Job summary
Part Time 15 hours per week. Fixed Term for 12 months or upon the resumption of the post holder
An opportunity has arisen for an experienced midwife to join the Maternity Governance Team. The post holder will be part of a team of senior midwives that lead on implementing governance processes, across the service, in collaboration with the Quality and Safety Matron and Head of Midwifery. The post holder will participate and lead in reviewing incidents and adhering to statutory reporting processes for serious incidents that involve HSIB, PMRT or StEIS; liaising with families to ensure that their voices are heard in the investigation process and that the service adheres to applying the principles for Duty of Candour.
The post holder will be responsible for reviewing, monitoring, and evaluating incident reports in conjunction with the senior midwifery team to ensure that timely review, investigation, and escalation occurs. Ensuring that any lessons learned are fed back to the staff involved and the service, facilitating organisational learning.
An Enhanced DBS with barred lists for both Adults & Children is required for this post.
Main duties of the job
- Promote effective practice for safe service delivery.
- Be responsible for managing incident reporting ensuring the relevant reviews are undertaken and incidents closed with learning disseminated
- Provide professional and managerial support in relation to clinical risk.
- Where appropriate deputise for the Quality and Safety Matron
- The post holder will assist the Quality and Safety and Maternity team in achieving and maintaining high CQC standards and achieving MBRRACE recommendations, and the NPSA and or any other relevant agencies.
- Identify incidents that require reporting to the Healthcare Safety Investigation Branch (HSIB) and support the reporting and investigation process for these cases.
- Participate and support the Perinatal Mortality Review Process, notifying cases to MBRRACE and contributing to the surveillance of cases. Drafting and reviewing reports within the PMRT tool in partnership with the Quality and Safety Matron and the Obstetric Lead for PMRT.
- Coordinate the Avoiding Term Admissions Into Neonatal (ATAIN) reviews in partnership with the NNU Team and ensure that maternity learning is disseminated in a timely manner
- Take a lead in the co-ordination of directorate risk activities including the co-ordination of Serious Incidents and other risk reporting including near miss reporting, Duty of Candour, and ensuring that learning is disseminated and effective to reduce re-occurrence of event.
About us
The Secretary of State has approved the partnership between St Helens & Knowsley and Southport & Ormskirk Hospitals.
From 1st July we have come together as a single organisation under the name Mersey & West Lancashire Teaching Hospitals NHS Trust.
The Trust delivers acute hospital care, intermediate care, community, and primary care services to a population of over 600,000 people with a combined workforce of around 9000 dedicated and skilled staff from 17 locations including Whiston, Southport & Formby, St Helens, Ormskirk and Newton hospitals.
The Trust provides regional services for burns, plastic surgery and spinal injuries to more than 4 million people across Mersey and West Lancashire, Cheshire, the Isle of Man and North Wales.
Our Vision is to deliver 5 Star Patient Care:
- CAREthat is evidence based, high quality and compassionate
- SAFETY that is of the highest standards
- COMMUNICATION that is open, inclusive and respectful
- SYSTEMS that are efficient, patient centred and reliable
- PATHWAYS that are best practice and embedded, but also respect the individual needs of patients
Our achievements include:
- Trust rated Outstanding by CQC Inspection August 2018
- Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
- Awarded National Preceptorship Accreditation (2023) for our Nursing & AHP Preceptorship Programme
Please see our Wellbeing & Benefits booklet for more information on our staff benefits. Accessible version available upon request.
Job description
Job responsibilities
KEY DUTIES
- Promote effective practice for safe service delivery.
- Be responsible for managing incident reporting ensuring the relevant reviews are undertaken and incidents closed with learning disseminated
- Provide professional and managerial support in relation to clinical risk.
- Where appropriate deputise for the Quality and Safety Matron
- The post holder will assist the Quality and Safety and Maternity team in achieving and maintaining high CQC standards and achieving MBRRACE recommendations, and the NPSA and or any other relevant agencies.
