trained nurse I would consider doing that instead..you will be thought better of and have better working conditions.