I would ABSOLUTELY recommend having a doula, even in caseload. My experience was that the midwives (who were great) and my doula had two different roles. The midwives were very supportive, but were focussed on the 'medical' side of things. My doula was all about emotionally supporting me in a very special way. I too was very concerned they would clash, but they worked great together, complimenting one another really.

I would have my doula again in a second!