Community Midwife Cheltenham- Band 6

Gloucestershire Hospitals NHS Foundation Trust

Information:

This job is now closed

Job summary

An exciting opportunity to work in a well-established community team in Cheltenham (including Tewkesbury and the North Cotswolds) is here!

Are you Registered Midwife who is passionate about providing safe, effective, personalized care to women and families? If you have excellent midwifery skills along with a passion for delivery of high quality care, then we want to hear from you.

GHNHSF undertakes approximately 6,000 births a year providing a high level of maternity care for women, who require midwife-led, obstetric, neonatal or anaesthetic services. Community midwives are responsible for a caseload of women and birthing people from booking in early pregnancy, through to discharge from postnatal care, providing good continuity throughout the antenatal and postnatal period. A successful applicant must be able to be on call for homebirths, as these are rostered within the team.We are looking for midwives to provide evidence-based, women-centered midwifery care and be accountable for the overall provision of excellent maternity care. You will work flexibly within the Midwifery Service, providing individualized, competent midwifery practice with a Midwife led and Consultant led caseload of women. You will work within the NMC Code of Professional Standards (March 2015) as an autonomous midwifery practitioner and maintain compliance with service standards, policies and guidelines so that effective, safe care is provided at all times including our Birth Options care pathway.

Main duties of the job

You will be participating in a community midwifery team, responsible for excellent antenatal and postnatal care for a caseload of women and birthing people.

The Cheltenham team cover Cheltenham, Tewkesbury and North Cotswolds, providing high standards of care.

Your main priority will be to demonstrate and promote a woman and birthing people and family centered style of clinical practice.

A new £2.7 million free standing birth unit is being built for Cheltenham and is set to open in Spring 2024. The community team work closely with the birth unit team and will support them in facilitating birth. The new birth unit has a wealth of space so you will be key in shaping and creating a hub for pregnancy, birth and postnatal community.

You will be responsible for delivering and maintaining a high standard of day-to-day, evidence based practice for all women in the designated caseload. It is expected that you will provide the full range of midwifery support and care, which includes antenatal and postnatal care, homebirths, on calls and liaising with multi-disciplinary team. The team aim to provide good continuity of care throughout the perinatal period and work well together to ensure all colleagues are well supported.

Your psychosocial, holistic care skills will be developed within this role - to include caring for families under social services, women who smoke, women who have mental health illness and women who do not speak English (along with many other vulnerabilities).

About us

Gloucestershire Hospitals NHS Foundation Trust is the largest employer in the county and with over 8,000 staff, we are one of the largest NHS trusts in the UK. We offer a generous annual leave allowance, excellent bank rates, access to the excellent NHS Pension Scheme, discounts for local shops, restaurants and services, access to our health and well-being hub, access to our two on-site nurseries, flexible working options, discounted public transport, reward and recognition schemes, exercise and activity classes and membership to our popular hospital choir. We have an excellent PMA service, a supportive preceptorship pathway for Band 5 Midwives and those new to community, and pride ourselves in a friendly, just and compassionate leadership team.

Date posted

18 October 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year per annum

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

318-23-W&C-T1211

Job locations

Cheltenham General

Cheltenham

GL53 7AN


Job description

Job responsibilities

Midwifery care

To provide the full range of midwifery support and care, which includes antenatal and postnatal care, on calls, homebirths, liaising with midwifery colleagues, obstetric consultants and other relevant members of the multi-disciplinary team when appropriate

To be competent in the full range of midwifery skills, including: venepuncture, cannulation, perineal suturing, intravenous drug administration, maternal and neonatal resuscitation, care of regional anaesthesia, and infant feeding support.

To assess the mothers and babys condition and deliver appropriate care, within the multidisciplinary team.

To carry out appropriate screening tests on women and babies, following appropriate discussion with the woman and informed consent.

To be able to diagnose / recognise specific problems and make decisions in the provision of care related to pregnancy, childbirth and the postnatal period, informing the most suitably qualified person to assist in the provision of care in the event of any deviation from the norm.

To deliver safe care within a challenging and changing clinical environment, using equipment and resources safely and as appropriate.

To provide health education and support with parenting skills to individuals and/ or formal and informal groups.

To communicate effectively, especially where mothers ability to do so is compromised.

To receive information which may cause emotional distress to all parties and disseminates contentious, complex and sensitive information appropriately.

To maintain accurate and contemporaneous records.

To adhere to all Trust policies and procedures and Midwives Rules and Standards.

Maintain womens dignity and confidentiality at all times.

Demonstrate and promote a person/family centred, holistic style of clinical practice.

To be responsible for the organisation of own caseload and appropriately delegate to support workers or other staff members in order to ensure effective time management. To assist the team in the day to day running of the clinical area.