- Identify incidents that require reporting to the Healthcare Safety Investigation Branch (HSIB) and support the reporting and investigation process for these cases.
- Participate and support the Perinatal Mortality Review Process, notifying cases to MBRRACE and contributing to the surveillance of cases. Drafting and reviewing reports within the PMRT tool in partnership with the Quality and Safety Matron and the Obstetric Lead for PMRT.
- Coordinate the Avoiding Term Admissions Into Neonatal (ATAIN) reviews in partnership with the NNU Team and ensure that maternity learning is disseminated in a timely manner
- Take a lead in the co-ordination of directorate risk activities including the co-ordination of Serious Incidents and other risk reporting including near miss reporting, Duty of Candour, and ensuring that learning is disseminated and effective to reduce re-occurrence of event.
- Ensure that all investigations are completed in a timely fashion and recommended actions are completed accordingly.
- Co-ordinate and assist in proactive risk assessment processes.
- Co-ordinate and assist with maintaining the O&G risk register.
- Assist with maintaining the maternity dashboard.
- Update all staff on risk related issues through mandatory training and information dissemination in all formats.
- Write detailed reports as appropriate and enable other staff to generate fit for purpose incident/Governance reports.
- Visibly and proactively contribute daily to the Safety Huddle process by sharing lessons learned from incidents, and risk reviews in a timely manner.
- Provide monthly updates on clinical incidents to the O&G Clinical Governance and Quality Group by the production of the monthly Safety Dashboard report.
- Facilitate practice change in response to lessons learned from the Governance Framework and actively encourage involvement of appropriate personnel e.g, Midwifery Matrons/Managers, Specialist Midwives, Paediatric Consultants, Anaesthetists, Theatre Team, escalating to Head of Midwifery when appropriate.
- Co-ordinate and propose improvements regarding the incident reporting system in order to monitor trends in relation to adverse incidents.
- Ensure Lead Consultant for Governance; Head of Midwifery and Quality and Safety Matron receive lessons learned as soon as they are available.
- Provide the Head of Midwifery; Consultant Obstetric Lead for Governance and Quality and Safety Matron of any findings of incident reviews, which pertain to staff practice issues to enable them to direct appropriate action if required
- Attend and provide regular feedback and update as a member of the O&G Clinical Governance and Quality Group; to Labour Ward & Maternity Forum; Professional Forum; Senior Managers Meeting; Obstetric and Gynaecology Directorate Meeting and any other appropriate meetings.
- Support the Quality and Safety Matron, Head of Midwifery and Consultant Obstetric Lead for Governance by liaising with the legal department when appropriate in relation to incidents and potential or actual claims.
- Work closely with the Obstetric Clinical Lead for Governance, and the Senior Maternity Management Team to achieve the full implementation of the objectives outlined in the Directorates Governance Strateg
The post holder will proactively contribute to the following objectives in the Directorates Governance Strategy:
- Ensure that Governance is embedded into the maternity culture.
- Ensure all staff within the maternity unit are aware of their role in enabling effective Governance
- Ensure all staff within the maternity are competent to enable effective Governance.
- Ensure all staff undergo mandatory training related to Governance.
- Empower all staff within the maternity unit to report risks and concerns.
- Ensure all risks are reported.
- Reduce and effectively manage risks within the maternity unit.
- Ensure all reported risks are analysed for emerging themes and the need for corrective action plans.
- Ensure action plans are developed, implemented and monitored for reported risks that require this level of intervention.
- Integrate incidents, complaints and legal claims through the production of formal reports.
- Comply with governance requirements of the Trust
CLINICAL & PROFESSIONAL RESPONSIBILITIES
- Maintain Professional Registration and practice through CPD
- Adhere to NMC Code of Practice
- Maintain personal standards of conduct and behaviour consistent with Trust and NMC guidelines
- Provide expert advice on evidence-based practice in midwifery.
