Job summary
To support the implementation, of the 'Saving Babies Lives Care Bundle Version 3 'Element 4', to improve standards for fetal heart monitoring, interpretation, escalation, and appropriate management of care, reporting to the Fetal Surveillance and Intra-Partum Safety Lead. Working with all teams across Maternity to deliver a programme which facilitates the implementation of clinically based teaching to support birth
Develop staff awareness in recognising pathological factors that could contribute to the misinterpretation of the fetal heart pattern. This will be relevant when using both intelligent intermittent auscultation plotted on a partogram and electronic fetal monitoring using a cardiotocograph (CTG). Expand midwives' competence in undertaking intelligent intermittent fetal heart auscultation when caring for low-risk women and ensure all staff can intelligently auscultate the fetal heart reflective in the documentation using either a pinnard or handheld Doppler sonicaid.
Work with our senior midwifery team in the development of a safety culture, in partnership with the Intrapartum Safety Lead midwife, quality and safety midwife, the education team, and clinical midwifery managers.
Please note that this vacancy is pending Agenda for Change job matching and the final banding hasn't yet been confirmed.
Main duties of the job
Ensure that all midwives and obstetricians providing antenatal and intrapartum care undertake fetal monitoring training & competency assessment. Providing enhanced teaching and support to staff who need to repeat the test to achieve and demonstrate the expected levels of knowledge, or who are identified as requiring further support through the risk management.
To cascade out and embed into practice an 'intelligent intermittent auscultation' training package and lead on the use of this.
Lead monthly CTG workshops maintaining an electronic database to evidence attendance.
Identify, lead and implement improvements on learning identified from national reports and quality improvement projects.
Identifying areas of good practice that can be replicated at the Trust.
Represent The Trust for all matters of fetal surveillance matters.
Be visible in all areas, where fetal surveillance may be required. Providing support, training, and feedback to staff to ensure fetal monitoring is of a high-quality standard and well embedded.
Ensure ongoing audits are undertaken to monitor the improvements and subsequently maintain standards.
Attend MDT meeting and give opinion on cases where fetal surveillance issues may require escalation and further in-depth.
Plan and deliver regular fetal heart rate (FHR) monitoring meetings and cascade training and information to all relevant staff. Active involvement with the review of cases involving adverse outcomes.
About us
Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'.
WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.
On-Call
Please note that senior positions (AFC band 8A or above) may be expected to participate in an on-call rota, if the role is predominantly operational.
Job description
Job responsibilities
Responsibility for patients
- Act as an advocate for women and their families and make appropriate referral where necessary.
- Promote normality whilst providing antenatal, and intrapartum care, which is reflective of research-based evidence in an appropriate setting.
- Liaise with other appropriate multidisciplinary and organisations for effective collaborative care as appropriate.
- Promote and support on the introduction of any new initiatives relating to fetal monitoring to ensure staff are assessing fetal wellbeing in the context of the womens individual risk assessment inclusive of her health, pregnancy, gestation, and stage of
- Develop midwives competence in undertaking intelligent intermittent auscultation of the fetal heart in low risk women as per NICE
- Support staff in enhancing their skills in reducing risk within clinical practice
- Provide midwifery expertise, ensuring all staff both midwifery and medical are supported in their practice, including pre-registration and doctors in
- Communicate sensitive and complex information effectively and support the care pathway
- Identify and offer appropriate services to women and babies who are high risk
- Attend Divisional meetings and provide a summary report on clinical issues
- Participate and undertake in the development of maternity guidelines
Planning and Organisational Duties
Always ensure that duties are carried out in a safe manner to maintain a high standard of midwifery practice for all women and their babies by:
- Being responsible for maintaining training and revalidation requirements
- Being conversant with all publications and documentations issued by the NMC in relation to training and development
- Practising within the NMC rules and codes of conduct
- Adhere to Trust rules and clinical guidelines of the Trust and be aware of any changes that may affect midwifery
- Maintain contemporaneous records in an accurate and legible manner
- Being aware of all current safeguarding polices relevant to the provider Trust
- Making appropriate judgements on a range of complex midwifery and safeguarding issues, which require assessing, analysing, investigation and action.