To communicate with the Multi-Disciplinary Team (MDT) to aid effective woman-centred care, which will include taking an active role in team meetings, joint consultations and case conferences as required.

Respond to emergency situations with composure, maintaining patient safety and seeking immediate support. Whilst supporting the woman, family and other staff as required.

To communicate effectively, with women and families, potentially complex, sensitive or distressing information; in order to provide family centred care.

Professional practice

Registered Midwife with the Nursing and Midwifery Council with degree, diploma or relevant midwifery experience.

To be a competent, autonomous practitioner accountable for own actions, working within the NMC Standards for Competence for Registered Midwives 2018

To maintain and develop clinical competencies in all aspects of midwifery care, to provide records of the same in the form of a portfolio. Evidence of ongoing reflection on care provided, to enhance quality of service provision and meet revalidation requirements.

Participate in annual appraisal, identifying specific training requirements of self as part of service planning and continuous personal development.

To meet with Professional Midwifery Advocate on an annual basis.

To provide support and guidance to colleagues in their professional role in the clinical environment, facilitating change where appropriate.

Ensure clinical practice is evidence based or peer reviewed best practice.

With supervision and assistance take on increased responsibility recognising own limitations and seeking help appropriately.

Be competent in the use of all relevant Trust IT systems including the use of electronic patient record, email, and PACS.

Maintain regular use of emails to keep abreast of information disseminated within the Trust.

Demonstrate an awareness and understanding of Accountability, responsibility and Duty of Care and work towards the provision of support and education for less experienced and non-registered staff on the implications for practice.

Leadership and management

To participate in Annual Appraisal and development of clinical competencies.

To assist in the development of a culture of continuous quality improvement. To actively participate in audit and research trials to facilitate clinical effectiveness

To contribute to public health initiatives in order to provide care which will improve both maternal and neonatal mortality and morbidity.

To take responsibility for mentorship and training of students and support staff as well as preceptorship of newly qualified midwives.

To deputise for the senior midwife effectively and efficiently. This will include organising meetings and work load and planning duty rotas.

To lead the midwifery team, in the absence of the senior midwife, in the full range of obstetric and neonatal emergencies regardless of the practice setting.

To take responsibility for correct usage of equipment, e.g. Resuscitation equipment, Sonicaid, TCB. To ensure all are checked daily and any faults reported and followed up immediately to the appropriate personnel.

To responsibly input and retrieve patient information from computer-based systems in accordance with the Data Protection Act.

Comply with Trust and Departmental policies and procedures e.g., Health and Safety at Work Act (1974), Manual Handling, clinical equipment competency, risk management, Data Protection Acts and patient confidentiality at all times. This will include demonstrating compliance with the terms of all safeguarding policies and processes relevant to the safeguarding of adults and children in the care of GHNHSFT and to undergo regular mandatory training concerned with safeguarding matters.

In conjunction with their manager, identify training needs of self, participating in clinical audit and quality projects which contribute to the departmental education programme.

Report near misses and untoward incidents, complaints, clinical emergencies, injury or medicine administration errors as detailed in the departmental and Trust protocols.

Assist lead staff in investigating incidents as required.

Maintain and contribute to the development of standards of practice, conduct or decision making in conjunction with lead staff.

Ensure a smart, professional image that enhances the public perception of the Trust and the professionalism of its staff is portrayed.

Education and training

Be actively involved in and support departmental education programmes.

Regularly access educational opportunities to enhance knowledge and improve quality of care.

To participate in the supervision, and clinical education of support workers, progressing to supervising undergraduates and less experienced staff with support of senior staff, as required. Providing support, guidance, training, and assessing and evaluating competence, in order to fulfil clinical governance requirements and retain a skilled workforce.

Develop the skills to supervise, mentor, support and educate less experienced and non-registered staff in the clinical practice setting.

To participate in Mandatory Trust and Midwifery in-service training on an annual basis to enhance safety and quality of care provided.

Demonstrate a commitment to research-based practice, clinical excellence and play an active part in the introduction of research-based change to improve patient centred care.

Improving quality and developing practice

To assist in the development of a culture of continuous quality improvement, embracing lifelong learning, continually striving to deliver a higher standard of evidence-based midwifery care.

Work with senior staff undertaking audit and research projects, to further own and teams clinical practice within each rotation. To be involved in making recommendations for changes to practice and procedures for the relevant clinical area, and the implementation of these changes.

Contribute to the Clinical Governance and Quality agenda by active participation in service initiatives, health and safety and risk management.

Develop and share own clinical knowledge with other members of the wider clinical team both locally and nationally.

Identify own development needs, aligning these to service requirements and personal aspirations. Proactively develop and improve own practice using all available resources.

Understand and contribute to the development, implementation, monitoring and evaluation of policies/ protocols/ guidelines relevant to the specialist area.

