Royal Free London NHS Foundation Trust

Fetal Surveillance Midwife

The closing date is 06 June 2025

Job summary

We are looking for an individual who is experienced in assessing fetal wellbeing at the different maternity settings and is skilled and experienced in teaching. The post holder will be expected to support Labour Ward as well as the other maternity areas and work collaboratively with the multidisciplinary team to ensure a safe and efficient service.The role will require the individual to take a lead on teaching and ensuring training targets are met for fetal wellbeing in accordance to the National requirements.

The role will require the post holder to work collaboratively with the matron to ensure the smooth running of the service including training and orientating and updates.The post holder will be required to keep abreast of any changes to process or protocol and will be able to able to educate all necessary staff of these changes.The post holder must be prepared to be part of the team supporting training and assessment for student and preceptorship midwives.We are lucky to be able to work and provide care in our beautiful, purpose built maternity unit. We currently look after 4700 births per year and book over 5000 women for antenatal care.

Main duties of the job

  • To support and work with the teams across the Maternity department to develop a programme plan to facilitate the implementation of a clinically based teaching and competency based assessment package to aim towards achieving better birth outcomes.

  • To develop staff awareness in recognising pathophysiological factors that could contribute to misinterpretation of the fetal heart pattern. This will be relevant when using both intermittent auscultation plotted on a partogram and electronic monitoring using a cardiotocographs (CTGs). To develop and expand midwives' competence in undertaking intermittent auscultation of the fetal heart when caring for low risk women as per NICE guidelines, utilising the most current and robust evidence based practice

    • Ensure staff can intelligently auscultate the fetal heart in labour in the midwifery led unit and at home reflective in the documentation, and increase confidence in staff in auscultating the fetal heart intermittently using either a pinard or hand held sonicaid.

About us

North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex, City Universities and University of East London.

Take a tour of our hospital here

Details

Date posted

22 May 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£51,883 to £58,544 a year Per annum inclusive HCAS (pro rata)

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

391-NMUH-7139377

Job locations

North Middlesex University Hospital

Sterling Way

London

N18 1QX


Job description

Job responsibilities

  • To further embed and develop the current competency testing for fetal monitoring to assess and improve the knowledge and skills of all staff providing intrapartum and antenatal care across all maternity settings.

  • To produce and cascade out and embed into practice an intelligent intermittent auscultation training package and lead on the use of this in training midwives who provide intrapartum care on the Delivery Suites, the Midwifery Led Unit and in the womans home.

  • Ensure that all midwives and obstetricians providing antenatal and intrapartum care undertake the competency test in assessing fetal wellbeing.

  • In conjunction with the midwifery education team provide enhanced teaching and additional support to staff who need to repeat the competency test to in order to achieve and demonstrate the expected levels of knowledge.

  • Lead weekly CTG workshops, maintaining an electronic database to evidence attendance registers and ensure compliance to the mandatory requirement for midwives and medical staff. Disseminate learning which emerges from workshops.

  • Organise CTG master classes on the monthly mandatory training week ensuring the attendance of all eligible staff.

  • Develop, in conjunction with the Maternity Matrons, Obstetric Lead for Delivery Suite and the Obstetric Lead for Risk, an audit form (on a daily basis) for case reviews all emergency deliveries i.e. instrumental and caesarean sections in the previous twenty-four hours to review the interpretation of CTGs and subsequent management of care. Use findings of such cases for reflective practice sessions, to cascade and evidence learning from good practice and identify areas for further development

  • Use every opportunity to facilitate teaching, learning and reflection within the clinical area.

  • When required to work as a practicing midwife within the maternity unit and undertake unit coordinator duties as required

  • Ensure staff are assessing fetal well-being in the context of the woman's health, pregnancy, gestation and stage of labour by observing how handover iscommunicated at change of shifts, midwife to doctor communication when referrals are made and listening to assessments made over the telephone (SBAR).

  • Ensure that interpretation of fetal assessment is undertaken with a structured approach, reflective of recommendations within our current guidelines and that all documentation reflects this approach.

Job description

Job responsibilities

  • To further embed and develop the current competency testing for fetal monitoring to assess and improve the knowledge and skills of all staff providing intrapartum and antenatal care across all maternity settings.

  • To produce and cascade out and embed into practice an intelligent intermittent auscultation training package and lead on the use of this in training midwives who provide intrapartum care on the Delivery Suites, the Midwifery Led Unit and in the womans home.

  • Ensure that all midwives and obstetricians providing antenatal and intrapartum care undertake the competency test in assessing fetal wellbeing.

