Job summary
The post-holder will work within the Governance and Risk Team and will assist in the management of compliance projects, including (but not limited to) the roll out of Maternity Continuity of Carer, CNST Maternity Incentive Scheme and Saving Babies Lives Care Bundle v3. The post-holder will also be responsible for the management of local audit (including audits following Serious/other clinical incidents) and other special projects arising from national reports, initiatives and regulatory requirements. The post holder will work closely with the senior management team, and will be critical to the successful delivery of the Maternity and Trust corporate objectives.The post-holder will have overall responsibility within the Maternity Services in leading and delivering audit requirements, ensuring an infrastructure that will deliver a level of service which is equitable, evidence based and consistent with the national standards and expectations. The post holder will be accountable for the overall provision of high midwifery standards of care and provide evidenced based woman centred midwifery care, which can be delivered in a variety of models. The post holder will work collaboratively with the multidisciplinary team, other agencies and user representatives.
The post-holder will also be expected to support general governance activity as part of the Governance and Risk Team, as required.
The post-holder is expected to work flexibly across all locations on the Trust.
Main duties of the job
- Assist with the roll out of the Maternity Continuity of Carer model (MCoC).
- Assist with, and provide expert advice in relation to the CNST Maternity Incentive scheme, including maintenance of an over-arching action plan, working in collaboration with the lead for each safety action and collating evidence for Board sign-off.
- The post holder will have responsibility for co-ordinating and participating in audit projects relating to MCoC, CNST and national report recommendations/IEAs.
- Work with the Clinical Director, Director of Midwifery and Gynaecology Nursing, the Lead Midwife for Clinical Governance and Risk, the Obstetric Audit Lead, the Trust Audit and Effectiveness Team and Trust-Wide Quality Team to ensure other audit projects are prioritised and undertaken in a timely manner.
- Ensure, with the divisional management team, that the Maternity Service is compliant with identified national quality standards, ensuring robust mechanisms are in place to assess adherence, and that measures are implemented to make changes.
- Present audit findings and recommendations to the multi-disciplinary team through meetings and audit days.
- Assist the Division to fulfil its obligations in relation to CQC and other external standards, including the management of any emergent risks.
About us
We operate two busy general hospitals, Epsom HospitalandSt Helier Hospital, andrun services from other locations, includingSutton Hospital.
St Helier Hospital is home to theSouth West Thames Renal and Transplantation UnitandQueen Mary's Hospital for Children, while Epsom Hospital is home to theSouth West London Elective Orthopaedic Centre (SWLEOC). Both Epsom and St Helier hospitals haveAccident and Emergency departments (A&E)andMaternity services (Obstetrics).
Epsom and St Helier have around 3,800 births annually. Acute and planned maternity services are offered across to hospital sites (Epsom General Hospital and St Helier Hospital) as well as in the community setting. Both units have a birth centre adjacent to Labour Ward.
Job description
Job responsibilities
Key Responsibilities
The post-holder will assist the effective delivery and roll out of the Maternity Continuity of Carer model to ensure targets are consistently met. The post-holder will also assist the effective delivery of the Maternity Incentive Scheme (CNST) and the responses and action plans associated with all relevant national reports/independent review recommendations. In collaboration with the clinical teams, the post holder will lead on and undertake various audits and co-ordinate any associated recommendations and action plans. This will include a requirement to:
- Support and provide guidance to all staff within maternity services in relation to patient safety and clinical governance and contribute to, and monitor the effectiveness of, the maternity Risk Management Strategy.
- Assist with the roll out of the Maternity Continuity of Carer model (MCoC).
- Assist with, and provide expert advice in relation to the CNST Maternity Incentive scheme, including maintenance of an over-arching action plan, working in collaboration with the lead for each safety action and collating evidence for Board sign-off.
- The post holder will have responsibility for co-ordinating and participating in audit projects relating to MCoC, CNST and national report recommendations/IEAs.
- Assist with audit work streams that directly feed into compliance with the Maternity Incentive Scheme (CNST) and other safety recommendations, such as ATAIN, SBLCBv2 etc.
- Provide assurance that all eligible cases are reported externally to HSSIB, NHS Resolution Early Notification Scheme and MBRRACE-UK.
- Promote and maintain cohesive working relationships with obstetricians, the neonatal team (medical and nursing) anaesthetists and other specialists.