- Actively participating in clinical governance strategy, audit, and risk management
Communications and Key Working Relationships
- Adhere to and evaluate current policies and procedures and identify the impact they have within their clinical environment and midwifery
- Maintain close links with the midwifery education team and clinical skills teams within providers and contribute to the provider trust
- Evaluate the fetal heart rate monitoring education programmes, identify outcomes and offer advice on how the service could improve
- Take an active role in the implementation of the emerging Midwifery agenda
- Implement and propose changes to policies and practices in the maternity unit in line with evidence-based
- Implement Clinical Governance initiatives by acting as a change agent and taking a proactive role in the service development
Responsibility for leading and managing
- Support lead clinicians in the clinical area
- Supporting clinical staff in their management/decision making, of fetal heart rate monitoring in all clinical areas, both low and high risk
- Take on a lead role in co-ordinating/supporting clinical areas in accordance with the needs of the service and in line with a Band 7 midwifery role.
Responsibility for Finance
- Work in a way which is efficient and effective and adds value to the provider Trust
- Support budget holders by providing information as required
Responsibility for Information Resources
- Ensure the processes are in place to identify, collect and evaluate information in order to support clinical decision making.
- Undertake data collection/input effectively using the agreed systems
Responsibility for Teaching/Audit
- Ensure attendance at training as appropriate to the needs of the role
- Maintain comprehensive training records of who has been trained in fetal monitoring, submitting this to the midwifery education team, and where appropriate provide exception reporting where there are concerns identified
- Actively participate in local and corporate induction training with a lead role in provision of fetal heart rate training
- Support the delivery of the departments approved fetal heart rate monitoring
- Practice within the agreed policies and protocols of the trust and adhere to the NMC Professional Code of Conduct, Standards, and
- Link the development of knowledge, ideas and work practice to the role of the midwife and the midwifery support worker roles.
- Work closely with the audit and guidelines midwife/team to implement changes in practice and measure the extent to which quality has been improved in fetal heart rate monitoring on a quarterly
Job description
Job responsibilities
Responsibility for patients
- Act as an advocate for women and their families and make appropriate referral where necessary.
- Promote normality whilst providing antenatal, and intrapartum care, which is reflective of research-based evidence in an appropriate setting.
- Liaise with other appropriate multidisciplinary and organisations for effective collaborative care as appropriate.
- Promote and support on the introduction of any new initiatives relating to fetal monitoring to ensure staff are assessing fetal wellbeing in the context of the womens individual risk assessment inclusive of her health, pregnancy, gestation, and stage of
- Develop midwives competence in undertaking intelligent intermittent auscultation of the fetal heart in low risk women as per NICE
- Support staff in enhancing their skills in reducing risk within clinical practice
- Provide midwifery expertise, ensuring all staff both midwifery and medical are supported in their practice, including pre-registration and doctors in
- Communicate sensitive and complex information effectively and support the care pathway
- Identify and offer appropriate services to women and babies who are high risk
- Attend Divisional meetings and provide a summary report on clinical issues
- Participate and undertake in the development of maternity guidelines
Planning and Organisational Duties
Always ensure that duties are carried out in a safe manner to maintain a high standard of midwifery practice for all women and their babies by:
- Being responsible for maintaining training and revalidation requirements
- Being conversant with all publications and documentations issued by the NMC in relation to training and development
- Practising within the NMC rules and codes of conduct
- Adhere to Trust rules and clinical guidelines of the Trust and be aware of any changes that may affect midwifery
- Maintain contemporaneous records in an accurate and legible manner
- Being aware of all current safeguarding polices relevant to the provider Trust
- Making appropriate judgements on a range of complex midwifery and safeguarding issues, which require assessing, analysing, investigation and action.