Openly question and challenge practice in a constructive way so that standards of care are continually evaluated and improved.

For full details see additional Job Description

Job description

Job responsibilities

Midwifery care

To provide the full range of midwifery support and care, which includes antenatal and postnatal care, on calls, homebirths, liaising with midwifery colleagues, obstetric consultants and other relevant members of the multi-disciplinary team when appropriate

To be competent in the full range of midwifery skills, including: venepuncture, cannulation, perineal suturing, intravenous drug administration, maternal and neonatal resuscitation, care of regional anaesthesia, and infant feeding support.

To assess the mothers and babys condition and deliver appropriate care, within the multidisciplinary team.

To carry out appropriate screening tests on women and babies, following appropriate discussion with the woman and informed consent.

To be able to diagnose / recognise specific problems and make decisions in the provision of care related to pregnancy, childbirth and the postnatal period, informing the most suitably qualified person to assist in the provision of care in the event of any deviation from the norm.

To deliver safe care within a challenging and changing clinical environment, using equipment and resources safely and as appropriate.

To provide health education and support with parenting skills to individuals and/ or formal and informal groups.

To communicate effectively, especially where mothers ability to do so is compromised.

To receive information which may cause emotional distress to all parties and disseminates contentious, complex and sensitive information appropriately.

To maintain accurate and contemporaneous records.

To adhere to all Trust policies and procedures and Midwives Rules and Standards.

Maintain womens dignity and confidentiality at all times.

Demonstrate and promote a person/family centred, holistic style of clinical practice.

To be responsible for the organisation of own caseload and appropriately delegate to support workers or other staff members in order to ensure effective time management. To assist the team in the day to day running of the clinical area.

To communicate with the Multi-Disciplinary Team (MDT) to aid effective woman-centred care, which will include taking an active role in team meetings, joint consultations and case conferences as required.

Respond to emergency situations with composure, maintaining patient safety and seeking immediate support. Whilst supporting the woman, family and other staff as required.

To communicate effectively, with women and families, potentially complex, sensitive or distressing information; in order to provide family centred care.

Professional practice

Registered Midwife with the Nursing and Midwifery Council with degree, diploma or relevant midwifery experience.

To be a competent, autonomous practitioner accountable for own actions, working within the NMC Standards for Competence for Registered Midwives 2018

To maintain and develop clinical competencies in all aspects of midwifery care, to provide records of the same in the form of a portfolio. Evidence of ongoing reflection on care provided, to enhance quality of service provision and meet revalidation requirements.

Participate in annual appraisal, identifying specific training requirements of self as part of service planning and continuous personal development.

To meet with Professional Midwifery Advocate on an annual basis.

To provide support and guidance to colleagues in their professional role in the clinical environment, facilitating change where appropriate.

Ensure clinical practice is evidence based or peer reviewed best practice.

With supervision and assistance take on increased responsibility recognising own limitations and seeking help appropriately.

Be competent in the use of all relevant Trust IT systems including the use of electronic patient record, email, and PACS.

Maintain regular use of emails to keep abreast of information disseminated within the Trust.

Demonstrate an awareness and understanding of Accountability, responsibility and Duty of Care and work towards the provision of support and education for less experienced and non-registered staff on the implications for practice.

Leadership and management

To participate in Annual Appraisal and development of clinical competencies.

To assist in the development of a culture of continuous quality improvement. To actively participate in audit and research trials to facilitate clinical effectiveness

To contribute to public health initiatives in order to provide care which will improve both maternal and neonatal mortality and morbidity.

To take responsibility for mentorship and training of students and support staff as well as preceptorship of newly qualified midwives.

To deputise for the senior midwife effectively and efficiently. This will include organising meetings and work load and planning duty rotas.

To lead the midwifery team, in the absence of the senior midwife, in the full range of obstetric and neonatal emergencies regardless of the practice setting.

To take responsibility for correct usage of equipment, e.g. Resuscitation equipment, Sonicaid, TCB. To ensure all are checked daily and any faults reported and followed up immediately to the appropriate personnel.

To responsibly input and retrieve patient information from computer-based systems in accordance with the Data Protection Act.

Comply with Trust and Departmental policies and procedures e.g., Health and Safety at Work Act (1974), Manual Handling, clinical equipment competency, risk management, Data Protection Acts and patient confidentiality at all times. This will include demonstrating compliance with the terms of all safeguarding policies and processes relevant to the safeguarding of adults and children in the care of GHNHSFT and to undergo regular mandatory training concerned with safeguarding matters.

In conjunction with their manager, identify training needs of self, participating in clinical audit and quality projects which contribute to the departmental education programme.

Report near misses and untoward incidents, complaints, clinical emergencies, injury or medicine administration errors as detailed in the departmental and Trust protocols.

Assist lead staff in investigating incidents as required.