- In partnership with the Bereavement Team and Risk Team, ensure that the MBRRACE-UK Perinatal Mortality Review Tool (PMRT) is used to review all eligible cases to the required standard as described in the CNST Technical Guidance.
- Work with the Clinical Director, Director of Midwifery and Gynaecology Nursing, the Lead Midwife for Clinical Governance and Risk, the Obstetric Audit Lead, the Trust Audit and Effectiveness Team and Trust-Wide Quality Team to ensure audit projects are prioritised and undertaken in a timely manner.
- Ensure, with the divisional management team, that the Maternity Service is compliant with identified national quality standards, ensuring robust mechanisms are in place to assess adherence, and that measures are implemented to make changes.
- Work collaboratively with the multi-disciplinary team to identify and ensure appropriate audit programmes are initiated in relation to clinical guideline adherence and in response to clinical incident investigation/trend analysis/national quality standards and recommendations, and ensuring that improvements identified are implemented in partnership with the senior management team.
- Use the Trust agreed reporting and recording process to ensure that all audits are registered appropriately.
- Present audit findings and recommendations to the multi-disciplinary team through meetings and audit days.
- Provide methodological support to teams, including sampling, data collection, data analysis, data reporting, dissemination, action planning and change management necessary for the improvement of clinical practice.
- Assist the Division to fulfil its obligations in relation to CQC and other external standards, including the management of any emergent risks.
General
- Draft reports in relation to MCoC, CNST, audit and/or special projects to relevant groups and committees at local, Trust Board and external (LMNS) level and actively participate in forums and meetings in relation to the role.
- Set, monitor and maintain excellent standards care within the Service in collaboration with the multi-disciplinary team.
- Maintain own professional and personal development, including in relation to the NMC registration and revalidation requirements.
- Act in accordance with the NMC Code of Professional Conduct for Nurses, Midwives and Health Visitors and Scope of Professional Practice and being accountable for actions at all times.
- Work clinically as required during periods of high acuity.
- Participate in statutory and mandatory training relevant to the post.
- Have responsibility for the Health, Safety and Welfare of self and others and to comply at all times with the requirements of the Health and Safety Regulations.
- Ensure confidentiality at all times, only releasing confidential information obtained during the course of employment to those acting in an official capacity.
- Promote equal opportunities for staff and clients in accordance with Epsom & St Helier University Hospital NHS Trust Policies, to ensure that no person receives less favourable treatment than another on the grounds of sex, marital status, race, religion, colour, creed, nationality, ethnic or national origin or sexual orientation.
- Be aware and work within the policies of Epsom and St Helier University Hospitals NHS Trust carrying out such duties as may be required, and are consistent with the responsibility of the grade.
Job description
Job responsibilities
Key Responsibilities
The post-holder will assist the effective delivery and roll out of the Maternity Continuity of Carer model to ensure targets are consistently met. The post-holder will also assist the effective delivery of the Maternity Incentive Scheme (CNST) and the responses and action plans associated with all relevant national reports/independent review recommendations. In collaboration with the clinical teams, the post holder will lead on and undertake various audits and co-ordinate any associated recommendations and action plans. This will include a requirement to:
- Support and provide guidance to all staff within maternity services in relation to patient safety and clinical governance and contribute to, and monitor the effectiveness of, the maternity Risk Management Strategy.
- Assist with the roll out of the Maternity Continuity of Carer model (MCoC).
- Assist with, and provide expert advice in relation to the CNST Maternity Incentive scheme, including maintenance of an over-arching action plan, working in collaboration with the lead for each safety action and collating evidence for Board sign-off.
- The post holder will have responsibility for co-ordinating and participating in audit projects relating to MCoC, CNST and national report recommendations/IEAs.
- Assist with audit work streams that directly feed into compliance with the Maternity Incentive Scheme (CNST) and other safety recommendations, such as ATAIN, SBLCBv2 etc.
- Provide assurance that all eligible cases are reported externally to HSSIB, NHS Resolution Early Notification Scheme and MBRRACE-UK.
- Promote and maintain cohesive working relationships with obstetricians, the neonatal team (medical and nursing) anaesthetists and other specialists.
- In partnership with the Bereavement Team and Risk Team, ensure that the MBRRACE-UK Perinatal Mortality Review Tool (PMRT) is used to review all eligible cases to the required standard as described in the CNST Technical Guidance.
