In England and Wales, family planning and maternity care have grown up as separate components of well-woman health care, with midwives playing only a minor role in family planning. There are interesting historical and social reasons for the separate development of these 2 services that still very much influence today's practice. Although midwives with some additional training could become efficient and economic primary family planning providers, the movement toward this end is slow. Since this article was written the decision was made to extend midwifery training in England and Wales from 12 to 18 months. Now is the ideal time to plan for the inclusion of family planning as part of basic midwifery.