- Actively participating in clinical governance strategy, audit, and risk management
Communications and Key Working Relationships
- Adhere to and evaluate current policies and procedures and identify the impact they have within their clinical environment and midwifery
- Maintain close links with the midwifery education team and clinical skills teams within providers and contribute to the provider trust
- Evaluate the fetal heart rate monitoring education programmes, identify outcomes and offer advice on how the service could improve
- Take an active role in the implementation of the emerging Midwifery agenda
- Implement and propose changes to policies and practices in the maternity unit in line with evidence-based
- Implement Clinical Governance initiatives by acting as a change agent and taking a proactive role in the service development
Responsibility for leading and managing
- Support lead clinicians in the clinical area
- Supporting clinical staff in their management/decision making, of fetal heart rate monitoring in all clinical areas, both low and high risk
- Take on a lead role in co-ordinating/supporting clinical areas in accordance with the needs of the service and in line with a Band 7 midwifery role.
Responsibility for Finance
- Work in a way which is efficient and effective and adds value to the provider Trust
- Support budget holders by providing information as required
Responsibility for Information Resources
- Ensure the processes are in place to identify, collect and evaluate information in order to support clinical decision making.
- Undertake data collection/input effectively using the agreed systems
Responsibility for Teaching/Audit
- Ensure attendance at training as appropriate to the needs of the role
- Maintain comprehensive training records of who has been trained in fetal monitoring, submitting this to the midwifery education team, and where appropriate provide exception reporting where there are concerns identified
- Actively participate in local and corporate induction training with a lead role in provision of fetal heart rate training
- Support the delivery of the departments approved fetal heart rate monitoring
- Practice within the agreed policies and protocols of the trust and adhere to the NMC Professional Code of Conduct, Standards, and
- Link the development of knowledge, ideas and work practice to the role of the midwife and the midwifery support worker roles.
- Work closely with the audit and guidelines midwife/team to implement changes in practice and measure the extent to which quality has been improved in fetal heart rate monitoring on a quarterly
Person Specification
Experience
Essential
- Extensive experience of working within all areas of miwifery
- Excellent communicator with good leadership and interpersonal skills.
- Experience of / involvement with SBL programme
- Experience of delivering presentations
Desirable
- Leadership qualification
- Experience of change management
Knowledge & Skills
Essential
- Able to deliver a high standard of evidence based individual client care.
- Experience of governance processes and risk management
- Computer literate with sound knowledge of software packages and good keyboard skills.
- Knowledge of local and national safety agendas
Desirable
- Experience of data collection and compilation of statistics
Personal Attributions
Essential
- Able to deliver a high standard of evidence based individual client care.
- Excellent communicator with good leadership and interpersonal skills.
- Enthusiasm / motivation.
Qualifications
Essential
- Educated to degree level or working towards
- Mentorship
- Registered Midwife
Desirable
- Aware of relevant MDT/agencies who will support the role
- Evidence of masters or working towards
Person Specification
Experience
Essential
- Extensive experience of working within all areas of miwifery
- Excellent communicator with good leadership and interpersonal skills.
- Experience of / involvement with SBL programme
- Experience of delivering presentations
Desirable
- Leadership qualification
- Experience of change management
Knowledge & Skills
Essential
- Able to deliver a high standard of evidence based individual client care.
- Experience of governance processes and risk management
- Computer literate with sound knowledge of software packages and good keyboard skills.
- Knowledge of local and national safety agendas
Desirable
- Experience of data collection and compilation of statistics
Personal Attributions
Essential
- Able to deliver a high standard of evidence based individual client care.
- Excellent communicator with good leadership and interpersonal skills.
- Enthusiasm / motivation.
Qualifications
Essential
- Educated to degree level or working towards
- Mentorship
- Registered Midwife
Desirable
- Aware of relevant MDT/agencies who will support the role
- Evidence of masters or working towards
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Employer details
Employer name
Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust
Address
Royal Albert Edward Infirmary
Wigan Lane
Wigan
WN1 2NN
Employer's website
http://www.wwl.nhs.uk/ (Opens in a new tab)