- Work with the Clinical Director, Director of Midwifery and Gynaecology Nursing, the Lead Midwife for Clinical Governance and Risk, the Obstetric Audit Lead, the Trust Audit and Effectiveness Team and Trust-Wide Quality Team to ensure audit projects are prioritised and undertaken in a timely manner.
- Ensure, with the divisional management team, that the Maternity Service is compliant with identified national quality standards, ensuring robust mechanisms are in place to assess adherence, and that measures are implemented to make changes.
- Work collaboratively with the multi-disciplinary team to identify and ensure appropriate audit programmes are initiated in relation to clinical guideline adherence and in response to clinical incident investigation/trend analysis/national quality standards and recommendations, and ensuring that improvements identified are implemented in partnership with the senior management team.
- Use the Trust agreed reporting and recording process to ensure that all audits are registered appropriately.
- Present audit findings and recommendations to the multi-disciplinary team through meetings and audit days.
- Provide methodological support to teams, including sampling, data collection, data analysis, data reporting, dissemination, action planning and change management necessary for the improvement of clinical practice.
- Assist the Division to fulfil its obligations in relation to CQC and other external standards, including the management of any emergent risks.
General
- Draft reports in relation to MCoC, CNST, audit and/or special projects to relevant groups and committees at local, Trust Board and external (LMNS) level and actively participate in forums and meetings in relation to the role.
- Set, monitor and maintain excellent standards care within the Service in collaboration with the multi-disciplinary team.
- Maintain own professional and personal development, including in relation to the NMC registration and revalidation requirements.
- Act in accordance with the NMC Code of Professional Conduct for Nurses, Midwives and Health Visitors and Scope of Professional Practice and being accountable for actions at all times.
- Work clinically as required during periods of high acuity.
- Participate in statutory and mandatory training relevant to the post.
- Have responsibility for the Health, Safety and Welfare of self and others and to comply at all times with the requirements of the Health and Safety Regulations.
- Ensure confidentiality at all times, only releasing confidential information obtained during the course of employment to those acting in an official capacity.
- Promote equal opportunities for staff and clients in accordance with Epsom & St Helier University Hospital NHS Trust Policies, to ensure that no person receives less favourable treatment than another on the grounds of sex, marital status, race, religion, colour, creed, nationality, ethnic or national origin or sexual orientation.
- Be aware and work within the policies of Epsom and St Helier University Hospitals NHS Trust carrying out such duties as may be required, and are consistent with the responsibility of the grade.
Person Specification
Qualifications
Essential
- Registered Midwife with current NMC registration
- First degree or significant equivalent clinical experience
- Evidence of continuing professional development
Desirable
- Masters degree or working towards
- Management qualification/course
Experience
Essential
- Minimum 3 years post registration experience in midwifery
- Up to date knowledge and understanding of current National and Regulatory requirements relating to maternity, Clinical Governance issues and clinical and professional issues
- Experience of clinical audit and implementing evidence-based care
- Evidence of implementing change in clinical practice
Desirable
- Previous experience in and audit role.
Knowledge
Essential
- An understanding of audit and research based midwifery practice
- Knowledge of key NHS initiatives in relation to Healthcare Governance
- Knowledge of Safety actions in relation to CNST
Skills
Essential
- Excellent verbal, written and interpersonal communication skills
- Computer skills
- Good presentation skills
- Experience of gathering and analysing detailed information
- Ability to analyse problems and implement solutions
- Ability to prioritise and meet deadlines
Desirable
- Able to write complex reports
Person Specification
Qualifications
Essential
- Registered Midwife with current NMC registration
- First degree or significant equivalent clinical experience
- Evidence of continuing professional development
Desirable
- Masters degree or working towards
- Management qualification/course
Experience
Essential
- Minimum 3 years post registration experience in midwifery
- Up to date knowledge and understanding of current National and Regulatory requirements relating to maternity, Clinical Governance issues and clinical and professional issues
- Experience of clinical audit and implementing evidence-based care
- Evidence of implementing change in clinical practice
Desirable
- Previous experience in and audit role.
Knowledge
Essential
- An understanding of audit and research based midwifery practice
- Knowledge of key NHS initiatives in relation to Healthcare Governance
- Knowledge of Safety actions in relation to CNST
Skills
Essential
- Excellent verbal, written and interpersonal communication skills
- Computer skills
- Good presentation skills
- Experience of gathering and analysing detailed information
- Ability to analyse problems and implement solutions
- Ability to prioritise and meet deadlines
Desirable
- Able to write complex reports
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).
