an 'insiders' view: i've worked at both hospitals (not as a midwife). both are excellent places - if your baby needs care then they are both centres of excellence in newborns. if there are any complications then you are in the right place (either way). unfortunately, it is a sad reality that most hospital maternity units are just too overworked - thats' the NHS I'm afraid. albeit the staff that they do have might be excellent. unfortunately that's just the way it is. i understand people who say that they swear by home deliveries and yes they can be great, but when they go wrong they can go very very wrong. i would honestly say that you should have your first child in hospital - you just don't know what might happen and you need the reassurance of being near help. trust me even if you're ten minutes from hospital those 10 minutes can be too long for a baby in trouble. that is just fact. even with the best midwifery care. trust me when most people have a baby, the whole 'i want this...and this...' birthing plan goes out of the window. at the end of the day it doesn't really matter that much. you just want a healthy baby in a safe place. and in the vast majority of cases that is in a good hospital. p.s. i have worked with some of the homebirth midwives and while some of them are excellent, some of them really do need to brush up. seriously. i'm sure this post is going to ruffle a few feathers....