Maintain and contribute to the development of standards of practice, conduct or decision making in conjunction with lead staff.

Ensure a smart, professional image that enhances the public perception of the Trust and the professionalism of its staff is portrayed.

Education and training

Be actively involved in and support departmental education programmes.

Regularly access educational opportunities to enhance knowledge and improve quality of care.

To participate in the supervision, and clinical education of support workers, progressing to supervising undergraduates and less experienced staff with support of senior staff, as required. Providing support, guidance, training, and assessing and evaluating competence, in order to fulfil clinical governance requirements and retain a skilled workforce.

Develop the skills to supervise, mentor, support and educate less experienced and non-registered staff in the clinical practice setting.

To participate in Mandatory Trust and Midwifery in-service training on an annual basis to enhance safety and quality of care provided.

Demonstrate a commitment to research-based practice, clinical excellence and play an active part in the introduction of research-based change to improve patient centred care.

Improving quality and developing practice

To assist in the development of a culture of continuous quality improvement, embracing lifelong learning, continually striving to deliver a higher standard of evidence-based midwifery care.

Work with senior staff undertaking audit and research projects, to further own and teams clinical practice within each rotation. To be involved in making recommendations for changes to practice and procedures for the relevant clinical area, and the implementation of these changes.

Contribute to the Clinical Governance and Quality agenda by active participation in service initiatives, health and safety and risk management.

Develop and share own clinical knowledge with other members of the wider clinical team both locally and nationally.

Identify own development needs, aligning these to service requirements and personal aspirations. Proactively develop and improve own practice using all available resources.

Understand and contribute to the development, implementation, monitoring and evaluation of policies/ protocols/ guidelines relevant to the specialist area.

Openly question and challenge practice in a constructive way so that standards of care are continually evaluated and improved.

For full details see additional Job Description

Person Specification

Qualifications

Essential

  • Active registration with the Nursing and Midwifery Council
  • United Kingdom recognised Degree in Midwifery Practice
  • Evidence of ongoing professional development through maintenance of professional portfolio and registration revalidation

Experience

Essential

  • Experience (through placement or employment) of working in an acute clinical environment
  • Able to supervise non-registered and less experienced staff to ensure effective service and care delivery.
  • Acts as a role model and are able to lead by example to ensure the Trust's values and behaviours are reinforced throughout their area of practice.
  • Ability to travel to facilitate home visits, which includes more rural areas

Desirable

  • Previous experience in a community setting

Knowledge/ Skills

Essential

  • Able to prioritise own workload and that of others as appropriate
  • Personally resilient and able to manage complexity and work in an ambiguous or changing environments
  • Excellent presentational, communication and interpersonal skills
  • Demonstrates ability to maintain and contribute to the development of standards of practice, conduct or decision making in conjunction with team, Lead Midwives and Obstetricians
  • Demonstrates ability to use clinical reasoning skills and techniques to assess, diagnose, plan and offer a range of treatment options; deliver, evaluate and amend the treatment plan.
Person Specification

Qualifications

Essential

  • Active registration with the Nursing and Midwifery Council
  • United Kingdom recognised Degree in Midwifery Practice
  • Evidence of ongoing professional development through maintenance of professional portfolio and registration revalidation

Experience

Essential

  • Experience (through placement or employment) of working in an acute clinical environment
  • Able to supervise non-registered and less experienced staff to ensure effective service and care delivery.
  • Acts as a role model and are able to lead by example to ensure the Trust's values and behaviours are reinforced throughout their area of practice.
  • Ability to travel to facilitate home visits, which includes more rural areas

Desirable

  • Previous experience in a community setting

Knowledge/ Skills

Essential

  • Able to prioritise own workload and that of others as appropriate
  • Personally resilient and able to manage complexity and work in an ambiguous or changing environments
  • Excellent presentational, communication and interpersonal skills
  • Demonstrates ability to maintain and contribute to the development of standards of practice, conduct or decision making in conjunction with team, Lead Midwives and Obstetricians
  • Demonstrates ability to use clinical reasoning skills and techniques to assess, diagnose, plan and offer a range of treatment options; deliver, evaluate and amend the treatment plan.

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.

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.

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

Gloucestershire Hospitals NHS Foundation Trust

Address

Cheltenham General

Cheltenham

GL53 7AN


Employer's website

https://www.gloshospitals.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Gloucestershire Hospitals NHS Foundation Trust

Address

Cheltenham General

Cheltenham

GL53 7AN


Employer's website

https://www.gloshospitals.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Lead Midwife Cheltenham Community

Oli Jeacock Stevens

oli.jeacock@nhs.net

03004223232

Date posted

18 October 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year per annum

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

318-23-W&C-T1211

Job locations

Cheltenham General

Cheltenham

GL53 7AN


Supporting documents

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