  • In conjunction with the midwifery education team provide enhanced teaching and additional support to staff who need to repeat the competency test to in order to achieve and demonstrate the expected levels of knowledge.

  • Lead weekly CTG workshops, maintaining an electronic database to evidence attendance registers and ensure compliance to the mandatory requirement for midwives and medical staff. Disseminate learning which emerges from workshops.

  • Organise CTG master classes on the monthly mandatory training week ensuring the attendance of all eligible staff.

  • Develop, in conjunction with the Maternity Matrons, Obstetric Lead for Delivery Suite and the Obstetric Lead for Risk, an audit form (on a daily basis) for case reviews all emergency deliveries i.e. instrumental and caesarean sections in the previous twenty-four hours to review the interpretation of CTGs and subsequent management of care. Use findings of such cases for reflective practice sessions, to cascade and evidence learning from good practice and identify areas for further development

  • Use every opportunity to facilitate teaching, learning and reflection within the clinical area.

  • When required to work as a practicing midwife within the maternity unit and undertake unit coordinator duties as required

  • Ensure staff are assessing fetal well-being in the context of the woman's health, pregnancy, gestation and stage of labour by observing how handover iscommunicated at change of shifts, midwife to doctor communication when referrals are made and listening to assessments made over the telephone (SBAR).

  • Ensure that interpretation of fetal assessment is undertaken with a structured approach, reflective of recommendations within our current guidelines and that all documentation reflects this approach.

Person Specification

Education and qualifications

Essential

  • Registered Midwife
  • Recognised leadership qualification or equivalent experience.
  • Graduate or equivalent qualification/or experience
  • Mentoring qualification.

Desirable

  • Recognised teaching qualification.
  • ALSO/NLS/PROMP T Instructor.

Skills and abilities

Essential

  • Expert knowledge of midwifery and normal birth agenda.
  • Expert knowledge of caring for women in the acute labour ward.
  • Expert knowledge of interpretation of CTG readings in all clinical settings.
  • Expert knowledge on facilitation of normal birth.
  • Expert knowledge on intermittent auscultation of the fetal heart. Knowledge of health policy.
  • Knowledge of quality standard setting and audit.
  • Research skills
  • Demonstrable leadership skills.
  • Emotional Intelligence.
  • Organisation and management skills.
  • Ability to influence, motivate and inspire others. Negotiating skills and ability to resolve conflict.
  • Ability to manage change.
  • Team building skills
  • Teaching skills especially within the clinical setting.

Desirable

  • In depth understanding of how adults learn.
  • Experience of facilitating reflective practice sessions.
  • Experience of using an appreciative enquiry approach to situations that arise.
Person Specification

Education and qualifications

Essential

  • Registered Midwife
  • Recognised leadership qualification or equivalent experience.
  • Graduate or equivalent qualification/or experience
  • Mentoring qualification.

Desirable

  • Recognised teaching qualification.
  • ALSO/NLS/PROMP T Instructor.

Skills and abilities

Essential

  • Expert knowledge of midwifery and normal birth agenda.
  • Expert knowledge of caring for women in the acute labour ward.
  • Expert knowledge of interpretation of CTG readings in all clinical settings.
  • Expert knowledge on facilitation of normal birth.
  • Expert knowledge on intermittent auscultation of the fetal heart. Knowledge of health policy.
  • Knowledge of quality standard setting and audit.
  • Research skills
  • Demonstrable leadership skills.
  • Emotional Intelligence.
  • Organisation and management skills.
  • Ability to influence, motivate and inspire others. Negotiating skills and ability to resolve conflict.
  • Ability to manage change.
  • Team building skills
  • Teaching skills especially within the clinical setting.

Desirable

  • In depth understanding of how adults learn.
  • Experience of facilitating reflective practice sessions.
  • Experience of using an appreciative enquiry approach to situations that arise.

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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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

Royal Free London NHS Foundation Trust

Address

North Middlesex University Hospital

Sterling Way

London

N18 1QX


Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)

Employer details

Employer name

Royal Free London NHS Foundation Trust

Address

North Middlesex University Hospital

Sterling Way

London

N18 1QX


Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Lead Midwife for Education and Workforce

Maria Symeonaki

maria.symeonaki@nhs.net

02088874206

Details

Date posted

22 May 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£51,883 to £58,544 a year Per annum inclusive HCAS (pro rata)

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

391-NMUH-7139377

Job locations

North Middlesex University Hospital

Sterling Way

London

N18 1QX


Supporting documents

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