- Influence maternity care to be the highest standard whilst exercising professional and personal autonomy.
- To participate in the review of incident reporting, and when required investigate clinical incidents in a timely and comprehensive manner, providing expertise in relation to applicable Guideline
ADMINISTRATIVE RESPONSIBILITIES
- Must be fully able to use the Trust computerised systems integral to the running of the service.
- Demonstrate enhanced planning skills when organising own workload, caseload, or meetings.
- Ensure the optimum and economical use of resources, stores and equipment.
- Makes use of all available methods of communication to build and develop effective
- Networks and processes both within the Trust and across the healthcare community, locally, regionally and nationally.
- Write detailed reports as appropriate and enable other staff to generate fit for purpose incident/Governance reports
TEACHING & TRAINING RESPONSIBILITIES
- Have in depth knowledge and expertise on a range of midwifery procedures and practices; underpinned by theoretical training, practical experience and evidence-based practice.
- Attend relevant training and development in order to maintain and develop skills and knowledge required for revalidating as a practising midwife.
- Undertake annual mandatory training updates and other relevant courses in line with trust and local policies.
- Present an appearance that promotes a positive profile of the midwifery service and the Trust, in line with the Trust uniform policy.
- Supports and promotes equality, diversity and the rights of women, the public and colleagues within the health care environment. Acts as an advocate for women.
- Have knowledge of and contribute to the development of the Maternity Strategy within the Trust.
- Actively participate in the induction programme for doctors, midwives and nursing staff providing an overview of the directorate and explaining the Governance framework and highlighting their responsibilities
LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES
- Participate in the senior midwives bleep holder rota and take the helicopter view of the maternity service.
- Undertake individual performance review and appraisal as appropriate
- Provide operational day-to-day support to senior staff within the clinical areas and support teams.
- Contribute to and promote a culture that values all staff, recognising and acknowledging achievement and success whilst positively addressing poor performance.
- Be an active member of the Directorate Management Team and ensure members are informed of Governance issues within the service
RESEARCH & AUDIT
- Work with Research, Audit, Clinical/Ward Managers and front-line staff to ensure that action plans are created, to implement evidence-based change.
Job description
Job responsibilities
KEY DUTIES
- Promote effective practice for safe service delivery.
- Be responsible for managing incident reporting ensuring the relevant reviews are undertaken and incidents closed with learning disseminated
- Provide professional and managerial support in relation to clinical risk.
- Where appropriate deputise for the Quality and Safety Matron
- The post holder will assist the Quality and Safety and Maternity team in achieving and maintaining high CQC standards and achieving MBRRACE recommendations, and the NPSA and or any other relevant agencies.
- Identify incidents that require reporting to the Healthcare Safety Investigation Branch (HSIB) and support the reporting and investigation process for these cases.
- Participate and support the Perinatal Mortality Review Process, notifying cases to MBRRACE and contributing to the surveillance of cases. Drafting and reviewing reports within the PMRT tool in partnership with the Quality and Safety Matron and the Obstetric Lead for PMRT.
- Coordinate the Avoiding Term Admissions Into Neonatal (ATAIN) reviews in partnership with the NNU Team and ensure that maternity learning is disseminated in a timely manner
- Take a lead in the co-ordination of directorate risk activities including the co-ordination of Serious Incidents and other risk reporting including near miss reporting, Duty of Candour, and ensuring that learning is disseminated and effective to reduce re-occurrence of event.
- Ensure that all investigations are completed in a timely fashion and recommended actions are completed accordingly.
- Co-ordinate and assist in proactive risk assessment processes.
- Co-ordinate and assist with maintaining the O&G risk register.
- Assist with maintaining the maternity dashboard.
- Update all staff on risk related issues through mandatory training and information dissemination in all formats.
- Write detailed reports as appropriate and enable other staff to generate fit for purpose incident/Governance reports.
- Visibly and proactively contribute daily to the Safety Huddle process by sharing lessons learned from incidents, and risk reviews in a timely manner.
- Provide monthly updates on clinical incidents to the O&G Clinical Governance and Quality Group by the production of the monthly Safety Dashboard report.
- Facilitate practice change in response to lessons learned from the Governance Framework and actively encourage involvement of appropriate personnel e.g, Midwifery Matrons/Managers, Specialist Midwives, Paediatric Consultants, Anaesthetists, Theatre Team, escalating to Head of Midwifery when appropriate.
- Co-ordinate and propose improvements regarding the incident reporting system in order to monitor trends in relation to adverse incidents.
- Ensure Lead Consultant for Governance; Head of Midwifery and Quality and Safety Matron receive lessons learned as soon as they are available.
- Provide the Head of Midwifery; Consultant Obstetric Lead for Governance and Quality and Safety Matron of any findings of incident reviews, which pertain to staff practice issues to enable them to direct appropriate action if required
- Attend and provide regular feedback and update as a member of the O&G Clinical Governance and Quality Group; to Labour Ward & Maternity Forum; Professional Forum; Senior Managers Meeting; Obstetric and Gynaecology Directorate Meeting and any other appropriate meetings.
- Support the Quality and Safety Matron, Head of Midwifery and Consultant Obstetric Lead for Governance by liaising with the legal department when appropriate in relation to incidents and potential or actual claims.
- Work closely with the Obstetric Clinical Lead for Governance, and the Senior Maternity Management Team to achieve the full implementation of the objectives outlined in the Directorates Governance Strateg
The post holder will proactively contribute to the following objectives in the Directorates Governance Strategy:
- Ensure that Governance is embedded into the maternity culture.
- Ensure all staff within the maternity unit are aware of their role in enabling effective Governance
- Ensure all staff within the maternity are competent to enable effective Governance.
- Ensure all staff undergo mandatory training related to Governance.
- Empower all staff within the maternity unit to report risks and concerns.
- Ensure all risks are reported.
- Reduce and effectively manage risks within the maternity unit.
- Ensure all reported risks are analysed for emerging themes and the need for corrective action plans.
- Ensure action plans are developed, implemented and monitored for reported risks that require this level of intervention.
- Integrate incidents, complaints and legal claims through the production of formal reports.
- Comply with governance requirements of the Trust
CLINICAL & PROFESSIONAL RESPONSIBILITIES
- Maintain Professional Registration and practice through CPD
- Adhere to NMC Code of Practice
- Maintain personal standards of conduct and behaviour consistent with Trust and NMC guidelines
- Provide expert advice on evidence-based practice in midwifery.
- Influence maternity care to be the highest standard whilst exercising professional and personal autonomy.
- To participate in the review of incident reporting, and when required investigate clinical incidents in a timely and comprehensive manner, providing expertise in relation to applicable Guideline
ADMINISTRATIVE RESPONSIBILITIES
- Must be fully able to use the Trust computerised systems integral to the running of the service.
- Demonstrate enhanced planning skills when organising own workload, caseload, or meetings.
- Ensure the optimum and economical use of resources, stores and equipment.
- Makes use of all available methods of communication to build and develop effective
- Networks and processes both within the Trust and across the healthcare community, locally, regionally and nationally.
- Write detailed reports as appropriate and enable other staff to generate fit for purpose incident/Governance reports
TEACHING & TRAINING RESPONSIBILITIES
- Have in depth knowledge and expertise on a range of midwifery procedures and practices; underpinned by theoretical training, practical experience and evidence-based practice.
- Attend relevant training and development in order to maintain and develop skills and knowledge required for revalidating as a practising midwife.
- Undertake annual mandatory training updates and other relevant courses in line with trust and local policies.
- Present an appearance that promotes a positive profile of the midwifery service and the Trust, in line with the Trust uniform policy.
- Supports and promotes equality, diversity and the rights of women, the public and colleagues within the health care environment. Acts as an advocate for women.
- Have knowledge of and contribute to the development of the Maternity Strategy within the Trust.
- Actively participate in the induction programme for doctors, midwives and nursing staff providing an overview of the directorate and explaining the Governance framework and highlighting their responsibilities
LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES
- Participate in the senior midwives bleep holder rota and take the helicopter view of the maternity service.
- Undertake individual performance review and appraisal as appropriate
- Provide operational day-to-day support to senior staff within the clinical areas and support teams.
- Contribute to and promote a culture that values all staff, recognising and acknowledging achievement and success whilst positively addressing poor performance.
- Be an active member of the Directorate Management Team and ensure members are informed of Governance issues within the service
RESEARCH & AUDIT
- Work with Research, Audit, Clinical/Ward Managers and front-line staff to ensure that action plans are created, to implement evidence-based change.
Person Specification
Qualifications
Essential
- Registered Midwife with current NMC Registration
- Evidence of degree or evidence of degree level study or willingness to work towards
- Evidence of post registration education.
Knowledge & Experience
Essential
- Works well under pressure and has demonstrable experience of meeting project deadlines.
- Knowledge and awareness of the principles of governance in Healthcare and Maternity
- Evidence of experience and understanding of governance processes
- Evidence in the involvement in the development of guidelines and protocols.
- Evidence of teaching and mentoring.
- Demonstrates a knowledge of national reporting systems and standards relating to governance
Desirable
- Root Cause Analysis Training
Skills
Essential
- Ability to demonstrate a wide range of midwifery experience.
- Ability to promote a positive and inclusive culture within teams
- Excellent interpersonal and teamwork skills with the ability to engage, build and sustain relationships both within the trust and externally
- Excellent communication and presentation skills, written, and verbal skills.
- Evidence of excellent report writing skills
- Able to apply action learning and other methods to facilitate staff development
- Proven ability to influence, motivate, support and gain the respect of other health professionals.
Desirable
- Previous research and audit experience
Other
Essential
- Ability to work under pressure and meet deadlines
- Ability to work without supervision, autonomously and use own initiative
- Ability to work flexibly and manage competing priorities
- Ability to work as a team member
- Ability to establish and maintain good working relationships with people from a wide range of personal and professional backgrounds.
- Good knowledge of IT systems, Including, word, Excel, power point etc
Person Specification
Qualifications
Essential
- Registered Midwife with current NMC Registration
- Evidence of degree or evidence of degree level study or willingness to work towards
- Evidence of post registration education.
Knowledge & Experience
Essential
- Works well under pressure and has demonstrable experience of meeting project deadlines.
- Knowledge and awareness of the principles of governance in Healthcare and Maternity
- Evidence of experience and understanding of governance processes
- Evidence in the involvement in the development of guidelines and protocols.
- Evidence of teaching and mentoring.
- Demonstrates a knowledge of national reporting systems and standards relating to governance
Desirable
- Root Cause Analysis Training
Skills
Essential
- Ability to demonstrate a wide range of midwifery experience.
- Ability to promote a positive and inclusive culture within teams
- Excellent interpersonal and teamwork skills with the ability to engage, build and sustain relationships both within the trust and externally
- Excellent communication and presentation skills, written, and verbal skills.
- Evidence of excellent report writing skills
- Able to apply action learning and other methods to facilitate staff development
- Proven ability to influence, motivate, support and gain the respect of other health professionals.
Desirable
- Previous research and audit experience
Other
Essential
- Ability to work under pressure and meet deadlines
- Ability to work without supervision, autonomously and use own initiative
- Ability to work flexibly and manage competing priorities
- Ability to work as a team member
- Ability to establish and maintain good working relationships with people from a wide range of personal and professional backgrounds.
- Good knowledge of IT systems, Including, word, Excel, power point etc
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).
